lesson 2 choosing community health services you need to understand the options in health care...
TRANSCRIPT
LessonLesson 22Choosing Community Health Services
You need to understand the options in health care services available in your community.
Being health-literate means more than just being informed about products.
LessonLesson 22In this lesson, you will learn to:
Lesson Objectives
• Compare professional health services, such as primary and preventive care
• Describe health care services in the community that relate to disease prevention and health promotion
• Analyze the cost, availability, and accessibility of health services for people of all ages
LessonLesson 22Types of Health Services
Immunizations, health screenings, and health care professionals are all a part of the health care system.
Whenever you’ve seen a doctor for a checkup or a dentist for an oral exam, you’ve used preventive care.
Health care can be divided into:
• General care, which includes primary care physicians.
• Specialized care, which includes specialists.
Health Care System
LessonLesson 22Facilities for Health Care Services
Communities may have more than one type of health care facility. These facilities may offer health care as inpatient care or outpatient care.
Health care facilities include:
• Private practices
• Clinics
• Group practices
• Hospitals
• Emergency rooms
• Urgent care centers
Health Care Facilities
LessonLesson 22How People Pay for Health Services
Health Care Expenses
• Many families have some form of health insurance.
• To maintain membership in such a plan, the insured person pays a periodic premium, or fee, for medical coverage.
• In conventional insurance plans, the insured person pays for doctor visits out of pocket. The insurance company then reimburses a fixed portion of the cost of the visit.
• A deductible is an amount a member must pay in an out-of-pocket expense before the plan will start reimbursing for health care services.
LessonLesson 22
Some insurance plans are called managed care plans.
These plans emphasize preventive care and offer reduced physician charges for their members in an attempt to control costs.
Managed Care
How People Pay for Health Services
LessonLesson 22Types of Managed Care Plans
Members pay a monthly premium.
Members avail medical services with few or no out-of-pocket expenses.
Usually members can see only those physicians who have signed an agreement with the HMO.
PPO POSHMO1. Health Maintenance Organizations (HMOs)
2. Preferred Provider Organizations (PPOs)
3. Point of Service (POS) plans
How People Pay for Health Services
LessonLesson 22
The health community continually updates the types of care available and the procedures used to implement care for people of all ages.
Current trends include the following:
• Birthing centers
• Drug treatment centers
• Continuing care and assisted living facilities
• Hospices
• Telemedicine
Trends in Health Care
Current Trends
LessonLesson 22You and Your Health Care
A good doctor/patient relationship is critical to quality health care. This relationship requires an open communication and a sense of trust.
To effectively maintain your health you need to be aware of:
• Your medical history.
• Your health habits.
• The health of close family members.
How to Form a Good Doctor/Patient Relationship
LessonLesson 22Patient Skills
Make the most out of your next medical appointment:
• Before you go, write down your reasons for seeing the doctor.
• While you are at the office, ask questions about any diagnoses, medications, or procedures that you do not understand or are unsure about.
• Inform the staff of your allergies and current medications.
You and Your Health Care
LessonLesson 22
• Ask the pharmacist any questions you have about the medication.
• Compare products by reading labels.
• Understand what symptoms each medicine is intended to treat.
Medicine Use
You and Your Health Care
LessonLesson 22
Q. A medical specialist who
specializes in cancer is called a(n) ________.
Choose the appropriate option.
1. oncologist 2. dentist
3. psychiatrist
4. orthodontist
Quick Review
LessonLesson 22
A. 1. oncologist
A medical specialist who specializes in cancer is called an oncologist.
Click Next to attempt another question.
Quick Review - Answer
LessonLesson 22
Q. A _________ is a primary
care provider.
Choose the appropriate option.
1. psychiatrist 2. gynecologist
3. school nurse
4. pediatrician
Quick Review
LessonLesson 22
A. 3. school nurse
A school nurse is a primary care physician.
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Quick Review - Answer
LessonLesson 22
1. Write down your reasons for seeing the doctor.
2. Only ask questions at the end of your appointment, when your doctor asks if you have any.
3. Inform the staff of your allergies and current medications.
4. All of the above
Q. Which of the following actions will not necessarily help you make the most of your medical appointment?
Quick Review
LessonLesson 22
Click Next to attempt another question.
A. 4. All of the above
Actions that can help you make the most of your medical appointments include the following: writing down your reasons for seeing the doctor and informing the staff of your allergies and current medications. You should always feel free, at any time during the appointment, to ask questions about any diagnoses, medications, or procedures that you do not understand.
Quick Review - Answer
LessonLesson 22
End of Lesson 2
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LessonLesson 22
PPO medical providers agree to charge the organization less than their regular fee for member usage.
Members pay a monthly premium.
Members can choose a provider outside the plan.
