THEORIES AND MODELS IN HEALTH CARE
ACTUAL EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ What is a key characteristic of the U.S. healthcare system
regarding governance? Answer: There is no central governing
agency and little coordination.
◉ How is the delivery system of U.S. healthcare characterized?
Answer: It is technology-driven and focused on acute care.
◉ What is the cost versus outcome relationship in the U.S.
healthcare system? Answer: The system is high cost but yields only
average health outcomes.
◉ What market conditions exist in the U.S. healthcare system?
Answer: Healthcare is delivered under imperfect market conditions.
◉ What sector dominates the U.S. healthcare market? Answer: The
private sector is the dominant market.
,◉ What conflict exists within the U.S. healthcare system? Answer:
Market goals and social justice are often in conflict.
◉ What is a notable feature of organizational forms in the U.S.
healthcare system? Answer: There are multiple organizational forms
and players.
◉ What is a current quest within the U.S. healthcare system?
Answer: There is a quest for integration and accountability.
◉ What are the three broad issues concerning the U.S. healthcare
system? Answer: Cost, quality, and access.
◉ What trend is observed regarding private health insurance in the
U.S.? Answer: Private health insurance is declining while the number
of uninsured people is rising.
◉ What percentage of Americans are satisfied with their health
insurance quality? Answer: Over 80 percent of Americans report
satisfaction with the quality of their health insurance.
◉ What concern do many Americans have regarding serious illness?
Answer: About one-half are concerned they will not afford the
healthcare they need if seriously ill.
,◉ What do uninsured individuals rely on for healthcare? Answer:
They rely on public assistance and private charity for care.
◉ What happens to health insurance coverage when a worker loses
their job? Answer: Losing a job often means losing access to health
care.
◉ What are some proposed causes of the healthcare crisis? Answer:
Unrestrained use of technology, increased use of health insurance,
and tax subsidies encouraging over-insurance.
◉ How do uninsured individuals access healthcare services?
Answer: They have access to high-quality medical care through
public clinics and hospital emergency rooms.
◉ What is a challenge in measuring healthcare quality? Answer:
Quality is broad and elusive, making it difficult to choose specific
aspects to measure.
◉ What are two types of output comparisons in healthcare? Answer:
Time series comparisons and cross-sectional comparisons.
◉ What are the three sources from which healthcare output can be
measured? Answer: Providers, payers, and consumers.
, ◉ What is a more effective way to measure physician output?
Answer: Focusing on procedures or services rather than just visits.
◉ What does health insurance represent in the healthcare sector?
Answer: Risk shifting through the purchase of health insurance.
◉ What are the components of monetary losses associated with
illnesses? Answer: Income losses, healthcare expenses, and other
expenses.
◉ What is the projected healthcare spending as a percentage of GDP
by 2014? Answer: Forecasts suggest it will account for nearly one-
fifth of all U.S. economic activity.
◉ What was the healthcare spending in the U.S. in 1997? Answer:
Spending passed the $1 trillion mark.
◉ What is the expected healthcare spending percentage of GDP by
the middle of the 21st century? Answer: It could reach 33 percent of
GDP.
◉ What are the main components of losses in health insurance?
Answer: Income losses, healthcare expenses, and other expenses.