1. CHAPTER 1 HEALTH CARE OF THE PAST, PRESENT, and FUTURE
Copyright 2003 by Mosby, Inc. All rights reserved.

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Health Care of the Past
Egyptians, Greeks, and Chinese
Ancient treatments
Witch doctors
Herbalists
Use of herbs and plants for medication
Plagues caused millions of deaths
Hippocrates (460–377 B.C.)
Father of modern medicine
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3. History Healthcare Facilities
200 B.C. Buddhists in India established hospital for crippled, sick, or weary travelers.
1700 Hospitals were dark, overcrowded, and dirty.
1800 Hospitals began aseptic techniques and patient outcomes improved.
1890 x-ray equipment utilized.
1900 more advancement in equipment
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Revised: February 2008

4. Health Care of the Present
• Focus of health care has shifted from contagious diseases to lifestyle changes
– Cancer
– Drug abuse
– Heart disease
– Acquired immunodeficiency syndrome
– Tuberculosis
Copyright 2003 by Mosby, Inc. All rights reserved.

5. Health Care in the United States
Influenced by:
State of the economy
Values of society
Law of supply and demand
Technological developments
Reasons for rising health care costs
Advanced technological developments
Increase in malpractice litigation
Copyright 2003 by Mosby, Inc. All rights reserved.

6. Health Care in the United States
Influenced by:
State of the economy
Values of society
Law of supply and demand
Technological developments
Reasons for rising health care costs
Advanced technological developments
Increase in malpractice litigation
Aging Population
Copyright 2003 by Mosby, Inc. All rights reserved.

7. Table 1-1 Agency Health Care Providers
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8. Government agencies World Health Organization (WHO)
U.S. Department of Health and Human Services (DHHS)
National Institutes of Health (NIH)
Centers for Disease Control (CDC)
Food and Drug Administration (FDA)
Occupational Safety and Health Administration (OSHA)
Health Departments

9. Department of Health and Human Services (HHS)
Federal agency that oversees the nation’s health care
Established in 1798 to provide care for American merchant seamen
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10. Figure 1-2 Health Insurance
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Health Care Careers
Economic security
Nature of the duties
Good working environment
Opportunities for advancement
New challenges
Respect
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12. Career Pathways or Clusters
Therapeutic Services
Biotechnology Research and Development
Health Informatics
Support Services
Diagnostic Services
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13. Table 1-2 Career Ladder in Health Care
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14. Chain of Command
Organizational structure of a facility that indicates the person or department responsible
Large facilities have complex structures
Small facilities have simpler structures
EMS systems uses chain of command and ideal span of control is 5 to 7
McFatter Technical Center, Broward County Public Schools
Revised: February 2008

15. Emergency Incident Command Structure
McFatter Technical Center, Broward County Public Schools
Revised: February 2008

16. Copyright 2003 by Mosby, Inc. All rights reserved.
The “Patient” of Today
Has become a “client” or consumer of health care services
Takes on more responsibility for his or her own care
Obtains second opinions
Shops for the lowest health care costs
Seeks alternative and complementary providers
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17. Agencies of Accreditation
Training programs must meet acceptable standards
Most agencies of accreditation are provided by the professional association of the health care occupation
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Credentialing
• Health care workers may require:
– Licensure: controlled by the state and is usually based on successful completion of an examination
– Certification: given by an agency or a training program; indicates successful completion of a particular course
– Registration: earned through the state or an agency
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19. Health Care of the Future
Wellness services
To include nutritional advice, stress reduction counseling, habit cessation management, and exercise instruction
Technology
Continues to drive the type and pace of changes in the industry
Prevention
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20. Figure 1-4 National Health Care Skill Standards
Copyright 2003 by Mosby, Inc. All rights reserved.
Copyright 2003 by Mosby, Inc. All rights reserved.