PM 508 Final Study Questions and All
Correct Answers.
Compare U.S. health care spending to other developed countries, such as Canada, Germany,
and France. - Answer -US Spending is 193% of the per capita; much higher than other
countries.
-Healthcare = 18% of US GDP
What advancement does the U.S. show in health care compared to other developed countries?
- Answer -tech advancements
-but also higher rates of cancer
What factors account for higher health care spending in the U.S. compared to other developed
countries? Describe in terms of: Prices? Utilization? More money to spend? Sicker population? -
Answer -Prices → likely that higher prices = higher spending
-Utilization → US does not have greater utilization of the HC system than other countries
-More money to spend→ higher prices of healthcare (hospital services) than the median; 64%
higher. Also more technology can lead to higher costs
-Sicker population→ rise in chronic diseases accounts for over 75% of healthcare spending,
however no definitive evidence that US pop is older and sicker
Is quality of care better in the U.S than other developed countries? Explain. - Answer -No;
low life expectancy, high infant mortality rate, increased obesity prevalence, increased mortality
due to respiratory and cardiovasc diseases
-Life expectancy at birth for US = 4th lowest at age 78; developed countries have age 80 (Germ,
Canada, UK, France)
-High infant death rates in the US
-Greatest obesity prevalence
-Greatest years of life lost due to resp system and circulatory system diseases
-Third highest mortality after admission for a mild heart attack
-99 potential years of life lost bc of diabetes, next highest = netherlands at 64
-US = better than canada for flu vaccine sin 65+ pop
-Overall lowest ranking of quality of care compared to other developed countries
-US has a greater 5yr survival rate for breast and colorectal cancer
-Primary care sector = US has highest COPD and asthma
What factors may contribute to poorer outcomes in the U.S.? - Answer -Fragmentation of
care
, -Low utilization of HC system
Why is it difficult to determine and measure quality in health care? What are some limitations
to the current way we measure quality? - Answer -Subjective
-People are different
-Standards change over time
-Variation in reporting
What are the 6 dimensions of health care quality according to the 2001 IOM report? - Answer
-Safe
-Effective
-Patient centered
-Timely
-Efficient
-Equitable
The IOM report, Crossing the Quality Chasm, identified three types of quality problems:
overuse, underuse, and misuse. What do these mean in health care? - Answer -overuse =
when treatment/resource is given without medical justification. note that more does not always
equal better
-underuse = failure to provide services from which the patient would likely benefit
-misuse = when patient doesn't fully benefit from a treatment because of a preventable
problem
What measurement tools are used to assess quality? (e.g. surveys and data sources) What
outcomes are used to assess quality? - Answer -Self reported administrative data →
administrative data is established for other purposes and not necessarily for quality but can be
used for quality assessments
-Established registries → cancer, tumor, arthritis, diabetes, heart disease,
-Disease registries → list a lot of ppl with a condition and it includes information about the
things that the pt needs, whether it's follow-up appts or x-ray
-Chart review → you can open chart to learn stuff abt their care in the facility
-Pt surveys
-Health importance
-Applicability to measuring the equitable distribution of healthcare
-Potential for improvement → related to that is susceptibility to be influenced by the healthcare
system
-Feasibility
Correct Answers.
Compare U.S. health care spending to other developed countries, such as Canada, Germany,
and France. - Answer -US Spending is 193% of the per capita; much higher than other
countries.
-Healthcare = 18% of US GDP
What advancement does the U.S. show in health care compared to other developed countries?
- Answer -tech advancements
-but also higher rates of cancer
What factors account for higher health care spending in the U.S. compared to other developed
countries? Describe in terms of: Prices? Utilization? More money to spend? Sicker population? -
Answer -Prices → likely that higher prices = higher spending
-Utilization → US does not have greater utilization of the HC system than other countries
-More money to spend→ higher prices of healthcare (hospital services) than the median; 64%
higher. Also more technology can lead to higher costs
-Sicker population→ rise in chronic diseases accounts for over 75% of healthcare spending,
however no definitive evidence that US pop is older and sicker
Is quality of care better in the U.S than other developed countries? Explain. - Answer -No;
low life expectancy, high infant mortality rate, increased obesity prevalence, increased mortality
due to respiratory and cardiovasc diseases
-Life expectancy at birth for US = 4th lowest at age 78; developed countries have age 80 (Germ,
Canada, UK, France)
-High infant death rates in the US
-Greatest obesity prevalence
-Greatest years of life lost due to resp system and circulatory system diseases
-Third highest mortality after admission for a mild heart attack
-99 potential years of life lost bc of diabetes, next highest = netherlands at 64
-US = better than canada for flu vaccine sin 65+ pop
-Overall lowest ranking of quality of care compared to other developed countries
-US has a greater 5yr survival rate for breast and colorectal cancer
-Primary care sector = US has highest COPD and asthma
What factors may contribute to poorer outcomes in the U.S.? - Answer -Fragmentation of
care
, -Low utilization of HC system
Why is it difficult to determine and measure quality in health care? What are some limitations
to the current way we measure quality? - Answer -Subjective
-People are different
-Standards change over time
-Variation in reporting
What are the 6 dimensions of health care quality according to the 2001 IOM report? - Answer
-Safe
-Effective
-Patient centered
-Timely
-Efficient
-Equitable
The IOM report, Crossing the Quality Chasm, identified three types of quality problems:
overuse, underuse, and misuse. What do these mean in health care? - Answer -overuse =
when treatment/resource is given without medical justification. note that more does not always
equal better
-underuse = failure to provide services from which the patient would likely benefit
-misuse = when patient doesn't fully benefit from a treatment because of a preventable
problem
What measurement tools are used to assess quality? (e.g. surveys and data sources) What
outcomes are used to assess quality? - Answer -Self reported administrative data →
administrative data is established for other purposes and not necessarily for quality but can be
used for quality assessments
-Established registries → cancer, tumor, arthritis, diabetes, heart disease,
-Disease registries → list a lot of ppl with a condition and it includes information about the
things that the pt needs, whether it's follow-up appts or x-ray
-Chart review → you can open chart to learn stuff abt their care in the facility
-Pt surveys
-Health importance
-Applicability to measuring the equitable distribution of healthcare
-Potential for improvement → related to that is susceptibility to be influenced by the healthcare
system
-Feasibility
