1) As the health care delivery system developed in the US, right from its inception
primary care physicians were assigned a gatekeeping role.
2) Most elderly needing long-term care reside in nursing homes.
3) By law, an HMO is prohibited from having an exclusive contract with a group
practice.
4) Government spending for health care in the U.S. has been largely confined to filling
the gaps left by the private sector.
5) Recent surveys have demonstrated that Americans are willing to forego technological
innovation and availability of new technology in favor of universal health insurance
coverage.
6) Critical pathways are outcome-based and patient-centered case management tools
that facilitate coordination of care.
7) The Medicaid program has been constantly reformed since 1965 .
8) Health insurance plans are prohibited from having lifetime dollar limits on medical
benefits.
9) Research shows that quality of care has declined as managed care has continued to
grow.
10) The number of informal caregivers in the United States has been gradually
increasing.
11) Which of the following can be considered an environmental factor contributing to
health status?
a. Air quality
b. Access to health care
c. Safety of neighborhoods
d. All of the above
12) Which federal agency is responsible for overseeing the programs funded through
the Older Americans Act?
a.Administration on Aging
b.Medicare
c.Medicaid
d.Department of Housing and Urban Development
13) Which of the following is true about church-affiliated hospitals?
a.They may emphasize the sponsoring organizations spiritual and dietary principles
b.They are not open to the general public
c.They do not provide emergency services
d.They require special license to legally operate
14) Personal care.
a.Individualized care
b.Assistance with basic ADLs
c.Services that are nurse-intensive
d.Long-term care provided by unpaid caregivers
15) Part C of Medicare specifically covers
a.rehabilitation services
b.preventive care
c.prescription drugs
d.None of the above
16) Development of the hospital and ______ happened almost hand in hand in a
symbiotic relationship between the two.
a.dependency of patients
b.growth of scientific knowledge
c.professionalization of medical practice
d.growth of AMA membership
17) Antitrust legislation is intended to provide checks against
a.anticompetitive behavior
b.fraud and abuse
c.self-referral of patients
d.payments for patient referrals
18) If national health expenditures amount to 18% of the GDP, what does this mean?
a.The growth in total health care expenditures is 18%
b.Domestic production of health care products and services has increased by 18%
c.Health care costs are 18% of the total revenues in the health care industry
d.Health care consumes 18% of the total economic production
19) Which central agency manages the health care delivery system in the United States?
a.Centers for Disease Control and Prevention
b.Department of Health and Human Services
c.Department of Commerce
d.None
20) In 1984, Australia switched:
a. From the Medicare program to a universal national health care program
b. From a universal national health care program to a privately financed system
c. From a privately financed system to the Medicare program
d. None of the above
21) Approximately what percentage children under age 18 are uninsured?
a. 6%
b. 10%
c. 12%
d. 15%
22) On what grounds have middle-class Americans generally opposed proposals for a
national health insurance program?
a.Higher taxes
b.Government intervention
c.Erosion of personal freedoms
d.Cost of health care
23) Which HMO model is likely to require heavy capital outlays to expand into new
markets?
a.Staff model
b.Group model
c.Network model
d.IPA model
24) Delivery of community-oriented primary care requires all of the following except:
a.Training of physicians in primary care
b.Supplementing the biomedical model with social and behavioral sciences
c.Strengthening of public health functions
d.Improvements in secondary and tertiary care delivery
25) What is meant by the term continuum of health care services?
a.Drugs, treatments, and surgeries
b.A range of health care services that go beyond what hospitals and physicians provide
c.Continuity of health care for an individual from birth to death
d.Technological innovation to provide a variety of services
26) Which type of MCO has achieved the greatest success in employment-based
enrollment?
a.HMOs
b.PPOs
c.POS plans
d.Exclusive provider plans
27) Among women, which racial/ethnic group has the highest percentage distribution of
AIDS?
a. White, non-Hispanic
b. Black, non-Hispanic
c. Hispanic
d. American Indian
28) Evidence-based medicine proposes to incorporate _____ in medical care delivery.
a.clinical trials
b.best practices
c.experimentation
d.clinical review
29) For Medicare beneficiaries, the maximum stay in a SNF during a benefit period
cannot exceed
a.30 days
b.60 days
c.100 days
d.None of the above
30) Which of the following factors is the leading cause of preventable disease and death
in the United States?
a. High fat diet
b. Heredity
c. Smoking
d. Unsafe sex
31) What are small area variations?
a. Geographic variations in health care practice
b. Demographic variations in health care practice
c. Both a and b
d. Neither a nor b
32) Prevalence is:
a. The number of new cases occurring during a specified period divided by the total
population
b. The total number of cases at a specific point in time divided by the specified
population
c. The number of new cases occurring during a specified period divided by the
population at risk
d. The total number of cases at a specific point in time divided by the population at risk
33) Capitation removes the incentive to
a.control costs
b.provide unnecessary services
c.file a reimbursement claim
d.underutilize health care
34) What was the main consequence of early proprietary medical schools, as opposed to
state-sponsored schools, in the preindustrial era?
a.Standards were low
b.The cost of medical education became too high
c.Medical education became regulated
d.Science and research became part of medical education
35) Under capitation, risk is shifted
a.from the insured to the employer
b.from the provider to the MCO
c.from the employer to the MCO
d.from the MCO to the provider