HSAD740 Midterm Exam

Question 1 of 96

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Administrative costs of the U.S. healthcare system account for what percent of total expenditures

Select one of the following:

  • a. 10%

  • b. 35%

  • c. 60%

  • d. No idea

Question 2 of 96

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52. The aging of the American Baby-boomer population

Select one of the following:

  • a. Is expected to create more volume than the American healthcare system can handle

  • b. Is expected to create a shortage of available healthcare workers

  • c. Is expected to shift more funding dollars into the private sector

  • d. All of the above

Question 3 of 96

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53. Balance of physical, emotional, social, spiritual, and intellectual health

Select one of the following:

  • a. Ambulatory Care Sensitive Conditions

  • b. Optimal Health

  • c. Primary Prevention

  • d. Wellness Model

Question 4 of 96

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54. Behavior change models that integrate behavioral science with clinical and public health approaches by redefining what the targets of successful health interventions need to be in the context of individual and of social factors.

Select one of the following:

  • a. Population Health Model

  • b. Social Ecological Models

  • c. Stages of Change Model

  • d. Wellness Model

Question 5 of 96

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The Clinton Health Plan Proposal in 1992 was the first defeated proposal for a national healthcare system.

Select one of the following:

  • True
  • False

Question 6 of 96

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56. Comparative international data on spending show that the U.S. health care system

Select one of the following:

  • a. Has the highest dollar spending but not the highest percent of GDP

  • b. Has the highest GDP but not the highest dollar spending

  • c. U.S. healthcare costs grow at a more rapid pace than other OECD countries.

  • d. During the managed care era (1980-2000) the rate of growth in the U.S. healthcare system dipped below the rate of other OECD countries.

Question 7 of 96

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57. Consumer Driven or Patient Focused care is about

Select one of the following:

  • a. Healthcare providers treating patients nicer

  • b. Patients actively involved in their healthcare decisions

  • c. Protection of medical information

  • d. Providing every medical service possible for each patient.

Question 8 of 96

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58. Decline in numbers of Americans insured through employer sponsored plans is because

Select one of the following:

  • a. Employers are shifting costs to employees to discourage over-utilization of healthcare services.

  • b. More individuals are buying individual coverage so as not to be locked to a single employer

  • c. The aging of the American population created a decrease in jobs during the first decade of the 21st century.

  • d. The economic downturn resulted in a loss of jobs and/or employee benefits.

Question 9 of 96

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59. The defining criteria for a public good or service is

Select one of the following:

  • a. Cannot be excluded

  • b. Does not add additional costs for additional users

  • c. Both A & B

  • d. Neither A nor B

Question 10 of 96

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60. The Employee Retirement Income Security Act (ERISA), 1974

Select one of the following:

  • a. exempts self-insured plans from certain mandatory benefits

  • b. mandates that employers provide comprehensive health coverage benefits

  • c. requires that low-income individuals be charged a lower premium

  • d. outlawed discrimination in health insurance and retirement benefits

Question 11 of 96

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61. Enforcement of policy, ensuring proper implementation of necessary services, and adequate crisis response

Select one of the following:

  • a. Access

  • b. Ambulatory care sensitive conditions

  • c. Assessment of public health problems

  • d. Assurance of public health problems

Question 12 of 96

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62. Which of the following government agencies administers the Family Medical Leave Act?

Select one of the following:

  • a. Administration for Children and Families

  • b. Department of Justice

  • c. Department of Labor

  • d. Social Security Administration

Question 13 of 96

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63. The federal government does not

Select one of the following:

  • a. Operate healthcare facilities for veterans

  • b. Provide tax incentives to employers for providing employee healthcare insurance

  • c. Support the training of doctors and other health care providers

  • d. Treat all healthcare insurance premiums as tax deductible

Question 14 of 96

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64. Which of the following geographic areas has the highest medical cost per capita

Select one of the following:

  • a. Montana

  • b. District of Columbia

  • c. New York

  • d. Texas

Question 15 of 96

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65. Government payments total what % of annual healthcare expenditures in 2007

Select one of the following:

