ST 100 - Introduction to Health Care ServiceCredits: 3 Instructional Contact Hours: 3
Presents the history of medicine, epidemiological methods, and current problems and trends in the health care system. Discusses selected global health care issues. Includes professional, legal, and ethical aspects of a multidisciplinary care system.
Prerequisite(s): BIO 152W with a grade of "C" or better. Corequisite(s): None Lecture Hours: 45 Lab Hours: 0 Meets MTA Requirement: None Pass/NoCredit: No
Outcomes and Objectives 1. Demonstrate communication skills.
- Paraphrase and synthesize selected readings.
- Evaluate critically what is read.
- Write in a clear, organized, succinct and effective manner.
- Utilize proper spelling, grammar and sentence structure in writing.
- Speak effectively in expressing a reasoned point of view.
- Listen to, respect and critically evaluate the ideas and opinions of others.
- Exhibit development of both inductive and deductive reasoning skills.
- Take a position on an issue and provide evidence/rationale to support that position.
- Given a controversial issue, articulate at least two perspectives (or "sides of the argument").
- Interpret data presented in the form of tables, graphs and charts.
- Work constructively in a group, contributing to the product(s) of the group and accepting responsibility for one's own level of work.
- Identify and analyze one’s own values, especially regarding health and health care.
- Respect the perspectives, values and choices of others.
2. Discuss the history and evolution of Western medicine and its effect on surgical practice.
- Trace Man’s concept of disease from its beginning until the present day.
- List practices or elements of modern medicine that can be traced back to ancient cultures (Egyptian, Babylonian or Greek).
- Describe what happened to the development of European medicine between the time of the fall of the Roman Empire and the Renaissance.
- Discuss the advances made in medical knowledge during the 16th through 19th centuries.
- Identify three “problems” that had to be resolved before the modern era of safe invasive surgery could begin and give the approximate dates of those solutions.
- List at least six developments during the last approximately 150 years that are now considered “essential” parts of modern medical practice.
- Identify current trends in the practice of surgery.
- Identify trends or themes that recur throughout the history of Western medicine.
- Compare the education and preparation of doctors today with those of approximately 150 years ago.
- Describe the history of Operating Room staffing and the profession of Surgical Technology.
3. Demonstrate an understanding of ethics in the medical setting.
- Define “health” and “disease”.
- Discuss the negative consequences of the overuse of antibiotics.
- Discuss the ethical issues associated with “treating” genetic predisposition toward various diseases.
- List the stages of grief.
- Give examples of patient expressions of egocentricity and dependency.
- Discuss how a health care worker can respond to illness behavior.
- Interpret the balance between “professional closeness” and “professional distance.”
- List and explain the elements of The Patient’s Bill of Rights.
- Describe typical patient reactions to sickness.
- Discuss how past Supreme Court cases influence hospital policies.
- Discuss rubrics in the ethical decision making when dealing with patients and their illness.
- Define end of life care.
4. Explain the concept of the continuum between health behaviors and illness behaviors.
- Define “health behaviors” and give examples.
- Provide examples of circumstances that can influence a person’s motivation to engage in health behaviors.
- Differentiate “disease” from “illness.”
- Explain the differences in society’s expectations of a person when s/he is sick (referred to as “the sick role”).
5. Demonstrate an understanding of the patient as a unique individual.
- Relate perceptions and anxieties about sickness and health care to different developmental stages in children and teenagers.
- Discuss the general physiologic changes of aging and the social concerns of elderly patients, and explain how these may affect the care needed.
- Discuss the influence of family or social unit on a patient’s health care experiences and recuperation.
- Explain how factors of race and ethnicity affect the predisposition to disease.
- Exhibit sensitivity to cultural differences in a patient’s perceptions of health and his/her receptivity to health care.
- Discuss how religious beliefs can affect a patient’s perceptions of disease and responses to it.
- Demonstrate awareness of how language and dialect differences can affect a patient’s
- Relate health care system “traditions” to other aspects (e.g. dietary customs) of a culturally diverse society.
- Relate socio-economic-educational factors to differences in patients’ perceptions, expectations and acceptance of the health care system.
- Identify any gender differences in the factors mentioned above.
- Given a patient description, identify relevant factors in terms of individualizing patient care.
6. Demonstrate understanding of the U.S. Health Care System.
- Identify and trace the historic evolution of the four current goals of the health care system.
- Discuss whether the U.S. has a “sickness care system” or a “health care system.”
- Compare and contrast the roles and influences of the various types of health care regulatory agencies.
- Discuss the historical development of hospitals.
- Explain how hospitals can be classified and give examples for each.
- Define the process of hospital accreditation and discuss its importance.
- Describe the typical administrative structure of a hospital and how the various elements interact.
- Identify other types of health care facilities.
- Analyze historical changes in the financing of health care.
- Define Medicare and Medicaid.
- Analyze trends in economic aspects within the health care system.
- Debate the idea of health care as a “right” or a “privilege.”
- Identify and discuss the major problems facing the health care delivery system.
- List factors contributing to the increasingly high cost of health care.
- Identify current attempts to address the problems in the health care delivery system.
- Describe current changes/trends in medical practice.
- Define “managed care” and “capitation” and explain their intended purposes.
- Discuss elements of the debate concerning HMO’s.
- Discuss the evolutionary changes that are occurring within hospitals and with other types of health care facilities.
7. Discuss attributes of professional health care service.
- Differentiate a profession from an occupation.
- Discuss generally-held public expectations of a professional.
- Identify aspects of quality control on a profession.
- Define the process of accreditation of an educational program.
- Differentiate licensure, certification, and registry; and list advantages and disadvantages of each.
- Explain the “implicit contract” between a patient and a health care professional.
- Identify various disciplinary measures used in quality control of practitioners.
- Describe the job function and working conditions of a Surgical Technologist.
- Discuss the credentialing and education requirements for a Surgical Technologist.
8. Discuss members of the health care team.
- Relate various health care team members to the six levels of health care and the goals of the health care system.
- Identify the three “clients” of a health care professional.
- Discuss role ambiguities and “turf battles” among members of the team.
- List the elements that promote positive team interaction
- Give examples of negative stereotypes that interfere with team functioning.
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