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1. Which of the following would likely lead to the greatest improvement in the
health status of the population in the United States?
a. Higher per capita incomes
b. Improved lifestyles changes
c. More medical care spending overall
d. More rural hospitals
e. More spending on public health
- ANSWER b. Improved lifestyles changes
2. The standard cut-off for cost per quality-adjusted life year (QALY) used by most
governmental decision makers is set in terms of a multiple of national per capita
income. The value of the threshold is usually what percent of national per capita
income?
a. 300
b. 200
c. 250
,d. 100
e. 150
- ANSWER d. 100
3. Which of the following measures of effectiveness is an intermediate measure?
a. Tumor size
b. Cholesterol level
c. Bone-mass density (BMD)
d. Blood pressure
e. Hip fracture
- ANSWER e. Hip fracture
4. Researchers use cost-of-illness studies for all of the following except to:
a. compare the relative efficiency of treating various conditions.
b. compare two or more treatment options when the medical outcome is
identical.
c. increase public awareness of the cost of treating certain diseases.
d. study the burden of a disease.
e. determine the low-cost option to treat a disease.
- ANSWER a. compare the relative efficiency of treating various conditions.
5. Which of the following is least responsible for the reduction in mortality rates in
Europe and North America?
a. Reduced exposure to diseases
b. Better nutrition and housing
c. More effective medical interventions
d. Improved sanitary conditions
e. Clean water and waste disposal
, - ANSWER c. More effective medical interventions
6. Suppose your assignment is to use the standard time trade-off approach to
measure quality of life. You are given the following information: An individual is
faced with living the remaining 10 years of their life suffering from severe
osteoporosis. The individual reveals that they would be willing to give up four of
those years to live the remaining six in perfect health. What is the utility of one
year in a chronic health state relative to perfect health?
a. 6
b. 0.6
c. 4
d. 0.4
e. 40
- ANSWER b. 0.6
6. Suppose you must rely exclusively on cost-effectiveness analysis (CEA) to
determine whether a category of people receives an expensive, potentially life-
saving, intervention. Which of the following considerations must you keep in mind
when making your decision?
a. CEA studies are considered the gold standard as far as evaluation studies are
concerned.
b. CEA ignores the possibility that certain unidentified individuals in a group may
have a greater than normal positive response to the treatment.
c. CEA determines the efficient threshold above which treatments are
unnecessarily expensive.
d. CEA studies are subjective and rely on the judgment of clinicians and
researchers.
e. CEA studies take a long time to conduct and are expensive to evaluate.
- ANSWER b. CEA ignores the possibility that certain unidentified individuals in
a group may have a greater than normal positive response to the treatment