Question

A client is receiving PHC services. Which of the following expectations would the client have?

a.The care would be provided by a physician.
b.Private insurance would be necessary to receive care.
c.The emphasis of care provided would be on prevention.
d.A referral would be made to a specialist after receiving services.

Answer 1

The client receiving services from an HMO would typically expect that the care provided would have an emphasis on prevention (c), due to the fixed reimbursement structure that HMOs operate under which incentivizes minimizing healthcare costs by avoiding unnecessary services.

Step-by-step explanation:

The question concerns what expectations a client might have when receiving services from a Primary Health Care (PHC) provider, such as a health maintenance organization (HMO). It is important to note that in the healthcare system, particularly with HMOs, there has been a shift away from fee-for-service to a model where providers are reimbursed a fixed amount per patient. This model places a greater emphasis on prevention, because the provider receives a set fee regardless of the number of services provided, creating an incentive to maintain the patient's health and avoid unnecessary procedures.

Hence, the client's expectation would most likely align with option (c) which states, "The emphasis of care provided would be on prevention". This reflects the incentive structure of HMOs to minimize expenses by focusing on preventive care rather than waiting for a condition to possibly worsen and become more costly to treat.