Deck 15: Health Planning and Regulation

Question 1

Which of the following factors needs to be assessed wen health planning at the micro and macro levels?

A) Legal issues
B) Political issues
C) Quality issues
D) All of the above

Answer 1

All of the above

Question 2

Which of the following is NOT an important step in any planning?

A) Defining a problem
B) Formulating and evaluating alternatives
C) Repeating the process multiple times to achieve an "average" performance level
D) Implementing the chosen alternative

Answer 2

Repeating the process multiple times to achieve an "average" performance level

Question 3

Which of the following nongovernmental planning efforts was formed as a joint committee by the American Hospital Association, American Medical Association, American Public Health Association, and American Public Welfare Association in 1945?

A) Flexner Report
B) Committee on the Cost of Medical Care
C) Commission on Chronic Illness
D) None of the above

Answer 3

Commission on Chronic Illness

Question 4

Which organization must demonstrate that prescription medications are safe and effective?

A) Food and Drug Administration
B) American Medical Association
C) Commission on Chronic Illness
D) American Public Health Association

Question 5

Which of the following is NOT true regarding Economic Theory?

A) Usually produces competitive or low profits
B) Usually produces noncompetitive but higher profits
C) Consumers experience monopolistic prices because businesses have to comply with regulation
D) Best supported by data and is probably the reason for the partial deregulation of some industries.

Question 6

How many essential goals of health planning are there?

A) 5
B) 10
C) 2
D) 6

Question 7

Which of the following is NOT an essential goals of health planning?

A) Increasing fragmentation of health care delivery
B) Achieving a better geographic distribution to optimize patients' access to care
C) Identifying health needs and problems and helping to set realistic goals
D) Establishing priorities

Question 8

When planning and measuring need, what area you assessing?

A) Use of services
B) Health status
C) Supply
D) Organization

Question 9

Which of the following is NOT an essential goals of health planning?

A) Improving the organization of health services
B) Speeding the development and diffusion of needed new health services
C) Encouraging duplication of services
D) Improving coordination to facilitate the communication among all clinicians in the continuum of care

Question 10

When planning and measuring facilities and manpower, what area you assessing?

A) Use of services
B) Health status
C) Supply
D) Organization

Question 11

Which of the following is NOT true according to Capture Theory?

A) Protection of monopoly power is the actual goal and result of legislation and regulations.
B) Regulation creates a legally enforceable monopoly that is utilized to prevent other producers from entering the market.
C) Politicians accept a monopoly in exchange for campaign contributions.
D) Companies earn lower profits, and the prices are lower than in a competitive market.

Question 12

Which of the following established the Comprehensive Health Planning Program, the first example of system-wide health planning in the United States?

A) The Partnership for Health Act of 1966
B) The National Health Planning and Resource Development Act of 1974
C) The Hospital Survey and Construction Act of 1946
D) The Heart Disease, Cancer, and Stroke Act of 1965

Question 13

Which of the following nongovernmental planning efforts was tasked with defining chronic illnesses and helping to create and coordinate programs for the prevention and treatment of chronic illnesses?

A) Flexner Report
B) Committee on the Cost of Medical Care
C) Commission on Chronic Illness
D) None of the above

Question 14

When planning and measuring demand, what area you assessing?

A) Use of services
B) Health status
C) Supply
D) Organization

Question 15

Which of the following is NOT a benefit of competition?

A) Promotes innovation and ingenuity
B) Results in higher prices
C) Inventors are able to profit from new discoveries
D) Scientists are able to profit from new discoveries

Question 16

What are the three elements of the Iron Triangle?

A) Access, quality, and cost
B) Insurance, quality, and cost
C) Location, supply, and demand
D) Supply, demand, and elasticity

Question 17

Which of the following is NOT one of the four major characteristics that ensure a free-market works properly for the benefit of consumers and producers?

A) Consumers are well informed about the products they want to purchase.
B) The individual pays the full cost and enjoys the full benefits of the product or service at the time of purchase.
C) There are a small, selective number of suppliers from which individuals can choose to purchase a good or service.
D) The suppliers bear the full cost of production for those items or services.

Question 18

When planning which of the following areas of assessment can impact supply and the use of services?

A) Cost
B) Organization
C) Neither A nor B
D) Both A and B

Question 19

Which of the following attempted to equalize hospital bed to population ratios across the country?

A) The Dawson Report in the United Kingdom
B) The Social Security Act of 1935
C) The Hospital Survey and Construction Act of 1946
D) The Heart Disease, Cancer, and Stroke Act of 1965

Question 20

Regulation is often a function of which level of government?

A) Local
B) State
C) Federal
D) All of the above

Question 21

Government seeks to contain costs and protect the "public's ______."

Question 22

Which of the following funneled millions of dollars to large medical centers, although little of that money reached community physicians and hospitals where it was intended?

A) The Dawson Report in the United Kingdom
B) The Social Security Act of 1935
C) The Hospital Survey and Construction Act of 1946
D) The Heart Disease, Cancer, and Stroke Act of 1965

Question 23

Planning can occur at the micro or __levels.

Question 24

Health planning attempts to equate units of __with units of __to units of ______.

Question 25

Which of the following nongovernmental planning efforts led to the closure of many medical schools but also set the foundation for the rigorous medical education system that we have today?

A) Flexner Report
B) Committee on the Cost of Medical Care
C) Commission on Chronic Illness
D) None of the above

Question 26

Which of the following contained a clause that stated that state governments should not intervene in the physician-patient relationship?

