Unit 3• Question 1The inception of _____ was used as a trial balloon for the idea of government-sponsored universal health insurance.• Question 2Which of the following factors was particularly...

Unit 3• Question 1The inception of _____ was used as a trial balloon for the idea of government-sponsored universal health insurance.• Question 2Which of the following factors was particularly important in promoting the growth of office-based medical practice in the postindustrial period?• Question 3The beliefs and values that form American ideology represent the sentiments of • Question 4Initially, what was the main purpose of private health insurance in the US?• Question 5 Historically, which interest group was the most powerful in opposing national health insurance?• Question 6 E-health has resulted in• Question 7 Hospitals in the United States evolved from• Question 8 When hospitals first emerged in the United States, they were used primarily by the wealthy. • Question 9 In its historical context, which of the following has played a major role in revolutionizing health care delivery?• Question 10 The private medical sector in the US has been heavily regulated by the government mainly because• Question 11In the preindustrial era, _____ often functioned as surgeons.• Question 12What was the function of a pesthouse in the preindustrial period? • Question 13In the US, public health and private practice of medicine developed separately because • Question 14 Wage freezes during World War II helped promote employer-based health insurance in the United States.• Question 15 The US Supreme Court decision in Olmstead v. L.C. directed US states to • Question 16 As the health care delivery system developed in the US, right from its inception primary care physicians were assigned a gatekeeping role.• Question 17 Middle-class Americans have historically opposed proposals for a national health insurance program.• Question 18 During the World War II period, the US Supreme Court ruled that• Question 19 On what grounds have middle-class Americans generally opposed proposals for a national health insurance program?• Question 20 What main purpose was served by an almshouse in the preindustrial period?Unit 4• Question 1The main difference between Clinical Nurse Specialists (CNSs) and Nurse Practitioners (NPs) is:• Question 2Patients requiring services from occupational therapists need help with performing tasks in their daily living and working environments.• Question 3Which of the following is a major criticism of managed care?• Question 4When patients have multiple health problems, this is called:• Question 5Primary care is:• Question 6Which type of health care facility employs the most people in the U.S.?• Question 7Physician maldistribution occurs by:• Question 8There is an imbalance between primary and specialty care services in the U.S. health care delivery system.• Question 9A major factor influencing growth in the health care sector of the U.S. economy is:• Question 10Nonphysician practitioners (NPPs) include:• Question 11The number of specialists is increasing because:• Question 12The number of active nurses has steadily increased over time.• Question 13MCO stands for:• Question 14The health care sector constituted what percentage of the U.S. gross domestic product in 2005?• Question 15The principal source of funding for graduate medical education is:• Question 16More than half of MDs are specialists.• Question 17There has been a decreasing number of international medical graduates (IMGs) in the U.S. since 1980.• Question 18The roles and responsibilities of health services administrators include:• Question 19Fill in the blank: Compared to metropolitan and suburban areas, there is a/an _____ of physicians in rural areas.Unit 5• Question 1What is the main function of the National Institutes of Health?• Question 2Cost-efficiency evaluates marginal benefits in relation to• Question 3What is the main intent of the Stark laws?• Question 4Telemedicine technology that allows a specialist located at a distance to directly interview and examine a patient is referred to as• Question 5This made additional resources available to the FDA, and resulted in a shortened approval process for new drugs.• Question 6The utilization of technology has a greater impact on total health care expenditures than the cost of acquiring technology.• Question 7The ACA of 2010 places some restrictions on the licensing of new biological products.• Question 8What is the main advantage of interoperability within an electronic health records (EHR) system?• Question 9The asynchronous form of telemedicine uses _____ technology.• Question 10The point at which marginal benefits equal marginal costs.• Question 11What is the role of an institutional review board (IRB)?• Question 12Which of the following has the greatest impact on system-wide health care costs?• Question 13The Health Insurance Portability and Accountability Act requires• Question 14What main purpose do Clinical Practice Guidelines serve?• Question 15Supply-side rationing.• Question 16Which department of the DHHS supports research on health care quality, cost, and access?• Question 17The FDA was given the authority to review the effectiveness and safety of a new drug before it could be marketed.• Question 18Limitations on the diffusion and utilization of technology generally result in harmful effects on a nation’s population.• Question 19Evaluation of the appropriateness of medical technology.• Question 20American beliefs and values favor the development and use of new medical technology despite its cost.• Question 21At the flat of the curve,____________________________________________Unit 6• Question 1_____ reimbursement is based on the assumption that health care is provided in a set of identifiable and individually distinct units of services.• Question 2To receive payment for services delivered, providers must file a ____ with third-party payers.• Question 3To finance Medicare Part A,• Question 4The phenomenon called ‘moral hazard’ results directly from• Question 5A set monthly fee per enrollee.• Question 6Medicare Part B premiums are• Question 7People in older age groups represent a higher risk than those in lower age groups.• Question 8A copayment is generally paid• Question 9What is the central role of health services financing in the United States?• Question 10What is the main advantage of group insurance?• Question 11The amount of reimbursement is determined before the services are delivered.• Question 12Preferred providers are paid• Question 13What was the main conclusion of the Rand Health Insurance Experiment• Question 14Major medical plans do not include dental coverage.• Question 15Under the DRG method of reimbursement, an acute care hospital is paid• Question 16State governments are required to partially finance the Medicaid program.• Question 17The majority of beneficiaries receiving health care through Medicare are• Question 18Under the Medicaid program, eligibility criteria and benefits are consistent throughout the US.• Question 19Medicare provides comprehensive health care services.• Question 20If national health expenditures amount to 16% of the GDP, what does this mean?• Question 21Under the Medicare program, eligibility criteria and benefits are consistent throughout the US.