LEGISLATION ECONOMICS OF COMMUNITY
HEALTH.ALL EXAM QUESTIONS AND
ANSWERS | NEWEST VERSIONS
- answer ✔✔-1. Discuss how the structure of government, social processes and political processes
affects the policy development process. (CO 1)
2. Examine the power of nursing to influence and change health policy. (CO 2, 4)
3. Describe the organization of the public health care subsystem at the federal, state, and local levels.
(CO 5)
4. Compare and contrast the scopes of the private health care subsystem and the public health care
subsystem. (CO 5)
5. Discuss factors that influence the cost of health care. (CO 5)
6. Discuss public and private financing of health care. (CO 5)
7. Describe trends in health care financing. (CO 5)
8. Describe the effects of economics on health care access. (CO 5)
Health care system in the United States:
-Dynamic
-Multifaceted
,-Not comparable with any other health care system in the world
Praised for:
-Technology breakthroughs
Criticized for:
-High costs
-Major problems with quality
-Difficult to access for those most in need - answer ✔✔-The Health Care System
Services provided in clinics, physicians' offices, hospitals, hospital ambulatory centers, skilled care
facilities, and homes.
Five basic models:
1.Solo practice
2.Single specialty group model
3.Multispecialty group practice
4.Integrated health maintenance model
5.Community health center
Managed care has become dominant in health care.
-Capitated payments for care
-Health care providers integrated into the system such as health maintenance organizations
-Solo practice fading
-More advanced nurse practitioners (ANPs) and Physician assistants (PAs) assume primary practice roles
in various settings.
-Patient-centered homes have team approach to assist in coordination of care for positive outcomes. -
answer ✔✔-Private Health Care
, Part of private health care system that developed in the United States at same time the government was
assuming responsibility for public health.
Major sources of help in:
-Prevention of disease
-Promotion of health
-Treatment of illness
-Advocacy
-Consumer education
-Research - answer ✔✔-Voluntary Agencies
"The determinants of health are beyond the capacity of any one practitioner or discipline to
manage....We must collaborate to survive, as disciplines and as professionals attempting to help our
communities and each other."
•Private Sector organizations
•Not compelled by government
•Operational freedom
•Less constrained by laws and regulations
•Issue focused - answer ✔✔-Nongovernmental Organizations
U.S. Constitution mandates the government "promote the general welfare of its citizens."
Federal policies and practices have had significant influence on local and state governments to
Coordination of services under Department of Health and Human Services
Public health refers to the efforts organized by society to:
-Protect
-Promote