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2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
The redo log files are one of the few files in the Oracle database that are always written to in [rolled forward, rolled back]
sequential manner
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
It is better to have the archival process and redo log operation on? [3] sequential I/O is much faster than random I/O. [rolled forward, rolled back]
separate disk volumes
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
Using this for the redo log files because it offers the most protection and the fastest write performance. [rolled forward, rolled back]
raid 1
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
What is the advantage to isolating redo log files onto separate disk volumes? [rolled forward, rolled back]
faster i/o
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
These files are used in the startup of an instance to identify where the datafiles and redo log files are in the system. [rolled forward, rolled back]
control files
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
Which of the following commands will generate a new control file? [rolled forward, rolled back]
create controlfile
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
Each time you make changes to the structure of the database by adding datafiles, redo log files, and so on, run the command [rolled forward, rolled back]
ALTER DATABASE database BACKUP CONTROLFILE TO TRACE;
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
Records transactional information that will be used in the event that the transaction is rolled back. [3] keep the undo information that is used in rollback operations. Provide read consistency and used for database recovery. [rolled forward, rolled back]
rollback segments
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
Which of the following allows a long-running transaction to always obtain the same data within the query? [rolled forward, rolled back]
read consistency
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
The information written by the transaction to the rollback segments is held in? [rolled forward, rolled back]
rollback entries
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
stores information about which transactions use each rollback segment, and the rollback entries for each change performed by those transactions. [rolled forward, rolled back]
transaction table
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
You can manually assign a rollback segment by using the [rolled forward, rolled back]
set transaction command with the use rollback segment parameter
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
Where does the system keep the information written by the transaction to the rollback segments? [rolled forward, rolled back]
In rollback entries
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
There is a lot of rollback contention even though you are using your space efficiently. What is the problem? [rolled forward, rolled back]
Too many transactions sharing a rollback segment
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
A rollback segment must have at least how many extents [rolled forward, rolled back]
2
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
When a transaction uses the last extent in the segment, it looks to see whether the first extent is available. If the first extent is not available, what happens? [rolled forward, rolled back]
another extent is created
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
With rollback segments, the size for INITIAL should equal this so that all extents are the same size. [rolled forward, rolled back]
next
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
Select two. Which of the following CREATE ROLLBACK SEGMENT parameters control the size of the extents? [rolled forward, rolled back]
initial and next
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
A good rule of thumb is to create about "x" # of rollback segment for every "y" # of concurrent transactions. [3] Remember — the fewer transactions per rollback segment, the less contention [rolled forward, rolled back]
x=1, y=4
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
Rollback contention occurs when too many transactions try to use the same rollback segment at the same time, and some of them have to wait. You can tell whether you are seeing contention on rollback segments by looking at the dynamic performance table: [rolled forward, rolled back]
v$waitstat
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
Typically this rollback segment is not used, and you do not need to be concerned about it in re: to rollback contention. [rolled forward, rolled back]
system
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
In the v$sysstat, the number of requests for data is equal to [rolled forward, rolled back]
sum of DB BUFFER GETS and CONSISTENT GETS
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
2b7be0d3____Users_Flashcards___Cram_com__rolled_forward__rolled_back
If the number of waits for any of the rollback segment blocks or headers exceeds more than x% of the total number of requests, you should reduce the contention by adding more rollback segments. [rolled forward, rolled back]
1%
[]
Oracle 8-Files, Data & Users Flashcards - Cram.com
rolled forward, rolled back
http://www.cram.com/flashcards/oracle-8-files-data-users-251688
6/1438042981576.7_20150728002301-00015-ip-10-236-191-2_394109609_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Physiological and psychological factors that account for the arousal, direction, and persistence of behavior [1]
Motivation
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Internal motivational state created bu a physiological need [1]
Drive
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Theory that views motivated behavior as directed toward the reduction of a physiological need [1]
Drive-reduction theory
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Theory that the body functions best at a specific level of arousal, which varies from one individual to another [1]
Optimum-level theory
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] aversive state produced when an individual holds two incompatible thoughts or cognitons [1]
Cognitive dissonance
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Maslow's view that basic needs must be satisfied before higher-level needs can be satisfied [1]
