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Chapter 2

Chapter 2. Health Care Delivery System. Health Care Costs. Prospective payment system DRGs Capitation Managed care. Levels of Health Care. Preventive Primary Secondary Tertiary Restorative Continuing. Preventive and Primary Care Settings. School health services

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Chapter 2

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  1. Chapter 2 Health Care Delivery System

  2. Health Care Costs • Prospective payment system • DRGs • Capitation • Managed care

  3. Levels of Health Care • Preventive • Primary • Secondary • Tertiary • Restorative • Continuing

  4. Preventive and Primary Care Settings • School health services • Occupational health services • Physicians’ offices • Clinics • Nursing centers • Block and parish nursing

  5. Secondary and Tertiary Care Settings • Hospitals/medical centers • Emergency departments • Medical units • Intensive care • Psychiatric facilities • Rural hospitals

  6. Restorative Care Settings • Home health care • Rehabilitation centers • Extended care facilities

  7. Continuing Care Settings • Agencies on aging • Nursing facilities • Assisted living • Adult day care centers • Hospice

  8. Issues in Health Care Delivery • Competency • Evidence-based practice • Knowing clients • Unlicensed assistive personnel • Quality health care

  9. Client-Centered Care • Respect for client’s values, preferences, and expressed needs • Coordination and integration of care • Information, communication, and education • Physical comfort

  10. Client-Centered Care (cont’d) • Emotional support and relief of fear and anxiety • Involvement of family and friends • Transition and continuity

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