Question 1
Group insurance is an example of social justice
True
False
Question 2
All of the following are examples of how health care changed
during the post-industrial era except:
A. | Development of Medicare/Medicaid |
B. | Decreased health care costs |
C. | Physicians gain power and respect |
D. | Disproportion between PCPs and specialists |
Question 3
Which insurance would be billed for a retired 80 year old
with high income that needs heart surgery?
A. | Medicare |
B. | Medicaid |
C. | Both A and B |
D. | None of the above |
Question 4
A doctor of osteopathy (DO) is different than and MD because
A. | A DO focuses on preventative medicine |
B. | They are mainly generalist and MDs are specialists |
C. | A DO practices allopathic medicine |
D. | All of the above |
E. | A and B |
Question 5
Which services would be covered under Medicare Part D?
A. | Renal Dialysis |
B. | Physical therapy |
C. | Annual physical |
D. | Prescription drug |
E. | All of the above |
Question 6
Factors that would influence how the prospective
reimbursement (PPS) in a hospital setting would be
A. | Cost of services provided |
B. | Institution hospital vs. teaching hospital |
C. | Patient’s age |
D. | Length of stay |
E. | All of the above |
Question 7
A doctor that practices Obstetrics and Gynecology is an
example of
A. | Primary care |
B. | Secondary care |
C. | Tertiary care |
D. | B and C only |
Question 8
Primary care is important to our healthcare system because
A. | It is easily accessible |
B. | It decreases the amount of patients in the emergency room |
C. | It has shown to have a positive relationship with life |
D. | A and C only |
E. | All of the above |
Question 9
Which of the following led to the downsizing of hospitals
A. | An increase in Primary care physicians |
B. | Reimbursement from prospective to retrospective |
C. | Outpatient care |
D. | Shortage of nurses |
E. | None of the above |
Question 10
A hospital that is considered Private Nonprofit
A. | Makes up 60% of all hospital beds |
B. | Is owned by a corporation |
C. | Does make a profit |
D. | A and C only |
E. | All of the above |
Question 11
JCAHO accreditation
A. | Is only for hospitals |
B. | Is required for Medicare reimbursement |
C. | Is voluntary |
D. | B and C only |
E. | All of the above |
Question 12
The Patient Self-Determination Act of 1990
A. | Only applies to hospitalized patients |
B. | Requires facilities to provide patients with information |
C. | Only applies to patients not mentally capable |
D. | All of the above |
Question 13
Mary comes to the pharmacy with a prescription for a
cholesterol lowering agent. Her pharmacist tells her that her insurance
requires an authorization in order to verify that this medical is medically
necessary and appropriate. She cannot fill the prescription under the insurance
until it is verified. This is an example of
A. | Retrospective utilization review |
B. | Concurrent utilization review |
C. | Prospective utilization review |
D. | None of the above |
Question 14
A major difference between a PPO and an HMO is
A. | There is limited gatekeeping in PPOs |
B. | PPO enrollees can choose to go to a facility outside of |
C. | PPOs typically do not have annual deductibles |
D. | PPOs have lower copayments |
Question 15
Joseph is an 84 year old man diagnosed with Alzheimer’s
disease. He has no family members that live in the area and currently resides
in a Long Term Care facility. His goals would include
A. | Increase quality of life |
B. | Maintain his independence for as long as possible |
C. | Receiving his annual influenza vaccine |
D. | All of the above |
Question 16
There has been an increase in the amount of Women diagnosed
with
A. | Alcohol abuse |
B. | Mental disease |
C. | AIDS |
D. | All of the above |
Question 17
One method to reduce costs in our health care system would
include all except
A. | Encourage yearly physicals for seniors |
B. | Implement electronic medical records |
C. | Practice defensive medicine |
D. | All are correct |
Question 18
An example of how the US government has made Access
Initiatives includes
A. | Medicare coverage of pneumonia vaccinations at local |
B. | Setting lifetime insurance caps on health insurance |
C. | Creating SCHIPs for low-income families |
D. | Both A and C |
Question 19
Universal Health Care Coverage would insure only eligible
citizens in the country and would not cover non-citizens
True
False
Question 20
The single-payer reform model
A. | Is closest to the British model |
B. | Would eliminate need for Medicare/Medicaid |
C. | Physicians would be reimbursed based on retrospective |
D. | None of the above |
Question 21
Write a paragraph to answer the following question: What
change would you make to our US healthcare system? Make sure to include how you
would change this aspect and what population(S) would it affect.
Question 22
Write a paragraph to answer the following question: How has
technology affected our healthcare system as far as patient care? How has it
made a negative impact?
