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Lesson 2 Choosing Community Health Services Being health-literate means more than just being informed about products. You need to understand the options in health care services available in your community. Lesson 2 Lesson Objectives In this lesson, you will learn to: • 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 Lesson 2 Types of Health Services Health Care System 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. Lesson 2 Facilities for Health Care Services Health Care Facilities 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 Lesson 2 How 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-ofpocket expense before the plan will start reimbursing for health care services. Lesson 2 How People Pay for Health Services Managed Care 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. Lesson 2 How People Pay for Health Services Types of Managed Care Plans 1. Health Maintenance Organizations (HMOs) 2. Preferred Provider Organizations (PPOs) 3. Point of Service (POS) plans HMO PPO POS 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. Lesson 2 Trends in Health Care Current Trends 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 Lesson 2 You and Your Health Care How to Form a Good Doctor/Patient Relationship 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. Lesson 2 You and Your Health Care Patient 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. Lesson 2 You and Your Health Care Medicine Use • Ask the pharmacist any questions you have about the medication. • Compare products by reading labels. • Understand what symptoms each medicine is intended to treat. Lesson 2 Quick Review Choose the appropriate option. Q. A medical specialist who specializes in cancer is called a(n) ________. 1. oncologist 2. dentist 3. psychiatrist 4. orthodontist Lesson A. 2 Quick Review - Answer 1. oncologist A medical specialist who specializes in cancer is called an oncologist. Click Next to attempt another question. Lesson 2 Quick Review Choose the appropriate option. Q. A _________ is a primary care provider. 1. psychiatrist 2. gynecologist 3. school nurse 4. pediatrician Lesson 2 Quick Review - Answer A. 3. school nurse A school nurse is a primary care physician. Click Next to attempt another question. Lesson 2 Quick Review Q. Which of the following actions will not necessarily help you make the most of your medical appointment? 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 Lesson 2 Quick Review - Answer 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. Click Next to attempt another question. Lesson 2 End of Lesson 2 Click Home to view the Main menu. Lesson 2 How People Pay for Health Services Types of Managed Care Plans 1. Health Maintenance Organizations (HMOs) 2. Preferred Provider Organizations (PPOs) 3. Point of Service (POS) plans HMO PPO POS 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. Lesson 2 How People Pay for Health Services Types of Managed Care Plans 1. Health Maintenance Organizations (HMOs) Members can choose providers inside or outside the plan. 2. Preferred Provider Organizations (PPOs) Choosing an outside provider results in higher premiums and higher out-of-pocket expenses. 3. Point of Service (POS) plans HMO PPO POS Lesson 2 Some Health Care Specialists Types of Health Services Lesson Quick Review - Answer 2 A. Correct! A medical specialist who specializes in cancer is called an oncologist. Click Next to attempt another question. Lesson 2 Quick Review - Answer You have answered the question incorrectly. Go back to try again, or click Next to view the correct answer. Lesson 2 Quick Review - Answer A. Correct! A school nurse is a primary care physician. Click Next to attempt another question. Lesson 2 Quick Review - Answer You have answered the question incorrectly. Go back to try again, or click Next to view the correct answer. Lesson 2 Quick Review - Answer 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. Lesson 2 Quick Review - Answer You have answered the question incorrectly. Go back to try again, or click Next to view the correct answer. Lesson 2 Types of Health Services Health Care System 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 A health care system an oral exam, you’ve used preventive care. includes all the medical Health care can be divided into: care available to a nation’s people, the way • General care, which includes primary care physicians. they receive care, and • Specialized care, which includes the methodspecialists. of payment. Lesson 2 Types of Health Services Health Care System Immunizations, health screenings, and health care A primary care professionals are all a part of the health care system. physician is a medical doctor who provides Whenever you’ve seen a doctor for a checkup or a dentist for checkupscare. and an oral exam, you’vephysical used preventive general care. Health care can be divided into: • General care, which includes primary care physicians. • Specialized care, which includes specialists. Lesson 2 Types of Health Services Health Care System Immunizations, health screenings, and health care professionals are all a part of the health care system. A specialist is a doctor Whenever medical you’ve seen a doctor for a checkup or a dentist for trained to handle an oral exam, you’ve used preventive care. particular kinds of Health carepatients can be or divided into: medical conditions. • General care, which includes primary care physicians. • Specialized care, which includes specialists. Lesson 2 Types of Health Services Health Care System 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: Preventive carewhich involves • General care, includes primary care physicians. actions that prevent • Specialized care, which includes specialists. the onset of disease or injury. Lesson 2 How 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 Healthcoverage. insurance pays a periodic premium, or fee, for medical is a plan in which • In conventional insurance plans, the insured person pays private companies or for doctor visits out of pocket. The insurance company then government programs reimburses a fixed portion of the cost visit. pay of forthe part or all of a person’s medical costs. • A deductible is an amount a member must pay in an out-ofpocket expense before the plan will start reimbursing for health care services. Lesson 2 You and Your Health Care How to Form a Good Doctor/Patient Relationship A good doctor/patient relationship is critical to quality health care. This relationship requires an open communication and a sense of trust. Medical history is complete and To effectively maintain your health you need to be aware of: comprehensive • Your medical history. information about your immunizations and any • Your health habits. health problems you have had to date. • The health of close family members.