Delivering Health Care in America 6th Ed Test Bank
Chapter 1: A Distinctive System of Health Care Delivery
Multiple Choice Questions
- The primary objectives of a healthcare system include all of the following except:
- Enabling all citizens to receive healthcare services
- Delivering healthcare services that are cost-effective
- Delivering healthcare services using the most current technology, regardless of cost
- Delivering healthcare services that meet established standards of quality
- The U.S. healthcare system can best be described as:
- Expensive
- Fragmented
- Market-oriented
- All of the above
- For most privately insured Americans, health insurance is:
- Employer-based
- Financed by the government
- Privately purchased
- None of the above
- What is the major objective of the Affordable Care Act?
- to reduce cost
- to provide insurance coverage
- to enhance quality
- to simplify administration
- Medicare is primarily for people who meet the following eligibility requirement:
- Elderly
- Low-income
- Children
- Disabled
- Medicaid is primarily for people who meet the following eligibility requirement:
- Elderly
- Low-income
- Children
- Disabled
- The primary functions of managed care include all of the following except:
- Improving quality
- Achieving efficiencies
- Setting prices at which providers are paid
- Controlling patients’ utilization of services
- Under free market conditions, the relationship between the quantity of medical services demanded and the price of medical services is:
- Unknown
- Equal
- Direct
- Inverse
- The role of the government in the U.S. healthcare system is:
- Regulator
- Major financer
- Medicare and Medicaid reimbursement rate-setter
- All of the above
- Which of the following countries has a National Health System (NHS)?
- Japan
- Great Britain
- Australia
- Germany
- Which of the following is a characteristic of a national health insurance system?
- The government finances health care through general taxes
- Health care is delivered by private providers
- Both a and b
- Neither a nor b
- Which of the following is a characteristic of a socialized health insurance system?
- Health care is financed through government-mandated contributions by employers and employees
- Health care is delivered by government-employed providers
- Both a and b
- Neither a nor b
- In 1984, Australia switched:
- From the Medicare program to a universal national health care program
- From a universal national health care program to a privately financed system
- From a privately financed system to the Medicare program
- None of the above
- A free market in healthcare requires:
- Adequate information for patients
- Independent actions between buyers (patients) and sellers (providers)
- Unencumbered interaction of the forces of supply and demand
- All of the above
- A multiple payer system is more cumbersome than a single payer system for all of the following reasons except:
- There are numerous health plans, which is difficult for providers to handle
- Payments are not standardized across health plans
- Some healthcare services are covered for people in the north, but not in the south
- Government programs require extensive documentation proving services were provided before paying providers
- Which of the following entities in the U.S. employs lobbyists?
- Physicians
- Insurance companies
- Large employers
- All of the above
- The ownership of Canada’s health care system is best described as:
- Private
- Public
- Combination of private and public
- None of the above
- Supplier-induced demand is created by:
- Patients
- Providers
- Health insurance companies
- The government
- Which country spends the most in administrative health care costs?
- United States
- Germany
- UK
- Australia
- In the US, federal qualified health centers are funded to
- meet all health care needs of the uninsured
- provide primary care to all citizens
- serve as a safety-net for those who have difficulty getting needed primary care
- serve minority patients only
- What is the meaning of the term ‘Access?’
- All citizens have health insurance coverage
- Availability of services
- Employer-based health insurance
d, Ability to get health care when needed
- In a free market who would pay for the delivery of health care services?
- Numerous health insurance companies
- Patients
- Government
- Multiple payers
- What is meant by the term ‘continuum of health care services?’
- Drugs, treatments, and surgeries
- A range of health care services that go beyond what hospitals and physicians provide
- Continuity of health care for an individual from birth to death
- Technological innovation to provide a variety of services
- In the U.S. health care system, which of the following creates a separation between financing and delivery?
- Payment
- Moral hazard
- Insurance
- Phantom providers
- When providers deliver unnecessary services with the objective of protecting themselves against lawsuits, this practice is called
- defensive medicine
- supplier-induced demand
- primary protection
- legal risk
- Reimbursement is associated with which of the quad functions?
- Financing
- Insurance
- Delivery
- Payment
- Which central agency manages the health care delivery system in the United States?
- Centers for Disease Control and Prevention
- Department of Health and Human Services
- Department of Commerce
- None
- National health care programs in other countries often use the following mechanism to control total health care expenditures?
- Third parties
- Capitation
- Global budgets
- A single-payer system
- In the United States, who does not generally have access to basic and routine medical services?
- People who need catastrophic care.
- Those eligible only for public programs.
- The uninsured
- Those without private health insurance
- In which country are employers required by law to contribute toward health insurance for their employees?
- Germany
- United States
- Great Britain
- Canada
(Answers: 1c, 2d, 3a, 4b, 5a, 6b, 7a, 8d, 9d, 10b, 11c, 12a, 13c, 14d, 15c, 16d, 17c, 18b, 19a, 20c, 21d, 22b, 23b, 24c, 25a, 26d, 27d, 28c, 29c, 30a)
True/False Questions
- The government health coverage program for the elderly and certain people with disabilities is called Medicaid.
- Capitation is a payment mechanism in which all health care services are included under one set fee per covered individual.
- The U.S. has a mainly public system of financing health care services.
- In a free market, multiple patients and providers act interdependently.
- Moral hazard has to do with insured patients’ demand for health care services.
- In a single-payer system, the primary payer usually is an insurance company.
- In national health care programs, governments are immune from lawsuits.
- Since the final two decades of the 20th century, the U.S. health care delivery system has begun to shift its emphasis from wellness to illness.
- The U.S. health care system is administratively controlled by an agency of the government.
- The Affordable Care Act will make every American insured when fully implemented.
(Answers: 1-false, 2-true, 3-false, 4-false, 5-true, 6-false, 7-true, 8-false, 9-false, 10-false)