PM 508 Health Services Delivery Final
Exam with Complete Solutions.
Compare U.S. health care spending to other developed countries, such as Canada, Germany,
and France. - Answer Th US spending is 193% of the per capita.
It is much higher than other countries.
What factors account for the higher health care spending in U.S. compared to other developed
countries? Describe in terms of: Prices? Utilization? More money to spend? Sicker population? -
Answer There is a rise in chronic diseases which accounts for over 75% of healthcare
spending.
Compared to other countries, the US does not have a greater utilization of the health care
system.
The average annual number of physician visits per capita is the second lowest in the US.
There are more new technologies developed. The US is quickly adopting technology such as
new medical technology and prescription drugs.
The US uses more MRIs compared to Italy, Switz, Germany.
The US also has higher prices of health care (hospital services), it is 64% higher than the
median.
What advancement does U.S. show in health care compared to other developed countries? -
Answer There is advancement in technology. They also have a higher cancer rates
Is quality of care better in U.S than other developed countries? Explain. - Answer No the
overall quality of care is not better in the US than other developed countries.
Low life expectancy, high infant mortality rate, increased prevalence of obesity, increase
mortality due to respiratory and CV disease.
The life expectancy at birth for the US is the fourth lowest life expectancy of 78 whereas other
developed countries such as Germany, Canada, UK, and France have a life expectancy of at least
80. The US also has the highest infant death rates compared to other countries. The US also has
the greatest prevalence of obesity compared to Australia, Canada, UK and Germany.
The united states also has the greatest years of life lost due to respiratory system and
circulatory system diseases compared the UK, Germany, and France.
, The US also has the third highest mortality after admission for a mild heart attack
The US has 99 potential years of life lost because of diabetes (99) whereas the next highest is
64 in the Netherlands.
The US is better than canada for flu vaccines over the age of 65.
Overall, the US has the lowest ranking of quality of care compared to other developed
countries.
Compared to other countries, the US has a greater 5 year survival rate for breast and colorectal
cancer.
The primary care sector, compared to the other countries, the US has the highest COPD and
Asthma hospital admission rates.
What factors may contribute to poorer outcomes in the U.S.? - Answer fragmentation of care
-low utilization of health care system
What are some factors that contribute to poor quality of health care? - Answer - Consumer
ignorance
○ Consumers do not have same level of knowledge about health care so they would have a
difficult time differentiating quality from not quality and whether it's a choice of medicine to
take or the kind of procedure, the kind of doctor
- Technological changes and need for better information systems to better educate providers
and outmoded specialties and technology benefits
○ Explosion of new technology, medications, procedures, devices
○ Tech leads to improvement in quality and efficiency
○ No good system for translating all of the new tech to the bedside and to the patient care
system
§ Changes occur quickly, there is not good systems to exchange info, to help improve the
quality of care
- Administrative pricing
○ Pay physicians divorced from any sense of quality of care. People are paid for providing care
not for doing things that will improve the health of the patient or improving quality.
- Difficulties in measurement
There aren't good ways of measuring quality
Exam with Complete Solutions.
Compare U.S. health care spending to other developed countries, such as Canada, Germany,
and France. - Answer Th US spending is 193% of the per capita.
It is much higher than other countries.
What factors account for the higher health care spending in U.S. compared to other developed
countries? Describe in terms of: Prices? Utilization? More money to spend? Sicker population? -
Answer There is a rise in chronic diseases which accounts for over 75% of healthcare
spending.
Compared to other countries, the US does not have a greater utilization of the health care
system.
The average annual number of physician visits per capita is the second lowest in the US.
There are more new technologies developed. The US is quickly adopting technology such as
new medical technology and prescription drugs.
The US uses more MRIs compared to Italy, Switz, Germany.
The US also has higher prices of health care (hospital services), it is 64% higher than the
median.
What advancement does U.S. show in health care compared to other developed countries? -
Answer There is advancement in technology. They also have a higher cancer rates
Is quality of care better in U.S than other developed countries? Explain. - Answer No the
overall quality of care is not better in the US than other developed countries.
Low life expectancy, high infant mortality rate, increased prevalence of obesity, increase
mortality due to respiratory and CV disease.
The life expectancy at birth for the US is the fourth lowest life expectancy of 78 whereas other
developed countries such as Germany, Canada, UK, and France have a life expectancy of at least
80. The US also has the highest infant death rates compared to other countries. The US also has
the greatest prevalence of obesity compared to Australia, Canada, UK and Germany.
The united states also has the greatest years of life lost due to respiratory system and
circulatory system diseases compared the UK, Germany, and France.
, The US also has the third highest mortality after admission for a mild heart attack
The US has 99 potential years of life lost because of diabetes (99) whereas the next highest is
64 in the Netherlands.
The US is better than canada for flu vaccines over the age of 65.
Overall, the US has the lowest ranking of quality of care compared to other developed
countries.
Compared to other countries, the US has a greater 5 year survival rate for breast and colorectal
cancer.
The primary care sector, compared to the other countries, the US has the highest COPD and
Asthma hospital admission rates.
What factors may contribute to poorer outcomes in the U.S.? - Answer fragmentation of care
-low utilization of health care system
What are some factors that contribute to poor quality of health care? - Answer - Consumer
ignorance
○ Consumers do not have same level of knowledge about health care so they would have a
difficult time differentiating quality from not quality and whether it's a choice of medicine to
take or the kind of procedure, the kind of doctor
- Technological changes and need for better information systems to better educate providers
and outmoded specialties and technology benefits
○ Explosion of new technology, medications, procedures, devices
○ Tech leads to improvement in quality and efficiency
○ No good system for translating all of the new tech to the bedside and to the patient care
system
§ Changes occur quickly, there is not good systems to exchange info, to help improve the
quality of care
- Administrative pricing
○ Pay physicians divorced from any sense of quality of care. People are paid for providing care
not for doing things that will improve the health of the patient or improving quality.
- Difficulties in measurement
There aren't good ways of measuring quality
