, TESTBANK FOR Jonas & Kovner’s Health Care
Delivery in the United States, 11th Edition
Knickman
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
,Test Bank for
HEALTH CARE
DELIVERY IN THE
UNITED STATES
Eleventh Edition
James R. Knickman, PhD
Anthony R. Kovner, PhD
Steven Jonas, MD, MPH, MS,
FNYAS
SPRINGER PUBLISHING COMPANY ISBN: 978-0-8261-7159-7
Contents
Chapter 1: The Challenge of Health Care Delivery and Health Policy 1
Chapter 2: A Visual Overview of Health Care Delivery in the United States 6
Chapter 3: Government and Health Insurance: The Policy Process 11
Chapter 4: Comparative Health Systems 16
Chapter 5: Population Health 22
Chapter 6: Public Health: A Transformation for the 21st Century 28
Chapter 7: Health and Behavior 34
Chapter 8: Vulnerable Populations: A Tale of Two Nations 40
Chapter 9: Organization of Care 46
,Chapter 10: The Health Workforce 52
Chapter 11: Health Care Financing 58
Chapter 12: Health Care Costs and Value 65
Chapter 13: High-Quality Health Care 71
Chapter 14: Managing and Governing Health Care Organizations 77
Chapter 15: Health Information Technology 83
Chapter 16: The Future of Health Care Delivery and Health Policy 89
Supplementary Chapter: Affordable Care Act 95
, CHAPTER 1
The Challenge of Health Care Delivery and Health Policy
MULTIPLE CHOICE
1. Which of the following terms is the most accurate in describing health care in the
United States?
A. System
B. Enterprise
C. Organization
D. Program
Answer: B
MULTIPLE RESPONSE
2. Which of the following are associated with public health, as opposed to health care?
Select all that apply.
A. Keeping people healthy
B. Restoring health once an illness has occurred
C. Protecting the environment
D. Making sure water supplies are safe
E. Ensuring that a community has a safe place for people to be physically active
Answer: A, C, D, E
3. Which of the following are defining characteristics of the U.S. health care system?
Select all that apply.
A. The dominant role of politicians in running the system
B. Outdated technology and lack of new drugs
C. Tension between the free market and government control
D. Dysfunctional financing and payment
Answer: C, D
4. In the United States, access to medical care and its associated outcomes depend on
which of the following characteristics of the individual? Select all that apply.
A. Income level
B. Race
C. Citizenship
D. Geographical location
E. Medical need
Answer: A, B, D
,MULTIPLE CHOICE
5. Problems of quality, cost, and access of health care in the Unites States are most
attributable to which of the following?
A. Government control
B. Outdated equipment
C. Lack of coordination within and among health care organizations
D. Inadequate training of health care professionals
Answer: C
6. Which group of stakeholders should be at the center of the health system?
A. Providers
B. Insurers
C. Public policy makers
D. Consumers
Answer: D
7. Which stakeholder in the U.S. health care system typically plays the role of
intermediary and referee for the other stakeholders?
A. Providers
B. Insurers
C. Public policy makers
D. Consumers
Answer: B
8. About what percentage of the U.S.’s economic resources are devoted to medical care
and health promotion?
A. 5%
B. 10%
C. 15%
D. 20%
Answer: D
9. A large health care system in the U.S. has established a program of tracking,
evaluating, addressing, and preventing medical errors by its providers. This measure is
most directly related to improving which aspect of the health care system?
A. Quality
B. Access
C. Cost
D. Coordination
Answer: A
10. Which stakeholder in the U.S. health care system is most likely to view the cost of
health insurance as a cost of doing business and a major factor affecting profitability?
A. Employers
B. Insurers
C. Public policy makers
, D. Consumers
Answer: A
MULTIPLE RESPONSE
11. Which of the following are policy issues related to health care that most elected
officials and civil servants agree on?
A. Slower inflation rates in the health sector
B. Universal health care coverage provided by the federal government
C. A requirement that all U.S. citizens must purchase health insurance
D. Use of state-of-the-art medical care and prevention interventions
E. Focus on the patient’s experience
Answer: A, D, E
MULTIPLE CHOICE
12. Despite passage of the Affordable Care Act, which of the following groups still lacks
insurance coverage, as a whole?
