Comparative Health Care Systems
Exam Preparation Guide
Course Introduction
This course provides an in-depth analysis of various national health care systems, examining their structures, financing mechanisms, delivery methods, and policy outcomes. Students will compare and contrast systems such as those in the United States, Canada, the United Kingdom, Germany, and other selected countries, exploring the social, economic, and political factors that shape each model. Emphasis is placed on evaluating the effectiveness, efficiency, quality, and equity of different approaches to health care, offering a global perspective on contemporary health challenges and reform strategies.
Recommended Textbook
Understanding the Australian Health Care System 3rd Edition by Eileen Willis
Available Study Resources on Quizplus
27 Chapters
282 Verified Questions
282 Flashcards
Source URL: https://quizplus.com/study-set/2291
Page 2
Chapter 1: Introduction to Understanding the Australian Health Care System
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45513
Sample Questions
Q1) A Cochrane systematic review of interprofessional practice (IPP),published in 2013,showed that IPP:
A)is a growing area of health care reform,but has little supporting evidence of impact or take-up
B)has had positive results in all clinical settings
C)requires health professionals to have been introduced to the concept during their education
D)is not relevant to the acute setting
Answer: A
Q2) The philosophy of economic rationalism has generated the practice of 'new public management' to make the public sector,funded by government,more efficient.This means that government services:
A)are given increased funding to ensure high productivity
B)take up ideas from other countries with similar health sectors to Australia
C)are run like a private company through competitive practices such as outsourcing,performance management and turning some services into private business
D)seek public-private partnerships
Answer: C
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Chapter 2: The Public Health Sector and Medicare
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45514
Sample Questions
Q1) Activity-based funding is where:
A)public hospital doctors are funded for each service they deliver
B)patients pay for their health care
C)public hospitals are funded for each service they deliver
D)public hospitals are funded on a population basis
Answer: C
Q2) Government health expenditure in Australia has been increasing at what rate per year over the past decade?
A)2.5%
B)6%
C)3%
D)5%
Answer: D
Q3) Bulk-billing is the practice of:
A)medical practitioners sending out bulk medical bills.
B)a medical practitioner accepting the Medicare schedule fee as full payment for a service
C)Medicare providing bulk rebates for medical services
D)medical practitioners billing private health insurance companies
Answer: B
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Chapter 3: The Private Health Sector and Private Health
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45515
Sample Questions
Q1) Is it possible for privately insured patients to use the public hospital system?
A)No;privately insured patients can only use private hospitals and facilities
B)No;privately insured patients cannot use public hospitals as this is preventing public patients from doing so
C)Yes;privately insured patients must declare their private health insurance status and are personally responsible for any financial discrepancies in charges between private and public health services
D)Yes;privately insured patients can choose to be a private patient in a public hospital,or can choose not to declare their private health insurance status
Answer: D
Q2) The Liberal-Coalition Government introduced the Lifetime Community Rating Scheme in 1997.The 'community rating' of the Lifetime Community Rating Scheme means that:
A)premiums are not based on a person's age or medical history
B)premiums are based on a person's medical history and occupation
C)premiums are based on a person's age,medical history and occupation
D)premiums are based on a person's age and occupation
Answer: A
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Chapter 4: International Health Care Systems
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/45516
Sample Questions
Q1) The UK National Health Service (NHS)is predominately funded through:
A)out-of-pocket expenses
B)private insurance
C)social security
D)general taxation
Q2) What does a health system consist of?
A)Hospitals
B)Doctors
C)Primary care services
D)All of the above
Q3) The World Health Organization's definition of a health system includes:
A)all publically owned health facilities
B)all privately owned health facilities
C)wider social determinants of health (education,housing,etc. )
D)All of the above
Q4) The building blocks of a health system include:
A)service delivery and workforce
B)information and interventions (i.e.medical products and technologies)
C)health financing,leadership and governance
D)all of the above
Page 6
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Chapter 5: Public Health in Australia
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45517
Sample Questions
Q1) Public health and population health strategies are classified as more 'upstream' than medical treatment services.Which of the following are classified as 'upstream strategies'?
