, TESTBANK FOR Shi & Singh's Delivering Health Care in the United States
Ninth Edition Shi
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
Quizzes, Midterm and final exams are included (if available in the original resources).
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
📚 Complete & organized chapter-by-chapter – no missing content, no guessing.
⚡ Instant digital delivery – get your file the moment you pay, no waiting.
📅 Always up to date – we track new editions so you always get the latest version.
💬 Friendly support – real humans ready to help, anytime you need us.
🔒 Safe & secure – thousands of satisfied students trust us every semester.
🛡️Our Guarantees
💰 Money-Back Guarantee: Not satisfied? We offer a full refund – no questions asked.
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correct version, free of charge.
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,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Multiple Keywords in Same Paragraph: No
NAS ISBN13: 9781284300123, add to Ahead, Title tags
Chapter 1: An Overview of U.S. Healthcare Delivery
Short Answer
1. For most privately insured Americans, health insurance is ________; that is, their employers
finance health care as a fringe benefit.
Ans: employer-based
Multiple Choice
2. Under free market conditions, the relationship between the quantity of medical services
demanded and the price of medical services is:
A) unknown.
B) equal.
C) direct.
D) inverse.
Ans: D
3. Reimbursement is associated with which of the quad functions?
A) Financing
B) Insurance
C) Delivery
D) Payment
Ans: D
4. In a free market, who would pay for the delivery of healthcare services?
A) Employers
B) Patients
C) Government
D) Multiple payers
Ans: B
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
5. When providers deliver unnecessary services with the objective of protecting themselves
against lawsuits, this practice is called:
A) defensive medicine.
B) supplier-induced demand.
C) primary protection.
D) legal risk.
Ans: A
6. A method of payment in which providers are reimbursed based on the quality of health care
they deliver is called:
A) fee-for-service.
B) capitated payments.
C) bundled payments.
D) pay-for-value.
Ans: D
7. When the COVID-19 pandemic occurred in 2020, what healthcare sector received a huge
boost in utilization and growth?
A) elective procedures
B) telemedicine
C) complementary/alternative medicine
D) outpatient services
Ans: B
8. Which of the following is not a function of managed care?
A) increases patient engagement by promoting and facilitating patient–provider communication
B) determines the price of services and how much providers are paid
C) seeks to achieve efficiency by integrating the four functions of healthcare delivery
D) employs mechanisms to control (manage) utilization of medical services
Ans: A
9. What percentage of alcohol users aged 12 or older were binge drinkers in 2019?
A) 35.2%
B) 47.1%
C) 29.8%
D) 52.1%
Ans: B
10. Among people aged 12 or older, what was the percentage of past year marijuana users in
2019?
A) 11.0%
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
B) 15.2%
C) 17.5%
D) 4.7%
Ans: C
True/False
11. True or False? The percentage of past-year marijuana users among adults aged 26 or older
decreased from 2002 to 2019.
Ans: False
12. True or False? Most of the past month tobacco users in the United States in 2019 were
cigarette users.
Ans: True
13. True or False? The percentage who used noncigarette tobacco products increased among past
month tobacco product users in 2019.
Ans: False
14. True or False? In a free market, multiple patients and providers act interdependently.
Ans: False
15. True or False? The central agency that delivers health care in the United States is Medicare.
Ans: False
16. True or False? In a single-payer system, the primary payer usually is an insurance company.
Ans: False
17. True or False? Moral hazard has to do with insured patients’ demand for healthcare services.
Ans: True
18. True or False? The United States provides universal healthcare coverage.
Ans: False
19. True or False? The U.S. healthcare system is a fragmented, loosely coordinated network that
involves a diverse array of organizations and individuals.
Ans: True
Essay
20. Compare and contrast Medicare, Medicaid, and CHIP and provide at least one example of
people who can benefit from each program.
Ans: Medicare, Medicaid, and CHIP are all programs administered by the federal government.
Medicare covers senior citizens and certain disabled individuals; Medicaid covers people who
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
cannot pay for health care; and CHIP provides health care for children from low-income
families.
