,TABLE OF CONTENT
Part Chapter Title
PART I: System Foundations Ch. 1 An Overview of U.S. Health Care Delivery
Ch. 2 Beliefs, Values, and Health
Ch. 3 The Evolution of Health Services in the United States
PART II: System Resources Ch. 4 Health Services Professionals
Ch. 5 Medical Technology
Ch. 6 Health Services Financing
PART III: System Processes Ch. 7 Outpatient and Primary Care Services
Ch. 8 Inpatient Facilities and Services
Ch. 9 Managed Care and Integrated Organizations
Ch. 10 Long-Term Care
PART IV: System Outcomes Ch. 11 Health Services for Special Populations
Ch. 12 Cost, Access, and Quality
PART V: System Outlook Ch. 13 Health Policy
Ch. 14 The Future of Health Services Delivery
,PART I: SYSTEM FOUNDATIONS
CHAPTER 1: An Overview of U.S. Health Care Delivery (Questions 1–50)
1. The two primary objectives of a health care delivery system are:
A) Maximizing profits and minimizing costs
B) Enabling all citizens to obtain needed services and ensuring services are cost-effective and
meet quality standards
C) Reducing hospital admissions and increasing outpatient care
D) Expanding insurance coverage and reducing physician salaries
Correct Answer: B
Rationale: The two main objectives are to enable all citizens to obtain needed services and to
ensure cost-effectiveness and quality. Profit maximization (A) is not a primary objective.
Options C and D are specific strategies, not overarching objectives.
2. The U.S. health care system is best described as:
A) A true, integrated system with universal coverage
B) A quasi-market or imperfect market
C) A purely free market with no government involvement
D) A socialized medicine system
Correct Answer: B
Rationale: The U.S. system is a quasi-market because it does not fully satisfy free market
conditions and is heavily regulated and subsidized. It lacks universal coverage (A), is not purely
free (C), and is not socialized medicine (D).
, 3. Which of the following is NOT one of the four major functional components of a health care
delivery system?
A) Financing
B) Insurance
C) Education
D) Payment
Correct Answer: C
Rationale: The four major functional components are financing, insurance, delivery, and
payment. Education is not one of them, though it relates to the workforce.
4. The U.S. health care system is characterized by:
A) Universal coverage for all citizens
B) Employer-based health insurance as the dominant form of coverage
C) Government-run hospitals as the primary delivery mechanism
D) A single-payer system
Correct Answer: B
Rationale: Employer-based insurance is dominant. The U.S. does not have universal coverage
(A), government-run hospitals as primary (C), or a single-payer system (D).
5. Which statement best describes the relationship between financing and insurance in the U.S.
health care system?
A) Financing involves the collection of funds, while insurance involves risk pooling and
protection against financial loss
B) Financing and insurance are the same thing
C) Financing only applies to government programs
D) Insurance eliminates the need for financing
Part Chapter Title
PART I: System Foundations Ch. 1 An Overview of U.S. Health Care Delivery
Ch. 2 Beliefs, Values, and Health
Ch. 3 The Evolution of Health Services in the United States
PART II: System Resources Ch. 4 Health Services Professionals
Ch. 5 Medical Technology
Ch. 6 Health Services Financing
PART III: System Processes Ch. 7 Outpatient and Primary Care Services
Ch. 8 Inpatient Facilities and Services
Ch. 9 Managed Care and Integrated Organizations
Ch. 10 Long-Term Care
PART IV: System Outcomes Ch. 11 Health Services for Special Populations
Ch. 12 Cost, Access, and Quality
PART V: System Outlook Ch. 13 Health Policy
Ch. 14 The Future of Health Services Delivery
,PART I: SYSTEM FOUNDATIONS
CHAPTER 1: An Overview of U.S. Health Care Delivery (Questions 1–50)
1. The two primary objectives of a health care delivery system are:
A) Maximizing profits and minimizing costs
B) Enabling all citizens to obtain needed services and ensuring services are cost-effective and
meet quality standards
C) Reducing hospital admissions and increasing outpatient care
D) Expanding insurance coverage and reducing physician salaries
Correct Answer: B
Rationale: The two main objectives are to enable all citizens to obtain needed services and to
ensure cost-effectiveness and quality. Profit maximization (A) is not a primary objective.
Options C and D are specific strategies, not overarching objectives.
2. The U.S. health care system is best described as:
A) A true, integrated system with universal coverage
B) A quasi-market or imperfect market
C) A purely free market with no government involvement
D) A socialized medicine system
Correct Answer: B
Rationale: The U.S. system is a quasi-market because it does not fully satisfy free market
conditions and is heavily regulated and subsidized. It lacks universal coverage (A), is not purely
free (C), and is not socialized medicine (D).
, 3. Which of the following is NOT one of the four major functional components of a health care
delivery system?
A) Financing
B) Insurance
C) Education
D) Payment
Correct Answer: C
Rationale: The four major functional components are financing, insurance, delivery, and
payment. Education is not one of them, though it relates to the workforce.
4. The U.S. health care system is characterized by:
A) Universal coverage for all citizens
B) Employer-based health insurance as the dominant form of coverage
C) Government-run hospitals as the primary delivery mechanism
D) A single-payer system
Correct Answer: B
Rationale: Employer-based insurance is dominant. The U.S. does not have universal coverage
(A), government-run hospitals as primary (C), or a single-payer system (D).
5. Which statement best describes the relationship between financing and insurance in the U.S.
health care system?
A) Financing involves the collection of funds, while insurance involves risk pooling and
protection against financial loss
B) Financing and insurance are the same thing
C) Financing only applies to government programs
D) Insurance eliminates the need for financing
