HSA3111 Midterm – Flashcards
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what makes up the "Iron Triad" of healthcare?
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access, cost, quality
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reimbursement is associated with which of the quad functions?
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payment
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Medicare is primarily for people who meet the following eligibility requirement:
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Elderly
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Medicaid is primarily for people who meet the following eligibility requirement:
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Low-income
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Which of the following countries has a National Health System (NHS)?
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Great Britian
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Which of the following factors is the leading cause of preventable disease and death in the United States?
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Smoking
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According to the CDC, approximately what percentage of premature deaths in the U.S. population can be attributed to inadequate access to medical care?
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10%
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Holistic health adds which element to the World Health Organization definition of health?
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Spiritual
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According to the CDC, which factor contributes most to premature death in the U.S. population?
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lifestyle and behavior
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The elements of the Epidemiology Triangle of disease occurrence include all of the following except:
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society
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Which of the following factors was particularly important in promoting the growth of office-based medical practice in the postindustrial period?
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urbanization
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In the preindustrial era, much of the medical care in the US was provided by nonphysicians.
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true
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During the World War II period, health insurance became employer-based because of
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endorsement from Blue Cross and Blue Shield plans - not union demands
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What was the main consequence of early proprietary medical schools, as opposed to state-sponsored schools, in the preindustrial era?
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standards were low
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How has Medicaid created a two-tier system of medical care delivery in the US?
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Many physicians do not serve medicaid patients - not: funding for the program is uniformly shared by both federal and state governments
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Corporatization of medicine has resulted in delivering the same quality of health care at a lesser cost
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false
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Who was the first American president to make an appeal for national health insurance?
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harry truman
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The US Supreme Court decision in Olmstead v. L.C. directed US states to
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Deinstitutionalize people with mental illness - not: achieve parity in the delivery of physical and mental health services
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Medical care in preindustrial America had a strong _____ character.
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domestic
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In the preindustrial era, _____ often functioned as surgeons.
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barbers
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The health care sector constituted what percentage of the U.S. gross domestic product in 2005?
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17%
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A major factor influencing growth in the health care sector of the U.S. economy is:
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the aging of the population
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More than half of Ostepathic (DOs) Physicians are Generalists?
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true
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There has been a decreasing number of International Medical Graduates (IMGs) in the U.S. Since 1980
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false
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The roles and responsibilities of health services administrators include:
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- leadership and strategic direction - Departmental management - program oversight
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More than half of MDs are specialists?
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true
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Registered Nurses undergo the same training as Licensed Practical Nurses.
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false
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Patients requiring services from occupational therapists need help performing tasks in their daily living and working environments.
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true
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Nonphysician practitioners (NPPs) include:
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physician assistant
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When patients have multiple health problems, this is called:
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Comorbidity
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The term e-health applies only to the electronic delivery of health care by qualified health care professionals.
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false
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Which of the following has the greatest impact on system-wide health care costs?
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Utilization of technology once it becomes available - not purchase price of new technology
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What is the main application of quality-adjusted life years?
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they are used as a measure of health benefits
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The Health Insurance Portability and Accountability Act requires
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disclosure of personal health information -not: nontransmittal of individual health information over the internet
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What is the role of an institutional review board (IRB)?
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approve and monitor research that involves human subjects
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Decision making based on cost effectiveness about the use of medical technology is more prevalent in the US than in other industrialized countries.
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false
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American beliefs and values favor the development and use of new medical technology despite its cost.
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true
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What is the main intent of the Stark laws?
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Prohibit self-referral by physicians to facilities in which they have an ownership interest
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The utilization of technology has a greater impact on total health care expenditures than the cost of acquiring technology.
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true
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Technology has been credited with the overall reduction in the average length of inpatient hospital stays.
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true
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National health expenditures (E) =
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PxQ
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CHIP is available to children without any health insurance in families whose incomes are at or below ____ of the federal poverty level.
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200%
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In national health care systems, total expenditures are controlled mainly through
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supply-side rationing
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What is the primary reason that a segment of the U.S. population is uninsured?
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The U.S. has a voluntary system of health insurance
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A copayment is generally paid
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each time the insured receives health care services
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_____ reimbursement is based on the assumption that health care is provided in a set of identifiable and individually distinct units of services
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fee-for-service
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Public (government) share of the total health care spending in the United States is approximately
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45%
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Part C of Medicare specifically covers
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None of the listed choices: - preventive care - rehabilitation services - prescription drugs
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A typical health insurance plan pays only for
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services considered medically necessary
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The phenomenon called 'moral hazard' results directly from
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health insurance coverage
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Fill in the blank: The percentage of medical school graduates choosing careers in primary care is ______________.
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decreasing
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The most prominent reason for the decline in the number of procedures performed in hospitals is
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Most of these procedures were shifted to outpatient setting
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What does "PPS" stand for?
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prospective payment system
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What is gatekeeping
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The process by which primary care physicians refer patients to specialists
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One reason women's health centers were created is:
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Women seek care more often than men
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Approximately how many emergency departments exist in the US?
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4000
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Emergency departments, in most cases, are equipped to provide:
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Bothe secondary and tertiary care services
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How is community-oriented primary care (COPC) different from primary care?
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COPC adds a population-based approach to identifying and addressing community health problems
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Typically, tertiary care:
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is highly specialized
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Fill in the blank: Historically, inpatient care developed ________ outpatient care.
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after