Cover Title: Essentials of the U.S. ealth Care System
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Please read each question and select your answer from the choices provided. You must complete all of the questions in order to view your results. At the end of each exam, you have the option to e-mail your results to your instructor.


1:  Areas in which primary care is stronger have much lower total health care costs than areas that exclusively focus on specialized care
A: T
B: F

2:  Ambulatory care
A: refers to outpatient services
B: means care given in ambulances
C: means inpatient care
D: none of the above

3:  Community health centers are required by law to be located in medically underserved areas
A: T
B: F

4:  Who is the gatekeeper?
A: the specialist
B: the primary care physician
C: the nurse practitioner
D: health care manager

5:  Primary care focuses on services
A: that are usually short-term
B: involving sporadic counseling
C: services such as prevention and therapeutic services
D: that are technology driven

6:  Which factor does not contribute to the growth of group practices rather than solo practices?
A: rapid changes in the health delivery system
B: contracting MCOs with consolidated rather than solo entities
C: high cost of establishing a new practice
D: the simplicity of billing and collections in a multi-payer system

7:  In a gatekeeping system, patients can visit specialists without a referral from their primary care physicians.
A: T
B: F

8:  Why is outpatient care considered an important key component of overall business strategy?
A: Outpatient services now constitute a key source of profits for hospitals
B: Outpatient services attracts only specialized services
C: Outpatient services generate half of the hospital's profits
D: none of the above

9:  The growth of non-hospital-based ambulatory services intensified competition for outpatient services between
A: physicians and patients
B: hospitals and physicians
C: physicians and hospitals
D: hospitals and community-based providers

10:  Which service is not one of the five main hospital-based outpatient services?
A: Clinical
B: Surgical
C: Emergency
D: none of the above

11:  Primary care is the point of entry into the health services system
A: T
B: F

12:  Outpatient care refers to health services
A: that require an overnight stay
B: that only include primary care services
C: that does not require an overnight stay
D: that only include specialized care

13:  Which of the following is not one of the key changes that have been important in shifting the balance between inpatient and outpatient services?
A: reimbursement
B: utilization control
C: technological factors
D: None of the above

14:  What are mobile health care services?
A: They are the same thing as ambulatory services
B: Health care services transported to patients
C: Referrals from one hospital to another
D: Services that require inpatient stay

15:  Both private and public payers have a clear preference for outpatient treatment because it costs less than inpatient care
A: T
B: F

16:  A telephone triage system
A: provides patients to communicate with hospital administrators
B: is available only during the day
C: is staffed by physicians
D: provides telephone access seven days a week

17:  Home health care
A: require services that are in the hospital
B: is based on the philosophy of maintaining people in the least restrictive environment possible
C: is based on the philosophy of keeping patients in the hospital that provide a "home-like" atmosphere
D: A and C

18:  Hospice care is for
A: patients with a temporary illness
B: patients who cannot afford hospital care
C: patients with terminally ill disease with a short life expectancy
D: patients who live alone

19:  Development of new diagnostic and treatment procedures and less invasive surgical methods has made it possible to provide services in out-patient settings that previously required inpatient stays in hospitals.
A: T
B: F

20:  Public health services
A: directly compete with those provided by private practitioners
B: do not directly compete with the services provided by private practitioners
C: only provide services that are cheap
D: none of the above

21:  Many hospital outpatient clinics, particularly those in inner-city areas
A: function as the community's safety net
B: provide second-rate services
C: turn away the uninsured and the poor
D: only treat the insured

22:  Urgent care services
A: accept patients without appointments
B: accept patients with only appointments
C: offer a narrow range of services for acute conditions
D: none of the above

23:  Patients generally have a preference for receiving health care in home and community-based settings.
A: T
B: F

24:  Alternative medicine refers to
A: second rate medicine
B: nontraditional medicine and treatments
C: medicine practiced only in Asia
D: medicine that is more important than Western Medicine

25:  Higher primary care physician supply has been associated with lower low-birth weight percentages and lower infant mortality.
A: T
B: F

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