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HSA 3111 Final Exam Latest UpdatePatient behaviors within the health care delivery system were once formed from the
authoritarian positions of better educated providers who expected patients to be
compliant and grateful. Today, health care providers and consumers- ANSWER
encourage more active roles for patients participation in health care decisions with
"shared decisionmaking"
The U.S. healthcare delivery system is multi-stakeholder. Which of the following pairs of
stakeholders has the most power in terms of financial power, control of delivery system
parameters for the bulk of Americans, and influence on both consumers and providers
of health care? ANSWER Government and private health insurers
Of the levels of prevention associated with the natural history of disease, primary
prevention refers to: - ANSWER health education and specific protection
In the natural history of a disease, the pre-pathogenesis period refers to - ANSWER
Behavioral, genetic, environmental and other factors that may contribute to an
individual's likelihood of contracting a disease
Americans spend $9 billion + each year on alternative and complementary therapies.
This trend has caused - ANSWER many private insurers and Medicare and Medicaid to
provide benefit coverage for certain treatments
The service priorities of the U.S. health care system reflect America's fascination with
dramatic high-tech medicine. As a result - ANSWER - little of the health care dollar is
spent on prevention
the US system is the most expensive in the world
the US has the world's most advanced medical capability
U.S. annual health care expenditures far outstrip those of 7 other developed nations. In
relationship with expenditures, U.S. health population status ranking on critical
,indicators in comparison with those other developed nations is - ANSWER Dismally
lower
Conflicts of interest- physicians own or invest in businesses to which they refer patients
to generate profits (e.g. diagnostic, medical supply companies). Physician conflict of
interest issues In response to these - ANSWER The ACA includes "Sunshine provisions"
require reporting of all financial transactions and transfers of value between
pharmaceutical/biologic product manufacturers and physicians, hospitals and other
entities reimbursed by the federal government
Long term care needs of older, chronically ill Americans pose a particular delivery
system challenge because - ANSWER Neither Medicare nor private insurance support
ongoing, non-acute services
The major health care advances of the second half of the 20th century were in the area
of - ANSWER vaccines and antibiotics to prevent and control infectious diseases,
tranquilizers, the birth control pill
Blue Cross Hospital Insurance, the predominant form of health insurance for decades,
was modeled after - ANSWER Baylor University Hospital's school teachers plan
The Medicaid program has a history of very low reimbursement as compared with
Medicare reimbursement; critics site low Medicaid reimbursement as a major reason
that primary care doctors have rejected serving the Medicaid population. An ACA
provision addresses this issue by - ANSWER Reimbursing states for primary care
physician fees for Medicaid patients at no less than100% of Medicare payment rates
Which of the following is the result of the explosion of science and technology in the
1970s? - ANSWER - Encouragement for physicians' specialization
- Higher costs of health care
- Medical school efforts to attract more students to primary care
Some Americans were carrying "health insurance" through their employers, fraternal
orders, guilds, trade associations, unions or commercial insurance companies as early
, as the 19th century. However, unlike today's health insurance, these insurance policies
only provided for - ANSWER Fixed payments to compensate for lost wages due to injury,
sickness or disability
The Oregon Death with Dignity Act was a response to which of the following - ANSWER
public and professional concerns about painful and demeaning terminal medical care
The American Medical Association's initial reaction to Blue Cross hospital insurance
plans suggested that the plans: - ANSWER Were unsound and unethical
A central provision of the ACA to assure health care coverage for most Americans is -
ANSWER the individual mandate
The most important social legislation enacted by any Congress in the history of the
United States was the - ANSWER Social Security Act of 1935
To receive incentive payments for demonstrating "meaningful use," providers must
meet criteria in three stages of EHR implementation. During which stage must providers
meet objectives for "capturing patient data and sharing data in a standardized format
with patients and other health care professionals? - ANS Stage 1
Two major issues that bothered many about the ACA - ANS individual mandate &
Medicaid expansion
HIPAA implementation brought in several new provisions that benefited the individual.
Apart from the provision of privacy regarding patient information, which of the following
was another important provision - ANSWER Elimination of preexisting periods for
individuals moving from job-to-job
Which of the following is synonymous with an EHR - ANSWER None of the above
(Remember, EMR, EHR, PHR are all different)
This key Act provided financial incentive programs for physicians to buy, install and
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