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Medicaid history summary
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1. The Flexner Report in 1910 gave 3 new curriculum requirements for medical schools. What where they?
The Flexner report has been the most important event in the medical world in America and Canada, causing serval medical schools to close down, and the remaining had to reform to the flexnerian model also using the 3 new curriculum: to be a part of a university, to have at least four years of training, and to have the first two years of that training concentrate on basic laboratory science.
2. What is the NMA? Why was it formed? What is the real reason why and how Hospitals became integrated?
NMA is the national medical association, which is the nation’s oldest and largest organization that was formed to represent African American
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are: 1) Primary care: care provided by physician’s office and clinics, who also provided the first stage of treatment for a disease and provide continuing, comprehensive, coordinated medical care that is not differentiated by gender, disease, or organ system. 2) Secondary care: care obtained from specialist and in hospitals, which are separated between primary care and specialist that treat only certain type of patients. 3) Tertiary care: care obtained at regional referral centers that serve the needs of many hospitals and communities such as neonatal intensive care units, burn center, and transplant surgery centers. 4) Quaternary care: care obtained at national referral centers for certain disease and often-experimental …show more content…
They also work in emergency departments, inpatient and outpatient surgical facilities, does special practice for cardiology and oncology for patients who are receiving long term treatment. They also can monitor diabetes and cancer patients too.
6. What are the four core components of the “patient-Centered Medical Hame (PCMH) Movement?
The four components of the patient-centered medical hame, which is a joint statement issued by a consortium of primary care professional organization are the fundamental tenets of primary care: 1) Contact access, comprehensive, integration, coordination, and relationships involving sustained partnership. 2) New ways of organizing practice. 3) Development of practices internal capabilities. 4) Related health care system and reimbursement changes.
7. What did you learn in this chapter that you didn’t know before?
After reading this chapter I learned the difference between a primary care and specialist, and that a specialist makes more money than a primary care physician. I also learned the history behind Medicare and Medicaid, and how they made a huge impact in the segregated world. Also learning the levels that our health care system is divided into, was something I didn’t know before reading this
The 4+4 program at Hofstra caught my interest after I researched its medical school, the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell. Northwell comprises some of the most renowned hospitals in the New York area, from the Long Island Jewish Medical Center to Lenox Hill Hospital. Aside from being partnered with such a prestigious institution, the Zucker School of Medicine’s progressive, “case based” curriculum is what intrigued me the most. Few medical schools offer to train its students for the 21st century, and this hands on approach seems like the best method to expose students from our generation to the ever changing field of healthcare. From working in groups to solve weekly cases to using real world patient cases to explain concepts, I feel as if the Zucker School of Medicine offers an optimal experience for its students to succeed in their fields.
Educational Funding: One of the ACA's primary mechanisms for increasing the amount of providers, particularly in areas wherever need is high, is through extra funds to the National Health Service Corps (NHSC). This 40-year-old program, administered by the Health Resources and Services Administration (HRSA), offers providers monetary, skilled, and academic resources in exchange for operating in historically underserved areas of the country.
Students must self evaluate/reflect at the end of each clinical course by answering the statements/questions below. This paper is evaluated based on how completely each section is answered as well as grammar/spelling/punctuation.
Niles, N. J. (2011). Basics of the U.S. health care system. Sudbury, MA: Jones and Bartlett.
...that Satel needs to do more research. For example, in her article, she mentions that Primary-care physicians who lack board certification and who encounter obstacles to specialized services are more likely to practice in areas where blacks receive their care—namely, poorer neighborhoods, as measured by the median income, but she doesn’t back it up with research. Although some may object that health care is color blind and that doctors do their best to administer health care proportionately, I would reply that racism plays a role in the health care disparities. Racism has always been an issue and there is no way people can reject that fact. This issue is important because the health care disparity gap is large and something needs to be done about it. As IOM said, people need to be aware of what is going on so as to take appropriate steps in order to break the gap.
When society thinks of healthcare, there are many racial disparities within healthcare, especially in treatment. How being a person of color in the United States can be difficult when it comes to accessing health care, especially in the hospital. In the United States, there seems to be a separation between physicians and patient, which contributes to the disparities in quality of healthcare. The hospital is a place where people should feel equally treated. The hospital is also a place where can be refused medical attention due to their socioeconomic status, race and gender. A patient needs to have confidence in the capability of their physician, so that they can be able to confide in him or her. When a person goes to the hospital to have
Patient-centered care recognizes the patient or designee as the source of control and full partner in
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
the act of patient centered care which is defined according to QSEN/NOF, as holistic care that
Becoming a physician can be only the first step in a gratifying medical career, but many choose to continue their education in a specialist area. Every physician participates in residency training in a particular medical specialty before going on to specialize in an area of medicine. In order to understand the importance each specialty plays in the successful treatment of a patient, the history of medicine must first be understood.
Hospitals, long term care facilities, and mental health all serve as healthcare arenas serving the population in various ways. The hospital provides the most critical type of care, for the seriously ill. Hospitals originally served the poor and ill, but over time with the progression of technology and medical service specialties, they have grown to become healthcare meccas with many outlets. Over the past 30 years the degree of rigor of clinical practice and the scope of scientific knowledge has escalated greatly, and the hospital has become a center of high standards, scientific applications, and advanced technological capability (Williams & Torrens, 2008). The increasing shift of services to an ambulatory care arena facilitated by technological advancement itself has left the hospital with an evermore complex base of patient care, higher acuity, and higher costs (Williams & Torrens, 2008). Markets have changed, pricing pressures have increased, and consumer and payer expectations have evolved for hospitals, changes are constant in the medical arena, and hospitals are no exception.
This course was the Core of the clinical medicine. Medical specialities were taught in different modules during the 4th year of study. These specialities included; Psychiatry I, Psychiatry II, Rehabilitation Medicine, TB and Leprosy, Dermatology, Palliative Care, and Medical Ethics. These specialities were taught in 2 semesters and carried 15 credits. These medical special aimed at making students appreciate the discipline of medicine in great details. For instance, the TB and Leprosy Module made a student appreciate the global burden of TB and challenges of TB
Primary health care is the care nurses adopt to emphasis the health care to the people themselves
Over this 48-year history, demographic trends in medicine and in pediatrics result in a workplace that now made up of nearly equal numbers of men and women, with females having the majority of pediatric residents and neonatology students entering training. American medical schools contributed the large majority of students in NPM at its inception, but by the mid-1990s, international graduates became about one- half of the trainees. Although this number dropped somewhat in the early 2000s, International graduates continue to be an important fraction of the workforce in NPM. Most International graduates are eligible to remain in the United States for practice and many are eligible for certification by the American Board in general pediatrics, a requirement for board-eligibility in NPM.
Hospitals play an important role in the health care system (Hospitals, n.d.). They are health care institutions that have an organized medical and other professional staff, and inpatient facilities, and deliver medical, nursing and related services 24 hours per day, 7 days per week. Hospitals offer a varying range of acute, convalescent and terminal care using diagnostic and curative services in response to acute and chronic conditions arising from diseases as well as injuries and genetic anomalies. In doing so they generate essential information for research, education and management. Traditionally oriented on individual care, hospitals are increasingly forging closer links with other parts of the health sector and communities in an effort