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Multiple Keywords in Same Paragraph: No
NAS ISBN13: 9781284300123, add to Ahead, Title tags
Chapter 2: Beliefs, Values, and Health
Multiple Choice
1. Which of the following is an example of tertiary prevention?
A) Immunization and prenatal care
B) Foot care for a patient newly diagnosed with diabetes
C) Mammogram for a patient who has a family history of breast cancer
D) Smoking cessation and handwashing
Ans: B
2. Crude birth rate is calculated by:
A) dividing the number of live births in a period by the total population.
B) dividing the total population by the number of live births in a period .
C) dividing the number of live births in a period by the number of women aged 15–44 in the
population.
D) dividing the number of women aged 15–44 in the population by the number of live births in a
period.
Ans: A
3. Incidence is:
A) the number of new cases occurring during a specified period divided by the total population.
B) the total number of cases at a specific point in time divided by the specified population.
C) the number of new cases occurring during a specified period divided by the population at risk.
D) the total number of cases at a specific point in time divided by the population at risk.
Ans: C
4. Prevalence is:
A) the number of new cases occurring during a specified period divided by the total population.
B) the total number of cases at a specific point in time divided by the specified population.
C) the number of new cases occurring during a specified period divided by the population at risk.
D) the total number of cases at a specific point in time divided by the population at risk.
Ans: B
5. Crude rates refer to:
A) a specific age group.
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
B) a specific gender.
C) the total population.
D) the total population of one ethnicity.
Ans: C
6. In the Epidemiology Triangle, the organism that becomes sick is known as the:
A) host.
B) patient.
C) agent.
D) case.
Ans: A
7. New diagnostic methods, medical procedures, and pharmaceuticals that have significantly
improved the treatment of acute illnesses, survival rates, and longevity have also contributed to
an increased prevalence of:
A) communicable disease.
B) cancer.
C) disability.
D) chronic conditions.
Ans: D
8. An example of an issue addressed by the One Health approach to public health is:
A) multimorbidities.
B) iatrogenic illnesses.
C) community engagement.
D) zoonotic disease.
Ans: D
9. What percentage of alcohol users aged 12 or older were binge drinkers in 2019?
A) 35.2
B) 47.1
C) 29.8
D) 52.1
Ans: B
10. What percentage of the U.S. adults were overweight (including obesity) in 2017–2018?
A) 73.6
B) 53.6
C) 41.9
D) 30.0
Ans: A
11. Which age group had the highest total cholesterol during 2013–2018?
A) 20–39
B) 40–59
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
C) 60–79
D) 80 and over
Ans: B
True/False
12. True or False? Most of the tobacco users in the United States were cigarette users.
Ans: True
13. True or False? A third of adults in the United States had hypertension in 2021.
Ans: False
14. True or False? The safety of neighborhoods can be considered an environmental factor
contributing to health status.
Ans: True
15. True or False? Secondary prevention refers to rehabilitative therapies and the monitoring of
healthcare processes to prevent complications or to prevent further illness, injury, or disability.
Ans: False
16. True or False? Generally, people with better education have higher incomes and better health
status.
Ans: True
17. True or False? The incidence of new HIV infections among newborns has declined by 50%
since 2010 because fewer women with HIV are becoming pregnant.
Ans: False
18. True of False? Funding for public health in the United States has been consistent and
prioritized over the years.
Ans: False
19. True of False? If a country is slow in issuing public health measures, guidelines, and
information on an emerging epidemic, this would demonstrate the country’s poor capability in
the detection and reporting category of the Global Health Security (GHS) Index.
Ans: False
Essay
20. Compare and contrast the two types of global health indicators and give at least one example
for each.
Ans: Direct and indirect or proximal and distal health indicators both measure health phenomena.
Direct measures can be things like diseases or deaths—for example, cause-specific mortality
rates like vaccination coverage. Indirect measures would be poverty indicators and social
development—for example, primary school enrollment and population living in poverty.
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
, Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
Ninth Edition Shi
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
Quizzes, Midterm and final exams are included (if available in the original resources).
