Final answer:
Eligibility is the correct answer because it determines if a client qualifies for specific community-based services. Health service coordinators should include detailed information on eligibility criteria in their referrals to ensure appropriate and effective care. Understanding reimbursement and adverse selection is also relevant to health service coordination.
Step-by-step explanation:
When a health service coordinator refers a client to community-based services, it is crucial to have a list of local services readily available with comprehensive details for proper facilitation of care. This list should include contact information, service capacity details, services available, and criteria for eligibility. The term eligibility is essential as it pertains to whether a client qualifies for certain services based on specific requirements or conditions set by the service provider. These criteria may be based on factors such as income, residency, health condition, age, or insurance coverage.
In the context of health financing systems like fee-for-service and health maintenance organizations (HMOs), reimbursement to medical care providers is a significant factor. Reimbursement in a fee-for-service system is based on the cost of services provided, while in HMOs, it is based on the number of patients. Understanding adverse selection is also important as it refers to the potential imbalance created when insurance buyers possess more knowledge about their health risks than insurers, leading to a mismatch in insurance coverage and costs.