A) The Dawson Report in the United Kingdom
B) The Social Security Act of 1935
C) The Hospital Survey and Construction Act of 1946
D) The Heart Disease, Cancer, and Stroke Act of 1965
Completion
Complete each statement.

Question 27

Which of the following laid the foundation for the creation of a National Health Service in England in 1948?

A) The Dawson Report in the United Kingdom
B) The Social Security Act of 1935
C) The Hospital Survey and Construction Act of 1946
D) The Heart Disease, Cancer, and Stroke Act of 1965

Question 28

Which of the following nongovernmental planning efforts spent five years surveying and evaluating the organization and cost of the medical care system in the United States?

A) Flexner Report
B) Committee on the Cost of Medical Care
C) Commission on Chronic Illness
D) None of the above

Question 29

In what year were regional medical programs defunded?

A) 1966
B) 1976
C) 1986
D) 1996

Question 30

Planning (Centralized) + Government (Force of Law) = ______

Question 31

Which of the following is NOT one of three major theories in political science that explain the behavior of regulatory agencies and the industries that they regulate?

A) Public Interest Theory
B) Capture Theory
C) Community Theory
D) Economic Theory

Question 32

Which of the following divided states into health service areas (HSAs) - using actual health care markets and not political boundaries for planning purposes?

A) The Partnership for Health Act of 1966
B) The National Health Planning and Resource Development Act of 1974
C) The Hospital Survey and Construction Act of 1946
D) The Heart Disease, Cancer, and Stroke Act of 1965

Question 33

Whether planning at the micro or macro level, objectives and __must be set to guide the planning process.

Question 34

_leads to excess cost to the health care system and may result in harm to the patient.

Question 35

Which of the following is NOT true according to Public Interest Theory?

A) Regulation should result in prices and profits comparable to those that are realized in a highly competitive marketplace.
B) The lowest prices that can be sustained by suppliers are those in a highly competitive marketplace.
C) Regulation may impose prices that are lower than competitive prices, resulting in more suppliers entering the marketplace.
D) Shortcomings in the regulatory process can be rectified by devoting more time and resources to the process

Question 36

Which of the following nongovernmental planning efforts used the Johns Hopkins model as the standard by which to judge medical education?

A) Flexner Report
B) Committee on the Cost of Medical Care
C) Commission on Chronic Illness
D) None of the above

Question 37

Which of the following nongovernmental planning efforts' recommendations included organizing physicians into groups, extending the availability of all public services, and emphasized health and prevention of disease in the teaching of physicians?

A) Flexner Report
B) Committee on the Cost of Medical Care
C) Commission on Chronic Illness
D) None of the above

Question 38

Which of the following outlined tuberculosis treatment and planning but restricted intervention in the private practice of medicine?

A) The Dawson Report in the United Kingdom
B) The Social Security Act of 1935
C) The Hospital Survey and Construction Act of 1946
D) The Heart Disease, Cancer, and Stroke Act of 1965

Question 39

Which of the following established regional medical programs (RMPs)?

A) The Dawson Report in the United Kingdom
B) The Social Security Act of 1935
C) The Hospital Survey and Construction Act of 1946
D) The Heart Disease, Cancer, and Stroke Act of 1965

Question 40

Which of the following divided each state into "B" agencies, often based on county or political boundaries?

A) The Partnership for Health Act of 1966
B) The National Health Planning and Resource Development Act of 1974
C) The Hospital Survey and Construction Act of 1946
D) The Heart Disease, Cancer, and Stroke Act of 1965

Question 41

Match the term with the definition or description:
Programs in which a state board must approve applications for new facilities, capital improvements, or high-cost equipment

A)Health planning
B)Micro planning
C)Macro planning
D)Goal
E)Objective
F)Regulation
G)Certificate of Need program

Question 42

Match the term with the definition or description:
Centralized planning at a national, regional, or state level

A)Health planning
B)Micro planning
C)Macro planning
D)Goal
E)Objective
F)Regulation
G)Certificate of Need program

Question 43

__competition exists when there is too little regulation in the market, causing harm to companies, taxpayers, and customers.

Question 44

Match the term with the definition or description:
A long-range statement of an ideal or desired outcome

A)Health planning
B)Micro planning
C)Macro planning
D)Goal
E)Objective
F)Regulation
G)Certificate of Need program

Question 45

Provision of health care is not a right specified in the ______, but it is often viewed as a right.

Question 46

The United States has always had a ______-based economy.

Question 47

Match the term with the definition or description:
A specific, measurable target that must be reached within a defined time frame

A)Health planning
B)Micro planning
C)Macro planning
D)Goal
E)Objective
F)Regulation
G)Certificate of Need program

Question 48

Match the term with the definition or description:
Centralized planning that has the force of law behind it

A)Health planning
B)Micro planning
C)Macro planning
D)Goal
E)Objective
F)Regulation
G)Certificate of Need program

Question 49

Match the term with the definition or description:
A formal process where organizations or government entities devise strategies and itemize services that promote health or prevent or treat diseases

A)Health planning
B)Micro planning
C)Macro planning
D)Goal
E)Objective
F)Regulation
G)Certificate of Need program

Question 50

Match the term with the definition or description:
Decentralized planning targeted at the institutional or individual level

A)Health planning
B)Micro planning
C)Macro planning
D)Goal
E)Objective
F)Regulation
G)Certificate of Need program