1
Business of Medicine Exam Questions with Answers
(100% Correct Answers)
Models of healthcare are determined by: Answer: -Levels of care
(primary, secondary, tertiary)
-Regionalized vs. Dispursed
Primary: Level of Care (model of healthcare) Answer: Common health
problems and preventative measures
- Account for 80-90% of visits to physician or caregiver
Ex) sore throat, HTN, vaccinations
Secondary: Level of Care (model of healthcare) Answer: Problems that
require more specialized clinical expertise
Ex) Hospital care for renal failure
Tertiary: Level of Care (model of healthcare) Answer: at apex of
organizational pyramid.
- Management of RARE and COMPLEX DISORDERS
Ex) pituitary tumor
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,2
Regionalized (model of healthcare) Answer: · Dawson Model- the
organization and coordination of all health resources and services
within a defined area
· Different types of personnel and facilities are assigned to either be at
the Primary, Secondary or Tertiary levels. Flow is orderly add
regulated
· Emphasis on Primary Care
· Population-oriented framework for healthcare planning
· NHS and some large integrated delivery systems
·Ex) pt first seen by GP who may refer to specialist, pt does not refer
themselves directly to specialist
Dispersed (model of healthcare) Answer: · More FLUID ROLES for
caregivers
· More free-flowing movement of patients across all levels of care
· Places higher value on services at tertiary care than PCP
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· US healthcare as a whole
·Ex) pt can refer themselves to several different specialist's w/o needed
to seek care of PCP, use ER more frequently
Function of primary care in the delivery of health care: Answer: Key
tasks of PCP
· First contact care- performs initial evaluations
· Longitudinally- sustaining patient-caregiver relationship over time
· Comprehensiveness- manages a wide range of healthcare needs.
· Coordination- Builds up longevity, integration of other caregivers
through referral and follow-up
ER can provide first contact but do not provide continuity of care or
coordinate care for patients on an ongoing basis
"triple aim" of healthcare improvement Answer: · Better patient
experience
· Better patient outcomes
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, 4
·Lower cost
Given a scenario, apply the concept of "gatekeeper" in the delivery of
health care Answer: · PCP's help patients navigate the healthcare
system, coordinating care with different specialists.
·Ex) patient has been seeing several specialists for nausea, many tests
and visits go by, patient still has nausea. Patient sees PCP who is able
to spend more time with patient discussing medications, determines it
could be do to a combination of a cancer drug and advil. Coordinates
w/oncologist to stop taking medicine for a week, nausea resolves, able
to taper back onto medication eventually with resolution in problem.
Explain the purpose of the patient-centered medical home Answer:
Care delivery model where the patient treatment is coordinated
through there PCP to ensure they receive necessary care when and
where they need it.
Providers (health departments) Answer: · "core of industry" Directly
affect outcome of provided service
·Responsible for quality and cost of HC system
© 2025 All rights reserved
Business of Medicine Exam Questions with Answers
(100% Correct Answers)
Models of healthcare are determined by: Answer: -Levels of care
(primary, secondary, tertiary)
-Regionalized vs. Dispursed
Primary: Level of Care (model of healthcare) Answer: Common health
problems and preventative measures
- Account for 80-90% of visits to physician or caregiver
Ex) sore throat, HTN, vaccinations
Secondary: Level of Care (model of healthcare) Answer: Problems that
require more specialized clinical expertise
Ex) Hospital care for renal failure
Tertiary: Level of Care (model of healthcare) Answer: at apex of
organizational pyramid.
- Management of RARE and COMPLEX DISORDERS
Ex) pituitary tumor
© 2025 All rights reserved
,2
Regionalized (model of healthcare) Answer: · Dawson Model- the
organization and coordination of all health resources and services
within a defined area
· Different types of personnel and facilities are assigned to either be at
the Primary, Secondary or Tertiary levels. Flow is orderly add
regulated
· Emphasis on Primary Care
· Population-oriented framework for healthcare planning
· NHS and some large integrated delivery systems
·Ex) pt first seen by GP who may refer to specialist, pt does not refer
themselves directly to specialist
Dispersed (model of healthcare) Answer: · More FLUID ROLES for
caregivers
· More free-flowing movement of patients across all levels of care
· Places higher value on services at tertiary care than PCP
© 2025 All rights reserved
,3
· US healthcare as a whole
·Ex) pt can refer themselves to several different specialist's w/o needed
to seek care of PCP, use ER more frequently
Function of primary care in the delivery of health care: Answer: Key
tasks of PCP
· First contact care- performs initial evaluations
· Longitudinally- sustaining patient-caregiver relationship over time
· Comprehensiveness- manages a wide range of healthcare needs.
· Coordination- Builds up longevity, integration of other caregivers
through referral and follow-up
ER can provide first contact but do not provide continuity of care or
coordinate care for patients on an ongoing basis
"triple aim" of healthcare improvement Answer: · Better patient
experience
· Better patient outcomes
© 2025 All rights reserved
, 4
·Lower cost
Given a scenario, apply the concept of "gatekeeper" in the delivery of
health care Answer: · PCP's help patients navigate the healthcare
system, coordinating care with different specialists.
·Ex) patient has been seeing several specialists for nausea, many tests
and visits go by, patient still has nausea. Patient sees PCP who is able
to spend more time with patient discussing medications, determines it
could be do to a combination of a cancer drug and advil. Coordinates
w/oncologist to stop taking medicine for a week, nausea resolves, able
to taper back onto medication eventually with resolution in problem.
Explain the purpose of the patient-centered medical home Answer:
Care delivery model where the patient treatment is coordinated
through there PCP to ensure they receive necessary care when and
where they need it.
Providers (health departments) Answer: · "core of industry" Directly
affect outcome of provided service
·Responsible for quality and cost of HC system
© 2025 All rights reserved
