| Show Ocourrence whendisproportionate share of high or low users of care joinhealth plan rural health clinic RHC public or private hospital linic or physician practice designated by the federal government as in compliance with the Rural Health Clinics Act Public Law 95-210 The practice must be located inMedically Underserved area orHealth Professions Shortage Area and usephysician assistant and or nurse practitioners to deliver services rural health clinic must be licensed by the state and provide preventive services secondary care Services provided by medical specialists who generally do not have first contact with patients cardiologist urologists dermatologists In theS however there has beentrend toward self-referred by patients for these services rather than referral by primary care providers This is quite different from the practice in England for example where all patients must first seek care from primary care providers and are then referred to secondary and or tertiary providers as needed be administered by the employer or handled through an administrative service only agreement with an insurance carrier or third-party administrator Under self-funding it is generally possible to purchase stop-loss insurance that covers expenditures abovecertain aggregate claim level and or covers catastrophic illness or injury when individual claims reachcertain dollar threshold spend down The amount of expenditures for health care services relative to income that qualifies and individual for Medicaid in States that cover categorically eligible medically indigent individuals Eligibilty is determined oncase-by-case basis technology assessmentcomprehensive form of policy research that examines the technical economic and social consequences of technological applications It is especially concerned with unintended indirect or delayed social impacts In health policy the term has come to mean any form of policy analysis concerned with medical technology especially the evaluation of efficacy and safety telemedicine The use of telecommunications e wire ssecondary prevention Early diagnosis treatment and follow-up Secondary prevention activities start with the assumption that illness is already present and that primary prevention was not successful and the goalto diminish the impact of disease or illness through early detection diagnosis and treatment For example blood pressure screening treatment and follow up programs self-funding self-insurance An employer or group of employers sets aside funds to cover the cost of health benefits for their employees Benefits may radio optical or electromagnetic channels transmitting voice data and video to facilitate medical diagnosis patient care and or distance learning tertiary care Services provided by highly specialized providers g neurologists neurosurgeons thoracic surgeons intensive care units Such services frequently require highly sophisticated equipment and support facilities The development of these services has largely beenfunction of diagnostic and therapeutic advances attained through basic and clinical biomedical research 187 Digital image 2005 Marriott Library University of Utah Al rights reserved |