Hierarchy of Needs
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Food, water, and sleep [1]
Basic Physiological Needs
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Order, physical security, freedom from fear [1]
Safety needs
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Affiliation with friends, a supportive family, group identification, and an intimate relationship [1]
Belongingness and love needs
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Attention and recognition from others, and feelings of accomplishment, competence, and mastery [1]
Esteem needs
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Development of one's potential to the fullest extent [1]
Self-actualization needs
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Need to develop one's full potential; the highest level of Maslow's hierarchy [1]
Self-actualization
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] body weight of 20% or more in excess of desirable body weight [1]
Obesity
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] A numerical index calculated from a person's height and weight that is used to indicate health status and disease risk [1]
Body Mass Index
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] A potentially life-threatening eating disorder occurring in primarily young and adolescent females; an intense fear of becoming fat that leads to self starvation and weight loss [1]
Anorexia nervosa
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Eating disorder in which a victim alternatively consumes large amounts of food and then empties the stomach [1]
Bulimia nervosa
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Chemical odors emitted by some animals that appear to influence the behavior of members of the same species [1]
Pheromones
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Manipulation of the environment according to established rules to attain a desired goal [1]
Achievement
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Physiological changes and conscious feelings of pleasantness or unpleasantness aroused by external and internal stimuli, that lead to behavioral reactions [1]
Emotion
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Theory that physiological changes precede and cause emotions [1]
James-Lange Theory
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] View that emotions precede and cause bodily change [1]
Commonsense view of emotions
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Theory that the thalamus relays information simultaneously to the cortex and to the sympathetic nervous system and physiological changes to occur at the same time [1]
Cannon-Bard Theory
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] an electronic device that snese and records changes in several physiological indices including blood pressure, heart rate, respiration, and galvanic skin response [1]
Polygraph
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Hypothesis that making a certain facial expression will produce the corresponding emotion [1]
Facial Feedback Hypothesis
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Culturally specific rules for which emotions to display, to whom, and when [1]
Display rules
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Communication that involves movements, gestures, facial expressions, eye contact, use of personal space, and touching [1]
Nonverbal communication
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] Communication that involves aspects of speech such as rate of talking and tone of voice, but not the words used [1]
Paralanguage
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
0e4888c7_hapter_6_Flashcards___Cram_com__1
[2] System or process by which the products or results of learning are stored for future use [1]
Memory
[]
Pysch Chapter 6 Flashcards - Cram.com
1
http://www.cram.com/flashcards/pysch-chapter-6-2154399
6/1438042981576.7_20150728002301-00265-ip-10-236-191-2_388685700_0.json
2222bb1f_nagement_Flashcards___Cram_com__Access
The costs of billing, collections, bad debts, and medical record maintenance; more in the US than any other national health care system [Access]
Administrative Costs
[]
Chapter One Health Policy and Management Flashcards - Cram.com
Access
http://www.cram.com/flashcards/chapter-one-health-policy-and-management-589454
6/1438042988860.4_20150728002308-00190-ip-10-236-191-2_393229503_0.json
2222bb1f_nagement_Flashcards___Cram_com__Access
when providers can bill the patient directly for the remaining costs of treatment not covered by their insurance/health plan [Access]
Balance Bill
[]
Chapter One Health Policy and Management Flashcards - Cram.com
Access
http://www.cram.com/flashcards/chapter-one-health-policy-and-management-589454
6/1438042988860.4_20150728002308-00190-ip-10-236-191-2_393229503_0.json
2222bb1f_nagement_Flashcards___Cram_com__Access
a payment mechanism in which all health care services are included under one set fee/covered individual (PMPM-predetermined fixed payment per member per month) [Access]
Capitation
[]
Chapter One Health Policy and Management Flashcards - Cram.com
Access
http://www.cram.com/flashcards/chapter-one-health-policy-and-management-589454
6/1438042988860.4_20150728002308-00190-ip-10-236-191-2_393229503_0.json
2222bb1f_nagement_Flashcards___Cram_com__Access
Because of our litigious society, many practitioners prescribe additional diagnostic tests, schedule check-up visits, and maintain copious documentation; all of these additional efforts are often unnecessary, costly and inefficient [Access]
Defensive Medicine
[]
Chapter One Health Policy and Management Flashcards - Cram.com
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driven by the prices prevailing in the free market; increases as price is lowered [Access]
Demand
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(member) refers to an individual covered under an insurance plan [Access]
Enrollee
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multiple patients (buyers) and providers (sellers) act independently; unrestrained competition must exist between providers on the basis of price and quality; patients must have information on price and quality for each provider; patients must have information about the availability of various services; patients must d...
