THEORIES AND MODELS IN HEALTH CARE
COMPREHENSIVE EXAMINATION TEST 2026
QUESTIONS WITH ANSWERS 100% CORRECT
◉ What is the difference between health insurance and out-of-
pocket payment? Answer: Health insurance shifts the risk of
incurring losses to the insurer.
◉ What is cost sharing in health insurance? Answer: Provisions that
allow insurers to limit payouts and charge lower premiums.
◉ What is a deductible in health insurance? Answer: An amount that
the insured must pay before the insurer begins to pay.
◉ What is catastrophic insurance? Answer: Insurance that covers
extreme healthcare expenses after a certain threshold.
◉ How does coinsurance work in health insurance? Answer: It is the
portion of costs that the insured pays for each service received.
,◉ What is the relationship between health insurance and access to
healthcare? Answer: Having insurance does not guarantee access to
healthcare due to cost-sharing.
◉ What is the definition of health according to the World Health
Organization? Answer: A complete state of physical, mental, and
social well-being, not merely the absence of disease.
◉ How was health traditionally measured? Answer: By the presence
of disease (morbidity) or by death (mortality).
◉ What is premature mortality? Answer: The difference between
expected age of death and actual age of death.
◉ What are some characteristics of a healthy person? Answer:
Physical functioning, ability to perform tasks, and emotional/social
role functioning.
◉ What is a common population health measure? Answer: Mortality
rates, standardized by age and/or gender.
◉ What is the significance of premature deaths in health analysis?
Answer: They are considered one of the best population-based
indicators of health.
,◉ What is the main goal of the discussed book on healthcare
economics? Answer: To show that economics can provide insights
into human behavior and healthcare issues.
◉ How does spending other people's money affect healthcare
spending behavior? Answer: People show little concern over how it
is spent compared to spending their own money.
◉ What is the impact of escalating costs in the healthcare system?
Answer: It highlights the importance of economics in understanding
healthcare issues.
◉ What is managed care? Answer: A system that integrates the
financing and delivery of healthcare services.
◉ What is risk sharing in health insurance? Answer: The process of
distributing the financial risk of healthcare costs among insurers
and insured.
◉ What challenges exist in defining health status? Answer: Lack of
precise definitions leads to differing opinions on health
comparisons.
, ◉ What is the role of economic analysis in healthcare? Answer: To
evaluate individual choice behavior and address market failures in
healthcare.
◉ What is the effect of cost-sharing arrangements on insured
individuals? Answer: They may still face substantial medical risks
despite having insurance.
◉ What happens when there is a complete absence of cost sharing?
Answer: It can lead to market problems and increased premiums
due to higher demand for care.
◉ What is the significance of understanding health economics for
clinicians and policymakers? Answer: It enables them to shape the
debate on the future of the healthcare system.
◉ What is the primary function of economics in health policy?
Answer: To offer a framework for studying individual decision
making and improving resource allocation.
◉ What do health economists examine? Answer: They examine
issues related to health production, the market for health care, and
micro-evaluation of interventions.