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Navigating Health Care Systems: Understanding Costs and Care Levels

This guide delves into the intricacies of health care delivery, costs, and different care settings. Topics covered include prospective payment systems, managed care, levels of care (preventive, primary, secondary, tertiary), and client-centered care practices. Explore issues in health care delivery such as competency, evidence-based practice, and client-centered approaches. Discover the importance of knowing clients, respecting their values, and ensuring quality health care services. Gain insights into various care settings like hospitals, home health care, rehabilitation centers, and agencies on aging.

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Navigating Health Care Systems: Understanding Costs and Care Levels

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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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