A)Behavioural incentives such as weight control and physical activity
B)Strategies focused on social and environmental change and health-promoting policies and practices
C)Strategies focused on disease and illness such as type 2 diabetes mellitus
D)Individual factors such as smoking and alcohol consumption
Q2) What document or legislation sets out the requirements for individuals,organisations,and governments and their agencies for the control of infectious diseases,the control of a range of risks to public health,and measures that must be taken to promote and protect health?
A)Public Health Mandate
B)Public Health Act
C)Public Health Strategy
D)Public Health Policy
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Chapter 6: Primary Health Care Systems and Reforms
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45518
Sample Questions
Q1) All of the following are salient principles of primary health care from the Declaration of Alma-Ata,except:
A)An explicit link between health and social development,and the social and environmental determinants of health
B)A reduced reliance on highly specialised doctors and nurses and greater mobilisation of community-based health care
C)A commitment to address the health inequities by redirecting rehabilitation health care services to urban hospitals
D)A commitment to shift health resources from urban hospitals to community-based settings
Q2) Which of the following are initiated and operated by local Aboriginal communities expressly to deliver holistic,comprehensive and culturally appropriate health care?
A)The Australian Institute of Health and Welfare
B)The Primary Health Care Access Program
C)The National Aboriginal Community Controlled Health Organisation
D)Aboriginal Community Controlled Health Organisations
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Chapter 7: The Health Workforce
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45519
Sample Questions
Q1) Palliative care services are restricted to those people who:
A)need rehabilitation and sub-acute care
B)are in the last stages of life and are expected to die
C)are elderly and live in residential aged-care homes
D)are in need of interprofessional care
Q2) The Australian Institute of Health and Welfare (AIHW)defines the health care workforce as:
A)all those who work in the health care industry,including volunteers
B)professionals who work in the public,private and complementary health systems
C)only those who are accredited health professionals
D)only those who are registered through the Australian Health Practitioner Regulation Agency
Q3) Which professions in the list below are part of the complementary system and are registered?
A)Naturopathy,homeopathy,iridology,remedial massage,reflexology
B)Chinese medicine,chiropractic,osteopathy
C)Social work,medicine,nursing,midwifery
D)Occupational therapy,audiology,diversional therapy
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Chapter 8: The Pharmaceutical Benefits Scheme: Recent
Trends and Options for Reform
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45520
Sample Questions
Q1) A co-payment is defined as:
A)the fixed amount that patients have to pay for all dispensed medicines
B)the shared cost between the pharmacist and patient for the payment of a dispensed medicine
C)a voluntary donation made for a service or product
D)a compulsory payment made for a service or product.
Q2) An important feature of the PBS is that:
A)it is free for all Australians irrespective of what welfare benefit they receive
B)all Australians contribute to the scheme through general taxation
C)the scheme remains uncapped as the government is not obliged to implement advice it receives from the PBAC
D)it remains in place because Australia has a world-class system for providing medicines to its citizens
Q3) In order to contain the cost of the PBS,the government can:
A)reduce drug prices,particularly those of generic medicines
B)reduce or alter the types of medicines prescribed by general practitioners
C)make consumers pay more for their medicines
D)all of the above
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Chapter 9: The Aged Care Sector: Residential and Community Care
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45521
Sample Questions
Q1) As the population ages,there will be an increase in the number of people living with one or more chronic conditions.
