Historical Evolution of Healthcare in the United States: A Course of Study, Schemes and Mind Maps of Nursing

This worksheet outlines a course of study focused on the historical evolution of healthcare in the united states. It covers key periods from the 1700s to the present, examining disease outbreaks, vaccine development, the rise of medical insurance, and the impact of historical events and individuals on healthcare advancements. The course also addresses current healthcare challenges, including access, financial sustainability, and the social determinants of health. It includes key terms, review questions, and quiz sections to reinforce learning, providing a structured approach to understanding the complexities of the u.s. Healthcare system.

Typology: Schemes and Mind Maps

2024/2025

Available from 09/26/2025

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D393 Course of
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2025/2026
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D393 Course of

Study Worksheet

D393 Course of Study Worksheet Section 1 Historical Evolution of Healthcare Learning Objective: The learner examines the historical evolution of access to quality healthcare in the United States. Lesson 1: A Forming Nation

  1. Explain healthcare history from the 1700s to the early 1800s, focusing on disease outbreaks, vaccine development, and doctor access.
  2. What three areas does the Triple Aim developed by the Institute for Healthcare Improvement (IHI) try to achieve?
  3. Key terms: Pest Houses: Almshouses: Royal hospitals:
  4. How was healthcare practiced in the 1700s, and what treatment did people receive to battle illness?
  5. How did most people receive healthcare treatment before doctors? (Watch “Fever: 1793 – The Doctors and the Cures” video in Lesson 1.2)
  • William Osler
  • William Welch
  • Mayo brothers
  • Abraham Flexner
  1. Key Terms: Health Insurance: Smallpox: Sick funds in 1910: Blue Cross: Blue Shield: Medicare and Medicaid:
  2. What is smallpox and how was it eventually eradicated? Who created the first vaccine?
  1. What key events and individuals help shape healthcare practices during the late 1800s and 1900s? (Reading Chapter 2 page 42)
  2. What was the 1918 Flu Pandemic – Spanish flu? ( Lesson 2.1, Read “History of 1918 Flu Pandemic”)
  3. How was the Spanish flu different than previous flu outbreaks? ( Lesson 2.1, Read “History of 1918 Flu Pandemic”)
  4. Why was the Spanish flu so important to the development of healthcare policy and delivery?
  5. What was the importance of World War II on the U.S. Healthcare System?
  6. Who performed the first human organ transplant surgery?
  7. How did the discovery of germs help revolutionize the medical field? (Watch “In the 19 th^ Century, going to the Doctor Could Kill You” video in Lesson 2.2)
  8. Take Lesson 2 Quiz to score 100% Lesson 3: A Modern Nation

g. The Hill-Burton Act of 1946 (Read Chapter 2 “History and Development of the US Healthcare System”, pages 56 - 62 in Lesson 3.1) h. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003

  1. Key Terms: Fee-for-service (FFS): For-profit hospitals: Non-profit hospitals:
  2. What is value-based healthcare?
  3. What are the five primary healthcare funding models – (Read Chapter 8: “Financing a Massive System”, pages 247 - 252) a. The Self-funded model b. The Bismarck model c. The Beveridge model

d. The National Health Insurance model (NHI) e. The hybrid model of Bismarck and Beveridge (Bis-Bev)

  1. What are some of the benefits of telehealth?
  2. What is case management?
  3. Take Lesson 3 Quiz to score 100% Section 1 Summary: Review Summary Take Section 1 Quiz to score 100% Section 2 Historical Influence of Healthcare Learning Objective: The learner examines the influence of individuals and historical events on healthcare advancements. Lesson 1: 1700s-1800s: Important Influences in Healthcare Lesson 1.1: Radical Change in Healthcare Inclusion
    1. Which events and people paved the way for a paradigm shift in healthcare during the 1700s and the 1800s?

Lesson 3: Late 1890s: Important Influences in Healthcare

  1. Key Terms: Informed consent: Tuskegee experiment Lesson 3.1: HeLa Cells and the Tuskegee Experiment
    1. How did the lack of informed consent affect people in the late 1900s? Timeline: Lesson 3.2: Young Pioneers
    2. What was Ryan White's contribution to HIV/AIDS education? Lesson 4: 1000ss: Important Influences in Healthcare Lesson 4.1: The Pharmaceutical Approach
  2. How has the pharmaceutical industry changed in the 2000s?
  3. Timeline:

Lesson 4.2: The Effects of COVID- 19

  1. How was the mental health of healthcare workers impacted during the COVID- 19 pandemic?
  2. Take Lesson 4 Quiz to score 100% Section 2 Summary: Review Summary Retake Section 2 Quiz to score 100% Section 3 Challenges in Healthcare Lesson 1: Today’s Healthcare Challenges
  3. Describe current healthcare challenges and their historical origins.
  4. Key terms: Disinformation: Personal Protective Equipment (PPE):
  1. Retake Lesson 2 Quiz to score 100% Section 3 Summary: Review Summary Retake Section 3 Quiz to score 100%