  • a. 34%

  • b. 46%

  • c. 54%

  • d. 67%

Question 16 of 96

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66. Health care costs in the 1970s compared to projections of healthcare costs by 2019 show

Select one of the following:

  • a. A growth in GDP from 7% to 19%

  • b. A growth in GDP from 11% to 25%

  • c. Total spending growth from $1T to $3T

  • d. Total spending growth from $2T to $4T

Question 17 of 96

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67. The largest growth area in projected healthcare jobs is in

Select one of the following:

  • a. Counselors

  • b. Physicians

  • c. Physician assistants

  • d. Registered Nurses

Question 18 of 96

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68. Healthcare expenditures are expected to grow what percent per year

Select one of the following:

  • a. 2.5%

  • b. 6.5%

  • c. 16.5%

  • d. 20.5%

Question 19 of 96

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69. Health Care Financing Administration was renamed

Select one of the following:

  • a. AHRQ

  • b. CMS

  • c. HRSA

  • d. NIH

Question 20 of 96

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70. The Health Insurance Portability and Accountability Act requires

Select one of the following:

  • a. Large health care organizations to switch to electronic health records.

  • b. protection of personal medical information.

  • c. nondisclosure of personal health information.

  • d. nontransmittal of individual health information over the Internet.

Question 21 of 96

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71. Hospital care, physician and clinical services, and prescription drugs cost totaled what in 2009

Select one of the following:

  • a. $2.4 Trillion

  • b. $2.1 Trillion

  • c. $1.5 Trillion

  • d. $900 Million

Question 22 of 96

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72. If national health expenditures amount to 16% of the GDP, what does this mean?

Select one of the following:

  • a. The growth in total health care expenditures is 16%.

  • b. Domestic production of health care products and services has increased by 16%.

  • c. Health care costs are 16% of the total revenues in the health care industry.

  • d. Health care consumes 16% of the total economic production.

Question 23 of 96

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73. Which of the following government agencies promotes widespread national adoption of health information technology

Select one of the following:

  • a. CMS

  • b. ODPHP

  • c. ONCHIT

  • d. SAMHSA

Question 24 of 96

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74. An international name for a government provided healthcare system is

Select one of the following:

  • a. Beveridge Model

  • b. Bismarck model

  • c. Mandated Insurance Model

  • d. National Health Insurance

Question 25 of 96

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Maine’s Dirigo Health Plan is different from other state plans because it

Select one of the following:

  • Is funded entirely by employers within the state

  • Lowers provider reimbursement as more individuals enroll under the assumption that provider bad debt decreases with increased enrollment.

  • Offers coverage to low income individuals who otherwise are not covered by the state’s Medicaid plan

  • Replaces the state’s Medicaid plan

Question 26 of 96

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To finance Medicare Part A,

Select one of the following:

  • enrollees are required to pay a subsidized premium

  • only employers are required to pay a payroll tax

  • all income earned by a working person is subject to Medicare tax

  • employee wages are taxed up to a certain ceiling that is raised each year

Question 27 of 96

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Which of the following is a similarity between the Medicare and the Medicaid population

Select one of the following:

  • Eligibility criteria

  • Provision of health insurance to segments of the population not likely to be covered by employer provided insurance.

  • Requirement of beneficiary premiums for physician service coverage

  • Use of managed care systems to control costs

Question 28 of 96

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Medicaid saw a decline in beneficiaries in the 1990s because

Select one of the following:

  • Aid to Families with Dependent Children no longer required enrollment for Medicaid benefits

  • Average household incomes increased making less people eligible for Medicaid

  • Coverage of illegal immigrants by a national program within the Department of Homeland Security

  • Growth in the employer sponsored insurance market segment.

Question 29 of 96

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Which of the following government agencies monitors nuclear safety of health programs?

Select one of the following:

  • Department of Defense

  • Department of Energy

  • Department of Homeland Security

  • Environmental Protection Agency

Question 30 of 96

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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 services.

Select one of the following:

  • Bundled-fee

  • Cost-plus

  • Prospective

  • Fee-for-service

Question 31 of 96

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A set monthly or annual fee per enrollee.

