MHA 707 test 1 Questions and Answers With Verified Solutions 2025
The Importance of good health care in America: - ✔✔- altruistic oriented set of providers and activities +
huge industry + profitability
- 20% of our GDP is devoted to medical care and health promotion (value)
- 11% of all US jobs are in the health sector
- sizable share of our income is spent on the health care we need
Characteristics of US health system - ✔✔- not ordered or organized as a single enterprise
- actors and organizations often work independently
- little coordination between players
- system continues to evolve haphazardly
health maintenance - ✔✔- clear difference between health "maintenance" and "restoring" health
- medical care systems care for people even if restoring health is impossible
fee for service - ✔✔a system under which doctors and hospitals receive a payment for each service they
provide
health care delivery - ✔✔1. the importance of organizations in delivering care
2. the role of professionals in running our system
3. the emergence of new medical technology, smartphones, big data, new pharma.
4. tension between free market and government control
5. a dysfunctional payment system
customer friendly - ✔✔the health system could do much more to improve the experience of patients
receiving care
1. improving quality
,access to health care - ✔✔not always ensured. many rural areas have shortages of doctors and other
providers and many doctors refuse to see patients with certain types of insurance because of low
payment rates
2. improving access and coverage
Major Issues and Concerns - ✔✔3. slowing growth of health care expenditures
4. encouraging healthy behavior
5. improving the public health system
6. addressing inequalities in access
stakeholder - ✔✔set of people who have a strong interest in how something in our society is done.
1. consumers
2. providers
3. employers
4. insurers
5. public policy makers
workforce - ✔✔motivated principally by the social goal of keeping people healthy
consumer stakeholder - ✔✔- should be at the center of the health system
- sometimes bystanders in decisions affecting their own health and payment issues
- WANT access to quality and affordable health care for self and family
providers stakeholders - ✔✔- work to advance medical knowledge
- motivated by the social goal to keep everyone healthy
- face financial pressures to prevent health care costs from increasing
- WANT fair opportunities to earn incomes that reflect their expertise and workload
employers stakeholders - ✔✔- most offer insurance as a benefit
, - WANT healthy employees who are productive and who do not have to take time off because of illness
- WANT a slowdown in their health care cost and responsibility shifted to eomployees
insurer stakeholders - ✔✔- act of intermediary among payers, providers, and consumers to determine
that kinds of health care covered by employer's insurance plan
- changing payment approaches could compete with traditional insurance companies (direct
contracting)
- WANT to protect their role in the health sector
- WANT to share more risk with providers/patients
public policy makers stakeholders - ✔✔- included appointed officials and elected politicians
- differ in views about how the health system should work
- WANT slower inflation rates in the health sector
- WANT high quality care and better patient experience
- WANT state-of-the-art medical care and interventions
continuum of care - ✔✔encompasses care from the cradle to the grave
population health - ✔✔- focuses on health status indicators for a defined group of people
- goal is to improve the health of the population and reduce inequities among population groups
public health - ✔✔address health concerns affecting the public at large
(preventing epidemics, containing environmental hazards, promoting health living)
community health - ✔✔focuses on collaboration among a wide array of organizations to address issues
that impact the health of a community
(public health departments, social services, health care delivery org.)
emergency care - ✔✔designed to provide immediate care for sudden, serious illness or injury, although
it is sometimes utilized for nonemergent care by individuals who are uninsured
The Importance of good health care in America: - ✔✔- altruistic oriented set of providers and activities +
huge industry + profitability
- 20% of our GDP is devoted to medical care and health promotion (value)
- 11% of all US jobs are in the health sector
- sizable share of our income is spent on the health care we need
Characteristics of US health system - ✔✔- not ordered or organized as a single enterprise
- actors and organizations often work independently
- little coordination between players
- system continues to evolve haphazardly
health maintenance - ✔✔- clear difference between health "maintenance" and "restoring" health
- medical care systems care for people even if restoring health is impossible
fee for service - ✔✔a system under which doctors and hospitals receive a payment for each service they
provide
health care delivery - ✔✔1. the importance of organizations in delivering care
2. the role of professionals in running our system
3. the emergence of new medical technology, smartphones, big data, new pharma.
4. tension between free market and government control
5. a dysfunctional payment system
customer friendly - ✔✔the health system could do much more to improve the experience of patients
receiving care
1. improving quality
,access to health care - ✔✔not always ensured. many rural areas have shortages of doctors and other
providers and many doctors refuse to see patients with certain types of insurance because of low
payment rates
2. improving access and coverage
Major Issues and Concerns - ✔✔3. slowing growth of health care expenditures
4. encouraging healthy behavior
5. improving the public health system
6. addressing inequalities in access
stakeholder - ✔✔set of people who have a strong interest in how something in our society is done.
1. consumers
2. providers
3. employers
4. insurers
5. public policy makers
workforce - ✔✔motivated principally by the social goal of keeping people healthy
consumer stakeholder - ✔✔- should be at the center of the health system
- sometimes bystanders in decisions affecting their own health and payment issues
- WANT access to quality and affordable health care for self and family
providers stakeholders - ✔✔- work to advance medical knowledge
- motivated by the social goal to keep everyone healthy
- face financial pressures to prevent health care costs from increasing
- WANT fair opportunities to earn incomes that reflect their expertise and workload
employers stakeholders - ✔✔- most offer insurance as a benefit
, - WANT healthy employees who are productive and who do not have to take time off because of illness
- WANT a slowdown in their health care cost and responsibility shifted to eomployees
insurer stakeholders - ✔✔- act of intermediary among payers, providers, and consumers to determine
that kinds of health care covered by employer's insurance plan
- changing payment approaches could compete with traditional insurance companies (direct
contracting)
- WANT to protect their role in the health sector
- WANT to share more risk with providers/patients
public policy makers stakeholders - ✔✔- included appointed officials and elected politicians
- differ in views about how the health system should work
- WANT slower inflation rates in the health sector
- WANT high quality care and better patient experience
- WANT state-of-the-art medical care and interventions
continuum of care - ✔✔encompasses care from the cradle to the grave
population health - ✔✔- focuses on health status indicators for a defined group of people
- goal is to improve the health of the population and reduce inequities among population groups
public health - ✔✔address health concerns affecting the public at large
(preventing epidemics, containing environmental hazards, promoting health living)
community health - ✔✔focuses on collaboration among a wide array of organizations to address issues
that impact the health of a community
(public health departments, social services, health care delivery org.)
emergency care - ✔✔designed to provide immediate care for sudden, serious illness or injury, although
it is sometimes utilized for nonemergent care by individuals who are uninsured