Free Market
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used to determine total health care expenditures on the national scale and to allocate the resources within the budgetary limits [Access]
Global budget
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a part of managed care which uses selected providers from whom enrollees can choose to receive routine services [Access]
Health Plan
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Health services predominantly associated with acute care hospitals/institutions; to receive health care services, patients are temporarily confined to an institution, such as a hospital or nursing home, where they stay overnight [Access]
Inpatient Care
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A system that combines the functions of health insurance and the actual delivery of care, where costs and utilization of services are controlled by such methods as gatekeeping, case management, and utilization review. A large variety of arrangements can fall under this rubric. It is a system of delivery that 1.seeks to...
Managed Care
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The US government financed program that provides health benefits to the poor [Access]
Medicaid
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The US government financed program that provides health benefits to the elderly and certain disabled individuals [Access]
Medicare
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the tendency of individuals to use health care services to a greater extent after purchasing health insurance than before when they did not have insurance [Access]
Moral Hazard
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The government finances health care through taxes, but it is delivered by private providers [Access]
National Health Insurance (NHI)
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A tax-supported NHI where the government manages the infrastructure for the delivery of medical care [Access]
National Health system (NHS)
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the amount of medical care that medical experts believe a person should have to remain or become healthy [Access]
Need
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the process where health care is delivered in a non-institutional setting; health care services that are obtained without an overnight stay [Access]
Outpatient Care
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a bundled fee for a package of related services [Access]
Package Pricing
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providers that charge costs not anticipated/included in the cost of a surgery, such as anesthesiologists, nurse anesthetists, and pathologists [Access]
Phantom Providers
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In employer based health insurance, employers do not pay 100% of the premiums, but require their employees to pay a portion of the cost [Access]
Premium Cost Sharing
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continuous basic and routine care. Basic and routine health care that is provided in an office or clinic by a provider (physician, nurse, or other health care professional) who takes responsibility for coordination of all aspects of a patient's health care delivery that is the patient's first contact with the health ca...
Primary Care
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Any entity that delivers health care services and receives payments directly for those services; mostly serve those covered by insurance. Any individual or organization that provides services generally covered under health insurance (including Medicaid and Medicare), e.g. physicians, hospitals, dentists, laboratories, ...
Provider
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A model of a functional health care system; the four primary functional components: 1. FINANCING-helps obtain health insurance or pay for services 2.INSURANCE-protects insured from catastrophic risk and costly care, specifies how and where services received 3.DELIVERY-given by providers 4. PAYMENT-reimbursement of paym...
Quad-function Model
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the amount insurers pay to a provider (portion of the actual charge); funds come from premiums paid to insurance companies or HMOs; the determination of how much to pay for a certain service [Access]
Reimbursement
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another term for National Health Care system; a health care reform proposal to create a single organization, usually a government agency, to pay all medical claims [Access]
Single-payer System
[]
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health care is financed through government-mandated contributions by employers and employees [Access]
Socialized Health Insurance
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standards formulated by the government through health policy and regulation; providers must comply with the established standards to be certified in order to provide for Medicaid and Medicare patients [Access]
Standards of Participation
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Like provider-induced demand; when moral hazard induces a larger utilization which creates an artificial demand for services; physicians can only over prescribe care to their patients with their own economic interests in mind [Access]
Supplier-induced Demand
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the main organizations and individuals involved in health care (educational and research institutions, medical suppliers, insurers, payers, and claims processors); very little standardization and components are functionally fragmented; two primary objectives of any health care system: 1. enable universal access 2. serv...
