Health Care USA Understanding Its Organization and Delivery 8th Edition by Harry A. Sultz – Test Bank A+

Description

1. The technological and clinical advances that allow many surgical procedures to be safely performed on an ambulatory basis had what corollary effect on hospitals?

1. New joint-business relationships with physicians rapidly developed
2. Physicians became competitors with hospitals for the same lines of business
3. Hospitals sold their ambulatory services to physician groups
4. Hospital outpatient service volume and revenues increased

Ans.: B

Page: 165

1. The primary organizational mode of medical care in the United States, in terms of volume of services delivered, is:

1. hospital ambulatory clinics
2. private practice physicians’ offices
3. community-based clinics run by voluntary agencies
4. government-operated health clinics.

Ans.: B

Page: 167

1. Which of the following is not a principle of a patient-centered medical home practice?

1. providing for all of a patient’s health care needs or appropriately arranging care with other qualified professionals.
2. The personal physician leads a team of individuals in the practice who take responsibility for the ongoing care of patients.
3. Care is coordinated and integrated across all elements of the delivery system (subspecialty, hospital, home, nursing home), facilitated by electronic record registries
4. Appointment systems adhere to strictly enforced, advance scheduling.

Ans.: D

Page: 174

1. In today’s hospitals, outpatient clinics frequently provide:

1. care for those without private physicians
2. teaching sites for medical residents
3. primary-care services organized similarly to private physician offices
4. all of the above

Ans.: D

Page: 179

1. A significant advance in the provision of hospital emergency department services occurred with the introduction of:

1. physician assistants
2. board-certified emergency medicine physicians
3. MRI diagnostic equipment
4. electronic health records

Ans.: B

Page: 185

1. “Urgent Care” is best described as care:

1. provided on a walk-in, extended hour basis for acute illness and injury that is either beyond the scope of or availability of a primary care practice or retail clinic
2. providing a service alternative to crowded emergency departments
3. that does not require the services of a physician
4. for fast treatment of easy-to-diagnose conditions

Ans.: A

Page: 186

1. The predominant services of local public health departments today are:

1. specialty services for high-risk pregnant women
2. school-based pediatric medical care
3. chronic disease screening
4. child and adult immunizations

Ans.: D

Page: 197

1. The primary owners of community-based ambulatory surgical centers are:

1. hospital corporations
2. shareholders of publicly-traded companies
3. physicians
4. physician specialty societies

Ans.: C

Page: 191

1. In addition to providing primary and preventive care, federally qualified community health centers also:

1. provide leadership for housing renewal in inner-cities.
2. offer a broad array of high-tech, medical specialty services
3. help patients link with other supportive programs and services such as welfare, Medicaid, the Women, Infants and Children supplemental nutrition program (WIC) and the Child Health Insurance Program.
4. advocate politically for health insurance for low-income individuals.

Ans.: C

Page: 193

Multiple Choice

1. Health care system changes, including advancing technology, will likely result in new, more highly specialized health occupations. Which of the following is not one of the expected effects of this development?:

1. a reduction of providers’ flexibility to develop more efficient staffing patterns
2. increased personnel costs
3. increasing challenges of small and rural providers in retaining specialty-trained personnel
4. hospitals’ resistance to employing multi-skilled personnel

Ans.: D

Page 248

1. States try to protect the public from incompetent care by licensing certain health professions. Certification differs from licensing, in that certification:

1. only recognizes special education or training
2. does not assure continuing competency
3. may not examine the important competencies
4. allows people to engage in activities that would otherwise be illegal

Ans.: A

Page: 249

1. A physician residency training program is best described as:

1. a program enabling medical school graduates to become familiar with a population’s needs in a specific geographic area
2. an accredited training program of at least 3 years post-medical school, that prepares physicians to practice in a medical specialty
3. specialized training in the business operations of a medical practice
4. the first opportunity for medical students to have actual contact with patients

Ans.: B

Page: 251

1. Each year approximately 6,000 international medical graduates (IMGs) enter the U.S. to practice. IMGs are vitally important to the health care delivery system because they:

1. receive education superior to that of most U.S. medical students
2. they are willing to work for less compensation than U.S. physicians
3. they fill a shortfall in the number of residents required by U.S. hospitals
4. are more likely to engage in primary care than their U.S. counterparts who prefer specialty medicine.

Ans.: C

Page 251

1. At the outset of the nurse practitioner movement, educational requirements were often limited to relatively short certificate programs. Today, it is generally accepted that nurse practitioners should be registered nurses with:

1. an associate’s degree
2. a hospital certificate of nursing competency
3. a master’s degree
4. a doctoral degree

Ans.: C

Page: 258

1. Unlike medicine, dentistry essentially remains a “cottage industry,” primarily serving only those with dental insurance or who can afford to pay out-of-pocket. For this reason:

1. Many of the population groups with the greatest need have no access to services
2. Most dentists specialize in one of 8 specialty areas
3. The American Dental Association has shown little interest in increasing minority recruitment to better reflect racial and ethnic diversity of the U.S. population
4. Few dental schools offer advanced degrees in dental public health

Ans.: A

Page: 260

1. The category of allied health professionals, “therapeutic science practitioners” concerned with the treatment and rehabilitation of patients with all types of diseases and injuries include which of the following professions?

1. Laboratory technologists and technicians
2. Social workers and rehabilitation counselors
3. Physical and occupational therapists, speech language pathologists
4. Alternative therapists

Ans.: C

Page: 268

1. Complementary medicine differs from alternative medicine in that complementary medicine:

1. is used together with conventional medical treatment while alternative medicine is used in place of conventional medical treatment
2. is limited to treatment by certified providers
3. uses only organic substances in treatment
4. is licensed by the Food and Drug Administration

Ans.: A

Page: 274

1. The widespread use and popularity of complementary and alternative medicine in the U.S. resulted in which of the following developments?

1. The National Institutes of Health creating the National Center for Complementary and Alternative Medicine (NCCAM)
2. Most states’ licensure of complementary and alternative therapists
3. Schools of Pharmacy developing specialty training in herbal medicine
4. New medical residency training opportunities in natural healing

Ans.: A

Page: 274

1. The ACA addressed numerous long-standing health workforce issues. Most importantly, it established the National Health Care Workforce Commission with the overall mandate to:

1. Ensure private, philanthropic tuition support for minority applicants to professional schools
2. Increase the number of International Medical Graduates for deployment in rural and inner-city underserved geographic areas
3. Require states to take more regulatory control of all health professions and develop new schools of public health
4. Evaluate and make recommendations in areas such as training and support for workers at all levels, efficient workforce deployment, professional compensation and coordination among different types of providers

Ans.: D

Page: 280

1. Major obstacles to ensuring an efficient and rational health workforce in the future include:

1. An inadequate number of educational institutions to accommodate qualified students
2. An influx of foreign-trained graduates that exceeds demand
3. Separate and often conflicting interests of governments, educational institutions, professional organizations, insurers and providers
4. Declining need for health care professionals in several categories of practice

Ans.: C