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What is primary care?
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Avoids development of disease as much as possible and promotes healthy living. Redone every 10 years. Health promotion
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What is secondary care?
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Aim at early disease detection and treatment to prevent the progression of the disease and development of more symptoms.
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What is tertiary care?
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Restoring function and decreasing disease related complications of an already established disease. Rehab and palliative care included.
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Examples of primary care and where delivered.
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Childhood obesity and nutrition, physical activity, dental and oral health, tobacco cessation, health screening.Physician office, hospital clinics, community health, public health
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Examples of secondary care and where delivered.
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****Early detectionhospital, Out patient surgery, specialist office
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Examples of tertiary care and where delivered.
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****RestorationHospital, acute care, rehab, extended care
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Name 4 types of healthcare setting.
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Acute care, extended care, home care, community
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3 Factors affecting Healthcare delivery
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Changing demographics (minority and elderly), advances in technology, health literacy
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DRG's
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Diagnosis-related groups establish fees according to diagnosis
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Managed Care
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Organizes care delivery that emphasizes cost-effective, quality care-focuses on decreased cost and improved outcomesPro: care of client carefully planned, costs predeterminedCon: some benefits limited
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Case Management
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Multidisciplinary teams assist clients and families to access necessary resources in timely manner while managing and allocating available resources***goal to provide service delivery approach***case manager: may or may not provide direct care***Continuity of care
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Client-focused care framework
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All services and care providers brought to client-requires cross training of professionals-may have increase cost to client
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Functional Nursing
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Healthcare divided in functional lines-task requiring least skill done by least skilled worker-client not assigned to a specific nurse***cost efficient***can overlook nursing care not easily quantified
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UAP
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-unlicensed assistive personnel -these are staff members that assume delegated aspects of basic client care
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Team Nursing
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Professional nurse leads teams that provides individual care-frees professional nurse to attend to more complex clients-may lead to lack of continuity
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