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cswett
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Primary prevention
- - prevent/ slow onset of disease -
- 1. Health promotion - healthy diet & exercise, stress reduction
- 2. Illness prevention - immunizations, well child care
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Secondary prevention
- detect & treat illnesses in early stages
- 1. Diagnosis
- 2. Early detection -mamagram, blood screening
- 3. Treatment
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Tertiary prevention
- - stopping disease progression & return to pre-illness state
- 1. rehabilitation
- 2. health restoration
- 3. palliative care - terminal stage patients - keep them comfortable & attempt to give good quality of life
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Health Care Agencies
- 1. Government agencies - public health
- 2. Physicians' offices
- 3. Ambulatory care center - diagnostic and treatment facilities - relaced the trem clinic in many places
- 4. Occupational health clinics - employee health care
- 5. Hospitals - for acute illness
- 6. Sub-acute care - inpatient care for person with acute ilness, injury, or exacerbation of a disease process
- 7. Extended care facilities (nursing homes) - different levels of care for chronically ill patients or those who are unable to care for themselves
- 8. Retirement and assisted-living centers
- 9. Rehabilitation centers - help restore health
- 10. Home health care agencies
- 11. Rural care hospitals
- 12. Day care centers - for infants or elderly
- 13. Hospice services
- 14. Crisis centers
- 15. Mutual support or self-help groups
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Health Care Professionals
- 1. Nurses
- 2. Alternative care providers - clergy, message therapy, chiropractor
- 3. Case manager
- 4. Dentists
- 5. Dietitians
- 6. Nutritionists
- 7. OT Occupational therapists
- 8. EMT
- 9. Pharmacists
- 10. PT - physical therapists
- 11. Physicians
- 12. Podiatrists
- 13. Respiratory therapists
- 14. Social workers
- 15 Spiritual support
- 16. UAP -Unlicensed assistive personnel - orderlies
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Factors that affect health care delivery
- 1. Increasing # of elderly
- 2. Advances in technology - people live longer- can be kept alive but what is their quality of life?
- 3. Economics
- 4. Women's health issues
- 5. Uneven distribution of services
- 6. Access to heath insurance - 46 million in US w/o insurance
- 7. Homeless and the poor
- 8. HIPAA - privacy act
- 9. Demographic changes
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Medicare
- -adults over 65
- Part A - provides hospitalization, home care, hospice
- Part B - partial outpatient and physician services (voluntary - pay a premium)
- Part D - prescription plan (voluntary)
- Does not cover dental, eyeglasses, hearing aids
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Medicaid
- -financial assistance
- - each state is distinct
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