Page | 1
U.S. Health Care Systems Final Questions and
Answers (Expert Solutions)
Q: What was the first major stage of the hospital evolution?
ANS 🗹🗹: Almshouses
Q: When did hospitals begin to attract well-to-do patients who could afford to pay
privately?
ANS 🗹🗹: When hospitals offered superior medical services and surgical
procedures that could not be offered at home.
Q: Who opened the first proprietary hospitals?
ANS 🗹🗹: Physicians
Q: What contributed to the growth of hospitals from 1930-1980?
ANS 🗹🗹: Hill-Burton Act, Health Insurance, Technological advances
Q: What were the main factors in the growth of hospitals in the United States?
ANS 🗹🗹: Hill- Burton Act, private insurance, Medicare and Medicaid
Q: What is credited with having the greatest impact on the expansion of hospital beds in
the U.S.?
ANS 🗹🗹: Hill-Burton
Q: What triggered the downsizing phase in the U.S. hospital industry during the 1980's?
ANS 🗹🗹: Prospective Payment System
Q: DRG-based reimbursement necessitated hospitals to do what?
ANS 🗹🗹: Discharge patients quicker than before
, Page | 2
Q: What are 'days of care'?
ANS 🗹🗹: The total number of patient days
Q: T or F: 19th century almshouses provided mainly rehabilitation services
ANS 🗹🗹: False
Q: T or F: PPS and managed care had the desired effect of reducing the growth in
hospital expenditures.
ANS 🗹🗹: True
Q: T or F: Women are admitted to hospitals more often than men even after adjusting
for childbearing
ANS 🗹🗹: True
Q: T or F: Federal hospitals are classified as public hospitals, but they are not community
hospitals because they do not serve the general public.
ANS 🗹🗹: True
Q: T or F: The Internal Revenue Code forbids nonprofit hospitals to make a profit.
ANS 🗹🗹: False
Q: T or F: Compared to general hospitals, speciality hospitals offer services that are
clinically superior.
ANS 🗹🗹: False
Q: T or F: Most mental health care in the United States is delivered in psychiatric
hospitals
ANS 🗹🗹: False
Q: T or F: To refuse treatment is one of the basic rights of patients.
ANS 🗹🗹: True
Q: What type of reimbursement method involves a fixed monthly sum per enrollee?
U.S. Health Care Systems Final Questions and
Answers (Expert Solutions)
Q: What was the first major stage of the hospital evolution?
ANS 🗹🗹: Almshouses
Q: When did hospitals begin to attract well-to-do patients who could afford to pay
privately?
ANS 🗹🗹: When hospitals offered superior medical services and surgical
procedures that could not be offered at home.
Q: Who opened the first proprietary hospitals?
ANS 🗹🗹: Physicians
Q: What contributed to the growth of hospitals from 1930-1980?
ANS 🗹🗹: Hill-Burton Act, Health Insurance, Technological advances
Q: What were the main factors in the growth of hospitals in the United States?
ANS 🗹🗹: Hill- Burton Act, private insurance, Medicare and Medicaid
Q: What is credited with having the greatest impact on the expansion of hospital beds in
the U.S.?
ANS 🗹🗹: Hill-Burton
Q: What triggered the downsizing phase in the U.S. hospital industry during the 1980's?
ANS 🗹🗹: Prospective Payment System
Q: DRG-based reimbursement necessitated hospitals to do what?
ANS 🗹🗹: Discharge patients quicker than before
, Page | 2
Q: What are 'days of care'?
ANS 🗹🗹: The total number of patient days
Q: T or F: 19th century almshouses provided mainly rehabilitation services
ANS 🗹🗹: False
Q: T or F: PPS and managed care had the desired effect of reducing the growth in
hospital expenditures.
ANS 🗹🗹: True
Q: T or F: Women are admitted to hospitals more often than men even after adjusting
for childbearing
ANS 🗹🗹: True
Q: T or F: Federal hospitals are classified as public hospitals, but they are not community
hospitals because they do not serve the general public.
ANS 🗹🗹: True
Q: T or F: The Internal Revenue Code forbids nonprofit hospitals to make a profit.
ANS 🗹🗹: False
Q: T or F: Compared to general hospitals, speciality hospitals offer services that are
clinically superior.
ANS 🗹🗹: False
Q: T or F: Most mental health care in the United States is delivered in psychiatric
hospitals
ANS 🗹🗹: False
Q: T or F: To refuse treatment is one of the basic rights of patients.
ANS 🗹🗹: True
Q: What type of reimbursement method involves a fixed monthly sum per enrollee?