A. Inhabitants of large cities
B. Undocumented immigrants
C. Low-income residents
D. People with disabilities
Answer: B
13. Approximately what percentage of all jobs in the United States are in the health sector?
A. 3%
B. 5%
C. 13%
D. 15%
Answer: C
14. Which of the following is the primary desire of consumers as stakeholders in the U.S.
health care system?
A. Access to affordable and quality health care
B. Productivity in the workplace
C. Social goal of keeping people healthy
D. Lower costs for health care services
Answer: A
15. Why do many doctors refuse to see patients with Medicaid?
A. Racism
B. Low payment rates
C. Difficulty working with older patients
D. Health problems too severe
, Answer: B
SHORT ANSWER
16. What makes the health care system so important to life in the United States?
Answer: Our nation is built on the idea that society should assure an opportunity for
ìlife, liberty, and the pursuit of happiness,î as established in the Declaration of
Independence. The aspiration of assuring ìlifeî is the core goal of the health system.
It is obvious that nothing is possible for an individual without life, and most of us
would agree that health is among the core needs to live a vibrant, viable life. Good
health is essential to participate in the political and social system, to work to support
ourselves and our families, and to pursue happiness and a good life.
17. What are some reasons that improving quality of health care is a major concern in the
U.S.?
Answer: Reliable studies indicate that between 44,000 and 98,000 Americans die
each year because of medical errors. Other well-regarded studies show that fewer
than half of people with costly and debilitating mental health or substance abuse
problems, asthma, or diabetes receive care known to be effective.
18. Why is it important to encourage healthy behavior in Americans and how might this be
done?
Answer: Healthy behavior can help people avoid disease and injury or prevent
disease or injury from getting worse. For millions of Americans, leading healthy lives
is not of the highest priority. Changing health-related behavior is a difficult challenge,
but we need to identify effective prevention programs and ways to make our social
and built environments more encouraging of healthy choices.
19. What are some examples of how consumers can be influential stakeholders in the
U.S. health care system?
Answer: Consumers are influential stakeholders in many ways. For example, when
there is widespread dissatisfaction among consumers, change happens. Insurers
changed the rules of early managed care payment systems in the 1990s due to
consumer complaints. Similarly, a major federal program offering a new form of
catastrophic insurance to elders was repealed after sharp dissatisfaction among
seniors.
20. What is the difference between maintaining health and restoring it, and what are some
examples of each?
Answer: In recent years, we have begun to recognize the clear difference between
ìmaintaining healthî and ìrestoring healthî to a person who has a medical problem.
The medical care system clearly takes charge of restoring health when people are ill.
Often the medical care system takes charge of caring for people even if restoring
health is impossible; the goal may be to limit the spread of a medical problem, to
alleviate the symptoms of a medical problem, or to help a person cope with the pain
and suffering and loss of function when major medical problems emerge. Doctors,
,nurses, technicians of various types, hospitals, nursing homes, rehabilitation centers,
pharmaceutical companies, and medical device companies are among the actors
who engage in efforts to care for people when they have medical problems.
, CHAPTER 2
A Visual Overview of Health Care Delivery in the United
States
MULTIPLE CHOICE
1. The World Health Organization defines health as which of the following?
A. The absence of disease or infirmity
B. A condition of physical fitness in the absence of disease
C. A state of complete physical, mental, and social well-being
D. The ability to perform all activities of daily living
Answer: C
2. In 2011, the per capita health care spending in the United States was which of the
following, approximately?
A. $5,500
B. $6,500
C. $7,500
D. $8,500
Answer: D
3. Which of the following sources of health care funding has decreased significantly from
its level in 1970 to its level in 2012?
A. Private health insurance
B. Medicare
C. Medicaid
D. Out of pocket
Answer: D
4. Which of the following was the obesity rate of the United States in 2010?
A. 21.7%
B. 28.3%
C. 35.9%
D. 42.5%
Answer: C
5. According to the University of Wisconsin Population Health Institute, what percentage
of ultimate health outcomes are determined primarily by personal health behaviors?
