Primary Care: A Collaborative Practice, 7th Edition by Buttaro – Latest 2025/2026 100% Verified Correct Revised Edition Complete Test Bank

Primary Care: A Collaborative Practice, 7th Edition by Buttaro –
Latest 2025/2026 100% Verified Correct Revised Edition Complete
Test Bank
Chapter 1: The Evolving Landscape of

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1. Which assessments of care providers are performed as part of the Value Based Purchasing
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initiative?
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Select all that apply. gj gj gj




a. Appraising costs per case of care for Medicare patients gj gj gj gj gj gj gj gj




b. Assessingpatients’satisfactionwith hospital care j
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c. Evaluating available evidence to guide clinical care guidelines gj gj gj gj gj gj gj




d. Monitoring mortality rates of all patients with pneumonia gj gj gj gj gj gj gj




e. Requiring advanced IT standards and minimum cash reserves gj gj gj gj gj gj gj




ANS: A, B, D g j gj gj




Value Based Purchasing looks at five domain areas of processes of care, including efficiency of care
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(cost per case), experience of care (patient satisfaction measures), and outcomes of care (mortality
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rates for certain conditions. Evaluation of evidence to guide clinical care is part of evidence-based
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practice. The requirements for IT standards and financial status are part of Accountable Care
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Organization standards. REF: Value Based Purchasing
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2. What was an important finding of the Advisory Board survey of 2014 about primary care
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preferences of patients?
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a. Associations with area hospitals gj gj gj




b. Costs of ambulatory care gj gj gj




c. Ease of access to care gj gj gj gj




d. The ratio of providers to patients
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ANS: C g j




As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care,
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walk-in settings and the ability to be seen within 30 minutes, and care that is close to home.
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Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
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these results. REF: The New Look of Primary Care
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3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
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designated as a Level 1 ACO. What is part of this designation?
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, a. Bonuses based on achievement of benchmarks
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b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves gj gj gj gj




d. Strict requirements for financial reporting
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ANS: A g j




A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings
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bonuses based on achievement of benchmarks for quality measures and expenditures. Care
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coordination and minimum cash reserves standards are part of Level 2 ACO requirements. Level 3
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ACOs have strict requirements for financial reporting. REF: Accountable Care Organizations
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, th
Buttaro: Primary Care, A Collaborative Practice, 6 Ed.
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Chapter 2: Translating Research Into Clinical Practice
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g j Test Bank gj




Multiple Choice g j




1. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies g j




b. Experimental design g j




c. Qualitative studies g j




d. Randomized clinical trials gj gj




ANS: B g j




The experimental design is the most appropriate design for a Level III study. Epidemiological
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studies are appropriate for Level II studies. Qualitative designs are useful for Level I studies.
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Randomized clinical trials are used for Level IV studies. REF: Level III Research/Experimental
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Design
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2. What is the purpose of clinical research trials in the spectrum of translational research?
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a. Adoption of interventions and clinical practices into routine clinical care
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b. Determination of the basis of disease and various treatment options g j g j g j g j g j g j g j g j g j




c. Examination of safety and effectiveness of various interventions gj gj gj gj gj gj gj




d. Exploration of fundamental mechanisms of biology, disease, or behavior gj gj gj gj gj gj gj gj




ANS: C g j




Clinical research trials are concerned with determining the safety and effectiveness of
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interventions. Adoption of interventions and practices is part of clinical implementation.
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Determination of the basis of disease and treatment options is part of the pre-clinical research
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phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of the
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basic research stage. REF: Translational Science Spectrum
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3. What is the purpose of Level II research?
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a. To define characteristics of interest of groups of patients
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b. To demonstrate the effectiveness of an intervention or treatment
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c. To describe relationships among characteristics or variables
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d. To evaluate the nature of relationships between two variables
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, ANS: C g j g j




Level II research is concerned with describing the relationships among characteristics or
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variables. Level I research is conducted to define the characteristics of groups of patients. Level
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g II research evaluates the nature of the relationships between variables. Level IV research is
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conducted to demonstrate the effectiveness of interventions or treatments. REF: Level II
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Research
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