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Tertiary Care Facilities

5. AHCs exemplify a special type of tertiary care facility. What factors distinguish AHCs from other providers of tertiary care?

6. What challenges to survival do AHCs face in the ever-changing U.S. health services system?â?¢ Given their tripartite function, AHCs are expensive to operate, and some payers do not want to incur higher costs.

1. Hospice services are generally made available to individuals deemed to be in the last six months of their lives. Data on the utilization of hospice services by Medicare beneficiaries show that their median survival time, after hospice admission, was 36 days. From this one data pointâ?"and any other knowledge or experience you may haveâ?"what might you conclude about the utilization of hospice services? The difficulty in projecting end-of life needs and end-of-life survival times?

2. What is potentially ineffective care (formerly termed futile care)?

3. Why should people with mental illness be any more "special" or particular a population than people with physical ailments?

4. What factors stimulated the movement of the treatment of mental illnesses from largeâ?"often state-ownedâ?"institutions into the community? How successful has this movement been?

5. Seeking mental health services and/or treatment for mental illness remains stigmatized in many parts of our society. What might be done to reduce this stigmatization?

1. Many models of health services delivery are described as managed care. What do these disparate models have in common?

2. What are some advantages or strengths of a managed care system over a fee-for-service system? What are some limitations?

3. What are some of the challenges to satisfactorily measuring the quality of care a patient receives?

4. What federal initiatives over the last three decades have focused on quality of care (i.e., regulating quality, supporting research into quality, or setting standards for quality of care)?
at least 850! can you provide outside sources. Thanks!

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5. One of the major factors that distinguishes academic health centers from other forms of tertiary care, is the fact that academic health centers are partnerships between health care providers and leading academic institutions, such as research colleges and universities. This unique partnership distinguishes academic health centers from other tertiary care providers, due to the fact that ongoing research is being conducted on the very sight that patients are being treated, so that the patients receive the latest treatment in a much more expeditions manner than they otherwise would.

6. AHCs face a major challenge in respect to their survival in an ever-changing US health care system, due to the fact that the methods by which university research results are implemented into medical treatment procedures, changes as medical technology continues to advance. In addition, the treatment that is provided at AHCs is very expensive for patients, due to the fact that research-based medical facilities require much more financing than traditional treatment facilities. In addition, the budgets for these facilities must include compensation for researchers and medical staff.

1. Due to the fact that the average survival time for individuals that utilize hospice services is approximately 36 days, it appears the hospice services are utilized at the very end stage of individuals lives, which makes the utilization of the services very brief. Due to the fact that individuals survive for varying lengths of time in hospice care, the care that is provided must be adjusted on a case-by-case basis due to the differing needs of individual patients. It is also very difficult to predict the survival time of patients, because each individual is physiologically ...

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