A. 20%
B. 30%
C. 40%
Delivery in the United States, 11th Edition
Knickman
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
,Test Bank for
HEALTH CARE
DELIVERY IN THE
UNITED STATES
Eleventh Edition
James R. Knickman, PhD
Anthony R. Kovner, PhD
Steven Jonas, MD, MPH, MS,
FNYAS
SPRINGER PUBLISHING COMPANY ISBN: 978-0-8261-7159-7
Contents
Chapter 1: The Challenge of Health Care Delivery and Health Policy 1
Chapter 2: A Visual Overview of Health Care Delivery in the United States 6
Chapter 3: Government and Health Insurance: The Policy Process 11
Chapter 4: Comparative Health Systems 16
Chapter 5: Population Health 22
Chapter 6: Public Health: A Transformation for the 21st Century 28
Chapter 7: Health and Behavior 34
Chapter 8: Vulnerable Populations: A Tale of Two Nations 40
Chapter 9: Organization of Care 46
,Chapter 10: The Health Workforce 52
Chapter 11: Health Care Financing 58
Chapter 12: Health Care Costs and Value 65
Chapter 13: High-Quality Health Care 71
Chapter 14: Managing and Governing Health Care Organizations 77
Chapter 15: Health Information Technology 83
Chapter 16: The Future of Health Care Delivery and Health Policy 89
Supplementary Chapter: Affordable Care Act 95
, CHAPTER 1
The Challenge of Health Care Delivery and Health Policy
MULTIPLE CHOICE
1. Which of the following terms is the most accurate in describing health care in the
United States?
A. System
B. Enterprise
C. Organization
D. Program
Answer: B
MULTIPLE RESPONSE
2. Which of the following are associated with public health, as opposed to health care?
Select all that apply.
A. Keeping people healthy
B. Restoring health once an illness has occurred
C. Protecting the environment
D. Making sure water supplies are safe
E. Ensuring that a community has a safe place for people to be physically active
Answer: A, C, D, E
3. Which of the following are defining characteristics of the U.S. health care system?
Select all that apply.
A. The dominant role of politicians in running the system
B. Outdated technology and lack of new drugs
C. Tension between the free market and government control
D. Dysfunctional financing and payment
Answer: C, D
4. In the United States, access to medical care and its associated outcomes depend on
which of the following characteristics of the individual? Select all that apply.
A. Income level
B. Race
C. Citizenship
D. Geographical location
E. Medical need
Answer: A, B, D
,MULTIPLE CHOICE
5. Problems of quality, cost, and access of health care in the Unites States are most
attributable to which of the following?
A. Government control
B. Outdated equipment
C. Lack of coordination within and among health care organizations
D. Inadequate training of health care professionals
Answer: C
6. Which group of stakeholders should be at the center of the health system?
A. Providers
B. Insurers
C. Public policy makers
D. Consumers
Answer: D
7. Which stakeholder in the U.S. health care system typically plays the role of
intermediary and referee for the other stakeholders?
A. Providers
B. Insurers
C. Public policy makers
D. Consumers
Answer: B
8. About what percentage of the U.S.’s economic resources are devoted to medical care
and health promotion?
A. 5%
B. 10%
C. 15%
D. 20%
Answer: D
9. A large health care system in the U.S. has established a program of tracking,
evaluating, addressing, and preventing medical errors by its providers. This measure is
most directly related to improving which aspect of the health care system?
A. Quality
B. Access
C. Cost
D. Coordination
Answer: A
10. Which stakeholder in the U.S. health care system is most likely to view the cost of
health insurance as a cost of doing business and a major factor affecting profitability?
A. Employers
B. Insurers
C. Public policy makers
, D. Consumers
Answer: A
MULTIPLE RESPONSE
11. Which of the following are policy issues related to health care that most elected
officials and civil servants agree on?
A. Slower inflation rates in the health sector
B. Universal health care coverage provided by the federal government
C. A requirement that all U.S. citizens must purchase health insurance
D. Use of state-of-the-art medical care and prevention interventions
E. Focus on the patient’s experience
Answer: A, D, E
MULTIPLE CHOICE
12. Despite passage of the Affordable Care Act, which of the following groups still lacks
insurance coverage, as a whole?