A)True
B)False
Q2) Australia's population is ageing as a result of increased life expectancy.The life expectancy for a male in Australia in 2012 was:
A)74 years
B)80 years
C)85 years
D)90 years
Q3) Health care policy is moving towards a multidisciplinary approach.This approach supports healthy ageing by respecting:
A)choice
B)the diversity of care needs
C)cost containment
D)a medicalised model of care
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11
Chapter 10: Rural Health Systems: Spotlight on Equity and Access
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/45522
Sample Questions
Q1) In terms of equity,unequal treatment of unequal groups (whereby a service accounts for the special needs of those in a group and adjusts how the service is delivered to meet the needs of this group)is:
A)inequity
B)vertical equity
C)inequality
D)horizontal equity
Q2) Health inequity is:
A)differences in health status between different population groups or individuals
B)differences in treatments for different population groups
C)differences in health status between population groups that can be linked to potentially modifiable social or economic factors
D)similarities in health status between different population groups due to social or economic conditions
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12
Chapter 11: Indigenous Health Systems and Services
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45523
Sample Questions
Q1) Community-controlled services are characterised by:
A)having Aboriginal people in key roles
B)cultural awareness training for non-Indigenous staff
C)a majority workforce of Aboriginal health workers
D)all of the above
Q2) Apart from the health benefits of Aboriginal Community Controlled Health Services (ACCHSs),they contribute significantly through:
A)providing a safe place to visit
B)taking patients from mainstream services
C)providing free transport
D)providing employment and economic benefits to Indigenous people
Q3) A major threat to the sustainability of Aboriginal Community Controlled Health Services (ACCHSs)is:
A)funding insecurity
B)lack of staff
C)not having enough clients
D)not being necessary today
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13
Chapter 12: Organising Care for the Mentally Ill in Australia
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45524
Sample Questions
Q1) The latest plan (the Fourth National Mental Health Plan) within the National Mental Health Strategy focuses on:
A)the initial movement of people from institutionalised care to community care
B)a whole-of-government approach to mental health care
C)the funding of acute inpatient facilities
D)a reduction in community mental health services
Q2) Which of the following mental health policy initiatives are typical of new public management?
A)The use of private service providers
B)Competitive tendering for government funding for service delivery
C)Reliance on informal carers
D)All of the above
Q3) Which of the following is included in the United Nations Convention on the Rights of People with Disabilities?
A)Political rights
B)Social inclusion
C)Non-discrimination
D)All of the above
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14
Chapter 13: People Living With Disability: Navigating
Support and Health Systems
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45525
Sample Questions
Q1) Health and human service professionals need to work collaboratively and in conjunction with disability services and developmental educators to ensure that people living with disability can make informed decisions about their well-being.
A)True
B)False
Q2) The roles of disability professionals and developmental educators are:
A)secondary to the expertise of other health and human service professionals -health needs must be addressed first
B)important to interprofessional practice and ensuring that people living with disability have access to services and are able to use,implement and benefit from multidisciplinary services.
C)only relevant when based within disability-specific services
D)based on a unique and specific range of skills and knowledge but do not qualify practitioners to work collaboratively with other health and human service professionals
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Chapter 14: Australian Workers Compensation Systems
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45526
Sample Questions
Q1) The Clinical Framework for the Provision of Health Services outlines a set of five guiding principles for the delivery of health services in workers' compensation and motor vehicle accident compensation systems.Which of the following is not one of these five guiding principles?
A)Base treatment on the best available research evidence
B)Measure and demonstrate the effectiveness of treatment
C)Adopt a socioeconomic approach
D)Empower the injured person to manage their injury
Q2) Which of the following most accurately describes the Australian workers' compensation systems?
A)In addition to having one system for each state and territory,there are also three Commonwealth systems
B)There is one system (WorkCover)that regulates all of the states and a separate system (WorkSafe)that regulates workers' compensation in the territories
C)One system is in place for each of the states and territories and this is regulated by a Commonwealth system
D)One Commonwealth system is in place which is responsible for workers' compensation across all of Australia.
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Chapter 15: The Complementary and Alternative Health Care System in Australia
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/45527
Sample Questions
Q1) What term describes a concept of energy in promoting or stimulating healing in CAM?
A)Ch'i
B)Life force
C)Prana
D)All of the above
Q2) Which of the following features are common characteristics of CAM practice?
A)Treating the patient as an individual
B)A belief in the interconnectedness of mind,body and spirit
C)Approaching each consultation as a partnership between patient and practitioner
D)All of the above
Q3) According to research,which group of individuals uses CAM most?
A)Men over 70 years of age
B)Women aged between 25 and 34 years
C)Young men between the ages of 18 and 21 years
D)Children under 10 years of age
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Chapter 16: Oral Health and Dental Services
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45528
Sample Questions
Q1) What is the role of dental therapists?
A)To service children,adolescents and young adults by providing fillings and tooth removal,additional oral care and oral health education and promotion for individuals and communities
B)To carry out reception and administration duties,support the provision of clinical dental care by preparing patients and,with extra training,to take X-rays and provide oral health education
C)To provide periodontal/gum treatment,preventive services and other oral care for people of all ages
D)To construct and repair dentures and other dental appliances,working closely with a dentist or dental prosthetist,but usually having no patient contact.
