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The number of specialists is increasing because
of the development of medical technology
An MS-DRG is a refined DRG that includes:
patient severity
A patient with special needs could expect to receive efficient, appropriate, team-approach care from which of the following
patient-centered medical home
In a free market, who would pay for the delivery of health care services?
patients
In the US, public health and private practice of medicine developed separately because _____.
physicians were skeptical of the government taking control of medical practice
The Health Insurance Portability and Accountability Act requires
protection of patients' personal health information
what is the incentive under fee-for-service reimbursement
providers have an incentive to deliver nonessential services
Which of the following can be considered a factor contributing to health status?
safety of neighborhoods, access to health care, air quality
Compared to suburban areas, there is a _______ of physicians in rural areas
shortage
Which entity oversees the licensure of health care facilities?
state government
The asynchronous form of telemedicine uses which type of technology?
store-and-forward
Which entity in hospital governance is legally responsible for the hospital's operations?
the board of trustees
under retrospective reimbursement, a health care organization is paid according to
the costs incurred in operating the institution
he private medical sector in the United States has been heavily regulated by the government mainly because ______.
the government finances Medicare and Medicaid
Crude rates refer to
the total population
What is the main application of quality-adjusted life years?
they are used as a measure of health benefits
In technology assessment, what role do clinical trials play?
they are used for evaluating efficacy and safety
What was the major objective of the Affordable Care Act?
to provide insurance coverage
Which of the following is not a behavioral risk factor?
unsafe neighborhoods
private health insurance is also referred to as
voluntary health insurance
Medicare and Medicaid programs were created for population groups regarded as ______.
vulnerable
One reason women's health centers were created is
women seek care more often than men
Which of the following was the main force that presented a government-run national health care program from becoming a reality in the United States?
Beliefs and values
Under free market conditions, the relationship between the quantity of medical services demanded and the price of medical services is _______.
inverse
A hospital that is accredited by the Joint Commission
is deemed to have met certification requirements
Medicaid is primarily for people who meet the following eligibility requirement
low-income
Medicaid is primarily for people who meet which of the following eligibility requirements?
low-income
Which of these organizations was specifically created to bring management expertise to physician group practices?
management services organizations
When two organizations cease to exist and a new corporation is formed, this is called a
merger
The most prominent reason for the decline in the number of procedures performed in hospitals is
most of these procedures were shifted to the outpatient setting
Which of the following countries has a National Health Service (NHS)?
Great Britain
Utilitarianism emphasizes
Happiness and welfare for the most people possible
Who was the first American president to make an appeal for National Health Insurance?
Harry Truman
Which of the following is an example of tertiary prevention?
foot care for a patient newly diagnosed with diabetes
Self-insurance was spurred by
government policy
The phenomenon called "moral hazard" results directly from
health insurance coverage
Countries whose health systems are orientated more toward primary care achieve
higher satisfaction with health services among their populations
To be classified as a critical access hospital, the number of acute care beds should not exceed
25
Initially, what was the main purpose of private health insurance in the US?
Compensate for loss of income during sickness and temporary disability
Crude birth rate is calculated by
Dividing the number of live births in a period of time by the total population
What main purpose was served by an almshouse in the preindustrial period?
It performed general welfare and custodial functions
MCO stands for
Managed Care Organization
Which of the following is not true about the Patient Protection and Affordable Care Act of 2010?
Most Americans supported the legislation once they found out what was in it
Which type of MCO has achieved the greatest success in employment-based enrollment?
PPOs
Reimbursement is associated with which of the quad functions?
Payment
Allied health professionals include
Physician assistants
What is the main intent of the Stark Laws?
Prohibit self-referral by physicians to facilities in which they have an ownership interest
What does "PPS" stand for?
Prospective Payment System
What is tertiary prevention?
Rehabilitative therapies and monitoring of health to prevent complications or further illness, injury, or disability
Holistic health adds which element to the World Health Organization definition of health?
Spiritual
Why could most people not afford the services of a qualified physician in the preindustrial period?
The economic cost of travel was too high
Incidence is
The number of new cases occurring during a specified period divided by the population at risk
What is gatekeeping?
The process by which primary care physicians refer patients to specialists
Prevalence is
The total number of cases at a specific point in time divided by the specified population
Which country spends the most in administrative health care costs?
United States
A DRG represents
a group of principal diagnoses
Sharing of existing resources without joint ownership of assets describes an
alliance
According to US law, nonprofit organizations
are tax exempt
Magnet hospitals have been found to
attract and retain well-qualified nurses
What is the main advantage of interoperability within an electronic health records (EHR) system?
information can be shared between physicians, pharmacies, and hospitals
Physician maldistribution occurs by
both specialty and geography
When a fixed monthly fee per enrollee is paid to a provider, it is called:
capitation
What is the main function of the National Institutes of Health?
conduct and support biomedical research
Resource inputs, such as staff time, required to increase patient satisfaction or increase the number of sick days avoided is one example of the elements that pertain to which of the following?
cost-effectiveness analysis
The expectation that Americans have about what medical technology can do to cure illness are driven by which of the following?
cultural beliefs and values
The expectation that Americans have about what medical technology can do to cure illness is based on
cultural beliefs and values
When providers deliver unnecessary services with the objective of protecting themselves against lawsuits, this practice is called
defensive medicine
What department houses Indian Health Services
department of Health and Human Services
Medical care in preindustrial America had a strong _____ character
domestic
Medicare is primarily for people who meet the following eligibility requirement
elderly
Medicare is primarily for people who meet the following eligibility requirement:
elderly
For most privately insured Americans, health insurance is
employer-based
You cannot have both Medicare and Medicaid
false