Deck 6: An Introduction to Health Systems

Question 1

A health system is:

A) Health providers and health services
B) The sum of organizations, institutions, and resources whose primary purpose is to improve health
C) Health financing, health providers, and health services
D) Health services

Answer 1

B

Question 2

Task shifting is:

A) Having people with relatively less training take on tasks that have been done by people with relatively more training
B) Having people trained in one field do work in another field
C) Having health workers take on new tasks
D) None of these are correct

Answer 2

A

Question 3

A health system is supposed to promote:

A) Good health
B) Fairness of financial contribution
C) Responsiveness to people's need
D) All of these are correct

Answer 3

D

Question 4

The U.S. health system can best be described as:

A) A national health service
B) A pluralistic system
C) A social insurance scheme
D) None of these are correct

Question 5

In the lowest-income countries, the first level at which one might encounter a trained physician would generally be:

A) Primary
B) Secondary
C) Tertiary
D) National Hospitals

Question 6

The Declaration of Alma Ata referred to:

A) The manner in which health systems should be organized
B) The manner in which universally accessible first level care should be organized and linked with the community, the determinants of health, and development needs
C) The manner in which tertiary care should be organized
D) The manner in which primary care should be organized

Question 7

Health expenditure per capita generally varies in what way with increasing country income per capita?

A) It goes up
B) It goes down
C) It stays about the same
D) It varies widely

Question 8

What generally happens to private expenditure on health as countries move to universal health coverage?

A) It stays about the same
B) It goes up
C) It goes down
D) It varies widely

Question 9

Your goal as the health minister should be to:

A) Spend as small a share of national income as you can, while enabling high levels of health status for your population
B) Spend a lot on health as a share of national income and enable high levels of health for your people
C) Spend a modest amount on health and accept modest returns in terms of health status
D) Spend little on health and accept small returns in terms of health status

Question 10

Universal health coverage refers to:

A) A health system
B) Providing universal access to a health system
C) Providing universal access to a health system, linked with a program for financial protection
D) Fairness in financing health services

Question 11

Primary care is:

A) Health services at the level of the regional hospital
B) Health services at the first point of contact, intended to provide basic and referral care
C)Community-based health services
D) Basic care

Question 12

Financial protection is:

A) Financing health care in a way that does not deny access to health services because of financial constraints on the part of the patient
B) Insurance
C) Limits on out-of-pocket expenditures
D) Ensuring that there are no co-payments for services

Question 13

Stewardship of the health system refers to:

A) How it is financed
B) Who pays for it
C) How it is governed
D) The amount of external support a system receives

Question 14

The health system of England can best be described as:

A) Pluralistic
B) A national health service
C) A social health insurance scheme
D) A fragmented system

Question 15

The health system of India can best be described as:

A) A national health service
B) Pluralistic
C) A social insurance scheme
D) A coherent system

Question 16

In a low-income country, the first level at which one could receive emergency obstetric care would generally be:

A) Primary
B) Secondary
C) Tertiary
D) National Hospitals

Question 17

In many traditional societies, people seek initial health care from:

A) Practitioners of indigenous systems of medicine
B) A range of unlicensed medical practitioners
C) Pharmacists
D) All of these are correct

Question 18

Total expenditure on health as a share of GDP is highest in:

A) Cuba
B) United Kingdom
C) Germany
D) United States

Question 19

The fundamental question(s) for universal health coverage is/are:

A) Who to cover
B) What to cover
C) Who to cover and what to cover
D) Who to cover, what to cover, and what share of costs should be covered