• Question 22The primary criterion to become eligible for Medicaid is• Question 23The government plays a significant role in financing health care services in the United States.• Question 24A health insurance plan pays for medical care only after the insured has first paid $500 out of pocket on an annual basis. The $500 annual cost is called• Question 25What is the primary mechanism that enables people to obtain health care services?• Question 26Tax policy in the U.S. provides an incentive to obtain employer-paid health insurance.• Question 27A DRG represents• Question 28CHIP is available to children without any health insurance in families whose incomes are at or below ____ of the federal poverty level.• Question 29Public (government) share of the total health care spending in the United States is approximately• Question 30What is the primary reason that a segment of the U.S. population is uninsured?• Question 31Health insurance increases the demand for health care services.• Question 32In a general sense, what is the primary purpose of insurance?Unit 7• Question 1One reason women’s health centers were created is:• Question 2The demand for home health care services is likely to decrease in the future.• Question 3The proliferation of health care delivery through managed care created a decreased demand for primary care physicians.• Question 4Which of the following is a reason for the growth in outpatient services?• Question 5Compared to tertiary care, primary care services are more complex and specialized.• Question 6Which of the following is an example of a secondary care service?• Question 7The most prominent reason for the decline in the number of procedures performed in hospitals is:• Question 8There is little distinction between the terms “outpatient” and “ambulatory.”• Question 9Men report more chronic illness than women.• Question 10Fill in the blank: Historically, inpatient care developed ________ outpatient care.• Question 11Countries whose health systems are oriented more toward primary care achieve:• Question 12What is gatekeeping?• Question 13Outpatient care accounts for what percent of gross patient revenue for all US hospitals?• Question 14Hospice services are primarily for people with:• Question 15Emergency departments, in most cases, are equipped to provide:• Question 16What does “PPS” stand for?• Question 17Fill in the blank: The percentage of medical school graduates choosing careers in primary care is ______________.• Question 18Community health centers serve primarily:• Question 19Primary care may play an important role in mitigating the adverse health effects of income inequality.Unit 8• Question 1Inpatient care consists of• Question 2The first hospitals in the United States served mainly• Question 3A nonprofit hospital is prohibited by law from making a profit.• Question 4The first voluntary hospitals in the United States were financed• Question 5The proportion of a hospital’s capacity that is actually utilized.• Question 6The CEO has the primary responsibility for defining a hospital’s mission and its long-term direction.• Question 7What did the swing bed program allow rural hospitals to do?• Question 8The biggest share of national health spending is used by• Question 9Which of these hospitals is not likely to serve the general public?• Question 10Which ownership type constitutes the larges group of hospitals and hospital beds in the United States?• Question 11What is the main drawback of a living will?• Question 12How did the PPS based on DRGs lead to hospital downsizing in the United States?• Question 13What has been the effect of intense consolidation in certain hospital markets?• Question 14Which entity in hospital governance is legally responsible for the hospital’s operations?• Question 15Most multihospital systems in the United States are operated by nonprofit corporations.• Question 16The Hill-Burton Act was passed to• Question 17Which principle of ethics requires caregivers to involve the patient in medical decision making?• Question 18Which entity overseas the licensure of health care facilities?• Question 19The downsizing of hospitals in the United States began in the mid-1980s.• Question 20ALOS is an indicator of• Question 21Managed care has emphasized the use of alternative services to acute hospital care whenever appropriate.Quiz 11• Question 1A disease is considered chronic if it is observed for at least how long?• Question 2Lack of insurance can result in:• Question 3Which racial/ethnic group has the highest rate of uninsurance• Question 4Among women, which racial/ethnic group has the highest percentage distribution of AIDS?• Question 5Rural areas are particularly good places for managed care implementation.• Question 6What does the federal Ryan White CARE Act fund?• Question 7The health status of American Indians no longer lags significantly behind other racial/ethnic groups.• Question 8Which racial/ethnic group is growing the fastest?• Question 9Many Hispanic families who immigrated to the U.S. may not qualify for Medicaid.• Question 10Educational attainment varies very little among Asian American subgroups.• Question 11Most uninsured adults are employed but are not covered because:• Question 12Which racial/ethnic group is least likely to use mammography?• Question 13Which racial/ethnic group has the highest rate of low birth weight infants?• Question 14Approximately how many Americans are uninsured?• Question 15More women than men will suffer from major depression in their lifetimes.• Question 16The 2010 U.S. Census allowed respondents to choose one or more races when they self-identify.• Question 17Uninsured people are more likely to postpone seeking medical care, compared to insured people.• Question 18What is the primary purpose of the National Health Service Corps?• Question 19Approximately how many adult Americans have a mental disorder in any one year?• Question 20What does “MUA” stand for?Quiz 12• Question 1What is the purpose of clinical practice guidelines?• Question 2A service is cost-efficient when:• Question 3Compared to other nations, the U.S. uses a larger share of its economic resources for health care.• Question 4Prevention and lifestyle behavior changes to promote health are not major foci of the medical model.• Question 5Whether payment for health care services is made by the government or by a private insurance company, individual patients pay a price far higher than the actual cost of the service.• Question 6Managed care increased the rate of growth in health spending between 1993 and 2000.• Question 7Health care costs for the elderly are nearly 3 times more than those for the non-elderly.• Question 8What is meant by the term “health care costs”?• Question 9What is Gross Domestic Product (GDP)?• Question 10What is the Health Plan Employer Data and Information Set (HEDIS)?• Question 11The U.S. has never imposed price controls on the health care industry.• Question 12Approximately what percentage of GDP is spent on health care?• Question 13What are administrative costs?• Question 14What are the main activities of risk management?• Question 15What is the main reason for the lack of success of health care cost control efforts in the U.S.?• Question 16The Donabedian Model includes all of the following elements except:• Question 17Why should rising health care costs be controlled?