Deck 7: Health Care Disparities in Physician Practices

Question 1

According to the Study Guide PowerPoint, it is a very perilous act to "charge" a physician and/or other health care professional with delivering disparate care. The Study Guide warns us not to make such an accusation in the absence of empirical data. Empirical refers to:

A) Multiple case studies
B) An accusation by an individual who experienced the disparate care
C) Information and data that were generated by statistical observation of real life experiences or by experiment of data analysis
D) None of the above

Answer 1

C

Question 2

A review of the Study Guide PowerPoint and the Chapter reveals an emphasis upon empirical studies of behaviors associated with healthcare disparities in physician practices.

Answer 2

True

Question 3

Primary prevention has always been a major component of the services that physicians are assigned to deliver.

Answer 3

False

Question 4

Primary prevention and secondary prevention are synonymous:

Question 5

The duties of a physician in the contemporary health care system includes each area listed below except:

A) Primary prevention because public health professionals are not the only health care professionals who deliver these services
B) Diagnosing illness and disease
C) Treating illness and disease
D) Reducing the probability of the recurrence of illness and disease
E) Treating all illnesses and disease except those that are chronic
F) Assisting patients in self-management

Question 6

Which researchers listed below did not complete an empirical study that revealed disparate physician and patient communications by subgroups:

A) Siminoff, Graham and Gordon (2006)
B) Kelly and Haidet (2007)
C) Street, et al. (2009)
D) a, b and c's research did not involve physician and patient communications as a source of disparate healthcare
E) a, b, and c did involve physician and patient communication. Therefore, not a single study cited, "…did not" address disparate physician/patient communication

Question 7

According to the text, culture can be defined as:

A) The total way of life of a family
B) The total way of life of a people
C) The total way of life of a country
D) None of the above.

Question 8

According to the text, cultural intelligence is a concept that has been integrated into international business.

Question 9

Which empirical researchers below would you mention if you were the Administrator of a hospital and you were discussing the fact that implicit bias does operate in healthcare personnel:

A) Richer (2018)
B) Saadi, Himmelstein, and Woolhandler (2017)
C) Foo (2017)
D) a nor b
E) b and c
F) None of the above

Question 10

Some empirical research was revealed that patients can also contribute to healthcare disparities as a result of their behaviors. Which researchers listed below has such findings:

A) Foo, et al. (2017)
B) Duberstein, et al. (2017)
C) Both a and b
D) None of the above

Question 11

Other empirical studies also highlight the operation of implicit bias. Which researcher or researchers listed below are correctly matched with their findings?:

A) Blair et al (2011) provide examples of how physician responses to patients can occur as a result of race/ethnicity
B) Shiela Tolentino (2018) demonstrated implicit bias in a study of the absence of Asian-specific diabetes screening criteria in Medical Practice Guidelines
C) Both a and b are correctly matched
D) Neither of the above are correctly matched

Question 12

Barr (2014) demonstrated implicit bias based upon research which confirmed that California oncologists disparately provided bone marrow transplantation to racial/ethnic subgroups.

Question 13

Implicit bias, according to Chapter 7, can occur with all subgroups listed below except:

A) Low income group
B) Sexual minorities
C) Racial/ethnic group
D) Substance users
E) Persons who are overweight or obese
F) There are no exceptions in the groups listed

Question 14

When patients refused to be served by those who are not of their own subgroup, it is explicit bias.

Question 15

When minority patients distrust their providers, it is implicit bias

Question 16

Both internal and external bias lead to health care disparities:

Question 17

Which statement or statements below is/are true?

A) Empirical research confirms that healthcare disparities occur in treatment but not in preventative care
B) Health care research confirms that disparities occur in prevention but not in treatment
C) Empirical research reveals that health disparities exist in both prevention and treatment
D) None of the above are true
E) All of the above are true

Question 18

What do the research findings of Murakam et al (2011), Travers (2017) and Winston, et al., (2006) have in common?

A) Each of these researchers confirm disparities in cancer care
B) Each of these researchers confirm disparities in the use of preventive testing and services
C) Each of these researchers confirm disparities in hospital care
D) None of these researchers were cited in this chapter

Question 19

Which item below is an example of preventive care services?

A) Influenza vaccination
B) Pneumococcal vaccination
C) eye pressure check
D) bone x-ray
E) annual physical exam
F) a and b only
G) a, b and c
H) a, b, c, and d
I) All of the above
J) None of the above

Question 20

Physicians can help reduce healthcare disparities by:

A) Partnering with health care administrators and researchers
C) Partnering with public health professionals
D) Partnering with policymakers
E) Partnering with individuals who are a part of disparate subgroups
F) All of the above
G) None of the above

Question 21

Medical practice guidelines often but do not always include specific information for various subgroups.

Question 22

In the text, the argument is made that independent of socioeconomic and other barriers, health disparity populations do embody power.

Question 23

All individuals have some degree of power to affect his or her own life and the power to affect the lives of others.

Question 24

One element needed to decrease health disparities is that both doctors and patients must undergo behavioral change.