Introduction to Health Care Systems Exam
Review
Course Introduction
Introduction to Health Care Systems offers students a comprehensive overview of how health care is organized, delivered, and financed in different settings. The course explores the major components and functions of health care systems, examining the roles of providers, insurers, regulators, and consumers. Key topics include models of health care delivery, public and private health insurance, health policy, quality and access to care, and current challenges within the industry. Through case studies and real-world examples, students gain an understanding of the complexities and interdependencies within modern health care systems, preparing them for further study or work in health-related fields.
Recommended Textbook
The United States Health Care System Combining Business Health and Delivery 2nd Edition by Anne
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14 Chapters
506 Verified Questions
506 Flashcards
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Chapter
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37 Verified Questions
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Sample Questions
Q1) Less than half of health care workers provide direct patient care.
A)True
B)False
Answer: False
Q2) Competition is a component of a market economy.
A)True
B)False
Answer: True
Q3) Health care employment continues to grow for all of the following reasons except:
A) interest in managing cost.
B) advances in medical technology.
C) aging population.
D) inability to automate many functions.
Answer: D
Q4) The United States has a national health care system.
A)True
B)False
Answer: False
Page 3
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Chapter 2: The Business Side of Healthcare
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Sample Questions
Q1) An environment where there are few sellers is a(n) _______________.
Answer: oligopoly
Q2) The _______________ part of the management process is the manager's feedback loop.
Answer: control
Q3) TJC accreditation is required for all health care facilities.
A)True
B)False
Answer: False
Q4) Accounting:
A) creates the product or service.
B) tracks the flow of money in and out of a business.
C) uses technology to manage information.
D) includes the product, price, promotion, and distribution to the customer.
Answer: B
Q5) This legislation required a certificate of need and provision of care to the underserved.
Answer: Hill-Burton Act
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Chapter 3: The Payment Process: Insurance and
Third-Party Payers
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) An enrollment period is a:
A) binding contract between the payer and the employee.
B) binding contract between the payer and employer.
C) time when employees can utilize benefits.
D) time when employees can change providers.
Answer: D
Q2) The amount paid to a provider monthly to provide health care services to an employee is:
A) premium.
B) capitation.
C) copayment.
D) deductible.
Answer: B
Q3) The typical fee charged by providers in a geographic area is known as:
A) usual charge, reasonable cost plan.
B) usual, customary, and reasonable..
C) universal charge and reimbursement plan.
D) ordinary and customary cost program.
Answer: B
Page 5
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Chapter 4: The Payment Process: Government Payment Programs
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Sample Questions
Q1) TRICARE is a provider of health care services.
A)True
B)False
Q2) Coding a service so that it is paid for even though it was not done is an example of:
A) an abusive activity.
B) an untrained coder.
C) a fraudulent activity.
D) a sympathetic physician.
Q3) In 2008 the total number of Medicare enrollees was:
A) 15 million.
B) 25 million.
C) 35 million.
D) 45 million.
Q4) Medicare _______________ adopted(ing) managed care strategies.
A) is considering
B) was the most recent of the large insurers that C) will not be
D) was the first insurer that
Q5) List two groups eligible for the FEHBP.
Page 6
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Chapter 5: Healthcare Providers: Physicians and Nurses
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37 Flashcards
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Sample Questions
Q1) Fighting disease using proven, traditional treatment modalities is:
A) alternative medicine.
B) osteopathic medicine.
C) chiropractic medicine.
D) allopathic medicine.
Q2) RNs can have any of the following as minimal education in order to practice except:
A) certificate.
B) associate's degree.
C) bachelor of science.
D) hospital diploma program.
Q3) According to the text, all of the following are issues for the medical profession except:
A) quality of care.
B) access to care.
C) managed care.
D) oversupply of physicians.
Q4) The function in the previous question is achieved through the collection of _______________ data and performing a _______________ exam.
Q5) Identify and explain two issues the nursing profession faces.
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Chapter 6: Other Clinical and Non-Clinical Healthcare
Providers
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Sample Questions
Q1) The practice of a chiropractor is focused on:
A) the spine.
B) the foot.
C) the eyes.
D) the teeth.
Q2) Nuclear medicine uses _______________ _______________ to diagnose and treat disease.
Q3) All of the following are true of optometrists except:
A) they provide primary care.
B) they prescribe corrective lenses.
C) they perform eye surgery.
D) they manage macular degeneration.
Q4) Sonographers must be licensed by the state.
A)True
B)False
Q5) All of the following are true about dieticians except:
A) they provide medical nutrition therapy to patients.
B) a master's degree is required to practice.
C) they may be employed in wellness programs.
D) they may practice in teaching settings.
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Chapter 7: Offices, Clinics, and Hospitals
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34 Flashcards
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Sample Questions
Q1) The CEO is hired by the:
A) governing board.
B) medical staff.
C) administration.
D) state Board of Health.
Q2) A physician can do which of the following?
A) Refer patients to businesses owned by him or her
B) Work with physicians in his or her town to set prices for services
C) Go without malpractice insurance
D) Refer patients to a specialist
Q3) Physicians are hospital employees as is everyone on the administrative side of the organizational chart.
