US Health Care Systems Exam 1
Questions and Correct Answers
Already Passed
The most significant health care advances of the first half of the 20th century were in the
area of: - Answer-development of vaccines and antibiotics to prevent and control
infectious diseases
The Oregon Death with Dignity Act was a response to which of the following? - Answer-
public and professional concerns about painful and demeaning terminal medical care
In its early origins in colonial America, the patient/physician relationship can be best
characterized as: - Answer-Personal, confidential and simple with payments based on
patients' financial capacity
As early as the 19th century some Americans carried "health insurance" through
employers, fraternal orders, guilds, trade associations, unions or commercial insurance
companies. However unlike health insurance of today, these insurance policies only
provided for: - Answer-Fixed payments to compensate for lost wages due to injury,
sickness or disability
A central provision of the ACA to assure health care coverage for most Americans is: -
Answer-the individual mandate
The Medicaid program has a history of very low reimbursement as compared with
Medicare reimbursement; critics site low Medicaid reimbursement as a major reason
that primary care doctors have rejected serving the Medicaid population. An ACA
provision addresses this issue by: - Answer-Reimbursing states for primary care
physician fees for Medicaid patients at no less than 100% of Medicare payment rates
The explosion of science and technology in the 1970s resulted in which of the
following? - Answer-A. Encouragement for physicians' specialization
B. Higher costs of health care
C. Medical school efforts to attract more students to primary care
*D. All of the above*
Establishment of the Office of the National Coordinator for Health Information
Technology in 2004 was the federal government's first step toward creating: - Answer-a
nationwide health network
, The central provision of the HITECH Act of 2009 was: - Answer-$ 20.8 billion allocation
through the Medicare and Medicaid programs to incentivize physicians and health care
organizations to adopt electronic health records
A major challenge of creating health information systems using data from many different
sources is the feature known as "interoperability." The solution applied to achieving
interoperability has been the development of: - Answer-health information exchanges
(HIEs)
The federated model of health information exchange architecture is best described as a
model in which: - Answer-data resides only within each institution's system and the
health information exchange data base houses only a master patient index with unique
patient identifiers.
Of the levels of prevention associated with the natural history of disease, primary
prevention refers to: - Answer-D. Health promotion and specific protection
Americans spend billions of dollars each year on alternative and complementary
therapies. This trend has caused: - Answer-C. many private insurers and Medicare and
Medicaid to provide benefit coverage for certain treatments.
The service priorities of the US health care system reflect America's fascination with
dramatic high-tech medicine. As a result: - Answer-A. little of the health care dollar is
spent on prevention.
B. the US system is the most expensive in the world.
C. the US has the world's most advanced medical capability.
D. all of the above
Long term care needs of older, chronically ill Americans pose a particular delivery
system challenge because: - Answer-Neither Medicare nor private insurance support
ongoing, non-acute services.
The trio of persistent concerns about the health care system are: - Answer-Access,
quality, and cost
In the past, patient behaviors within the health care delivery system were formed from
the authoritarian positions of better-educated providers who expected patients to be
compliant and grateful. Today, health care providers and consumers - Answer-
encourage more proactive roles for patients' participation in health care decisions with
"shared decision-making
The U.S. healthcare delivery system has numerous stakeholders. In terms of financial
power, control of delivery system parameters for the majority of Americans and
Questions and Correct Answers
Already Passed
The most significant health care advances of the first half of the 20th century were in the
area of: - Answer-development of vaccines and antibiotics to prevent and control
infectious diseases
The Oregon Death with Dignity Act was a response to which of the following? - Answer-
public and professional concerns about painful and demeaning terminal medical care
In its early origins in colonial America, the patient/physician relationship can be best
characterized as: - Answer-Personal, confidential and simple with payments based on
patients' financial capacity
As early as the 19th century some Americans carried "health insurance" through
employers, fraternal orders, guilds, trade associations, unions or commercial insurance
companies. However unlike health insurance of today, these insurance policies only
provided for: - Answer-Fixed payments to compensate for lost wages due to injury,
sickness or disability
A central provision of the ACA to assure health care coverage for most Americans is: -
Answer-the individual mandate
The Medicaid program has a history of very low reimbursement as compared with
Medicare reimbursement; critics site low Medicaid reimbursement as a major reason
that primary care doctors have rejected serving the Medicaid population. An ACA
provision addresses this issue by: - Answer-Reimbursing states for primary care
physician fees for Medicaid patients at no less than 100% of Medicare payment rates
The explosion of science and technology in the 1970s resulted in which of the
following? - Answer-A. Encouragement for physicians' specialization
B. Higher costs of health care
C. Medical school efforts to attract more students to primary care
*D. All of the above*
Establishment of the Office of the National Coordinator for Health Information
Technology in 2004 was the federal government's first step toward creating: - Answer-a
nationwide health network
, The central provision of the HITECH Act of 2009 was: - Answer-$ 20.8 billion allocation
through the Medicare and Medicaid programs to incentivize physicians and health care
organizations to adopt electronic health records
A major challenge of creating health information systems using data from many different
sources is the feature known as "interoperability." The solution applied to achieving
interoperability has been the development of: - Answer-health information exchanges
(HIEs)
The federated model of health information exchange architecture is best described as a
model in which: - Answer-data resides only within each institution's system and the
health information exchange data base houses only a master patient index with unique
patient identifiers.
Of the levels of prevention associated with the natural history of disease, primary
prevention refers to: - Answer-D. Health promotion and specific protection
Americans spend billions of dollars each year on alternative and complementary
therapies. This trend has caused: - Answer-C. many private insurers and Medicare and
Medicaid to provide benefit coverage for certain treatments.
The service priorities of the US health care system reflect America's fascination with
dramatic high-tech medicine. As a result: - Answer-A. little of the health care dollar is
spent on prevention.
B. the US system is the most expensive in the world.
C. the US has the world's most advanced medical capability.
D. all of the above
Long term care needs of older, chronically ill Americans pose a particular delivery
system challenge because: - Answer-Neither Medicare nor private insurance support
ongoing, non-acute services.
The trio of persistent concerns about the health care system are: - Answer-Access,
quality, and cost
In the past, patient behaviors within the health care delivery system were formed from
the authoritarian positions of better-educated providers who expected patients to be
compliant and grateful. Today, health care providers and consumers - Answer-
encourage more proactive roles for patients' participation in health care decisions with
"shared decision-making
The U.S. healthcare delivery system has numerous stakeholders. In terms of financial
power, control of delivery system parameters for the majority of Americans and
