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TESTBANK FOR Jonas & Kovner's Health Care Delivery in the United States 12th Edition Knickman INSTANT DOWNLOAD TESTBANK

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,TESTBANK FOR Jonas and Kovner's Health Care
Delivery in the United States 12th Edition
Knickman
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, Jonas & Kovner’s HEALTH CARE DELIVERY IN THE UNITED STATES, 12th Edition

TEST BANK

Chapter 1, The Challenge of Health Care Delivery and Health Policy




MULTIPLE CHOICE

1. The hope that big data can solve many health-related problems underlies which of the

following?

*A. Personalized medicine

B. A more complex health enterprise

C. Better health care management

D. Universal health care



2. What percent of all jobs in the United States are in the health sector?

A. 8%

*B. 11%

C. 15%

D. 27%



3. Health care in the United States is best described as an enterprise because it blends

providers oriented toward altruism with which of the following?

A. Government spending

B. Minimal regulation

Copyright Springer Publishing Company. All Rights Reserved.
From: Jonas & Kovner’s Health Care Delivery in the United States
ISBN: 9780826172761

, *C. A huge health-care industry

D. Local regulation



4. What proportion of its economic resources does the United States devote to medical care

and the promotion of health?

A. About 5%

B. Nearly 10%

C. About 13%

*D. Nearly 20%




MULTIPLE RESPONSE

5. Which were among the achievements of health researchers in the nineteenth century?

Select all that apply.

*A. An understanding of the role of germs in communicating disease

B. Development of an efficient way to assess the cost of health care

*C. Acknowledgement of the need for clean water and safe sanitation

D. Recognition of the need to pay doctors more



6. Which of the following help to pay for health care in the United States? Select all that

apply.

*A. Taxes

*B. Foregone wages


Copyright Springer Publishing Company. All Rights Reserved.
From: Jonas & Kovner’s Health Care Delivery in the United States
ISBN: 9780826172761

, *C. Out-of-pocket payments

D. Employer bonuses



7. Access to medical care in the United States depends on which of the following? Select all

that apply.

*A. Race

B. Age

C. Medical need

*D. Geographic location

*E. Income level



8. Which of the following are appropriate goals of the public health system? Select all that

apply.

*A. Promoting healthy behaviors

*B. Ensuring safe sanitation and water supplies

*C. Protecting the environment

D. Alleviating pain and suffering caused by major medical problems

*E. Preventing epidemics



9. Which of the following play a role in running the U.S. health care system? Select all that

apply.

*A. Policy makers

*B. Policy advocates


Copyright Springer Publishing Company. All Rights Reserved.
From: Jonas & Kovner’s Health Care Delivery in the United States
ISBN: 9780826172761

, *C. Heads of technology companies

D. Parents

*E. Executives of pharmaceutical businesses



10. Problems in the coordination, transparency, and accountability of medical care arise

because of which of the following? Select all that apply.

*A. Inadequate information on which patients can base medical choices

*B. Providers’ refusal to disclose their prices to patients

C. Inequities in patients’ income and educational levels

*D. Failure to encourage the use of second opinions




MULTIPLE CHOICE

11. Which of the following is not a defining characteristic of the U.S. health care system?

A. Dysfunctional methods of payment and financing

*B. Dominant role of politicians

C. Tension between the free market and government control

D. Lack of coordination between the many types of actors and organizations



12. The “health in all” approach to social policy advocates which of the following?

*A. Political leadership to guide collective action that encourages pro-health norms and

practices

B. Universal health care


Copyright Springer Publishing Company. All Rights Reserved.
From: Jonas & Kovner’s Health Care Delivery in the United States
ISBN: 9780826172761

, C. Recognition of the role of social connections in maintaining health

D. Safe neighborhoods



13. The relatively new concept of public health is distinguished by which of the following?

A. Recognition of the role of health care professionals

B. Wider health care access

*C. Focus on the lives of patients outside health care organizations

D. Disease prevention



14. The evolution of the U.S. health care system has been shaped most strongly by which of

the following?

