question

Reimbursement is associated with which of the quad functions?

answer

Payment

question

What makes up the "Iron Triad" of healthcare?

answer

Access, Cost, Quality

question

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

answer

Elderly

question

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

answer

Great Britain

question

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

answer

Low-income

question

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

answer

Spiritual

question

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

answer

Smoking

question

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

answer

Society

question

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

answer

Lifestyle and behaviors

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

Who was the first American President to make an appeal for national health insurance?

answer

Harry Trumen

question

Corporatization of medicine has resulted in delivering the same quality of health care at a lesser cost.

answer

False

question

During the World war II period, health insurance became employer-based because of

answer

wage freezes

question

In the preindustrial era, ____ often functioned as surgeons.

answer

barbers

question

Medical care in preindustrial America had a strong character.

answer

domestic

question

Which of the following factors was particularly important in promoting the growth of office-based medical practice in the postindustrial period?

answer

Urbanization

question

How has Medicaid created a two-tier system of medical care delivery in the US

answer

Many physicians do not serve Medicaid patients

question

The US Supreme Court decision in Olmstead v. L.C. directed US states to

answer

deinstitutionalize people with mental illness

question

In the preindustrial era, much of the medical care in the US was provided by nonphysicians

answer

True

question

What was the main consequence of early proprietary medical schools, as opposed to state-sponsored schools, in the preindustrial era?

answer

Standards were low

question

A major factor influencing growth in the health care sector of the U.S. economy is:

answer

The aging of the population

question

More than half of Ostepathic (DOs) Physicians are Generalists?

answer

True

question

When patients have multiple health problems, this is called:

answer

Cormorbidity

question

More than half of MDs are specialists?

answer

True

question

Nonphysician practitioners (NPPs) include:

answer

Physician assistants

question

the roles and responsibilities of health services administrators include:

answer

all listed answers: program oversight , departmental management, leadership and strategic direction

question

there has been a decreasing number of international Medical Graduates (IMGs) in the U.S. since 1980.

answer

False

question

Patients requiring services from occupational therapists need help performing tasks in their daily living and working environments.

answer

True

question

Registered Nurses undergo the same training as Licensed Practical Nurses.

answer

False

question

The health care sector constituted what percentage of the U.S. gross domestic product in 2005?

answer

17%

question

The Health Insurance Portability and Accountability Act requires

answer

protection of personal medical information

question

Technology has been credited with the overall reduction in the average length of inpatient hospital stays.

answer

True

question

Which of the following has the greatest impact on system-wide health care costs?

answer

Utilization of technology once it becomes available

question

The utilization of technology has a greater impact on total health care expenditures than the cost of acquiring technology.

answer

True

question

What is the role of an institutional review board (IRB)?

answer

Approve and monitor research that involves human subjects.

question

American beliefs and values favor the development and use of new medical technology despite its cost.

answer

True

question

Decision making based on cost effectiveness about the use of medical technology is more prevalent in the US than in other industrialize countries.

answer

False

question

What is the main intent of the Stark laws?

answer

Prohibit self-referral by physicians to facilities in which they have an ownership interest.

question

The Term e-health applies only to the electronic delivery of health care by qualified health care professionals

answer

False

question

What is the main application of quality-adjusted life years?

answer

They are used as a measure of health benefits.

question

In national health care systems, total expenditures are controlled mainly through

answer

supply-side rationing

question

A typical health insurance plan pays only for

answer

services considered medically necessary

question

the phenomenon called 'moral hazard' results directly from

answer

health insurance coverage

question

public (government) share of the total health care spending in the United States is approximately

answer

45%

question

National health expenditures (E) =

answer

P x Q

question

Part C of Medicare specifically covers

answer

none of the listed choices: prescription drugs, rehabilitation services, preventive care

question

___ reimbursement is based on the assumption that health care is provided in a set of identifiable and individually distinct units of service

answer

Fee-for-service

question

CHIP is available to children without any health insurance in families whose incomes are at or below ___ of the federal poverty level

answer

200%

question

A copayment is generally paid

answer

each time the insured receives health care services

question

what is the primary reason that a segment of the U.S. population is uninsured?

answer

The U.S. has a voluntary system of health insurance

question

Typically, tertiary care:

answer

is highly specialized

question

Emergency departments, in most cases, are equipped to provide:

answer

both secondary and tertiary care services

question

The percentage of medical school graduates choosing careers in primary care is ___

answer

decreasing

question

Approximately how many emergency departments exist in the US?

answer

4000

question

How is community-oriented primary care (COPC) different from primary care?

answer

COPC adds a population-bsed approach to identifying and addressing community health problems.

question

what is gatekeeping?

answer

the process by which primary care physicians refer patients to specialists

question

Historically, inpatient care developed ___ outpatient care

answer

After

question

What does "PPS" stand for?

