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HMGT 3301 Chapter 8, All Questions and answers, 100% Accurate, graded A+

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HMGT 3301 Chapter 8, All Questions and answers, 100% Accurate, graded A+ What is the difference between inpatient and outpatient services? - -Inpatient = an overnight stay in a facility hospital = a facility with at least 6 beds and a nursing staff 24 hrs/day -hospitals consume the biggest...

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  • February 21, 2023
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HMGT 3301 Chapter 8, All Questions and
answers, 100% Accurate, graded A+

What is the difference between inpatient and outpatient services? - ✔✔-Inpatient = an overnight stay in
a facility



hospital = a facility with at least 6 beds and a nursing staff 24 hrs/day

-hospitals consume the biggest share of national health care spending

-hospitals are being targeted by govt and insurers for control of expenses



How did hospitals' purpose and function evolve from 'custodial/quarantine' facilities to their current
state? - ✔✔-Hospital development 1840-1900

-primitive institutions of social welfare

-distinct institutions of care for the sick

-organized institutions of medical practice

-advanced institutions of medical training and research

-consolidated systems of health service delivery



What were the main factors responsible for the growth of hospitals until the latter part of the 20th
century? - ✔✔-1. Social and demographic changes

2. Advancement in medical sciences

3. Medical education and training

4. Development of professional nursing

5. Growth in health insurance

6. Role of the govt - Hill-Burton Act (1946): federal grants for new hospitals 1950s-60s - required new
hospitals to provide charity care (non-profit hospital growth), MC and MA (1965)

, Name three main forces that have been responsible for hospital downsizing. How has each of these
forces been responsible for the decline in inpatient hospital utilization? - ✔✔-1. 1965 - downturn in
hospital beds begins, associated with reduced occupancy rates (75% then to 64% now)

2. Three forces - changes in hospital reimbursement: prospective payment/DRGs by MC, impact of
managed care by commercial payers, hospital closures



What is a voluntary hospital? How did voluntary hospitals evolve? - ✔✔-1. Non-profit community
hospitals financed through local philanthropy (not taxes)

2. Care for indigent and paying patients

3. Charitable donations to hospital foundations necessary to support expenses



What are inpatient days? - ✔✔-A night spent in the hospital by a patient

-total days of care per 1,000 population over 12 months = total utilization of inpatient services



How does hospital utilization vary according to a person's age, gender, and SES? - ✔✔-1. Utilization
increases with age

2. Females greater than men

3. Low income greater than higher income populations



What are the factors that affect hospital employment? - ✔✔-1. Utilization

2. Change in demography of US population

3. Change in health insurance

4. Change in consumer demand

5. Change to outpatient service delivery

6. Change in the US economy - countercyclical (when general business conditions are weak, hospital
employment grows)



What are the different types of public hospitals and the roles they play? - ✔✔-1. Owned by agencies of
federal, state, or local govt

2. Not always open to the public (ex: VA hospital)

3. City/county inner city/urban hospitals

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