HEALTHCARE ISSUES QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
health services delivery system(broad definition) - ANSWER major COMPONENTS of the system &
PROCESSES that enable ppl to receive health care
health services delivery system(restricted definition) - ANSWER act of providing health care to patient
ushc characteristics - ANSWER political climate
economic development
technological progress
social and cultural values
physical environment
demographics/health trends
global influences
10 characteristics of ushc - ANSWER no central agency
access is selective
imperfect market
3rd party insurers
multiple payers
balance of power
legal risk
new technology
new service settings
quality is achievable
copay - ANSWER paid each visit; limits access
deductible - ANSWER yearly payment for medical costs
,premium - ANSWER monthly payment, employees portion
quasi-market - ANSWER health care is partially managed by free markets
item pricing - ANSWER fees charged for a service
package pricing - ANSWER bundled fee for a group of related services
capitation - ANSWER all health care service include one set fee per person
fee for service
never-events - ANSWER readmitted before 30 days hospital does not get paid
phantom providers - ANSWER bill for services separately
multi-payer system - ANSWER multiple insurances, employer paid/employee paid
single-payer system - ANSWER national health care system/ gov't paid
curative services - ANSWER cure illness
restorative services - ANSWER restore function/rehab
preventative services - ANSWER public health
quad-function model - ANSWER finance->insurance->delivery->payment
National Health Insurance(NHI) - ANSWER GOVT CONTROLS FUNDING
, govt finances healthcare through taxes; care provided by private providers
i.e Canada
National Health System (NHS) - ANSWER GOVT CONTROLS ALL
financing a tax supported NHI; govt manages infrastructure for delivery; govt operated hospitals
i.e GB
Socialized Health Insurance(SHI) - ANSWER financed through govt mandated contribution by
employer/employees; health delivered by private providers; insurance and payment closely integrated;
govt has overall control
i.e Germany
universal access - ANSWER managed by govt; provides defined set of services to all citizens
health - ANSWER absence of illness and disease
biopsychosocial model of health - ANSWER to promote, restore and maintain health
illness - ANSWER a persons perception & evaluation of how he/she is feeling
disease - ANSWER based on professional evaluation
host - ANSWER human; for host to be ill agent must be present
risk factors - ANSWER attributes that increase the likelihood of developing a disease or negative health
condition
acute condition - ANSWER relatively severe, short, treatable
subacute condition - ANSWER some acute features, post acute treatment after disharge
ANSWERS WITH SOLUTIONS 2024
health services delivery system(broad definition) - ANSWER major COMPONENTS of the system &
PROCESSES that enable ppl to receive health care
health services delivery system(restricted definition) - ANSWER act of providing health care to patient
ushc characteristics - ANSWER political climate
economic development
technological progress
social and cultural values
physical environment
demographics/health trends
global influences
10 characteristics of ushc - ANSWER no central agency
access is selective
imperfect market
3rd party insurers
multiple payers
balance of power
legal risk
new technology
new service settings
quality is achievable
copay - ANSWER paid each visit; limits access
deductible - ANSWER yearly payment for medical costs
,premium - ANSWER monthly payment, employees portion
quasi-market - ANSWER health care is partially managed by free markets
item pricing - ANSWER fees charged for a service
package pricing - ANSWER bundled fee for a group of related services
capitation - ANSWER all health care service include one set fee per person
fee for service
never-events - ANSWER readmitted before 30 days hospital does not get paid
phantom providers - ANSWER bill for services separately
multi-payer system - ANSWER multiple insurances, employer paid/employee paid
single-payer system - ANSWER national health care system/ gov't paid
curative services - ANSWER cure illness
restorative services - ANSWER restore function/rehab
preventative services - ANSWER public health
quad-function model - ANSWER finance->insurance->delivery->payment
National Health Insurance(NHI) - ANSWER GOVT CONTROLS FUNDING
, govt finances healthcare through taxes; care provided by private providers
i.e Canada
National Health System (NHS) - ANSWER GOVT CONTROLS ALL
financing a tax supported NHI; govt manages infrastructure for delivery; govt operated hospitals
i.e GB
Socialized Health Insurance(SHI) - ANSWER financed through govt mandated contribution by
employer/employees; health delivered by private providers; insurance and payment closely integrated;
govt has overall control
i.e Germany
universal access - ANSWER managed by govt; provides defined set of services to all citizens
health - ANSWER absence of illness and disease
biopsychosocial model of health - ANSWER to promote, restore and maintain health
illness - ANSWER a persons perception & evaluation of how he/she is feeling
disease - ANSWER based on professional evaluation
host - ANSWER human; for host to be ill agent must be present
risk factors - ANSWER attributes that increase the likelihood of developing a disease or negative health
condition
acute condition - ANSWER relatively severe, short, treatable
subacute condition - ANSWER some acute features, post acute treatment after disharge
