CORRECT ANSWERS
Question:
1. what are the two primary objectives of a healthcare delivery system?
Answer:
- enable all citizens to obtain needed health care services
- ensure that services are cost effective and meet certain established standards of quality
Question:
2. what are the seven major parts that influence health care delivery?
Answer:
- social values and culture
- global influences
- population characteristics
- physical environment
- technology development
- economic conditions
- political climate
Question:
3. the two main issues in the us healthcare system are
Answer:
- fragmented system
- limited role of government
Question:
4. in the US healthcare system no __________ governs the system
Answer:
central agency
Question:
5. __________ and __________ governments determine public sector expenditure and reimbursment rates
for services
Answer:
federal; state
Question:
6. a country with a central agency governed health care system uses __________ to determine total health
care expense
Answer:
global budget
Question:
7. the NHS is an example of a __________ health care service available to all citizens of the UK
,Answer:
government-sponsored
Question:
8. access
Answer:
the ability of an individual to obtain health care services when needed
Question:
9. one of the characteristics of the US health care system is __________ access
Answer:
partial
Question:
10. what is the EMTALA?
Answer:
emergency medical treatment and labor act: regardless of patient's demographics, insurance, or diseases,
hospital EDs must provide care
Question:
11. one of the characteristics of the US health care system is an __________ market
Answer:
imperfect
Question:
12. what is an imperfect market?
Answer:
competition exists but there is also a lot of government regulation
Question:
13. what two factors limit patient's decisions?
Answer:
need and demand
Question:
14. the US healthcare system has __________ payers
Answer:
multiple
Question:
15. one of the issues of having multiple payers is it is difficult for __________ to track various health plans
Answer:
providers
Question:
16. __________ balancing is difficult in the US health care system
, Answer:
power
Question:
17. who are the five economic interests?
Answer:
- physicians
- administrators
- government
- insurance companies
- large employers
Question:
18. litigation risk
Answer:
risk of malpractice lawsuits
Question:
19. defensive medicine
Answer:
providers often order more tests and provide more services than necessary to protect themselves from
malpractice lawsuits
Question:
20. high technology
Answer:
creates demand for new services despite high costs
Question:
21. continuum of services
Answer:
important for management of chronic care
Question:
22. quest for quality
Answer:
definition and measurement of quality are not clear-cut
Question:
23. what is the MMI?
Answer:
meaningful measures initiative: created by cms to improve quality, safety, accessibility and affordability of
healthcare by getting the public involved
Question:
24. what are the three main trends of the US healthcare system?