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Chapter 3 The Public Health and Primary Health Care Systems. Susan B. Hassmiller Modified by Monica Donald January 2009. Organization of the Health Care System. A variety of facilities and providers make up the health care system Two main components of the American health care system
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Chapter 3The Public Health and Primary Health Care Systems Susan B. Hassmiller Modified by Monica Donald January 2009
Organization of the Health Care System A variety of facilities and providers make up the health care system Two main components of the American health care system Primary Health Care Definition Strategy Types of Services Healthy People 2010: Objectives relative to health
Primary Care • Definition • Managed care • HMO • PPO • Difference between Primary Care and Primary Health Care
Public Health System Goal Mandated through laws that are developed at the national, state, or local level Three levels of organization
Federal, State, and Local Systems Federal State Local
Forces Stimulating Change in U.S. Health Care System Demographic trends Social and economic trends Health workforce trends Technological trends
Current U.S. Health Care System: Identifying the Problems Cost Access Quality
Future of the Health Care System Four major competing forces that will influence future design of the health care system
Community-Oriented Primary Care (COPC) Model Definition Main focus of the model
Chapter 12Community Assessment and Evaluation George F. Shuster Jean Goeppinger Modified by Monica Donald January 2009
What Is a Community? Definitions of Community
Three Dimensions of the Concept of Community People – community residents Place – refers to both geographical and time dimensions Function – refers to the aims and activities of the community
Community as Client Definition
Community Health Definition Three Dimensions of Community Health
Community-Oriented Practice Goal Community Partnerships
Characteristics of Effective Partnerships Equality in decision making A shared vision Integrity Agreement on specific goals A plan of action to meet the goals
Community Assessment Purpose of a community assessment What does the PHN/CHN learn from a community assessment?
Assessing Community Health Steps to assessing a community’s health
Applying the Nursing Process Assessment Planning Implementation (Interventions) Evaluation
Writing Objectives What is an objective? Importance of well written objectives
Writing Objectives Four Elements of an Objective
S.M.A.R.T. Objectives How to write SMART Objectives
Chapter 21Vulnerability and Vulnerable Populations: An Overview Juliann G. Sebastian Modified by Monica Donald January 2009
Vulnerability and Vulnerable Populations Definitions Disenfranchisement
Predisposing Factors What are the predisposing factors to vulnerability?
Public Policies Affecting Vulnerable Populations Social Security Act of 1935 Social Security Act Amendments of 1965, Medicare, and Medicaid Title XXI of the Social Security Act (1997) Balanced Budget Act of 1997
Managed Care and Insurance Companies Influences on vulnerable populations
Nursing Interventions Wrap-around services Healthy People 2010
Assessment Issues Information to include in an assessment of a vulnerable client
Planning and Implementing Care for Vulnerable Populations Important factors to consider when planning and implementing care
