HMGT 3301 EXAM 1 - Chapter 1, 2 & 3 Questions With
Complete Solutions
_______ reimbursement is based on the assumption that health
care is provided in a set of identifiable and individually distinct
units of services Correct Answers Fee-for-service
_____% of the US population consumes ____% of healthcare.
Correct Answers 50, 3
1. What is the role of health risk appraisal in health promotion
and disease prevention? Correct Answers a. It is the evaluation
of risk factors and their health consequences for individuals.
Only when the risks
factors and their health consequences are known can
interventions be developed to help individuals
adopt healthier lifestyles.
1. Why does cost containment remain an elusive goal in US
health services delivery? Correct Answers Limited resources,
health insurance premiums costs are increasing faster than
inflation, rising costs limit the ability to offer health benefits,
rising costs takes toll on the lower-income households, taxes are
already high
10. Briefly describe the concepts of market and social justice. In
what way do the two principles complement each
other and in what do they conflict each other? Correct Answers
a. Market justice—a distributional principle which says that
health care is most equitably distributed
,through the market forces of supply and demand rather than
gov't interventions
b. Social justice—a distribution principle that says heath care is
most equitably distributed by gov't-run national health care
program
c. The two principles conflict in regard to the large number of
uninsured who cannot afford to purchase private health
insurance and do not meet the eligibility criteria for Medicaid or
Medicare.
d. The two principles complement each other when private and
government health insurance programs enable the covered
populations to have access to health care services delivered by
private practitioners and private institutions (market justice).
Tax-supported county hospitals or city hospitals in large cities,
public health clinics, and community health centers can be
accessed by the uninsured in areas where such services are
available (social justice)
10. What main roles does the gov't play in the US health care
system? Correct Answers a. The gov't maintains/enhances
existing benefits for those covered under public insurance
programs and simultaneously contain the cost of providing these
benefits
11. Describe how health care is rationed in the market justice
and social justice systems. Correct Answers a. In the market
justice system, healthcare services are rationed through prices
and the ability to pay (ex: demand-side rationing, or price-
,rationing). Under social justice, the government makes attempts,
to limit the supply of healthcare services (planned rationing,
supply-side rationing, or non-price rationing).
11. Why is it important for health care managers and policy
makers to understand the intricacies of the health
care delivery system? Correct Answers a. Their decision and
actions affect the efficiency and quality of services delivered
12. To what extent do you think the objectives set forth in
Healthy People initiatives can achieve the vision of an
integrated approach to health delivery in the US? Correct
Answers a. For an integrated approach to become reality,
resource limitations make it necessary to deploy the best
American ingenuity toward health-spending reduction,
elimination of wasteful care, promotion of individual
responsibility and accountability for one's health, and improved
access to basic services. An integrated approach also
necessitates creation of a new model for training health care
professionals by
forming partnerships with the community.
12. What is the difference between national health insurance
(NHI) and national health system (NHS)? Correct Answers a.
National health insurance: a tax-supported national health care
program where services are financed by the gov't but are
rendered by providers (Canada)
b. National health system: a tax-supported national health care
program that the gov't finances and also controls the service
infrastructure (Great Britain)
, 13. What are the major differences of Healthy People 2020 and
from the previous Healthy People initiatives? Correct Answers
a. Healthy People 2020 is differentiated from previous Healthy
People initiatives by including multiple new topic areas to its
objective list, such as adolescent health, genomics, global health,
health communication and health information technology, and
social determinants of health.
13. What is socialized health insurance (SHI)? Correct Answers
a. Health care that is financed through gov't-mandated
contributions by employers and employees and is delivered by
private providers (Germany, Israel, and Japan)
14. How can heath care administrators and policymakers use the
various measures of health status and service
utilization? Correct Answers a. Quantified measures of health
status and utilization can be used by managers and policymakers
to evaluate the adequacy and effectiveness of existing programs,
plan new strategies, measure progress, and discontinue
ineffective services
14. What is the ACA and its main role? Correct Answers a.
Affordable Care Act started out when insurance companies were
mandated to start covering children and young adults below the
age of 26 under their parents' insurance plans and requires that
all US citizens and legal residents must be covered by either
private or public insurance
b. Individuals without private or public health insurance must
obtain health insurance from participating insurance companies
Complete Solutions
_______ reimbursement is based on the assumption that health
care is provided in a set of identifiable and individually distinct
units of services Correct Answers Fee-for-service
_____% of the US population consumes ____% of healthcare.
Correct Answers 50, 3
1. What is the role of health risk appraisal in health promotion
and disease prevention? Correct Answers a. It is the evaluation
of risk factors and their health consequences for individuals.
