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14 Cards in this Set
- Front
- Back
Why did the professionalization of medicine start later in the US than in some western European nations?
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1. Medical practice was in disarray
2.Medical procedures were primitive 3. An institutional core was missing 4.Demand was unstable 5. Medical education was disorganized |
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Almshouse
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Unspecialized institution mainly serving a general welfarefunctions for the poor and disabled
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Fee for service
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Billing sperately for each service provide.
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Pesthouse
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Institution where the contagous sick could be quarentined
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Cost sifting/ cross subsidization
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Shifting costs from one area to another; losses in one area of health care are made up by charging more in another area.
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Balanced Billing
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Billing the patient for the balanceof a bill not paid by insurance.
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TitleXVIII
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Parts A and B of medicare
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Organized Medicine
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Concerted medical/political activities organized by the AMA (american medical association)
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Cultural Authority
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General acceptance of and reliance on the judgement of the member of a profession.
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Gatekeeping
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Use of a primary care/generalist physician to approve specialty treatments
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Capitation
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a payment mechanism where a provider recieves a flat rate to cover a person's medical services over a set period of time.
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Means Test
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Income based determinationof eligibility.
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TitleXIX
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Medicaid portion of the social security act.
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Which factors explain why the demand for the services of a professional physician was inadequate in the pre industrial era? How did scientific medicine and technology change that?
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The market for physicians's services was also limited by economic conditions. Most competent physicians were located in more populated communities.
1. travel was too expensive for everyone involved 7 major factors that help it change were: 1. urbanization 2.Science and technology 3.institutionalization 4.dependency 5.cohesiveness and organization 6. licensing 7.educational reform |