Test Bank –
Shi & Singh’s
Delivering Health Care in the United States:
A Systems Approach
By Leiyu Shi
9th edition
,Table of contents
Chapter 1 An Overview of U.S. Health Care Delivery
Chapter 2 Beliefs, Values, and Health
Chapter 3 The Evolution of Health Services in the United States
Chapter 4 Health Services Professionals
Chapter 5 Medical Technology
Chapter 6 Health Services Financing
Chapter 7 Outpatient and Primary Care Services
Chapter 8 Inpatient Facilities and Services
Chapter 9 Managed Care and Integrated Organizations
Chapter 10 Long-Term Care
Chapter 11 Health Services for Special Populations
Chapter 12 Cost, Access, and Quality
Chapter 13 Health Policy
Chapter 14 The Future of Health Services Delivery
,CHAPTER 1: AN OVERVIEW OF U.S. HEALTH CARE DELIVERY
Multiple choice
1. Which of the following BEST describes the U.S. health care delivery system?
A) A unified national health care system
B) A fragmented system with multiple payers and providers
C) A single-payer government-run system
D) A fully privatized health care system
Answer:B
Rationale: The U.S. health care system is characterized by its fragmentation, involving multiple payers,
providers, and delivery mechanisms without central coordination.
2. The term "quad-function model" in health care refers to which of the following combinations?
A) Financing, insurance, delivery, and payment
B) Prevention, treatment, rehabilitation, and maintenance
C) Access, cost, quality, and equity
D) Primary, secondary, tertiary, and quaternary care
Answer:A
Rationale: The quad-function model describes the four basic functions of a health care delivery system:
financing, insurance, delivery, and payment.
3. Which entity is considered the PRIMARY payer of health care services in the United States?
A) Individuals paying out-of-pocket
B) The federal government
C) Private insurance companies
, D) State governments
Answer:C
Rationale: Private insurance companies remain the primary payers of health care in the United States,
though government programs cover a significant portion of the population.
4. Which of the following populations is PRIMARILY served by the Medicaid program?
A) Elderly adults over age 65
B) Military veterans
C) Low-income individuals and families
D) Federal government employees
Answer:C
Rationale: Medicaid is a joint federal-state program primarily designed to serve low-income individuals
and families who meet eligibility criteria.
5. The concept of "access" in health care delivery refers to:
A) The ability to afford health care services only
B) The availability of health care providers in rural areas
C) The timely use of personal health services to achieve the best health outcomes
D) The geographic distance to the nearest hospital
Answer:C
Rationale: Access is broadly defined as the timely use of personal health services to achieve the best
possible health outcomes, encompassing availability, financing, and other factors.
6. Which of the following is a UNIQUE feature of the U.S. health care system compared to other
developed nations?
Shi & Singh’s
Delivering Health Care in the United States:
A Systems Approach
By Leiyu Shi
9th edition
,Table of contents
Chapter 1 An Overview of U.S. Health Care Delivery
Chapter 2 Beliefs, Values, and Health
Chapter 3 The Evolution of Health Services in the United States
Chapter 4 Health Services Professionals
Chapter 5 Medical Technology
Chapter 6 Health Services Financing
Chapter 7 Outpatient and Primary Care Services
Chapter 8 Inpatient Facilities and Services
Chapter 9 Managed Care and Integrated Organizations
Chapter 10 Long-Term Care
Chapter 11 Health Services for Special Populations
Chapter 12 Cost, Access, and Quality
Chapter 13 Health Policy
Chapter 14 The Future of Health Services Delivery
,CHAPTER 1: AN OVERVIEW OF U.S. HEALTH CARE DELIVERY
Multiple choice
1. Which of the following BEST describes the U.S. health care delivery system?
A) A unified national health care system
B) A fragmented system with multiple payers and providers
C) A single-payer government-run system
D) A fully privatized health care system
Answer:B
Rationale: The U.S. health care system is characterized by its fragmentation, involving multiple payers,
providers, and delivery mechanisms without central coordination.
2. The term "quad-function model" in health care refers to which of the following combinations?
A) Financing, insurance, delivery, and payment
B) Prevention, treatment, rehabilitation, and maintenance
C) Access, cost, quality, and equity
D) Primary, secondary, tertiary, and quaternary care
Answer:A
Rationale: The quad-function model describes the four basic functions of a health care delivery system:
financing, insurance, delivery, and payment.
3. Which entity is considered the PRIMARY payer of health care services in the United States?
A) Individuals paying out-of-pocket
B) The federal government
C) Private insurance companies
, D) State governments
Answer:C
Rationale: Private insurance companies remain the primary payers of health care in the United States,
though government programs cover a significant portion of the population.
4. Which of the following populations is PRIMARILY served by the Medicaid program?
A) Elderly adults over age 65
B) Military veterans
C) Low-income individuals and families
D) Federal government employees
Answer:C
Rationale: Medicaid is a joint federal-state program primarily designed to serve low-income individuals
and families who meet eligibility criteria.
5. The concept of "access" in health care delivery refers to:
A) The ability to afford health care services only
B) The availability of health care providers in rural areas
C) The timely use of personal health services to achieve the best health outcomes
D) The geographic distance to the nearest hospital
Answer:C
Rationale: Access is broadly defined as the timely use of personal health services to achieve the best
possible health outcomes, encompassing availability, financing, and other factors.
6. Which of the following is a UNIQUE feature of the U.S. health care system compared to other
developed nations?
