question

True or False? The government health coverage program for the elderly and certain people with disabilities is called Medicaid

answer

False

question

True or False? Moral hazard has to do with insured patients' demand for health care services.

answer

True

question

True or False? Since the final two decades of the 20th century, the U.S. health care delivery system has begun to shift its emphasis from wellness to illness.

answer

False

question

Crude birth rate is calculated by:

answer

Dividing the number of live births in a period of time by the total population

question

True or False? Quality is no longer accepted as an unachievable goal in the delivery of health care in the U.S.

answer

True

question

Healthy People 2020 is the first national initiative to advocate:

answer

focusing on a broad array of health determinants

question

What is meant by the term 'continuum of health care services'?

answer

A range of health care services that go beyond what hospitals and physicians provide

question

In which country are employers required by law to contribute toward health insurance for their employees?

answer

Germany

question

Supplier-induced demand is created by:

answer

Providers

question

True or False? Cultural beliefs have very little to do with health.

answer

False

question

True or False? In national health care programs, governments are immune from lawsuits.

answer

True

question

Developing countries account for how much of the world-wide burden of disease?

answer

>90%

question

National health care programs in other countries often use the following mechanism to control total health care expenditures?

answer

Global budgets

question

The elements of the Epidemiology Triangle of disease occurrence include all of the following except:

answer

Society

question

True or False? The U.S. health care system is administratively controlled by an agency of the government.

answer

False

question

Approximately how many millions of people are employed in the U.S. healthcare system?

answer

15 million

question

Healthcare is considered a social good in:

answer

Social justice

question

For most privately insured Americans, health insurance is:

answer

Employer-based

question

True or False? In a free market, multiple patients and providers act interdependently.

answer

False

question

What is a main characteristic of a socialized health insurance system?

answer

Health care is financed through government-mandated contributions by employers and employees

question

True or False? In a single-payer system, the primary payer usually is an insurance company.

answer

False

question

What is tertiary prevention?

answer

Rehabilitative therapies and monitoring of health to prevent complications or further illness, injury, or disability

question

Holistic health adds which element to the World Health Organization definition of health?

answer

Spiritual

question

Utilitarianism emphasizes what?

answer

Happiness and welfare for the most people possible

question

True or False? The two broad goals of Healthy People 2010 are to eliminate health disparities and improve the quality of healthcare services.

answer

False

question

True or False? Under the medical model, health is defined as a complete state of physical, mental, and social well-being, and not just the absence of disease or infirmity.

answer

False

question

In the U.S. health care system, which of the following creates a separation between financing and delivery?

answer

Insurance

question

True or False? Capitation is a payment mechanism in which all health care services are included under one set fee per covered individual.

answer

True

question

In a free market who would pay for the delivery of health care services?

answer

Patients

question

True or False? The presence of an agent does not ensure that disease will occur.

answer

True

question

Demand-side rationing is the same thing as what?

answer

Price rationing

question

When providers deliver unnecessary services with the objective of protecting themselves against lawsuits, this practice is called

answer

defensive medicine

question

According to the CDC, which factor contributes most to premature death in the U.S. population?

answer

Lifestyle and behaviors

question

In 1984, Australia switched to what?

answer

From a privately financed system to the Medicare program

question

Which country spends the most in administrative health care costs?

answer

USA

question

According to the CDC, approximately what percentage of premature deaths in the U.S. population can be attributed to inadequate access to medical care?

answer

10%

question

What is the meaning of the term 'Access'?

answer

Ability to get health care when needed

question

True or False? Equity requires distributional efficiency.

answer

True

question

Which of the following factors is the leading cause of preventable disease and death in the United States?

answer

Smoking

question

Medicaid is primarily for people who meet the following eligibility requirement:

answer

Low income

question

Under free market conditions, the relationship between the quantity of medical services demanded and the price of medical services is what?

answer

Inverse

question

The primary objectives of a healthcare system include all of the following except what?

answer

Delivering healthcare services using the most current technology, regardless of cost

question

Prevalence is what?

answer

The total number of cases at a specific point in time divided by the specified population

question

True or False? Cultural beliefs have very little to do with health.

answer

False

question

Crude rates refer to what?

answer

The total population

question

True or False? Capitation is a payment mechanism in which all health care services are included under one set fee per covered individual

answer

True

question

What is meant by the term 'continuum of health care services'?

answer

A range of health care services that go beyond what hospitals and physicians provide

question

A multiple payer system is more cumbersome than a single payer system for all of the following reasons except:

answer

Some healthcare services are covered for people in the north, but not in the south

question

The ownership of Canada's health care system is best described as?

answer

Combination of private and public

question

True or False? Since the final two decades of the 20th century, the U.S. health care delivery system has begun to shift its emphasis from wellness to illness.

answer

False

question

Which central agency manages the health care delivery system in the United States?

answer

none

question

Medicare is primarily for people who meet the following eligibility requirement:

answer

Elderly

question

True or False? The government health coverage program for the elderly and certain people with disabilities is called Medicaid.

answer

False

question

The primary functions of managed care include all of the following except:

answer

Improving quality

question

True or False? A chronic condition is relatively severe, episodic, and often treatable.

answer

False

question

The elements of the Epidemiology Triangle of disease occurrence include all of the following except:

answer

Society

question

Which of the following countries has a National Health System (NHS)?

answer

Great Britian

question

True or False? Activities of daily living (ADL) are activities necessary for living independently in the community (such as driving a car, taking medicine, and handling money), and instrumental activities of daily living (IADL) are activities necessary for basic functioning (such as eating, bathing, and dressing).

answer

False

question

In the United States, who does not generally have access to basic and routine medical services?

answer

The uninsured

question

Sister of Mercy Case study

answer

1. Overall, how might this approach aid us in moving towards an interoperable EHR? All paper records were moved to electronic, which help change a fragmented organization with several different departments into a true enterprise. In basic terms everyone worked together and the data become the thing that united them all. 2. What steps/measures did they take which were ideal? An EHR system was deployed, computers and high tech mobile devices that worked with the EHR system were also deployed and all data was captured and stored in a centralized location. 3. What are some lessons learned that you can take away from this case? EHR implement is not a simple IT implementation, it's a workflow implementation that requires an enterprise wide 4. Would this approach work? Explain I think this worked and would work for large healthcare organizations, where centralized solutions seem to flourish, but I do not believe it would work on a national level because getting ALL healthcare providers on the same software and to adhere to the same workflow, is not realistic. 5. What else needs to be considered before moving forward? Data storage, who owns what data, how does the data get transmitted, what do patients have access to etc. 6. How realistic is the 99.9% "up time"? With a centralized environment, with a full around the clock staff, back up generators, a back up plan, etc - it can be made a reality. 7. How does the claim of " high quality" patient care fit in? High quality denotes an expected value - if everyone is doing the same thing and data is always on hand and available, this would definitely help ensure good/better quality. 8. How do you protect against accidental disclosures? Security measures, auditing, etc

Health Care Delivery – Chp 1 – Flashcards

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