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Homework answers / question archive / 1)What does the Consumer Price Index (CPI) measure? Medical inflation General inflation Health care expenditures Overall government  expenditures What is Gross Domestic Product (GDP)? A measure of all the goods and services produced by a nation in a given year A measure of all the goods and services produced by a nation in a given year, divided by the population A measure of all the goods and services produced by a nation in a given year, minus the amount of money spent by the government A measure of all the goods and services produced by a nation in a given year, divided by the amount of money spent by the government Approximately what percentage of GDP is spent on health care in 2009? 7% 17% 27% 37% What is a PRO? Price Rationing Organization Political Review of Outcomes Peer Review Organization President’s Review of Organizations Expenditures  (E) equal: Price (P) minus Quantity (Q) Price (P) plus Quantity (Q) Price (P) divided by Quantity (Q) Price (P) times Quantity (Q) What is meant by the term “health care costs”? The price of health care How much a nation spends on health care Cost of producing health care All of the above Why should rising health care costs be controlled? Americans have to forgo other goods and services when more is spent on health care

1)What does the Consumer Price Index (CPI) measure? Medical inflation General inflation Health care expenditures Overall government  expenditures What is Gross Domestic Product (GDP)? A measure of all the goods and services produced by a nation in a given year A measure of all the goods and services produced by a nation in a given year, divided by the population A measure of all the goods and services produced by a nation in a given year, minus the amount of money spent by the government A measure of all the goods and services produced by a nation in a given year, divided by the amount of money spent by the government Approximately what percentage of GDP is spent on health care in 2009? 7% 17% 27% 37% What is a PRO? Price Rationing Organization Political Review of Outcomes Peer Review Organization President’s Review of Organizations Expenditures  (E) equal: Price (P) minus Quantity (Q) Price (P) plus Quantity (Q) Price (P) divided by Quantity (Q) Price (P) times Quantity (Q) What is meant by the term “health care costs”? The price of health care How much a nation spends on health care Cost of producing health care All of the above Why should rising health care costs be controlled? Americans have to forgo other goods and services when more is spent on health care

Health Science

1)What does the Consumer Price Index (CPI) measure?

    1. Medical inflation
    2. General inflation
  1. Health care expenditures
  2. Overall government  expenditures
  1. What is Gross Domestic Product (GDP)?
    1. A measure of all the goods and services produced by a nation in a given year
    2. A measure of all the goods and services produced by a nation in a given year, divided by the population
    3. A measure of all the goods and services produced by a nation in a given year, minus

the amount of money spent by the government

    1. A measure of all the goods and services produced by a nation in a given year, divided by the amount of money spent by the government
  1. Approximately what percentage of GDP is spent on health care in 2009?
    1. 7%
  1. 17%
  2. 27%
  3. 37%
  1. What is a PRO?
    1. Price Rationing Organization
    2. Political Review of Outcomes
    3. Peer Review Organization
    4. President’s Review of Organizations
  2. Expenditures  (E) equal:
    1. Price (P) minus Quantity (Q)
    2. Price (P) plus Quantity (Q)
    3. Price (P) divided by Quantity (Q)
    4. Price (P) times Quantity (Q)
  3. What is meant by the term “health care costs”?
    1. The price of health care
    2. How much a nation spends on health care
    3. Cost of producing health care
    4. All of the above
  4. Why should rising health care costs be controlled?
    1. Americans have to forgo other goods and services when more is spent on health care.
    2. Unless we control costs, total health care expenditures will far exceed what they would

be under free-market conditions.

    1. Both a and b
    2. Neither a nor b

 

 

  1. Medical cost inflation is influenced by all of the following factors except.
    1. Waste and abuse
    2. Increase in elderly population
    3. Decrease in uninsured
    4. Growth of technology
  2. Which age group in the U.S. has had the highest average annual percent growth over the past

30 years?

  1. Over 85

b. 65-84

c. 45-64

d.25-44

  1. What are administrative costs?
    1. Costs associated with management of the financing, insurance, delivery, and payment functions of health care
    2. Costs associated with financing and insurance only
    3. Costs associated with delivery and payment functions only
    4. None of the above
  2. What are small area variations?
    1. Geographic variations in health care practice
    2. Demographic variations in health care practice
    3. Both a and b

d. Neither a nor b

  1. What is the main reason for the lack of success of health care cost control efforts in the U.S.?
    1. Malpractice  lawsuits

b. Cost shifting by providers

c. Dislike of the practice by consumers

d. Growth of technology

  1. What is the primary purpose of certificate-of-need statutes?
    1. To increase utilization of primary care services
    2. To decrease Medicaid reimbursements for specialty care
    3. To control capital expenditure by health facilities
    4. To reduce provision of unnecessary health care services

 

14). Fill in the blank: the distinction between predisposing and enabling conditions can be applied to assess the ______ of a health care system.

  1. Cost
  2. Equity
  3. Efficiency
  4. Effectiveness

15). According to Anderson and Aday, which of the following is an element of “realized access”?

  1. Enabling characteristics
  2. Type,site, and purpose of health services
  3. Distribution of health care services according to the patients self-perceived need
  4. None of the above

16). The Donabedian Model includes all of the following elements except:

  1. Outcomes
  2. Costs
  3. Structure
  4. Process

17). What is the purpose of clinical practice guidelines?

  1. To provide a plan to manage a clinical problem based on evidence or consensus
  2. To lower costs
  3. To improve outcomes
  4. All of the above

18). What is the health plan employer data and information set (HEDIS)?

