Test Bank
Delivering Health Care in America: A Systems Approach (7th Edition)
Leiyu Shi & Douglas A. Singh
Chapter 1: A Distinctive System of Health Care Delivery
Multiple Choice Questions (with Answers)
1. The primary objectives of a healthcare system include all of the following except:
a. Enabling all citizens to receive healthcare services
b. Delivering healthcare services that are cost-effective
c. Delivering healthcare services using the most current technology, regardless of
cost
d. Delivering healthcare services that meet established standards of quality
Answer: c
2. The U.S. healthcare system can best be described as:
a. Expensive
b. Fragmented
c. Market-oriented
d. All of the above
Answer: d
3. For most privately insured Americans, health insurance is:
a. Employer-based
b. Financed by the government
c. Privately purchased
d. None of the above
Answer: a
4. What is the major objective of the Affordable Care Act?
a. To reduce cost
b. To provide insurance coverage
c. To enhance quality
, d. To simplify administration
Answer: b
5. Medicare is primarily for people who meet the following eligibility requirement:
a. Elderly
b. Low-income
c. Children
d. Disabled
Answer: a
6. Medicaid is primarily for people who meet the following eligibility requirement:
a. Elderly
b. Low-income
c. Children
d. Disabled
Answer: b
7. The primary functions of managed care include all of the following except:
a. Improving quality
b. Achieving efficiencies
c. Setting prices at which providers are paid
d. Controlling patients’ utilization of services
Answer: a
8. Under free market conditions, the relationship between the quantity of medical
services demanded and the price of medical services is:
a. Unknown
b. Equal
c. Direct
d. Inverse
Answer: d
9. The role of the government in the U.S. healthcare system is:
a. Regulator
b. Major financer
c. Medicare and Medicaid reimbursement rate-setter
d. All of the above
Answer: d
10.Which of the following countries has a National Health System (NHS)?
a. Japan
b. Great Britain
c. Australia
, d. Germany
Answer: b
11.Which of the following is a characteristic of a national health insurance system?
a. The government finances health care through general taxes
b. Health care is delivered by private providers
c. Both a and b
d. Neither a nor b
Answer: c
12.Which of the following is a characteristic of a socialized health insurance system?
a. Health care is financed through government-mandated contributions by employers
and employees
b. Health care is delivered by government-employed providers
c. Both a and b
d. Neither a nor b
Answer: a
13.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
Answer: c
14.A free market in healthcare requires:
a. Adequate information for patients
b. Independent actions between buyers (patients) and sellers (providers)
c. Unencumbered interaction of the forces of supply and demand
d. All of the above
Answer: d
15.A multiple payer system is more cumbersome than a single payer system for all of
the following reasons except:
a. There are numerous health plans, which is difficult for providers to handle
b. Payments are not standardized across health plans
c. Some healthcare services are covered for people in the north, but not in the south
d. Government programs require extensive documentation proving services were
provided before paying providers
Answer: c
16.Which of the following entities in the U.S. employs lobbyists?
a. Physicians
, b. Insurance companies
c. Large employers
d. All of the above
Answer: d
17.The ownership of Canada’s health care system is best described as:
a. Private
b. Public
c. Combination of private and public
d. None of the above
Answer: c
18.Supplier-induced demand is created by:
a. Patients
b. Providers
c. Health insurance companies
d. The government
Answer: b
19.Which country spends the most in administrative health care costs?
a. United States
b. Germany
c. UK
d. Australia
Answer: a
20.In the U.S., federal qualified health centers are funded to:
a. Meet all health care needs of the uninsured
b. Provide primary care to all citizens
c. Serve as a safety-net for those who have difficulty getting needed primary care
d. Serve minority patients only
Answer: c
21.What is the meaning of the term “Access”?
a. All citizens have health insurance coverage
b. Availability of services
c. Employer-based health insurance
d. Ability to get health care when needed
Answer: d
22.In a free market, who would pay for the delivery of health care services?