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
📚 Complete & organized chapter-by-chapter – no missing content, no guessing.
⚡ Instant digital delivery – get your file the moment you pay, no waiting.
📅 Always up to date – we track new editions so you always get the latest version.
💬 Friendly support – real humans ready to help, anytime you need us.
🔒 Safe & secure – thousands of satisfied students trust us every semester.
🛡️Our Guarantees
💰 Money-Back Guarantee: Not satisfied? We offer a full refund – no questions asked.
🔄 Wrong File? No Problem: Contact us and we will replace it immediately with the
correct version, free of charge.
⏰ 24/7 Support: We are always here – reach out anytime and expect a fast response.
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Multiple Keywords in Same Paragraph: No
NAS ISBN13: 9781284300123, add to Ahead, Title tags
Chapter 1: An Overview of U.S. Healthcare Delivery
Short Answer
1. For most privately insured Americans, health insurance is ________; that is, their employers
finance health care as a fringe benefit.
Ans: employer-based
Multiple Choice
2. Under free market conditions, the relationship between the quantity of medical services
demanded and the price of medical services is:
A) unknown.
B) equal.
C) direct.
D) inverse.
Ans: D
3. Reimbursement is associated with which of the quad functions?
A) Financing
B) Insurance
C) Delivery
D) Payment
Ans: D
4. In a free market, who would pay for the delivery of healthcare services?
A) Employers
B) Patients
C) Government
D) Multiple payers
Ans: B
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
5. When providers deliver unnecessary services with the objective of protecting themselves
against lawsuits, this practice is called:
A) defensive medicine.
B) supplier-induced demand.
C) primary protection.
D) legal risk.
Ans: A
6. A method of payment in which providers are reimbursed based on the quality of health care
they deliver is called:
A) fee-for-service.
B) capitated payments.
C) bundled payments.
D) pay-for-value.
Ans: D
7. When the COVID-19 pandemic occurred in 2020, what healthcare sector received a huge
boost in utilization and growth?
A) elective procedures
B) telemedicine
C) complementary/alternative medicine
D) outpatient services
Ans: B
8. Which of the following is not a function of managed care?
A) increases patient engagement by promoting and facilitating patient–provider communication
B) determines the price of services and how much providers are paid
C) seeks to achieve efficiency by integrating the four functions of healthcare delivery
D) employs mechanisms to control (manage) utilization of medical services
Ans: A
9. What percentage of alcohol users aged 12 or older were binge drinkers in 2019?
A) 35.2%
B) 47.1%
C) 29.8%
D) 52.1%
Ans: B
10. Among people aged 12 or older, what was the percentage of past year marijuana users in
2019?
A) 11.0%
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
B) 15.2%
C) 17.5%
D) 4.7%
Ans: C
True/False
11. True or False? The percentage of past-year marijuana users among adults aged 26 or older
decreased from 2002 to 2019.
Ans: False
12. True or False? Most of the past month tobacco users in the United States in 2019 were
cigarette users.
Ans: True
13. True or False? The percentage who used noncigarette tobacco products increased among past
month tobacco product users in 2019.
Ans: False
14. True or False? In a free market, multiple patients and providers act interdependently.
Ans: False
15. True or False? The central agency that delivers health care in the United States is Medicare.
Ans: False
16. True or False? In a single-payer system, the primary payer usually is an insurance company.
Ans: False
17. True or False? Moral hazard has to do with insured patients’ demand for healthcare services.
Ans: True
18. True or False? The United States provides universal healthcare coverage.
Ans: False
19. True or False? The U.S. healthcare system is a fragmented, loosely coordinated network that
involves a diverse array of organizations and individuals.
Ans: True
Essay
20. Compare and contrast Medicare, Medicaid, and CHIP and provide at least one example of
people who can benefit from each program.
Ans: Medicare, Medicaid, and CHIP are all programs administered by the federal government.
Medicare covers senior citizens and certain disabled individuals; Medicaid covers people who
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
cannot pay for health care; and CHIP provides health care for children from low-income
families.
