US Healthcare System – Flashcards

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Reimbursement is associated with which of the quad functions?
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Payment
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What makes up the "Iron Triad" of healthcare?
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Access, Cost, Quality
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Medicare is primarily for people who meet the following eligibility requirement:
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Elderly
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Which of the following countries has a National Health System (NHS)?
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Great Britain
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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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Holistic health adds which element to the World Health Organization definition of Health?
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Spiritual
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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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The elements of the Epidemiology Triangle of disease occurence include all of the following except:
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Society
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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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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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Who was the first American President to make an appeal for national health insurance?
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Harry Trumen
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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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During the World war II period, health insurance became employer-based because of
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wage freezes
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In the preindustrial era, ____ often functioned as surgeons.
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barbers
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Medical care in preindustrial America had a strong character.
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domestic
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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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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
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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
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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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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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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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When patients have multiple health problems, this is called:
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Cormorbidity
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More than half of MDs are specialists?
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True
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Nonphysician practitioners (NPPs) include:
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Physician assistants
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the roles and responsibilities of health services administrators include:
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all listed answers: program oversight , departmental management, leadership and strategic direction
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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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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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Registered Nurses undergo the same training as Licensed Practical Nurses.
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False
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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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The Health Insurance Portability and Accountability Act requires
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protection of personal medical information
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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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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
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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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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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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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Decision making based on cost effectiveness about the use of medical technology is more prevalent in the US than in other industrialize countries.
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False
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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 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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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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In national health care systems, total expenditures are controlled mainly through
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supply-side rationing
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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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public (government) share of the total health care spending in the United States is approximately
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45%
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National health expenditures (E) =
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P x Q
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Part C of Medicare specifically covers
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none of the listed choices: prescription drugs, rehabilitation services, preventive care
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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 service
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Fee-for-service
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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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A copayment is generally paid
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each time the insured receives health care services
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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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Typically, tertiary care:
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is highly specialized
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Emergency departments, in most cases, are equipped to provide:
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both secondary and tertiary care services
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The percentage of medical school graduates choosing careers in primary care is ___
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decreasing
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Approximately how many emergency departments exist in the US?
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4000
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How is community-oriented primary care (COPC) different from primary care?
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COPC adds a population-bsed approach to identifying and addressing community health problems.
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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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Historically, inpatient care developed ___ outpatient care
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After
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What does "PPS" stand for?
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Prospective Payment System
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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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One reason women's health centers were created is:
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Women seek care more often than men
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Low cognitive functioning places an elderly person at a high risk for
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functional decline
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which of the following can contribute positively to a person's quality of life?
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Palliation
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Which adult day care model is appropriate for someone who has dementia?
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Social-psychological
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Which type of long-term care service is predominantly used in the United States?
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Informal care
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Which part of Medicare covers SNF services?
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A
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Which racial/ethnic group is growing the fastest?
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Hispanic
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A disease is considered chronic if it is observed for at least how long?
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3 months or longer
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In the absence of specific therapy to interrupt transmission of HIV, an infected woman has what percent of having a child born with HIV?
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25%
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Lack of insurance can result in:
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-the spread of infectious disease -increased need for more expensive, emergency health care -decreased utilization of lower cost preventive services
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Which racial/ethnic group is most likely to drink alcohol?
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white
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The Hill-Burton Act was passed to
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relieve shortage of hospitals
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How is average length of stay calculated?
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Days of care/discharges
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Which entity oversees the licensure of health care facilities?
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State government
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To be called a hospital, a facility must have at least ___ beds
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6
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Inpatient care consists of
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Healthcare delivered in conjunction with an overnight stay in a facility
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Which choice most accurately describes a hybrid of an HMO and a PPO?
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NOT==> IPA Guess ===> Point-of-service plans
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Which HMO model is likely to provide the greatest control over the practice patterns of physicians?
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Staff Model
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The managed care phenomenon was welcomed mostly by
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employers
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Two organizations cease to exist, and new cop oration is formed.
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Merger
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Gatekeeping emphasizes
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preventive and primary care
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The U.S. has never imposed price controls on the health care industry.
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False
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Health care costs for the elderly are nearly 3 times more than those for the non-elderly.
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True
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Compared to other nations, the U.S. uses a larger share of its economic resources for health care.
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True
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What is the Health Plan Employer Data and Information Set (HEDIS)?
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a quality report card
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What are the main activities of risk management?
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proactive efforts to prevent adverse events related to clinical care and facilities operations
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Underutilization of health care services is not a problem in the U.S.
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False
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Critical pathways are outcome-based and patient-centered case management tools that facilitate coordination of care.
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True
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Approximately what percentage of GDP is spent on health care?
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17%
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Which age group in the U.S. has had the highest average annual percent growth over the past 30 years?
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over 85
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What does the Consumer Price Index measure?
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General inflation
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What is an interest group?
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An independent, non-governmental group united by a policy area, which lobbies and advocates its point of view to lawmakers.
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Why was SCHIP created?
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To provide health insurance to low-income children who do not qualify for Medicaid
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All of the following are elements of the policy cycle, except:
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policy evaluation
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In what way does research influence policymaking?
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All listed answers Prescription, documentation, analysis
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What is the role of states in U.S. health policy?
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all listed answers: Financial support for the care and treatment of poor Oversight of health care practitioners and facilities Quality assurance
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All of the following were identified by the Institute of Medicine (Crossing the Quality Chasm, 2001) as areas for quality improvement, except:
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Efficacy
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Which aspect of health care policy has received the most attention during the past several decades?
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Cost containment
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What does 'CON' stand for?
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Certificate of Need
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What was the main purpose of the 1949 Hill-Burton Act?
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Expansion of the availability of health services and improved hospital facilities
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Which major public insurance program was legislated in 1965?
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Both listed: Medicare Medicaid
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What is likely to be the biggest obstacle to the delivery of cost-efficient care?
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Public attitudes
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In health care delivery, high unemployment mainly determines
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the number of uninsured
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What has been identified as one of the main reasons for the shortage of physicians who are trained in geriatrics?
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Shortage of faculty in colleges and universities
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How did Americans with preexisting medical conditions obtain health insurance before the passage of the Patient Protection and Affordable Care Act?
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Through state high-risk pools
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Which of the following is necessary of achieving universal coverage in the US?
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Single-payer plan
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Insurance underwriting without risk rating
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raises the cost of health insurance premiums for everyone
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What is the main use of regenerative medicine?
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to repair damaged organs and tissues
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Which particular skill is fundamental to the delivery of patient-centered care?
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Communication
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Evidence-based medicine proposes to incorporate ___ in medical care delivery.
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best practices
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Delivery of community-oriented primary care requires all of the following except:
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Improvements in secondary and tertiary care delivery
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