System
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The intermediary role of insurance; creates a wall between financing and delivery functions so that quality of care becomes a secondary concern. Under the current system, the payers for covered services, e.g. insurance companies, government. They are called third parties because they are neither the providers nor the r...
Third Party
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those without private or public health insurance [Access]
Uninsured
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Health insurance coverage for all citizens, as in a national health care program. [Access]
Universal Access
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Extent to which health care services are actually used. For example, the number of physician visits per person per year is a measure of utilization for primary care services. [Access]
Utilization
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Cost containment remains and elusive goal in US health services delivery because the system does not lend itself to standard budgetary methods of cost control. Each individual and corporate entity within a predominantly private entrepreneurial system seeks to manipulate financial incentives to its own advantage without...
Why does cost containment remain an elusive goal in US health services delivery?
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The two main objectives of the healthy care delivery system are to one, enable all citizens to access health care services and two, these services must be cost-effective and meet certain established standards of quality. [Access]
What are the two main objectives of a health care delivery system?
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The four basic functional components of US health care delivery & functions: a.Financing- helps obtain health insurance or pay for services b.Insurance- protects insured from catastrophic risk and costly care, specifies how and where services received c.Delivery- given by providers d.Payment- reimbursement of payment t...
Name the four basic functional components of the US health care delivery system. What role does each play in the delivery of health care?
[]
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The primary reason for employers to purchase insurance plans to provide health benefits to their employees is that its in their best interest to keep their workers healthy and performing optimally; employers also get discount pricing because of group rates offered by insurance companies. [Access]
What is the primary reason for employers to purchase insurance plans to provide health benefits to their employees?
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5. Despite public and private health insurance programs, some US citizens are uninsured because their low wages are enough to make them ineligible for federally funded programs, but they cannot afford premium cost sharing through their employers, if their employers even provide insurance. [Access]
Why is it that despite public and private health insurance programs, some US citizens are without any coverage?
[]
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Managed care is a system of health delivery which, 1. Seeks to achieve efficiencies through integration 2. Employs mechanisms to manage utilization 3. determines the price at which services are purchased [Access]
What is managed care?
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The US health care market is imperfect, or quasi-market, because costs are fixed by the government, buying power is consolidated in the hands of private health plans, which forces providers to form alliances, patients do not have adequate information about services and their price/quality, patients do not directly pay ...
Why is the US health care market referred to as "imperfect"?
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The intermediary role of insurance in the delivery of health care is that of a third party. This intermediary influence creates a wall between financing and delivery functions so that quality of care becomes a secondary concern. [Access]
Discuss the intermediary role of insurance in the delivery of health care.
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The major players in the US health services system are physicians, administrators of health service institutions, insurance companies, large employers, and the government. One positive effect of their opposing self-interest is that they prevent any single entity from dominating the system. On the negative side, each pl...
Who are the major players in the US health services system? What are the positive and negative effects of the often-conflicting self-interests of these players?
[]
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The main roles of the government in the US health services system is as a financer through Medicare and Medicaid the government finances medical costs for those unable to pay. The government also serves as a sort of regulator through certification and standards of participation with Medicare/Medicaid. [Access]
What main roles does the government play in the US health services system?
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It is important for health care managers and policy makers to understand the intricacies of the health care system because it can help officials be more attuned to their own positions/role/relationship to the rest of the health care environment. It can help to better understand changes and their potential impact on the...
Why is it important for health care managers and policy makers to understand the intricacies of the health care delivery system?
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A multifaceted system will be needed to plot the future progress of the American health care system. It will need to be a joint undertaking that involves a balanced representation of the key players in health service delivery. [Access]
What kind of a cooperative approach do the authors recommend for charting the future course of the health care delivery system?
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13. Both National Health Insurance, NHI, and National Health System, NHS, are tax-supported, but in NHS the government manages the infrastructure for the delivery of medical care and in NHI health care is delivered by private providers. [Access]
What is the difference between national health insurance (NHI) and a national health system (NHS)?
[]
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14. Socialized Health Insurance is health care financed through government-mandated contributions by employers and employees [Access]
What is socialized health insurance (SHI)?
[]
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[2] most caudoventral part of the heart, always formed by the left ventricle (and having a "tip") [1]
Apex
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