Q2) Oral diseases,including dental decay and periodontal disease,are among the most prevalent diseases in Australia.
A)True
B)False
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18
Chapter 17: Nursing in Australia
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45529
Sample Questions
Q1) In Australia,all courses leading to registration as an enrolled nurse,registered nurse or nurse practitioner are accredited through:
A)the Coalition of National Nursing and Midwifery Organisations
B)the Nursing and Midwifery Board of Australia
C)the Australian Health Practitioner Regulation Agency
D)the Australian Nursing and Midwifery Accreditation Council
Q2) A nurse is only permitted to undertake procedures,actions and processes at his/her distinct level of professional regulation.
A)True
B)False
Q3) A GP clinic may employ an enrolled nurse as a practice nurse.
A)True
B)False
Q4) Which of the following statements about enrolled nurses (ENs)is true?
A)ENs have completed a three-year Bachelor of Nursing program
B)ENs are responsible for patient assessments and decisions regarding the delegation of care and assessment
C)ENs can supervise aged-care workers or care assistants
D)ENs are usually educated to Australian Quality Framework level 6 or 7
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Chapter 18: Midwifery: The Profession in Australia
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45530
Sample Questions
Q1) Midwifery was recognised as a profession in its own right in:
A)2000
B)2005
C)2010
D)2015
Q2) Interprofessional education is available in many hospitals where maternity services are offered.
A)True
B)False
Q3) Health care reform in midwifery in Australia has been led by:
A)the Australian Nursing and Midwifery Federation
B)the Australian College of Health Professionals
C)the Australian College of Obstetricians and Gynaecologists
D)the Australian College of Midwives
Q4) The National Maternity Services Plan suggests that the number of maternity models of care currently in Australia is:
A)two
B)four
C)six
D)five
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Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/45531
Sample Questions
Q1) Ambulance services are funded by:
A)the Commonwealth government through Medicare
B)private health insurance companies
C)non-government organisations (NGOs)
D)state and territory governments,private health insurance and user payments
Q2) The practice and workplace of paramedics is increasingly becoming more hazardous due to:
A)falls,lifting and motor vehicle accidents
B)mental stress and fatigue
C)assaults from those affected by alcohol and other drugs
D)all of the above
Q3) In modern times,pre-hospital care and transport has developed through:
A)evidence-based practice and research
B)conflict and wars,based on the system of prioritising who received medical treatment (triage)and methods of transportation (helicopters)
C)vocational training or an apprenticeship-style system
D)Volunteer actions and experiences
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Page 21
Available Study Resources on Quizplus for this Chatper
10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45532
Sample Questions
Q1) Which of the following dietetic roles usually involves working in primary health care sites such as community health centres and in publicly funded services such as domiciliary care?
A)Specialist dietetics
B)Community-based dietetics
C)Clinical dietetics
D)Private practice dietetics
Q2) Dietetic training programs in Australia are reviewed regularly to ensure that their training meets what standards?
A)National competency standards for entry-level dietetics
B)Dietitians Association of Australia nutrition and dietetics competency standards
C)International dietitian standards
D)Department of Health standards for nutrition and dietetics
Q3) The terms 'nutritionist' and 'dietitian' can be used interchangeably.
A)True
B)False
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22
Chapter 21: Health Profession Regulation: The Case of Physiotherapy
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45533
Sample Questions
Q1) Physiotherapists are able to perform acupuncture and dry needling,which involves the penetration of the skin with a needle.They are not,however,able to administer medications via needles.The primary reason why physiotherapists are not allowed to perform this role is due to:
A)insufficient training in the use and administration of medications
B)state-based legislation that clearly states this is not a role physiotherapists are able to undertake
C)the lack of a community need as there are sufficient nurses and doctors available to perform this role
D)all of the above
Q2) A physiotherapist working in a private practice who can see clients without a referral from a doctor is referred to as:
A)a secondary contact practitioner
B)a primary contact practitioner
C)an advanced-scope practitioner
D)an extended-scope practitioner
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23
Chapter 22: Occupational Therapy
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45534
Sample Questions
Q1) Which if the following is NOT correct with respect to occupational therapists in Australia?