A)True
B)False
Q4) List two of the functions on the business side of a professional practice.
Q5) Long-term care is anything greater than:
A) 7 days.
B) 21 days.
C) 30 days.
D) 60 days.
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Chapter 8: Tertiary Care: the Long-Term Care Continuum
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Sample Questions
Q1) A person who requires assistance with bathing, dressing, and meal preparation must receive long-term care.
A)True
B)False
Q2) A LTC system that would provide physical, social, mental health, and financial support would be considered:
A) aging in place.
B) spending down.
C) a continuum of care.
D) IADL.
Q3) The Department of Veterans Affairs (DVA) is the largest integrated delivery system.
A)True
B)False
Q4) Adult day care provides socialization and treatment.
A)True
B)False
Q5) Assisted living facilities utilize the same model of care as hospitals and SNFs. A)True
B)False
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Chapter 9: Mental Health Services: a Combination of Systems
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Sample Questions
Q1) This medical disorder involves the body, mood, and thoughts.
A) Alzheimer's
B) Schizophrenia
C) Depression
D) Anxiety disorder
Q2) Mental health care is typically financed _______________ general health care.
A) greater than
B) equal to
C) less than
Q3) _______________ calls for equity in mental health and general health coverage.
Q4) All of the following describe mental illnesses except:
A) alterations in thinking.
B) alterations in behavior.
C) alterations in liver function.
D) alterations in mood.
Q5) List three of the identified mental health treatment types identified in the text.
Q6) Historically, mentally ill people were considered possessed. A)True B)False
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Chapter 10: The Public Health System: the Governments
Role
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Sample Questions
Q1) Identify and explain two of the Centers for Disease Control and Prevention's achievements that have resulted in increased longevity for Americans.
Q2) Which of the following is not true about health?
A) It is a "state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity."
B) Being healthy is more than just not being sick.
C) It is just a state of well-being in our minds.
D) It is a state of well-being in our bodies and our lives.
Q3) 20 people died from cardiovascular disease this year is a(n) _______________ measure.
A) mortality
B) incidence
C) prevalence
D) risks
Q4) Public health focuses on:
A) prevention issues.
B) curative medical care.
C) foundation support.
D) environmental health.
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Chapter 11: Medical Technology, Pharmaceuticals, and Pharmacological Research
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Sample Questions
Q1) New technology can evolve through clinical trials.
A)True
B)False
Q2) Medical technology is equally accessible to all Americans.
A)True
B)False
Q3) Several hundred people participate in this drug-testing phase.
A) Phase II
B) Phase I
C) Phase III
D) Phase IV
Q4) All of the following are true about an IND except:
A) it is submitted to begin clinical tests on human subjects.
B) it is first approved by an Institutional Review Board.
C) IND stands for investigational new drug application.
D) if it is approved, phase I testing begins.
Q5) The Food, Drug, and Cosmetic Act of 1938 gave the FDA more control of new product introduction.
A)True
B)False
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Chapter 12: Healthcare Research and Prevention
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Sample Questions
Q1) An estimated__________ of tobacco-related deaths are the result of secondhand smoke exposure.
A) 22,000
B) 30,000
C) 41,000
D) 49,000
Q2) Curative describes research designed to:
A) identify a disease definitively.
B) decrease the symptoms/severity of a disease.
C) keep a disease from occurring.
D) eliminate a disease.
Q3) Smoking remains a significant health concern. What percentage of people smoke?
A) 20%
B) 35%
C) 10%
D) 40%
Q4) List 3 of the 10 leading causes of death in the United States according to the 2001 CDC data.
Q5) List 4 of the 12 agencies of the DHHS.
Q6) Describe the government research grant process.
Page 14
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Chapter 13: Cultural Competency, Health Literacy, and Healthcare Ethics
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Sample Questions
Q1) All of the following are principles of professional behavior except: A) confidentiality. B) transparency. C) veracity. D) compassion.
Q2) Paternalism means : A) justice.
B) do no harm.
C) father knows best.
D) everyone is equal.
Q3) John Rawls is one of the most influential philosophers in the field of health care. A)True B)False
Q4) Cultural competence is the ability to recognize the ethnic group of an individual. A)True B)False
Q5) Discuss the elements in a professional code of ethics.
Page 15
Q6) List 2 tips for talking to patients of different cultures and languages.
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Chapter 14: International Healthcare
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34 Flashcards
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Sample Questions
Q1) The first hospital in Mexico was founded in ________.
A) 1610.
B) 1791.
C) 1854.
D) 1901.
Q2) India is becoming a major destination for medical tourism.
A)True
B)False
Q3) India has ______ physicians per 10,000 people.
A) 7
B) 23
C) 58
D) 100
Q4) The Canadian system blends universal health coverage with private sector fee-for-service.
A)True
B)False
Q5) Describe the health care system of Canada.
Q6) _________________ has a population of one billion.
Q7) Discuss the elements of the market economy model.
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