EXAM 3 QUESTIONS AND DETAILED
CORRECT ANSWERS; A+ GRADE
(NHEA) - correct answer- National Health Expenditure
Accounts
90% of americans have 1 risk factor - correct answer-
52% have 2 or more highest proportion in impoverished and
racial/ethnic minorities.
90% of NHE are used for? - correct answer- chronic
diseases (most preventable of all health conditions) and mental
health diseases
ACA- passed by Democrats or Republicans in Congress? -
correct answer- Supported mostly by Democrats, who
tend to favor the public goods view, and thus, focused the ACA
on achieving universal access to health care.
According to the Committee on the Quality of health Care in
America, Institute of Medicine (IOM), 2001 - correct
answer- As medical science and technology have advanced
,at a rapid pace, the health care delivery system have floundered
in its ability to provide consistently high-quality care to all
Americans.
According to U.S. Bipartisan Commission on Comprehensive
Health Care, 1990 - correct answer- Gap is widening
between the majority of Americans, who can take advantage of
the best medical services in the worlds and the rest, who find it
hard to get even basic needed care
Accrediting Private, Non profit organizations - correct
answer- The joint commission (TJC)
National Committee for Quality Assurance (NCQA)
Adverse selection - correct answer- the sicker people
likely want more insurance (the healthier the less)
Age-adjusted mortality rate? - correct answer- Takes into
account the population's age distribution when calculating
mortality rate. Uses a statistical method that "standardizes" the
target population to a reference population. Commonly used
when comparing mortality rates across different populations.
,Are employed doctors more motivated than independent
practitioners? Why so? - correct answer- Employed
doctors are easier to motivate than independent practitioners
Physicians identify themselves as "doctor" with a higher level of
intensity than "your employee"
Are healthcare professionals responsible for system
performance? - correct answer- health care
professionals increasingly contribute—in big or small ways—to
the process of assessing and improving system performance.
Are medical professionals part of a "mobile labor market", Why
or why not - correct answer- no. Professionals as a labor
force don't tend to be mobile which means regional variations in
the "price" paid to labor will often persist and be skewed out of
proportion because professional labor won't always move to fill
in a shortage (extra demand) or a surplus (over supply) when
one occurs.
Are medical professionals part of a "mobile labor market"? Why
or why not? - correct answer- Professionals as a labor
force don't tend to be mobile (in fact, most labor in the US has
lost its "mobility" for a variety of reasons) which means regional
variations in the "price" paid to labor will often persist and be
, skewed out of proportion because professional labor won't
always move to fill in a shortage or a surplus when one occurs.
Are professionals impacted by the assessments? - correct
answer- they are greatly affected by the results of assessing
health system performance.
Atul Gawande - correct answer- "Finding the balance is
not a matter of achieving policy perfection; whatever program
we devise, some people will put in more and some will take out
more. Progress ultimately depends on whether we can build and
sustain the belief that collective action genuinely results in
collective benefit. No policy will be possible otherwise"
Average training time from high school graduation - correct
answer- Primary care physician (internship/FP): 13 yrs
Pediatrician: 13 yrs
Ob/Gyn: 14 yrs
Neonatologist: 16 yrs
General Surgeon: 15 yrs
Plastic Surgeon: 17 yrs
Cardiologist: 16 yrs
Heart Surgeon: 18 yrs