  1. A quality report card
  2. A cost report card
  3. A government database on health plan
  4. None of the above

19). A service is cost-efficient when:

  1. The desired health outcome is achieved
  2. The patients insurance plan saves money
  3. The benefit received is greater than the cost incurred to provide the service
  4. None of the above

20).What does the ACA mostly likely to accomplish?

  1. Expand access
  2. Improve quality
  3. Reduce cost
  4. Reduce administrative waste

 

CHAPTER 13: HEALTH POLICY

True/False:

  1. T/F: Government spending for health care in the US has been largely confines to filling the gaps left by private sector.
  2. T/F: The Medicaid program has been constantly reformed since 1965.
  3. T/F: The uninsured consist mostly of adults under age 65
  4. T/F: All states are required to have the same set of eligibility requirements for Medicaid.
  5. T/F: Historically, Presidents have not had a substantial impact on national health policy
  6. T/F: The US Constitution requires that all bills involving taxation must originate in the US House of representatives
  7. T/F: The legislature is responsible for implementing legislation
  8. T/F: People with certain disabilities may be covered by medicare and/or Medicaid.
  9. T/F: Currently, the states role in health policy is limited mostly to basic public health functions.
  10.  T/F: With the passage of ACA of 2010, all Americans will soon have health insurance coverage.

 

CHAPTER 14: THE FUTURE OF HEALTH SERVICES DELIVERY

1). Geographic information systems will increasingly find applications in

  1. Public Health
  2. Health delivery institutions
  3. Community-based long term care
  4. Comparative effectiveness research

2). Medical tourism will likely increase with the growth of

  1. Health insurance exchanges
  2. The phenomenon referred to as “brain gain”
  3. The national debt in the US
  4. High-deductible health plans

3). Anthro-cultural forces refer to

  1. The beliefs and values espoused primarily by middle-class americans
  2. Unmet needs among the most vulnerable population groups
  3. Cultural change brought about by immigration
  4. The complex interaction of all the forces of future change

4). What has been one of the main issues in Massachusetts since the implementation of the health plan in that state?

  1. A large proportion of the population remains uninsured
  2. Physicians have left the state in large numbers
  3. Emergency department utilization has continues to rise
  4. Health disparities have increased among minority groups

 

 

 

5). should the affordable care act get repealed.

  1. Health care reform will become a dead issue
  2. The main provisions of the ACA will be scrapped
  3. It will be replaced by a single-payer system
  4. Some provision of the ACA will be retained

6). Should the affordable care act get repealed, what provision would likely be made to cover preexisting conditions?

  1. People with preexisting conditions will remain uninsured
  2. People with preexisting conditions will become Medicaid beneficiaries
  3. State-based high risk pools will cover most people with preexisting conditions
  4. Insurers will have mandates to cover preexisting conditions

7). Which two barriers will prevent the US health care system from reach an ideal state?

  1. Anthro-cultural factors; technological change
  2. The American mindset in terms of expectations; inadequacies in the existing infrastructure
  3. Cost of health care, social and demographic forces
  4. Employment-based health insurance; insurance companies

8). Delivery of community-oriented primary care requires all of the following except

  1. Training of Physicians in primary care
  2. Supplementing the biomedical model with social and behavioral sciences
  3. Strengthening of public health functions
  4. Improvements in secondary and tertiary care delivery

9). Patient activation is the lowest among people

  1. Insured by managed care plans
  2. Enrolled in a medical home
  3. Enrolled in medicaid
  4. Enrolled in Medicare

10). What has been identified as the main obstacle to uniformity in the scope of practice for advance practice nurses?

  1. Deficits in education and training
  2. Different licensing and practice rules across states
  3. Lack of partnership with physicians
  4. Inadequate information systems

11). Which particular skill is fundamental to the delivery of patient-centered care?

  1. Communication
  2. Decision-making
  3. Coordination
  4. Analytical

12). What has been identified as one of the main reasons for the shortage of physicians who are trained in geriatrics?

  1. Lack of interest among medical students
  2. Shortage of faculty in colleges and universities
  3. Lack of government initiative
  4. Lack of demand

13). Primary care physicians will need to become comprehensivists mainly because of

  1. Advances in medical technology
  2. A growing number of people with complex chronic conditions
  3. A greater emphasis on patient-centered care
  4. The adoption of the medical home model in health care delivery

14). The institutional infrastructure of long-term care delivery is going through a cultural change that emphasizes

  1. Improved quality of care
  2. Evidence-based care
  3. Enriched living environments
  4. Higher staff to patient ratios

 

 

15). One of the most disconcerting aspects of government regulation of long-term care is

  1. Inadequacy of regulations
  2. Inconsistent application of regulations within and across regions
  3. Overregulation
  4. Inconsistencies between the regulatory requirements and delivery of care

16). Because of the transition of patients between long-term care and nonlong-term care settings, IT systems must be

  1. Portable
  2. User-friendly
  3. Synchronous
  4. Interoperable

17). What is the primary aim of International Health Regulations?

  1. To prevent and respond to acute public health risks
  2. Global dissemination of clinical practice guidelines
  3. Ban of development and stockpiling of biological agents
  4. To call upon international assistance in the event of major disasters

18). What is the main use of regenerative medicine?

  1. To revice an individual who is near death
  2. To repair damaged genes
  3. To provide substitues for life giving products such as blood
  4. To repair damages organs and tissues

19). Evidence-based medicine proposes to incorporate ______ in medical care delivery.

  1. Clinical trials
  2. Best practices
  3. Experimentation
  4. Clinical review

20). What is the main answer sought in comparative effectiveness research?

  1. How can best practices be adopted in clinical care delivery?
  2. What works best with which patients?
  3. What new research should be undertaken to improve quality?
  4. Why a particular treatment did not produce expected results?

 

 

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