Select one of the following:

  • Bundled fee

  • Charge

  • Capitation

  • RVU

Question 32 of 96

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The Department of Health and Human Services has ________ operating divisions

Select one of the following:

  • 2

  • 11

  • 12

  • 21

Question 33 of 96

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The Institute of Medicine reported that between 44000 and 98000 Americans die each year from

Select one of the following:

  • car accidents

  • medical error

  • suicide

  • Tuberculosis

Question 34 of 96

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The largest share of healthcare expenditures are for

Select one of the following:

  • Hospital

  • Long term care

  • Pharmaceuticals

  • Physician

Question 35 of 96

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The total requested budget of the DHHS is

Select one of the following:

  • $900 billion

  • $18 billion

  • $2 trillion

  • $9 trillion

Question 36 of 96

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The U.S. healthcare system is

Select one of the following:

  • A Market Maximization System

  • A Market Minimization System

  • A mix of many different systems, some market maximization/some minimization

  • A blended single system of market maximization and market minimization

Question 37 of 96

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The United States spends about __________annually on healthcare

Select one of the following:

  • $900 million

  • $18 billion

  • $2 trillion

  • $9 trillion

Question 38 of 96

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The three core public health functions are

Select one of the following:

  • Assurance, policy development and detection of disease

  • Policy development, prevention of disease and assurance

  • Assessment, detection of disease and policy development.

  • Assessment, policy development, and assurance.

Question 39 of 96

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Under the fee-for-service system, providers had the incentive to

Select one of the following:

  • deliver more services than what would be medically necessary because a greater volume would increase their incomes

  • use less technology because they could increase their incomes by not using costly procedures

  • discriminate cost increases because they could get paid whatever they would charge

  • increase the level of quality in order to attract more patients

Question 40 of 96

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What is gatekeeping?

Select one of the following:

  • The process by which patients are denied needed care

  • The process by which primary care physicians refer patients to specialists

  • The concept that specialists use more diagnostic tests than primary care physicians

  • The idea that patients should be allowed to choose their own doctors

Question 41 of 96

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Which of the following falls on the Market Maximization side of the continuum?

Select one of the following:

  • Entrepreneurial

  • Mandated Insurance

  • National Health Insurance

  • National Health System

Question 42 of 96

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Which of the following government agencies funds health professions education programs

Select one of the following:

  • AHRQ

  • CMS

  • HRSA

  • NIH

Question 43 of 96

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Which of the following has the largest budget dollar allocation

Select one of the following:

  • Agency for Healthcare Research and Quality

  • Centers for Medicare and Medicaid Services

  • Food and Drug Administration

  • National Institutes of Health

Question 44 of 96

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Which of the following is not a function of Public Health

Select one of the following:

  • Activities to protect the environment

  • Building Community Hospitals for underserved areas

  • Making sure water supplies, restaurants, and food supplies are safe

  • Providing preventive health services, such as vaccinations.

Question 45 of 96

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Which of the following is not an operational division of the DHHS

Select one of the following:

  • Administration on Aging

  • Administration for Children and Families

  • Indian Health Service

  • Office of Civil Rights

Question 46 of 96

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Which of the following statements is false

Select one of the following:

  • In national health care programs, governments are immune from lawsuits

  • Since the beginning of the20th century, national health insurance efforts have pushed the healthcare system towards the market minimization end of the continuum.

  • A large number of elderly Americans are uninsured even though the government offers an insurance program for the elderly

  • A large number of low income Americans are uninsured even though the government offers an insurance program for the poor.

Question 47 of 96

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Which of the following is a true statement

Select one of the following:

  • Medicaid recipients are classified as medically uninsured.

  • Under the Medicare program, eligibility criteria and benefits are consistent throughout the U.S.

  • Part D of Medicare does not require the payment of a premium

  • Most long term care services for the elderly are covered under Medicare.

Question 48 of 96

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Why was Medicare Part C created?

Select one of the following:

  • To add a prescription drug benefit to the Medicare program

  • To channel beneficiaries into managed care programs

  • To provide services to children up to the age of 19

  • To extend benefits to people with end-stage renal disease

Question 49 of 96

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Fill the blank spaces to complete the text.

defines the quality of the healthcare system, defines the appropriate allocation of limited resources to achieve quality results, and assumes distribution of healthcare services in a fair & equitable matter.