Expert Solution Preview
Introduction:
As a medical professor in charge of creating college assignments and answers for medical college students, I aim to provide accurate and informative answers to the content questions presented.
Answer to Question 1:
True. Group insurance is an example of social justice as it allows individuals to pool their resources together to share the cost of medical expenses. This is especially important for individuals who may not be able to afford healthcare on their own.
Answer to Question 2:
B. Decreased healthcare costs. The post-industrial era saw an increase in healthcare costs due to advances in technology and the increasing demand for specialized care. The other options (A, C, and D) are examples of changes that occurred during this era.
Answer to Question 3:
A. Medicare. Medicaid is typically for low-income individuals, while Medicare is for individuals who are 65 and older. Although the individual may have a high income, they would still be eligible for Medicare since they are retired and 80 years old.
Answer to Question 4:
E. A and B. DOs are different from MDs as they focus on preventative medicine and are typically generalists rather than specialists. However, both DOs and MDs practice allopathic medicine.
Answer to Question 5:
D. Prescription drug. Medicare Part D is a prescription drug benefit for individuals who are enrolled in Medicare.
Answer to Question 6:
E. All of the above. Factors that can influence prospective reimbursement (PPS) in a hospital setting can include the cost of services provided, the type of hospital (institutional vs. teaching), the patient’s age, and length of stay.
Answer to Question 7:
B. Secondary care. Obstetrics and Gynecology are considered secondary care specialties as they provide specialized care but do not provide overall management of a patient’s health like a primary care physician would.
Answer to Question 8:
E. All of the above. Primary care is important to our healthcare system as it is easily accessible, decreases the number of patients in the emergency room, and has been shown to have a positive relationship with life expectancy.
Answer to Question 9:
A. An increase in Primary care physicians. The increase in availability of primary care physicians has led to a focus on preventative care, which can decrease the need for inpatient hospital care.
Answer to Question 10:
A. Makes up 60% of all hospital beds. Private nonprofit hospitals are institutions that are considered non-profit organizations and do not distribute profits to shareholders or owners. These hospitals provide the majority of hospital beds in the country.
Answer to Question 11:
D. B and C only. JCAHO accreditation is voluntary but is required for hospitals to receive Medicare reimbursement.
Answer to Question 12:
B. Requires facilities to provide patients with information on patients’ rights. The Patient Self-Determination Act of 1990 requires healthcare facilities to inform patients of their right to make decisions about their own medical care.
Answer to Question 13:
C. Prospective utilization review. As the patient has not filled the prescription yet, the insurance requires authorization before the patient can fill the prescription.
Answer to Question 14:
B. PPO enrollees can choose to go to a facility outside of their network with no additional fee. PPOs allow patients to have some choice in their healthcare providers and do not require referrals from primary care physicians.
Answer to Question 15:
D. All of the above. Joseph’s goals would include increasing the quality of life, maintaining his independence for as long as possible, and receiving his annual influenza vaccine. This would help to provide Joseph with the best possible care.
Answer to Question 16:
B. Mental disease. There has been an increase in the number of women diagnosed with mental illness, particularly depression and anxiety disorders.
Answer to Question 17:
C. Practice defensive medicine. Defensive medicine involves performing diagnostic tests and procedures that may not be necessary in order to avoid potential lawsuits. This contributes to increased healthcare costs.
Answer to Question 18:
D. Both A and C. Medicare coverage of pneumonia vaccinations in local pharmacies and creating SCHIPs (State Children’s Health Insurance Programs) for low-income families are examples of Access Initiatives implemented by the US government.
Answer to Question 19:
False. Universal health care coverage would provide coverage for all individuals in a country, regardless of citizenship or eligibility status.
Answer to Question 20:
A. Is closest to the British model. The single-payer model would eliminate the need for Medicare/Medicaid and would involve a government-funded system for all citizens.
Answer to Question 21:
One change that I would make to the US healthcare system is to increase preventative care services for lower-income individuals. This would involve providing access to yearly physicals, routine screenings, and other preventative measures at little to no cost. This change would primarily benefit lower-income individuals who may not have access to healthcare services due to financial reasons. By focusing on preventive care, we can decrease the need for expensive inpatient care and improve overall health outcomes for individuals.
Answer to Question 22:
Technology has had a significant impact on patient care in the healthcare system. Advancements such as electronic medical records (EMRs) have improved communication between healthcare providers, leading to better-coordinated care and improved patient outcomes. However, technology has also led to an increase in medical errors due to data entry errors or system malfunctions. Patient privacy can also be at risk with the use of technology in the healthcare system. It is important for healthcare providers to stay up-to-date on new technologies and to implement proper protocols to ensure patient safety and privacy.