Using outside providers results in higher out-of-pocket expenses.
HMO PPO POS
Types of Managed Care Plans
1. Health Maintenance
Organizations (HMOs)
2. Preferred Provider Organizations (PPOs)
3. Point of Service (POS) plans
How People Pay for Health Services
LessonLesson 22
Members can choose providers inside or outside the plan.
Choosing an outside provider results in higher premiums and higher out-of-pocket expenses.
HMO PPO POS
Types of Managed Care Plans
1. Health Maintenance
Organizations (HMOs)
2. Preferred Provider Organizations (PPOs)
3. Point of Service (POS) plans
How People Pay for Health Services
LessonLesson 22Some Health Care Specialists
Types of Health Services
LessonLesson 22
A. Correct! A medical specialist who specializes in cancer is
called an oncologist.
Click Next to attempt another question.
Quick Review - Answer
LessonLesson 22
You have answered the question incorrectly. Go back to tryagain, or click Next to view the correct answer.
Quick Review - Answer
LessonLesson 22
A. Correct! A school nurse is a primary care physician.
Click Next to attempt another question.
Quick Review - Answer
LessonLesson 22
You have answered the question incorrectly. Go back to try again, or click Next to view the correct answer.
Quick Review - Answer
LessonLesson 22
A. Correct! Actions that can help you make the most of your
medical appointments include the following: writing down your reasons for seeing the doctor and informing the staff of your allergies and current medications. You should always feel free, at any time during the appointment, to ask questions about any diagnoses, medications, or procedures that you do not understand.
Click Next to attempt another question.
Quick Review - Answer
LessonLesson 22
You have answered the question incorrectly. Go back to try again, or click Next to view the correct answer.
Quick Review - Answer
LessonLesson 22
Immunizations, health screenings, and health care professionals are all a part of the health care system.
Whenever you’ve seen a doctor for a checkup or a dentist for an oral exam, you’ve used preventive care.
Health care can be divided into:
• General care, which includes primary care physicians.
• Specialized care, which includes specialists.
Health Care System
Types of Health Services
A health care system includes all the medical care available to a nation’s people, the way they receive care, and the method of payment.
A health care system includes all the medical care available to a nation’s people, the way they receive care, and the method of payment.
LessonLesson 22
Immunizations, health screenings, and health care professionals are all a part of the health care system.
Whenever you’ve seen a doctor for a checkup or a dentist for an oral exam, you’ve used preventive care.
Health care can be divided into:
• General care, which includes primary care physicians.
• Specialized care, which includes specialists.
Health Care System
Types of Health Services
A primary care physician is a medical doctor who provides physical checkups and general care.
A primary care physician is a medical doctor who provides physical checkups and general care.
LessonLesson 22
Immunizations, health screenings, and health care professionals are all a part of the health care system.
Whenever you’ve seen a doctor for a checkup or a dentist for an oral exam, you’ve used preventive care.
Health care can be divided into:
• General care, which includes primary care physicians.
• Specialized care, which includes specialists.
Health Care System
Types of Health Services
A specialist is a medical doctor trained to handle particular kinds of patients or medical conditions.
A specialist is a medical doctor trained to handle particular kinds of patients or medical conditions.
LessonLesson 22
Immunizations, health screenings, and health care professionals are all a part of the health care system.
Whenever you’ve seen a doctor for a checkup or a dentist for an oral exam, you’ve used preventive care.
Health care can be divided into:
• General care, which includes primary care physicians.
• Specialized care, which includes specialists.
Health Care System
Types of Health Services
Preventive care involves actions that prevent the onset of disease or injury.
Preventive care involves actions that prevent the onset of disease or injury.
LessonLesson 22Health Care Expenses
• Many families have some form of health insurance.
• To maintain membership in such a plan, the insured person pays a periodic premium, or fee, for medical coverage.
• In conventional insurance plans, the insured person pays for doctor visits out of pocket. The insurance company then reimburses a fixed portion of the cost of the visit.
• A deductible is an amount a member must pay in an out-of-pocket expense before the plan will start reimbursing for health care services.
Health insurance is a plan in which private companies or government programs pay for part or all of a person’s medical costs.
Health insurance is a plan in which private companies or government programs pay for part or all of a person’s medical costs.
How People Pay for Health Services
LessonLesson 22
A good doctor/patient relationship is critical to quality health care. This relationship requires an open communication and a sense of trust.
To effectively maintain your health you need to be aware of:
• Your medical history.
• Your health habits.
• The health of close family members.
How to Form a Good Doctor/Patient Relationship
You and Your Health Care
Medical history is complete and comprehensive information about your immunizations and any health problems you have had to date.
Medical history is complete and comprehensive information about your immunizations and any health problems you have had to date.