A. Inhabitants of large cities
B. Undocumented immigrants
C. Low-income residents
D. People with disabilities
Answer: B
13. Approximately what percentage of all jobs in the United States are in the health sector?
A. 3%
B. 5%
C. 13%
D. 15%
Answer: C
14. Which of the following is the primary desire of consumers as stakeholders in the U.S.
health care system?
A. Access to affordable and quality health care
B. Productivity in the workplace
C. Social goal of keeping people healthy
D. Lower costs for health care services
Answer: A
15. Why do many doctors refuse to see patients with Medicaid?
A. Racism
B. Low payment rates
C. Difficulty working with older patients
D. Health problems too severe
, Answer: B
SHORT ANSWER
16. What makes the health care system so important to life in the United States?
Answer: Our nation is built on the idea that society should assure an opportunity for
ìlife, liberty, and the pursuit of happiness,î as established in the Declaration of
Independence. The aspiration of assuring ìlifeî is the core goal of the health system.
It is obvious that nothing is possible for an individual without life, and most of us
would agree that health is among the core needs to live a vibrant, viable life. Good
health is essential to participate in the political and social system, to work to support
ourselves and our families, and to pursue happiness and a good life.
17. What are some reasons that improving quality of health care is a major concern in the
U.S.?
Answer: Reliable studies indicate that between 44,000 and 98,000 Americans die
each year because of medical errors. Other well-regarded studies show that fewer
than half of people with costly and debilitating mental health or substance abuse
problems, asthma, or diabetes receive care known to be effective.
18. Why is it important to encourage healthy behavior in Americans and how might this be
done?
Answer: Healthy behavior can help people avoid disease and injury or prevent
disease or injury from getting worse. For millions of Americans, leading healthy lives
is not of the highest priority. Changing health-related behavior is a difficult challenge,
but we need to identify effective prevention programs and ways to make our social
and built environments more encouraging of healthy choices.
19. What are some examples of how consumers can be influential stakeholders in the
U.S. health care system?
Answer: Consumers are influential stakeholders in many ways. For example, when
there is widespread dissatisfaction among consumers, change happens. Insurers
changed the rules of early managed care payment systems in the 1990s due to
consumer complaints. Similarly, a major federal program offering a new form of
catastrophic insurance to elders was repealed after sharp dissatisfaction among
seniors.
20. What is the difference between maintaining health and restoring it, and what are some
examples of each?
Answer: In recent years, we have begun to recognize the clear difference between
ìmaintaining healthî and ìrestoring healthî to a person who has a medical problem.
The medical care system clearly takes charge of restoring health when people are ill.
Often the medical care system takes charge of caring for people even if restoring
health is impossible; the goal may be to limit the spread of a medical problem, to
alleviate the symptoms of a medical problem, or to help a person cope with the pain
and suffering and loss of function when major medical problems emerge. Doctors,
,nurses, technicians of various types, hospitals, nursing homes, rehabilitation centers,
pharmaceutical companies, and medical device companies are among the actors
who engage in efforts to care for people when they have medical problems.
, CHAPTER 2
A Visual Overview of Health Care Delivery in the United
States
MULTIPLE CHOICE
1. The World Health Organization defines health as which of the following?
A. The absence of disease or infirmity
B. A condition of physical fitness in the absence of disease
C. A state of complete physical, mental, and social well-being
D. The ability to perform all activities of daily living
Answer: C
2. In 2011, the per capita health care spending in the United States was which of the
following, approximately?
A. $5,500
B. $6,500
C. $7,500
D. $8,500
Answer: D
3. Which of the following sources of health care funding has decreased significantly from
its level in 1970 to its level in 2012?
A. Private health insurance
B. Medicare
C. Medicaid
D. Out of pocket
Answer: D
4. Which of the following was the obesity rate of the United States in 2010?
A. 21.7%
B. 28.3%
C. 35.9%
D. 42.5%
Answer: C
5. According to the University of Wisconsin Population Health Institute, what percentage
of ultimate health outcomes are determined primarily by personal health behaviors?
A. 20%
B. 30%
C. 40%
