CHAPTER 15: Globalization and Health: The World is Flattening
MULTIPLE CHOICE
1. A hallmark of increasing ____ is the increasing openness of national borders to flows of goods and
services, financial and human capital, information, and expertise.
a.
commerce
c.
trade
b.
globalization
d.
alliances
2. Several factors affecting a patient’s willingness to travel out of their country to seek heath care include:
clinical reputation, affordability, and the value versus ____ factor.
a.
convenience
c.
loan
b.
sacrifice
d.
exchange rate
3. A large number of patient-centered, integrated health care organizations are attracting patients across
national borders because they offer high quality and high ____.
a.
value
c.
expenditures
b.
volume
d.
efficiency
4. The flow of patients out of their country to obtain ____ raises ethical questions, especially about
efficacy and safety.
a.
artificial medical devices
c.
organ transplants
b.
cosmetic surgery
d.
routine surgeries
5. The prospect of ____ is believed to be a pivotal factor in the decision of health care professionals to
migrate.
a.
financial gain
c.
increased professional opportunities
b.
political freedom
d.
higher prestige
6. ____ workers are health care providers who have received less training and have a more restricted
scope of practice than professionals.
a.
Subsidiary
c.
Mid-level
b.
Primary
d.
First-level
7. ____ allow hospitals to be paid prospectively rather than being reimbursed retrospectively on the basis
of what they charged.
a.
Diagnosis-Related Groups (DRGs)
c.
Medically-Related Groups (MRGs)
b.
Diagnosis-Standard Groups (DSGs)
d.
Medically-Standard Groups (MSGs)
8. One conclusion that can be drawn from the history of the cross border flow of patient classification
systems is that the search for improved instruments, tools, and practices will help to ____ costs in
health care.
a.
maximize
c.
contain
b.
distribute
d.
deflect
9. ____ innovation, such as teleradiology, can change the landscape of health care across national
borders.
a.
Regulatory
c.
Economic
b.
Political
d.
Technological
10. The number of ____ is highly associated with the degree of local healthcare infrastructure.
a.
physicians
c.
hospitals
b.
infant deaths
d.
foreign patients
COMPLETION
1. The term “The world is flat”, coined by Thomas Friedman, means that a variety of forces leveled the
playing field of ____________________ around the globe and, as such, significant economic
opportunities opened up for countries such as China and India.
2. Data on medical travellers often comes from ____________________ boards, newspaper accounts,
and government estimates of hospital claims, social media, stakeholder media, or hospital websites.
3. When services are under-funded, and patient demand exceeds the capacity constraint, the result is
____________________, bottlenecks, and longer wait times for all services.
4. When health care organizations depend on patients from ____________________, the environment
can become problem-filled.
5. In an increasingly globalized labor market, national health systems can no longer rely on the
commitment of graduates to work within their own country, and so must look to the
____________________ labor market to meet their demands for health professionals.
6. One of the positive financial implications of labor migration from low-income to high income
countries is the value of ____________________ to families in low-income countries.
7. Creating an environment that attracts and retains health professionals has become a focus of many
____________________ countries’ attempts to stem the brain drain of health care workers.
8. Resources and ideas do not cross national borders seamlessly; a host of possible barriers exists,
including regulatory, political, ____________________, and cultural barriers.
9. The ____________________ of health care related flow is important; we should not assume that what
developed countries have should flow to the less developed countries or vice versa.
10. ____________________, when applied to health care, refers to the discovery and deployment of
significant differences in a nation’s cost, quality, or access such that a medical or surgical procedure,
health activity or service creates patient value.
MATCHING
Match each item with a statement below:
a.
task-shifting
b.
Joint Learning Initiative (JLI)
c.
medical tourism
d.
Ethiopia Public Health Training Initiative (EPHTI)
e.
Commonwealth Code of Practice
f.
Millennium Development Goals (MDGs)
g.
Technological and medical innovation
h.
patient classification system (PCS)
i.
Health Extension Program
j.
Global Health Workforce Alliance (GHWA)
1. Aims to improve the quality of pre-service training to health science professionals
2. Adopted by the United Nations in 2000 with the aim of reducing global poverty
3. Used as a strategy to alleviate health worker shortages and to improve access and quality of health
services
4. Used for paying hospitals for services provided
5. Places a strong emphasis on mutuality of benefits for both “recruiting” and “source” countries
6. Network of global health leaders, launched by the Rockefeller Foundation
7. Flow of patients around the globe
8. Increases the demand for healthcare worldwide
9. Aims to improve primary health services in rural areas through an innovative community-based
approach that focuses on prevention, healthy living and basic curative care
10. Established to identify and implement solutions to the global health workforce crisis