Question 50 of 96

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Which of the following is not one of the 5As of the 5A Model of Intervention

Select one of the following:

  • ask

  • advise

  • alleviate

  • assist

Question 51 of 96

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Which of the following is not an influence of social determinants on health behavior and outcomes

Select one of the following:

  • Education and income affect health regardless of ethnic group

  • Genetic factors in African Americans results in lower health status

  • Mortality decreases with every increase in income and social/occupational rank

  • Spirituality helps patients cope with disease

Question 52 of 96

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The U.S. Healthcare system can best be described as

Select one of the following:

  • Expensive

  • Fragmented

  • Market Oriented

  • All of the above

Question 53 of 96

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A healthcare system is evaluated by the three E’s.Which of the following is not one of the three E’s?

Select one of the following:

  • Effective

  • Efficient

  • Equal

  • Expensive

Question 54 of 96

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An example of a national health system within the U.S. is

Select one of the following:

  • Military

  • Medicare

  • Medicaid

  • All of the Above

Question 55 of 96

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Health Savings accounts are an example of

Select one of the following:

  • Market Maximization

  • Market Minimization

  • Mandated Insurance

  • National Health System

Question 56 of 96

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Most privately insured Americans gain healthcare insurance through

Select one of the following:

  • Government programs

  • Employee benefits

  • Individual purchase

  • Tax Payment

Question 57 of 96

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Which central agency manages the healthcare care delivery system in the United State?

Select one of the following:

  • Centers for Disease Control and Prevention

  • Department of Health and Human Services

  • Department of Commerce

  • None

Question 58 of 96

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Which of the following is not a true statement

Select one of the following:

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

  • Managed care decreased the rate of growth in health spending between 1993 and 2000.

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

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

Question 59 of 96

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Which factor below is a limiting factor on state’s ability to enact healthcare reform for their state.

Select one of the following:

  • i. Most healthcare jurisdiction is granted to the federal government rather than the state government.

  • ii. States are concerned with driving employers to other states that have less demands on employers for financing social problems

  • iii. States are limited by federal laws such as EMTALA

  • iv. States do not have to balance their budgets.

Question 60 of 96

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Differences in language, culture, religion, healthcare beliefs, care-seeking behaviors, or educational levels that the healthcare delivery system fails to accommodate

Select one of the following:

  • i. Behavioral Risk Factors

  • ii. Health Assessment Impact

  • iii. Health Disparities

  • iv. Non economic barriers

Question 61 of 96

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26. Decline in numbers of Americans insured through employer sponsored plans is because

Select one of the following:

  • i. Employers are shifting costs to employees to discourage over-utilization of healthcare services.

  • ii. More individuals are buying individual coverage so as not to be locked to a single employer

  • iii. The aging of the American population created a decrease in jobs during the first decade of the 21st century.

  • iv. The economic downturn resulted in a loss of jobs and/or employee benefits

Question 62 of 96

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Balance of physical, emotional, social, spiritual, and intellectual health

Select one of the following:

  • i. Ambulatory Care Sensitive Conditions

  • ii. Optimal Health

  • iii. Primary Prevention

  • iv. Wellness Model

Question 63 of 96

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Which of the following is a true statement about the Patient Protection and Accessible Care Act passed in March 2010

Select one of the following:

  • i. All uninsureds will gain access to healthcare insurance

  • ii. Individuals and employers, with some exceptions, are mandated to have/offer healthcare insurance.

  • iii. Children can stay on a parents plan until they are married and have a family of their own.

  • iv. Government panels will determine how to ration healthcare services.

Question 64 of 96

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After full implementation of the Patient Protection and Affordable Care Act (ObamaCare)

Select one of the following:

  • i. All Americans will have health insurance

  • ii. An additional 32 million Americans will have health insurance

  • iii. Employers will no longer provide health insurance as a benefit

  • iv. All of the above

Question 65 of 96

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Why was SCHIP created?