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Multiple Keywords in Same Paragraph: No
NAS ISBN13: 9781284300123, add to Ahead, Title tags
Chapter 2: Beliefs, Values, and Health
Multiple Choice
1. Which of the following is an example of tertiary prevention?
A) Immunization and prenatal care
B) Foot care for a patient newly diagnosed with diabetes
C) Mammogram for a patient who has a family history of breast cancer
D) Smoking cessation and handwashing
Ans: B
2. Crude birth rate is calculated by:
A) dividing the number of live births in a period by the total population.
B) dividing the total population by the number of live births in a period .
C) dividing the number of live births in a period by the number of women aged 15–44 in the
population.
D) dividing the number of women aged 15–44 in the population by the number of live births in a
period.
Ans: A
3. Incidence is:
A) the number of new cases occurring during a specified period divided by the total population.
B) the total number of cases at a specific point in time divided by the specified population.
C) the number of new cases occurring during a specified period divided by the population at risk.
D) the total number of cases at a specific point in time divided by the population at risk.
Ans: C
4. Prevalence is:
A) the number of new cases occurring during a specified period divided by the total population.
B) the total number of cases at a specific point in time divided by the specified population.
C) the number of new cases occurring during a specified period divided by the population at risk.
D) the total number of cases at a specific point in time divided by the population at risk.
Ans: B
5. Crude rates refer to:
A) a specific age group.
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
B) a specific gender.
C) the total population.
D) the total population of one ethnicity.
Ans: C
6. In the Epidemiology Triangle, the organism that becomes sick is known as the:
A) host.
B) patient.
C) agent.
D) case.
Ans: A
7. New diagnostic methods, medical procedures, and pharmaceuticals that have significantly
improved the treatment of acute illnesses, survival rates, and longevity have also contributed to
an increased prevalence of:
A) communicable disease.
B) cancer.
C) disability.
D) chronic conditions.
Ans: D
8. An example of an issue addressed by the One Health approach to public health is:
A) multimorbidities.
B) iatrogenic illnesses.
C) community engagement.
D) zoonotic disease.
Ans: D
9. What percentage of alcohol users aged 12 or older were binge drinkers in 2019?
A) 35.2
B) 47.1
C) 29.8
D) 52.1
Ans: B
10. What percentage of the U.S. adults were overweight (including obesity) in 2017–2018?
A) 73.6
B) 53.6
C) 41.9
D) 30.0
Ans: A
11. Which age group had the highest total cholesterol during 2013–2018?
A) 20–39
B) 40–59
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
C) 60–79
D) 80 and over
Ans: B
True/False
12. True or False? Most of the tobacco users in the United States were cigarette users.
Ans: True
13. True or False? A third of adults in the United States had hypertension in 2021.
Ans: False
14. True or False? The safety of neighborhoods can be considered an environmental factor
contributing to health status.
Ans: True
15. True or False? Secondary prevention refers to rehabilitative therapies and the monitoring of
healthcare processes to prevent complications or to prevent further illness, injury, or disability.
Ans: False
16. True or False? Generally, people with better education have higher incomes and better health
status.
Ans: True
17. True or False? The incidence of new HIV infections among newborns has declined by 50%
since 2010 because fewer women with HIV are becoming pregnant.
Ans: False
18. True of False? Funding for public health in the United States has been consistent and
prioritized over the years.
Ans: False
19. True of False? If a country is slow in issuing public health measures, guidelines, and
information on an emerging epidemic, this would demonstrate the country’s poor capability in
the detection and reporting category of the Global Health Security (GHS) Index.
Ans: False
Essay
20. Compare and contrast the two types of global health indicators and give at least one example
for each.
Ans: Direct and indirect or proximal and distal health indicators both measure health phenomena.
Direct measures can be things like diseases or deaths—for example, cause-specific mortality
rates like vaccination coverage. Indirect measures would be poverty indicators and social
development—for example, primary school enrollment and population living in poverty.
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
, Delivering Health Care in the United States: A Systems Approach, 9th Edition
Leiyu Shi
Test Bank
Copyright © 2026 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
