Chapter 05: Economics of Health Care Delivery (Stanhope: Public Health Nursing, 8th Ed)
A characterization of the fourth developmental stage of the health services delivery framework is: a. Nurses in the United States being predominantly women b. The expansion of the number and type of health care facilities c. Dependence on technology for patient care d. The discovery and development of pharmacological advances - ANS: C Nurses have become dependent on technologies to monitor client progress, make decisions about care, and deliver care in innovative ways. A Medicare recipient has elected to pay a monthly premium for Medicare that will cover expenses, such as laboratory services and equipment. This part of Medicare is called Medicare Part: a. A b. B c. C d. D - ANS: B Medicare Part B is a supplemental (voluntary) program; it provides coverage for services that are not covered by Part A, such as laboratory services, ambulance transportation, prostheses, equipment, and some supplies. A person with end-stage kidney failure who is on dialysis is eligible for: a. Medicaid b. Blue Cross c. Medicare d. HMO - ANS: C Medicare is available to anyone on dialysis regardless of age. A physician receives a set amount of money to provide care to a given group of clients for a set period of time. This is an example of: a. Retrospective reimbursement b. Prospective reimbursement c. Fee-for-service d. Capitation - ANS: D Capitation describes the practice of paying physicians and other practitioners a set amount to provide care to a given client or group of clients for a set period of time and
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chapter 05