Select one of the following:

  • To provide health insurance to the elderly who do not qualify for Medicare

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

  • To provide health insurance to immigrants who qualify for neither Medicare nor Medicaid

  • All of the above

Question 66 of 96

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Which major public insurance program was legislated in 1965?

Select one of the following:

  • medicare

  • medicaid

  • both a and b

  • neither a nor b

Question 67 of 96

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Which federal legislation has put severe constraints on the states to pass employer mandates that would require employers to pay for their employees' health insurance?

Select one of the following:

  • i. Health Security Act

  • ii. Trade Adjustment Assistance Act

  • iii. Employee Retirement Income Security Act

  • iv. Health Insurance Portability and Accountability Act

Question 68 of 96

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19. The Employee Retirement Income Security Act (ERISA), 1974

Select one of the following:

  • i. exempts self-insured plans from certain mandatory benefits

  • ii. mandates that employers provide comprehensive health coverage
    under their health insurance benefits

  • iii. requires that low-income individuals be charged a lower premium
    than those in high-income categories

  • iv. outlawed discrimination in health insurance and retirement benefits

Question 69 of 96

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17. What is the primary mechanism that enables people to obtain health care services?

Select one of the following:

  • i. Availability of services

  • ii. Health insurance

  • iii. Payment for services

  • iv. Control of expenditures

Question 70 of 96

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16. Which of the following is not a behavioral risk factor?

Select one of the following:

  • i. Irresponsible motor vehicle use

  • ii. Inadequate physical exercise

  • iii. Unsafe neighborhoods

  • iv. Alcohol abuse

Question 71 of 96

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

Select one of the following:

  • i. High fat diet

  • ii. Heredity

  • iii. Smoking

  • iv. Unsafe sex

Question 72 of 96

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14. The wellness model is built on which of the following:

Select one of the following:

  • i. Intervention

  • ii. Adequate public health and social services

  • iii. Understanding risk factors

  • iv. All of the above

Question 73 of 96

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13. Which factor was the most instrumental in the growth of nonprofit community hospitals in the United States?

Select one of the following:

  • i. Hill-Burton Act

  • ii. Growth of private health insurance

  • iii. Medical technology

  • iv. Tax Equity and Fiscal Responsibility Act

Question 74 of 96

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12. From the early 1900s to the about 1970 the American Healthcare System was in which era

Select one of the following:

  • i. Cost Containment

  • ii. Growth

  • iii. Non Existent

  • iv. Quality and Outcome Reporting

Question 75 of 96

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11. The difference between longitudinal uninsured surveys and point in time uninsured surveys is

Select one of the following:

  • i. The number of participants in the study

  • ii. The length of time the participant is uninsured

  • iii. The age grouping of the study participant

  • iv. The number of questions on the survey

Question 76 of 96

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10. Lack of insurance can result in:

Select one of the following:

  • i. Decreased utilization of lower cost preventive services

  • ii. Increased need for more expensive, emergency health care

  • iii. The spread of infectious disease

  • iv. All of the above

Question 77 of 96

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9. What is the primary reason that a segment of the U.S. population has been uninsured?

Select one of the following:

  • i. Medicare and Medicaid are the only public insurance programs

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

  • iii. The poor cannot afford health insurance

  • iv. U.S. health insurance is dominated by managed care

Question 78 of 96

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8. Americans between the ages of 18 and 34 are uninsured because

Select one of the following:

  • i. They think they do not need insurance

  • ii. They are more likely to have lower paying jobs

  • iii. They are more likely to have part time/temporary jobs

  • iv. All of the above.

Question 79 of 96

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7. Point of time surveys estimate the number of Americans over the age of 65 without insurance at

Select one of the following:

  • 1%

  • 5%

  • 10%

  • Unknown

Question 80 of 96

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6. Point of time surveys estimate the number of uninsured Americans at

Select one of the following:

  • i. 23 million

  • ii. 32 million

  • iii. 48 million

  • iv. 75 million

Question 81 of 96

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5. What is the most pressing concern that Americans have expressed about health care in the US?

Select one of the following:

  • i. Unavailability of timely services

  • ii. Increased power of managed care

  • iii. A large number of uninsured Americans

  • iv. High cost of health care

Question 82 of 96

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4. What is the meaning of the term ‘Access?’

