,2
,3
, Chapter 01: Prescriptive Authority andRole Implementation: Tradition vs. ChangeTest
b b b b b b b b b b
Bank
b
MULTIPLE CHOICE b
1. Which of the following has influenced an emphasis on primary care education in
b b b b b b b b b b b b
b medicalschools? b
a. Changes inMedicare b b
reimbursementmethods
b b
recommended in 1992
b b b
b. Competition fromnonphysicians b b
desiringto meet primary care shortages
b b b b b b
c. The need for monopolistic control in
b b b b b
themarketplace of primary outpatient
b b b b b
care
b
d. Therecognition that nonphysicians
b b b
havevariable success providing primary
b b b b b
care
b
ANS: A b
The Physician Payment Review Commission in 1992 directly increased financial
b b b b b b b b b
reimbursement to clinicians who provide primary care. Coupled with a shortage of primary
b b b b b b b b b b b b b
care providers, this incentive led medical schools to place greater emphasis onpreparing
b b b b b b b b b b b b b
primary care physicians. Competition from nonphysicians increased coincidentally as
b b b b b b b b b
professionals from other disciplines stepped up to meet the needs.
b b b b b b b b b b
Nonphysicians have had increasing success at providing primary care and have beenshown
b b b b b b b b b b b b
to be safe and effective.
b b b b b
DIF: Cognitive Level: Remembering (Knowledge)b b b REF: 2 b
2. Which of the following statements is true about the prescribing practices of physicians?
b b b b b b b b b b b b
a. Older physicians tend to prescribe b b b b
moreappropriate medications than
b b b b
younger physicians.
b b
b. Antibiotic medications remain in the b b b b
topfive classifications of medications
b b b b b
prescribed.
b
c. Most physicians rely on a “therapeutic b b b b b
armamentarium” that consists of less than
b b b b b b
100 drug preparations per physician.
b b b b
d. The dominant form of drug information
b b b b b
used byprimary care physicians
b b b b b
continuesto be that provided by
b b b b b b
pharmaceutical companies.
b b
ANS: D b
Even though most physicians claim to place little weight on drug advertisements,
b b b b b b b b b b b
4