A)Educational programs within Australia are typically at Bachelor's or Master's degree level
B)The number of occupational therapy positions is likely to decline over the next five years
C)Registration under the Australian Health Practitioner Regulation Agency is mandatory before working as an occupational therapist
D)Therapists work in a client-centred framework
Q2) Occupational therapists work mainly with people who have work injuries.
A)True
B)False
Q3) Active engagement in meaningful occupation generally promotes,facilitates and maintains health and well-being.
A)True
B)False
Q4) Occupational therapists work mainly in hospitals.
A)True
B)False
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Chapter 23: Clinical Exercise Physiology in the Australian
Health Care System
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45535
Sample Questions
Q1) What is the increased risk of adverse symptoms or even sudden cardiac death for chronic-disease patients while undertaking exercise,with a reduced risk for the rest of the day known as?
A)Risk versus reward
B)The exercise conundrum
C)Buyer beware
D)The exercise paradox
Q2) During initial assessment,the objective of AEP-led exercise tests is to:
A)determine a safe range of exercise intensities
B)diagnose underlying cardiovascular disease that limits exercise capacity
C)determine how well a patient's cardiovascular system can tolerate maximal exercise
D)replace the role of cardiologists
Q3) Accredited exercise physiologists (AEPs):
A)perform physiotherapy treatment on athletes and clinical populations
B)provide exercise interventions for individuals with chronic disease,disability or injury
C)diagnose musculoskeletal injury and then provide exercise rehabilitation
D)utilise manual therapy and electrostimulation in their practice
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Page 25
Chapter 24: Speech Pathology and Audiology: Assessment and
Intervention for Communication Impairment
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45536
Sample Questions
Q1) The quality and safety of audiology and speech pathology services arising from the increased funding are assured as a consequence of increased demand resulting from implementation of the National Disability Insurance Scheme.
A)True
B)False
Q2) The prevalence of hearing loss in Australia is currently assessed to be approximately 1 in 6.
A)True
B)False
Q3) You see a two-year-old child who is understanding instructions and conversation.His speech is clear but he is only using a few single words to express himself.What is the most likely type of communication impairment he is experiencing?
A)receptive language impairment
B)expressive language impairment
C)speech impairment
D)all of the above
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26
Chapter 25: Health Care Managers in a Changing System
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10 Verified Questions
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Sample Questions
Q1) The responsibility for health care in Australia is split between the national and the state/territory governments.This allows health care organisations to engage in activities aimed at making a service eligible for funding by a different level of government than is currently involved.This practice is known as:
A)cost-shifting
B)scapegoating.
C)financial transference
D)blame-shifting
Q2) Ethical practice is the ability to correctly see a situation.
A)True
B)False
Q3) The term used for the ways in which individuals and groups within an organisation get and use power or influence is:
A)political impact
B)political management
C)managerial politics
D)organisational politics
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27
Chapter 26: The Pharmacists Unique Contribution to
Australias Health
System
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45538
Sample Questions
Q1) Competition among graduating student pharmacists for internships within hospitals is high.Which of the following perceptions of students is NOT likely to drive this competition?
A)Hospital pharmacists are paid well
B)Hospital pharmacists use a wide range of clinical skills
C)Hospital pharmacists can have a significant impact on patient care
D)The role of the hospital pharmacist is particularly patient-centred
Q2) Medicines which must be sold within a pharmacy and supplied with the active participation of a pharmacist belong to which Schedule?
A)Schedule 2
B)Schedule 3
C)Schedule 4
D)Schedule 8
Q3) Medicine problems are linked to the following proportion of hospital admissions in Australia:
A)less than 0.5%
B)between 1% and 2%
C)between 2% and 3%
D)between 3% and 8%
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Chapter 27: The Medical Profession in Australia
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/45539
Sample Questions
Q1) A doctor has completed his/her internship and is employed in a hospital but has not yet completed pre-vocational training.This doctor would be referred to as:
A)an intern
B)a specialist
C)a registrar
D)a resident
Q2) In Australia,a medical practitioner is defined as a person who has completed a Bachelor of Medicine and Bachelor of Surgery.
A)True
B)False
Q3) All medical practitioners are subject to codes of ethics,including which of the following?
A)Hippocratic Oath
B)Geneva Declaration
C)Australian Medical Association Code of Ethics
D)All of the above
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