Select one of the following:

  • i. All citizens have health insurance coverage

  • ii. Availability of services

  • iii. Employer-based health insurance

  • iv. Ability to get health care when needed

Question 83 of 96

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

Select one of the following:

  • i. Many physicians do not serve Medicaid patients

  • ii. Only the poor are insured under the Medicaid program.

  • iii. Funding for the program is shared by both federal and state governments.

  • iv. The program is heavily regulated.

Question 84 of 96

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2. Which central agency manages the healthcare care delivery system in the United State?

Select one of the following:

  • i. Centers for Disease Control and Prevention

  • ii. Department of Health and Human Services

  • iii. Department of Commerce

  • iv. None

Question 85 of 96

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=On what grounds have middle-class Americans generally opposed proposals for a national
health insurance program?

Select one of the following:

  • Higher taxes

  • government intervention

  • =Erosion of personal freedoms

  • =Cost of health care

Question 86 of 96

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9. What is an interest group?

Select one of the following:

  • i. A group of lawmakers within Congress with a particular area of interest

  • ii. A group of appointed judges with a particular political view point

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

  • iv. None of the above

Question 87 of 96

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8. The biggest share of national health spending is used by

Select one of the following:

  • i. hospitals

  • ii. physicians

  • iii. prescription drugs

  • iv. nursing home care

Question 88 of 96

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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 services.

Select one of the following:

  • i. Bundled-fee

  • ii. Cost-plus

  • iii. Prospective

  • iv. Fee-for-service

Question 89 of 96

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6. Under the fee-for-service system, providers had the incentive to

Select one of the following:

  • i. deliver more services than what would be medically necessary because a greater volume would increase their incomes

  • ii. use less technology because they could increase their incomes by not using costly procedures

  • iii. indiscrimate cost increases because they could get paid whatever they would charge

  • iv. increase the level of quality in order to attract more patients

Question 90 of 96

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5. Under retrospective reimbursement, a health care organization is paid according to

Select one of the following:

  • i. predetermined rates.

  • ii. the number of patients served.

  • iii. the costs incurred in operating the institution.

  • iv. fees established by the organization

Question 91 of 96

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4. The amount of reimbursement is delivered before the services are delivered.

Select one of the following:

  • i. Retrospective reimbursement

  • ii. Cost-plus reimbursement

  • iii. Prospective reimbursement

  • iv. Fee-for-service

Question 92 of 96

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3. Organized medicine

Select one of the following:

  • i. Concerted activities of physicians through the American Medical Association

  • ii. Affiliation of physicians with medical schools

  • iii. Standardized practice of medicine

  • iv. Unionization of physicians

Question 93 of 96

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2. What main purpose was served by an almshouse in the preindustrial period?

Select one of the following:

  • i. It was used to quarantine people who had contracted a contagious disease.

  • ii. It provided free medical care and drugs to ambulatory patients.

  • iii. It specialized in performing basic surgeries.

  • iv. It performed general welfare and custodial functions.

Question 94 of 96

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1. Which Statement is false

Select one of the following:

  • i. When hospitals first emerged in the United States, they were used primarily by the wealthy.

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

  • iii. Pesthouses contained patients with a contagious disease from the general population.

  • iv. In the preindustrial era, barbers often functioned as surgeons.

Question 95 of 96

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12. When patients have multiple health problems, this is called

Select one of the following:

  • i. Coaffliction

  • ii. Comortality

  • iii. Codependency

  • iv. Comorbidity

Question 96 of 96

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11. Which of the following statements is true?

Select one of the following:

  • chronic condition is relatively severe, episodic, and often treatable.

  • ii. Generally, people with better education have higher incomes and better health status.

  • iii. Secondary prevention refers to rehabilitative therapies and the monitoring of health care processes to prevent complications or to prevent further illness, injury, or disability.

  • iv. The presence of an agent means that disease will occur.

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HSAD740 Midterm Exam

bbendres
Quiz by , created about 1 year ago

HSAD740 Midterm Exam Chapters 1-8

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bbendres
Created by bbendres about 1 year ago
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