A. Coordination between many actors and organizations

*B. Economic incentives and opportunities

C. An aging population

D. The shared goal of restoring health



15. Key social factors that predict an individual’s health include all the following except

which?

*A. Gender

B. Family income

C. Availability of educational opportunities

D. Social connections




Copyright Springer Publishing Company. All Rights Reserved.
From: Jonas & Kovner’s Health Care Delivery in the United States
ISBN: 9780826172761

, 16. The U.S. health care system rewards providers for which of the following?

A. Being efficient

B. Delivering effective care

C. Serving as many people as possible

*D. Providing more, and more billable, services



17. Which of the following is a distinguishing feature of many U.S. patients’ experience?

*A. Ignorance of the price of a service until after delivery

B. Long waits for elective services

C. Equal access to health care

D. Agreement about whether health care is a good or a right



18. Which stakeholder often plays the role of referee in the U.S. health care system?

A. Legislators

B. Employers

*C. Insurers

D. Providers



19. Which stakeholder in the U.S. health care system most likely views health insurance

premiums as a cost of doing business?

A. Employees

*B. Employers

C. Insurers


Copyright Springer Publishing Company. All Rights Reserved.
From: Jonas & Kovner’s Health Care Delivery in the United States
ISBN: 9780826172761

, D. Public policy makers



20. On which of the following goals do public policy makers most often disagree?

A. Slower cost inflation in the health sector

B. Continued incorporation of state-of-the-art medical care and prevention strategies

C. Elevation of the role of quality in the provision of health care

*D. Definition of health care access as a universal right




SHORT ANSWER

21. Describe two ways in which the payment system in U.S. health care is dysfunctional.

Answer: The system rewards providers for delivering more services, and more billable

services, than for being efficient and delivering effective care. This makes it

economically illogical for providers to be patient-friendly and focus on the delivery of

high-value services. The system also lacks transparency for users, who seldom know the

cost of a service until after the service has been delivered.



22. Individual consumers or patients often seem removed from health care decisions that

affect them. Explain why this occurs, and why consumers should instead be at the center

of the system.

Answer: Individuals seem removed from the U.S. health care system because physicians

and providers believe they know best and fail to encourage patients to actively participate

in medical decisions that affect them. Individuals also often lack knowledge of the costs


Copyright Springer Publishing Company. All Rights Reserved.
From: Jonas & Kovner’s Health Care Delivery in the United States
ISBN: 9780826172761

, of their care. Insurers contribute to the problem by deciding what services are allowed for

treatment of specific health conditions. Consumers should be at the center of the system

because their needs and wants are the reason the system exists.



23. Contrast the processes of maintaining health and restoring health, and the systems that

deliver each.

Answer: The medical care system takes charge of restoring health when people are ill,

and often of caring for people if restoring health is not possible. It focuses on limiting the

spread of a medical problem, alleviating symptoms of the problem, and helping

individuals cope with pain, suffering, and loss of function they may experience. The

process of maintaining health requires a vibrant public health and social service system

that helps people avoid illness by preventing epidemics, ensuring food and water safety,

monitoring the environment, and developing education initiatives to encourage healthy

behaviors and discourage unhealthy ones.



24. Describe some of the key defining characteristics of the U.S. health care system.

Answer: Key defining characteristics of the U.S. health care system include the

importance of organizations such as hospitals, public health departments, and nursing

homes in delivering care; the role of professionals such as physicians, policy makers, and

managers in running the system; the emergence of new medical technology, smartphones,

big data, and new pharmaceuticals; tension between the free market and government

control, which centers on the question whether health care is a “good” or a “right;” and a

dysfunctional fee-for-service payment system that rewards providers for providing more


Copyright Springer Publishing Company. All Rights Reserved.
From: Jonas & Kovner’s Health Care Delivery in the United States
ISBN: 9780826172761

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