Managed care was a methodology adopted in the 1980s and 1990s. It is a system designed to deliver through a specific network of providers and to reduce costs. However, the cost saving was short-lived because:
1. Consumer groups did not endorse the plans.
2. Clients had been used to access to providers of their choice and unlimited service.
3. Medicare and Medicaid took over these plans, making them unnecessary.
4. The system lacked proper payment to physicians and many practitioners went out of business.
2
Consumer groups were not only used to freedom of choice and unlimited service, but they did not like the ideas of short-stay maternity care and denial of bone marrow transplantation for breast cancer patients.
You might also like to view...
Leg ulcers in older adults with peripheral vascular disease (PVD) are caused by
a. Poor hygiene practices b. Pressure from bed-bound status c. Impaired circulation to lower extremities d. Dryness of the older adult's skin
A group member who has taken on the role of the "gatekeeper" will:
a. Seek and accept the authority or direction of others. b. Guide and direct the group activity. c. Control outsiders' access to the group. d. Focus the movement toward the main work of the group.
During a history the client reports having herpes genitalis. Based on this information, which finding does the nurse anticipate during the assessment?
a. Small vesicles on the genitalia b. Single, firm, painless, open sore c. Pain when palpating the cervix d. Malodorous greenish-yellow vaginal discharge
Mrs. Falstaff, a 29-year-old mother of five children, is admitted to the hospital for abdominal pain. As a nurse admits Mrs. Falstaff, she asks a series of questions before performing a physical assessment
When asking Mrs. Falstaff about the history of her illness, Mr. Falstaff, who has accompanied his wife, answers all the nurse's questions. As the admission process progresses and the nurse gathers subjective data, the nurse requests that Mr. Falstaff allow his wife to answer the questions. The nurse does this because she believes that: A. Mr. Falstaff is exhibiting abusive behavior. B. Mr. Falstaff is being obnoxious. C. Mrs. Falstaff is the best source of information. D. Mr. Falstaff is too controlling of his wife.