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Health -Care Providers Structure / Operation

Health -Care Providers Structure / Operation. Health -Care Facilities. Primary Care General Practice General paediatrics Dental Care Visiting Nurses Secondary Care Ambulatory Specialists Tertiary Care Hospitals / Long Term Care P roviders. General Practice.

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Health -Care Providers Structure / Operation

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  1. Health-Care ProvidersStructure/Operation

  2. Health-Care Facilities • Primary Care • GeneralPractice • Generalpaediatrics • Dental Care • VisitingNurses • Secondary Care • AmbulatorySpecialists • Tertiary Care • Hospitals/Long Term Care Providers

  3. GeneralPractice • Populationwide care • Registration • Prevention/Treatment • Social Role ofPhysician • Density per 1000 population • CZ 0,7; Germany 0,65; Greece 0,28; • Norway 0,81; Sweden 0,62; UK 0,79; USA 0.3

  4. Challenges • Agingpopulation • Changingcompetencies • Nursing care • Physiotherapy • GP + Technology

  5. Reimbursement • Salaried GP • Feeforservice • Capitationpayment

  6. AmbulatorySpecialists • Position • Hospitalits • Independent • Reimbursement • Salaried • Feeforservice • Payment per case

  7. Hospitals

  8. Hospitalstructure • Local ( Internalmedicine +) • Regional ( average 10 specialties) • University Hospitals • SpecialHospitals • Ownership • State/Municipality • Church • Private non for profit • Privatefor profit

  9. Hospital department • Outpatient • Acute • Clinics • Inpatient • ICU – centralised/decentralised • Standard wards

  10. Outpatient Care • No formallimitation to patients • LowlevelofcentralisationofAcute Care • Time management

  11. Hospitalreimbursement • Budgeting • FFS • Case mix - DRG

  12. Long Term Care

  13. MedicalRecords vs. MedicalStudents • Legalprotectionofcontents – confidentiality • Onlywiththepatient´s consent • Electronic/paper • Entries to besignedandconfirmed by a hospitalemployee • Highlevelofprotection • Patients ID (personalnumber) • Dg + treatment

  14. InfectionPrevention • Vaccination • Clothing • HandHygiene • Hospitalobliged to arrange • Hand + stethoscopes • Specialsituations • Facemasks • Pregnantstudents

  15. HospitalSecurityandPatientSafety • Individualbadges • Doors • Awareness – strangers • Specialprecautions • Psychiatry • Paediatrics, neonatology • Infectiousdiseases

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