answer

Prospective Payment System

question

The most prominent reason for the decline in the number of procedures performed in hospitals is:

answer

most of these procedures were shifted to outpatient setting

question

One reason women's health centers were created is:

answer

Women seek care more often than men

question

Low cognitive functioning places an elderly person at a high risk for

answer

functional decline

question

which of the following can contribute positively to a person's quality of life?

answer

Palliation

question

Which adult day care model is appropriate for someone who has dementia?

answer

Social-psychological

question

Which type of long-term care service is predominantly used in the United States?

answer

Informal care

question

Which part of Medicare covers SNF services?

answer

A

question

Which racial/ethnic group is growing the fastest?

answer

Hispanic

question

A disease is considered chronic if it is observed for at least how long?

answer

3 months or longer

question

In the absence of specific therapy to interrupt transmission of HIV, an infected woman has what percent of having a child born with HIV?

answer

25%

question

Lack of insurance can result in:

answer

-the spread of infectious disease -increased need for more expensive, emergency health care -decreased utilization of lower cost preventive services

question

Which racial/ethnic group is most likely to drink alcohol?

answer

white

question

The Hill-Burton Act was passed to

answer

relieve shortage of hospitals

question

How is average length of stay calculated?

answer

Days of care/discharges

question

Which entity oversees the licensure of health care facilities?

answer

State government

question

To be called a hospital, a facility must have at least ___ beds

answer

6

question

Inpatient care consists of

answer

Healthcare delivered in conjunction with an overnight stay in a facility

question

Which choice most accurately describes a hybrid of an HMO and a PPO?

answer

NOT==> IPA Guess ===> Point-of-service plans

question

Which HMO model is likely to provide the greatest control over the practice patterns of physicians?

answer

Staff Model

question

The managed care phenomenon was welcomed mostly by

answer

employers

question

Two organizations cease to exist, and new cop oration is formed.

answer

Merger

question

Gatekeeping emphasizes

answer

preventive and primary care

question

The U.S. has never imposed price controls on the health care industry.

answer

False

question

Health care costs for the elderly are nearly 3 times more than those for the non-elderly.

answer

True

question

Compared to other nations, the U.S. uses a larger share of its economic resources for health care.

answer

True

question

What is the Health Plan Employer Data and Information Set (HEDIS)?

answer

a quality report card

question

What are the main activities of risk management?

answer

proactive efforts to prevent adverse events related to clinical care and facilities operations

question

Underutilization of health care services is not a problem in the U.S.

answer

False

question

Critical pathways are outcome-based and patient-centered case management tools that facilitate coordination of care.

answer

True

question

Approximately what percentage of GDP is spent on health care?

answer

17%

question

Which age group in the U.S. has had the highest average annual percent growth over the past 30 years?

answer

over 85

question

What does the Consumer Price Index measure?

answer

General inflation

question

What is an interest group?

answer

An independent, non-governmental group united by a policy area, which lobbies and advocates its point of view to lawmakers.

question

Why was SCHIP created?

answer

To provide health insurance to low-income children who do not qualify for Medicaid

question

All of the following are elements of the policy cycle, except:

answer

policy evaluation

question

In what way does research influence policymaking?

answer

All listed answers Prescription, documentation, analysis

question

What is the role of states in U.S. health policy?

answer

all listed answers: Financial support for the care and treatment of poor Oversight of health care practitioners and facilities Quality assurance

question

All of the following were identified by the Institute of Medicine (Crossing the Quality Chasm, 2001) as areas for quality improvement, except:

answer

Efficacy

question

Which aspect of health care policy has received the most attention during the past several decades?

answer

Cost containment

question

What does 'CON' stand for?

answer

Certificate of Need

question

What was the main purpose of the 1949 Hill-Burton Act?

answer

Expansion of the availability of health services and improved hospital facilities

question

Which major public insurance program was legislated in 1965?

answer

Both listed: Medicare Medicaid

question

What is likely to be the biggest obstacle to the delivery of cost-efficient care?

answer

Public attitudes

question

In health care delivery, high unemployment mainly determines

answer

the number of uninsured

question

What has been identified as one of the main reasons for the shortage of physicians who are trained in geriatrics?

answer

Shortage of faculty in colleges and universities

question

How did Americans with preexisting medical conditions obtain health insurance before the passage of the Patient Protection and Affordable Care Act?

answer

Through state high-risk pools

question

Which of the following is necessary of achieving universal coverage in the US?

answer

Single-payer plan

question

Insurance underwriting without risk rating

answer

raises the cost of health insurance premiums for everyone

question

What is the main use of regenerative medicine?

answer

to repair damaged organs and tissues

question

Which particular skill is fundamental to the delivery of patient-centered care?

answer

Communication

question

Evidence-based medicine proposes to incorporate ___ in medical care delivery.

answer

best practices

question

Delivery of community-oriented primary care requires all of the following except:

answer

Improvements in secondary and tertiary care delivery

US Healthcare System – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards