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
