Health Care Delivery – Chp 1

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True or False? The government health coverage program for the elderly and certain people with disabilities is called Medicaid
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False
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True or False? Moral hazard has to do with insured patients’ demand for health care services.
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True
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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.
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False
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Crude birth rate is calculated by:
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Dividing the number of live births in a period of time by the total population
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True or False? Quality is no longer accepted as an unachievable goal in the delivery of health care in the U.S.
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True
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Healthy People 2020 is the first national initiative to advocate:
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focusing on a broad array of health determinants
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What is meant by the term ‘continuum of health care services’?
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A range of health care services that go beyond what hospitals and physicians provide
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In which country are employers required by law to contribute toward health insurance for their employees?
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Germany
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Supplier-induced demand is created by:
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Providers
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True or False? Cultural beliefs have very little to do with health.
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False
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True or False? In national health care programs, governments are immune from lawsuits.
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True
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Developing countries account for how much of the world-wide burden of disease?
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>90%
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National health care programs in other countries often use the following mechanism to control total health care expenditures?
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Global budgets
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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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True or False? The U.S. health care system is administratively controlled by an agency of the government.
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False
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Approximately how many millions of people are employed in the U.S. healthcare system?
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15 million
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Healthcare is considered a social good in:
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Social justice
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For most privately insured Americans, health insurance is:
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Employer-based
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True or False? In a free market, multiple patients and providers act interdependently.
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False
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What is a main characteristic of a socialized health insurance system?
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Health care is financed through government-mandated contributions by employers and employees
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True or False? In a single-payer system, the primary payer usually is an insurance company.
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False
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What is tertiary prevention?
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Rehabilitative therapies and monitoring of health to prevent complications or further illness, injury, or disability
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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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Utilitarianism emphasizes what?
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Happiness and welfare for the most people possible
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True or False? The two broad goals of Healthy People 2010 are to eliminate health disparities and improve the quality of healthcare services.
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False
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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.
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False
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In the U.S. health care system, which of the following creates a separation between financing and delivery?
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Insurance
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True or False? Capitation is a payment mechanism in which all health care services are included under one set fee per covered individual.
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True
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In a free market who would pay for the delivery of health care services?
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Patients
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True or False? The presence of an agent does not ensure that disease will occur.
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True
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Demand-side rationing is the same thing as what?
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Price rationing
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When providers deliver unnecessary services with the objective of protecting themselves against lawsuits, this practice is called
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defensive medicine
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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 behaviors
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In 1984, Australia switched to what?
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From a privately financed system to the Medicare program
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Which country spends the most in administrative health care costs?
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USA
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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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What is the meaning of the term ‘Access’?
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Ability to get health care when needed
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True or False? Equity requires distributional efficiency.
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True
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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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Medicaid is primarily for people who meet the following eligibility requirement:
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Low income
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Under free market conditions, the relationship between the quantity of medical services demanded and the price of medical services is what?
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Inverse
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The primary objectives of a healthcare system include all of the following except what?
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Delivering healthcare services using the most current technology, regardless of cost
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Prevalence is what?
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The total number of cases at a specific point in time divided by the specified population
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True or False? Cultural beliefs have very little to do with health.
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False
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Crude rates refer to what?
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The total population
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True or False? Capitation is a payment mechanism in which all health care services are included under one set fee per covered individual
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True
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What is meant by the term ‘continuum of health care services’?
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A range of health care services that go beyond what hospitals and physicians provide
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A multiple payer system is more cumbersome than a single payer system for all of the following reasons except:
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Some healthcare services are covered for people in the north, but not in the south
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The ownership of Canada’s health care system is best described as?
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Combination of private and public
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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.
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False
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Which central agency manages the health care delivery system in the United States?
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none
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Medicare is primarily for people who meet the following eligibility requirement:
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Elderly
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True or False? The government health coverage program for the elderly and certain people with disabilities is called Medicaid.
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False
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The primary functions of managed care include all of the following except:
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Improving quality
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True or False? A chronic condition is relatively severe, episodic, and often treatable.
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False
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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 countries has a National Health System (NHS)?
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Great Britian
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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).
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False
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In the United States, who does not generally have access to basic and routine medical services?
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The uninsured
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Sister of Mercy Case study
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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

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