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Chapter 12
1. The Institute of Medicine
Select one:
a. serves as the nation's advisor to improve health
b. regulates drugs
c. is the nation's largest medical school
d. regulates medicine
a. Outcomes
b. Process
c. Costs
d. Structure
9. The U.S. has never imposed price controls on the health care
industry
Select one:
True
False
10.
What is meant by the term health care costs?
Select one:
a. The price of health care
11.
What is the purpose of clinical practice guidelines?
Select one:
a. To provide a plan to manage a clinical problem based on evidence or
consensus
b. To improve outcomes
c. All the answers
d. To lower costs
12.
What is Gross Domestic Product (GDP)?
Select one:
a. A measure of all the goods and services produced by a nation in a
given year
b. A measure of all the goods and services produced by a nation in a
given year, divided by the amount of money spent by the government
c. A measure of all the goods and services produced by a nation in a
given year, divided by the population
d. A measure of all the goods and services produced by a nation in a
given year, minus the amount of money spent by the government
13.
Why should rising health care costs be controlled?
Select one:
a. Both Americans have to forgo other goods and services when more is
spent on health care AND Unless we control costs, total health care
expenditures will far exceed what they would be under free-market
conditions.
b. Americans have to forgo other goods and services when more is spent
on health care.
c. Neither Americans have to forgo other goods and services when more
is spent on health care OR Unless we control costs, total health care
expenditures will far exceed what they would be under free-market
conditions.
d. Unless we control costs, total health care expenditures will far exceed
what they would be under free-market conditions.
14.
Compared to other nations, the U.S. uses a larger share
of its economic resources for health care.
Select one:
True
False
15.
What is the Health Plan Employer Data and Information
Set (HEDIS)?
Select one:
a. A quality report card
b. A cost report card
c. None of the answers
16.
The service priorities of the US health care system reflect
Americas fascination with dramatic high-tech medicine. As a
result:
Select one:
a. All the answers
b. little of the health care dollar is spent on prevention
c. the US system is the most expensive in the world
d. the US has the worlds most advanced medical capability
Midterm Exam
2. A charge master is
Select one:
b. 10
c. 15
d. 5
True
False
False
d. Days of care/discharges
10.
True or False? The presence of an agent does not ensure that
disease will occur.
Select one:
True
False
11.
Even though hospitals incurred frequent deaths in the early
1900s, their use was on the rise mainly because
Select one:
a. technology was advancing at a rapid pace
b. people had no other choice but use the hospitals
12.
Select one:
a. a nongovernmental hospital
b. a nonprofit hospital
c. a public hospital
d. a nonfederal hospital
13.
Inpatient care is
Select one:
a. health care delivered in conjunction with an overnight stay in a facility.
b. care delivered in a licensed facility
c. treatment of acute conditions
d. services delivered by a hospital
14.
A not-for-profit hospital is prohibited by law from making a
profit.
Select one:
True
False
15.
Select one:
a. inns
b. almshouses
c. sickhomes
d. pesthouses
16.
Which central agency manages the health care delivery system
in the United States?
Select one:
A. Centers for Disease Control and Prevention
B. Department of Commerce
C. None
D. Department of Health and Human Services
17.
Quality of health care is the main distinguishing factor
between a general hospital and a specialty hospital.
Select one:
True
False
18.
When the first public health infrastructure was being
established in the US, it was recommended that ____ be established.
Select one:
19.
ALOS is an indicator of
Select one:
a. access
b. frequency of use
c. use of hospital capacity
d. severity of illness
20.
A multiple payer system is more cumbersome than a single
payer system for all of the following reasons except:
Select one:
a. Government programs require extensive documentation proving services
were provided before paying providers
b. Payments are not standardized across health plans
c. There are numerous health plans, which is difficult for providers to handle
d. Some healthcare services are covered for people in the north, but not in the
south
21.
In the US, public health and private practice of medicine
developed separately because
Select one:
a. the practice of public health was not based on scientific methods.
b. a public health infrastructure was lacking.
c. Americans favored private delivery of medical care over public health
d. physicians were skeptical of the government taking control of medical
practice.
22.
Until the mid-1980s, hospitals were reimbursed for their
expenses for the prior year on a retrospective basis. Now they are
paid a certain amount for each patients care on a prospective
basis. The amount they are paid is based on:
Select one:
a. prospective patient categories (PPCs)
b. empirical data
c. Costs of resources used
23.
Which of these hospitals types is not likely to serve the
general public?
Select one:
a. Community hospitals
b. Federal hospitals
c. County and city hospitals
d. Proprietary hospitals
24.
By definition, a public hospital is one that is open to the
general public.
Select one:
True
False
25.
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.
Select one:
True
False
26.
Select one:
a. 18
b. 12
c. 3
d. 6
27.
In the United States, who does not generally have access to
basic and routine medical services?
Select one:
c. The uninsured
d. Those without private health insurance
28.
Select one:
a. have federal control over community hospitals
29.
When a profession's services are generally accepted and are
legitimized, they impart _____ to the profession
Select one:
a. specialization
b. cohesiveness
c. cultural authority
d. organized strength
30.
Select one:
A. Unsafe neighborhoods
B. Irresponsible motor vehicle use
C. Alcohol abuse
D. Inadequate physical exercise
31.
Accurate billing is important because it saves time, money, and effort. If billing is
not performed correctly, the hospital or clinic could lose out on insurance payment,
as well as a loss of reimbursement.
32.
Select one:
a. Market-oriented
b. Expensive
c. Fragmented
33.
Select one:
A. Intervention
B. Adequate public health and social services
C. Understanding risk factors
34.
Describe the power triangle and the three main power players.
What impact does the power struggle have on health care delivery?
The three main power players in the power triangle are the physician, hospitals, and
insurance. All three play a part in the patients care, but dont always have the same
exact interests. Ultimately causing stress inside the system. The physician does not
always work for the hospital, therefore they are at odds with eachother.
35.
Which of the following cannot be classified as a community
hospital?
Select one:
a. Proprietary hospital
b. Children's hospital
c. Specialty hospital
d. Long-stay hospital
36.
Select one:
a. standards for medical licensure in the US and Canada
37.
Select one:
38.
Select one:
A. Market justice
B. Social justice
C. Both A and B
D. Neither A nor B
39.
Moral hazard has to do with insured patients demand for
health care services.
Select one:
True
False
40.
True or False? A chronic condition is relatively severe, episodic,
and often treatable.
Select one:
True
False
Exam 2