Sociology Chapter 3 Essays
Terms
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- Why did the professionalization of medicine start later in the US than in some western European nations?
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1. Medical practice was in disarray
2.Medical procedures were primitive
3. An institutional core was missing
4.Demand was unstable
5. Medical education was disorganized - Almshouse
- Unspecialized institution mainly serving a general welfarefunctions for the poor and disabled
- Fee for service
- Billing sperately for each service provide.
- Pesthouse
- Institution where the contagous sick could be quarentined
- Cost sifting/ cross subsidization
- Shifting costs from one area to another; losses in one area of health care are made up by charging more in another area.
- Balanced Billing
- Billing the patient for the balanceof a bill not paid by insurance.
- TitleXVIII
- Parts A and B of medicare
- Organized Medicine
- Concerted medical/political activities organized by the AMA (american medical association)
- Cultural Authority
- General acceptance of and reliance on the judgement of the member of a profession.
- Gatekeeping
- Use of a primary care/generalist physician to approve specialty treatments
- Capitation
- a payment mechanism where a provider recieves a flat rate to cover a person's medical services over a set period of time.
- Means Test
- Income based determinationof eligibility.
- TitleXIX
- Medicaid portion of the social security act.
- Which factors explain why the demand for the services of a professional physician was inadequate in the pre industrial era? How did scientific medicine and technology change that?
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The market for physicians's services was also limited by economic conditions. Most competent physicians were located in more populated communities.
1. travel was too expensive for everyone involved
7 major factors that help it change were:
1. urbanization
2.Science and technology
3.institutionalization
4.dependency
5.cohesiveness and organization
6. licensing
7.educational reform