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Welcome to LY Med, the place I am going over every thing you could know for the USMLE STEP 1, with new movies on daily basis.
Comply with together with First Assist, or with my notes which might be discovered right here:
That is our final video in our ethics and biostatistics block, and in reality, this video is on neither of these matters! As a substitute, we’ll focus on well being care and public well being. Let’s focus on the several types of insurances:
HMO: this limits you to insurance coverage particular suppliers. When you want a specialist, you may have to first see your PCP to get a referral.
PPO: this lets you see any physician inside a sure community, that features specialists.
Medicare: that is for aged sufferers and people with disabilities. There are totally different parts, together with Half A (hospital inpatient insurance coverage), B (outpatient payments), and D (prescription insurance coverage).
Medicaid: that is for poor and low revenue residents and immigrants. It is a joint state and federal program.
Let’s now focus on doctor compensation:
Price for service: that is compensation for providers supplied. The pitfall is overtreatment. One other approach we will receives a commission is capitation, which supplies a hard and fast amount of cash per affected person. The pitfall for this kind of compensation is selectively selecting wholesome affected person. Lastly, a standard approach docs are paid is by a wage. This will cut back productiveness.
Transferring on! Let’s focus on hospital security. There’s a huge emphasis on this as hospital errors are a big explanation for mortality. We are able to all cut back errors with a security tradition, in addition to human issue design. That is making a system that reduces human errors, like in forcing features (stop undesirable motion), simplification of workflow (like in digital medical data), and standardizing (like checklists and pointers). We are able to give you these strategies by utilizing a PDSA cycle, which stands for Plan, Do, Research, and Act. How can we truly do research the outcomes? We regularly use a run-control chart and this helps us measure outcomes, course of and steadiness.
However what if we do make an error? There are several types of error. As an example, there’s energetic error, the place there’s a direct affect because of the error being executed by a frontline supplier. There’s additionally latent error, an error that hasn’t occurred but and will not be from the frontline supplier. For errors to happen, there must be a number of issues in our system. We are able to determine these errors prospectively (failure mode and impact), or retrospectively (root trigger evaluation). We regularly plot RCA with a fish bone diagram.
Our final subject is on public well being. That is treating and stopping illness on the inhabitants stage. Let’s speak about prevention. Main prevention prevents the illness (e.g. a vaccine). Secondary prevention display early and deal with asymptomatic illness. Tertiary prevention is geared toward lowering problems of the illness. Lastly we’ve quaternary prevention, which prevents pointless or dangerous intervention.