Only when the risks
factors and their health consequences are known can
interventions be developed to help individuals
adopt healthier lifestyles.
1. Why does cost containment remain an elusive goal in US
health services delivery? Correct Answers Limited resources,
health insurance premiums costs are increasing faster than
inflation, rising costs limit the ability to offer health benefits,
rising costs takes toll on the lower-income households, taxes are
already high
10. Briefly describe the concepts of market and social justice. In
what way do the two principles complement each
other and in what do they conflict each other? Correct Answers
a. Market justice—a distributional principle which says that
health care is most equitably distributed
,through the market forces of supply and demand rather than
gov't interventions
b. Social justice—a distribution principle that says heath care is
most equitably distributed by gov't-run national health care
program
c. The two principles conflict in regard to the large number of
uninsured who cannot afford to purchase private health
insurance and do not meet the eligibility criteria for Medicaid or
Medicare.
d. The two principles complement each other when private and
government health insurance programs enable the covered
populations to have access to health care services delivered by
private practitioners and private institutions (market justice).
Tax-supported county hospitals or city hospitals in large cities,
public health clinics, and community health centers can be
accessed by the uninsured in areas where such services are
available (social justice)
10. What main roles does the gov't play in the US health care
system? Correct Answers a. The gov't maintains/enhances
existing benefits for those covered under public insurance
programs and simultaneously contain the cost of providing these
benefits
11. Describe how health care is rationed in the market justice
and social justice systems. Correct Answers a. In the market
justice system, healthcare services are rationed through prices
and the ability to pay (ex: demand-side rationing, or price-
,rationing). Under social justice, the government makes attempts,
to limit the supply of healthcare services (planned rationing,
supply-side rationing, or non-price rationing).
11. Why is it important for health care managers and policy
makers to understand the intricacies of the health
care delivery system? Correct Answers a. Their decision and
actions affect the efficiency and quality of services delivered
12. To what extent do you think the objectives set forth in
Healthy People initiatives can achieve the vision of an
integrated approach to health delivery in the US? Correct
Answers a. For an integrated approach to become reality,
resource limitations make it necessary to deploy the best
American ingenuity toward health-spending reduction,
elimination of wasteful care, promotion of individual
responsibility and accountability for one's health, and improved
access to basic services. An integrated approach also
necessitates creation of a new model for training health care
professionals by
forming partnerships with the community.
12. What is the difference between national health insurance
(NHI) and national health system (NHS)? Correct Answers a.
National health insurance: a tax-supported national health care
program where services are financed by the gov't but are
rendered by providers (Canada)
b. National health system: a tax-supported national health care
program that the gov't finances and also controls the service
infrastructure (Great Britain)
, 13. What are the major differences of Healthy People 2020 and
from the previous Healthy People initiatives? Correct Answers
a. Healthy People 2020 is differentiated from previous Healthy
People initiatives by including multiple new topic areas to its
objective list, such as adolescent health, genomics, global health,
health communication and health information technology, and
social determinants of health.
13. What is socialized health insurance (SHI)? Correct Answers
a. Health care that is financed through gov't-mandated
contributions by employers and employees and is delivered by
private providers (Germany, Israel, and Japan)
14. How can heath care administrators and policymakers use the
various measures of health status and service
utilization? Correct Answers a. Quantified measures of health
status and utilization can be used by managers and policymakers
to evaluate the adequacy and effectiveness of existing programs,
plan new strategies, measure progress, and discontinue
ineffective services
14. What is the ACA and its main role? Correct Answers a.
Affordable Care Act started out when insurance companies were
mandated to start covering children and young adults below the
age of 26 under their parents' insurance plans and requires that
all US citizens and legal residents must be covered by either
private or public insurance
b. Individuals without private or public health insurance must
obtain health insurance from participating insurance companies