a. Numerous health insurance companies
b. Patients
Delivering Health Care in America: A Systems Approach (7th Edition)
Leiyu Shi & Douglas A. Singh
Chapter 1: A Distinctive System of Health Care Delivery
Multiple Choice Questions (with Answers)
1. The primary objectives of a healthcare system include all of the following except:
a. Enabling all citizens to receive healthcare services
b. Delivering healthcare services that are cost-effective
c. Delivering healthcare services using the most current technology, regardless of
cost
d. Delivering healthcare services that meet established standards of quality
Answer: c
2. The U.S. healthcare system can best be described as:
a. Expensive
b. Fragmented
c. Market-oriented
d. All of the above
Answer: d
3. For most privately insured Americans, health insurance is:
a. Employer-based
b. Financed by the government
c. Privately purchased
d. None of the above
Answer: a
4. What is the major objective of the Affordable Care Act?
a. To reduce cost
b. To provide insurance coverage
c. To enhance quality
, d. To simplify administration
Answer: b
5. Medicare is primarily for people who meet the following eligibility requirement:
a. Elderly
b. Low-income
c. Children
d. Disabled
Answer: a
6. Medicaid is primarily for people who meet the following eligibility requirement:
a. Elderly
b. Low-income
c. Children
d. Disabled
Answer: b
7. The primary functions of managed care include all of the following except:
a. Improving quality
b. Achieving efficiencies
c. Setting prices at which providers are paid
d. Controlling patients’ utilization of services
Answer: a
8. Under free market conditions, the relationship between the quantity of medical
services demanded and the price of medical services is:
a. Unknown
b. Equal
c. Direct
d. Inverse
Answer: d
9. The role of the government in the U.S. healthcare system is:
a. Regulator
b. Major financer
c. Medicare and Medicaid reimbursement rate-setter
d. All of the above
Answer: d
10.Which of the following countries has a National Health System (NHS)?
a. Japan
b. Great Britain
c. Australia
, d. Germany
Answer: b
11.Which of the following is a characteristic of a national health insurance system?
a. The government finances health care through general taxes
b. Health care is delivered by private providers
c. Both a and b
d. Neither a nor b
Answer: c
12.Which of the following is a characteristic of a socialized health insurance system?
a. Health care is financed through government-mandated contributions by employers
and employees
b. Health care is delivered by government-employed providers
c. Both a and b
d. Neither a nor b
Answer: a
13.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
Answer: c
14.A free market in healthcare requires:
a. Adequate information for patients
b. Independent actions between buyers (patients) and sellers (providers)
c. Unencumbered interaction of the forces of supply and demand
d. All of the above
Answer: d
15.A multiple payer system is more cumbersome than a single payer system for all of
the following reasons except:
a. There are numerous health plans, which is difficult for providers to handle
b. Payments are not standardized across health plans
c. Some healthcare services are covered for people in the north, but not in the south
d. Government programs require extensive documentation proving services were
provided before paying providers
Answer: c
16.Which of the following entities in the U.S. employs lobbyists?
a. Physicians
, b. Insurance companies
c. Large employers
d. All of the above
Answer: d
17.The ownership of Canada’s health care system is best described as:
a. Private
b. Public
c. Combination of private and public
d. None of the above
Answer: c
18.Supplier-induced demand is created by:
a. Patients
b. Providers
c. Health insurance companies
d. The government
Answer: b
19.Which country spends the most in administrative health care costs?
a. United States
b. Germany
c. UK
d. Australia
Answer: a
20.In the U.S., federal qualified health centers are funded to:
a. Meet all health care needs of the uninsured
b. Provide primary care to all citizens
c. Serve as a safety-net for those who have difficulty getting needed primary care
d. Serve minority patients only
Answer: c
21.What is the meaning of the term “Access”?
a. All citizens have health insurance coverage
b. Availability of services
c. Employer-based health insurance
d. Ability to get health care when needed
Answer: d
22.In a free market, who would pay for the delivery of health care services?
a. Numerous health insurance companies
b. Patients
