Deck 3: Public Health and the Healthcare System
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Deck 3: Public Health and the Healthcare System
1
The process of "enabling people to increase control over, and to improve, their health beyond prevention" describes the World Health Organization's definition of:
A) disease prevention.
B) health education.
C) health promotion.
D) risk reduction.
A) disease prevention.
B) health education.
C) health promotion.
D) risk reduction.
C
2
The healthcare delivery system traditionally refers to:
A) groups of healthcare providers (doctors, nurses, hospitals etc…) providing care to a specific population.
B) the provision of personal healthcare (clinical) services.
C) the financing structure of healthcare (clinical) services.
D) the overall organization, financing, and provision of personal healthcare (clinical) services.
A) groups of healthcare providers (doctors, nurses, hospitals etc…) providing care to a specific population.
B) the provision of personal healthcare (clinical) services.
C) the financing structure of healthcare (clinical) services.
D) the overall organization, financing, and provision of personal healthcare (clinical) services.
D
3
Immunizations fall into what category of disease prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
A
4
When a person is healthy, without signs and symptoms of disease, illness or injury, the level of prevention most appropriate would be:
A) primary prevention.
B) secondary prevention.
C) tertiary prevention.
D) No prevention is needed.
A) primary prevention.
B) secondary prevention.
C) tertiary prevention.
D) No prevention is needed.
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5
School-based programs to increase physical activity are an example of CDC's Health Impact in 5 Years (HI-5). This intervention represents which level of the health impact pyramid?
A) Counseling and education
B) Clinical intervention
C) Changing the context
D) Social determinants of health
A) Counseling and education
B) Clinical intervention
C) Changing the context
D) Social determinants of health
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6
The National Health Expenditures (health expenditures for health and medical care services) in the United States for 2015 is closest to which of these figures?
A) $350 million
B) $350 billion
C) $3.5 trillion
D) $35 trillion
A) $350 million
B) $350 billion
C) $3.5 trillion
D) $35 trillion
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7
The "three buckets of prevention" include all of the following except:
A) increased use of evidence-based services for patient populations.
B) provision of service outside of the clinical setting.
C) implementation of preventive services to reach the entire population.
D) increased use of research and development to improve clinical care.
A) increased use of evidence-based services for patient populations.
B) provision of service outside of the clinical setting.
C) implementation of preventive services to reach the entire population.
D) increased use of research and development to improve clinical care.
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8
Employing case managers to do home-visits for patients whose asthma is not well-controlled despite health education and medication is an example of:
A) traditional clinic based medical care.
B) innovative clinical prevention.
C) traditional community-wide public health prevention.
D) traditional clinical prevention.
A) traditional clinic based medical care.
B) innovative clinical prevention.
C) traditional community-wide public health prevention.
D) traditional clinical prevention.
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9
Early detection of disease and interventions to reverse, halt, or at least slow the progression of a condition, often performed when disease is not yet symptomatic, is a description of:
A) primary prevention.
B) secondary prevention.
C) tertiary prevention.
D) quaternary prevention.
A) primary prevention.
B) secondary prevention.
C) tertiary prevention.
D) quaternary prevention.
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10
The approximate percentage of all health and medical care expenditures in the United States spent on clinical preventive and public health services is:
A) 25-30%.
B) 15-20%.
C) 5-10%.
D) less than 5%.
A) 25-30%.
B) 15-20%.
C) 5-10%.
D) less than 5%.
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11
The two largest categories of national health expenditures in the United States are:
A) hospitals and nursing homes.
B) physicians and hospitals.
C) public health and physicians.
D) hospitals and pharmaceuticals.
A) hospitals and nursing homes.
B) physicians and hospitals.
C) public health and physicians.
D) hospitals and pharmaceuticals.
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12
Rank the following in terms of health care expenditures from greatest to least.
A) Hospital care
B) Prescription drugs
C) Administration costs (for both government and private health insurance)
D) Physician and clinical services
A) Hospital care
B) Prescription drugs
C) Administration costs (for both government and private health insurance)
D) Physician and clinical services
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13
In general, the increased costs of health care in the United States compared to other countries is not associated with:
A) increased utilization of healthcare goods and services.
B) increased prices associated with pharmaceuticals.
C) higher administrative costs.
D) increased prices associated with healthcare professional services.
A) increased utilization of healthcare goods and services.
B) increased prices associated with pharmaceuticals.
C) higher administrative costs.
D) increased prices associated with healthcare professional services.
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14
As a general rule, the United States spends ________ on social care relative to health care than other OECD countries.
A) less
B) more
C) the same amount
A) less
B) more
C) the same amount
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15
One area in which the United States outperforms (does better than) other OECD countries relates to:
A) air pollution.
B) hospitalization rates for asthma/chronic obstructive pulmonary disease.
C) tobacco rates.
D) dementia mortality.
A) air pollution.
B) hospitalization rates for asthma/chronic obstructive pulmonary disease.
C) tobacco rates.
D) dementia mortality.
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16
In terms of its ranking for life expectancy at birth among the world's economically developed nations, the United States generally ranks:
A) best (i.e., highest life expectancy) among developed countries.
B) among the ten developed countries with the highest life expectancy.
C) about average in terms of life expectancy among the developed countries.
D) among the ten developed countries with the lowest life expectancy.
A) best (i.e., highest life expectancy) among developed countries.
B) among the ten developed countries with the highest life expectancy.
C) about average in terms of life expectancy among the developed countries.
D) among the ten developed countries with the lowest life expectancy.
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17
Which of these levels of the health impact pyramid has the greatest impact at the population level?
A) Socioeconomic factors
B) Long-lasting protective interventions
C) Counseling and education
D) Clinical interventions
A) Socioeconomic factors
B) Long-lasting protective interventions
C) Counseling and education
D) Clinical interventions
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18
By the year 2025, non-Hispanic whites will compose approximately what percentage of the total U.S. population?
A) 80%
B) 70%
C) 60%
D) 50%
A) 80%
B) 70%
C) 60%
D) 50%
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19
Match the following as either primary, secondary, or tertiary medical care.
-Care commonly provided by physicians and hospitals
-Care commonly provided by physicians and hospitals
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20
Match the following as either primary, secondary, or tertiary medical care.
-Population-based public health services
-Population-based public health services
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21
Match the following as either primary, secondary, or tertiary medical care.
-Clinical preventative services
-Clinical preventative services
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22
Match the following as either primary, secondary, or tertiary medical care.
-Care requiring specialized personnel and facilities
-Care requiring specialized personnel and facilities
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23
Match the following as either primary, secondary, or tertiary medical care.
-Support services for people with chronic or long-term conditions
-Support services for people with chronic or long-term conditions
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24
Match the following as either primary, secondary, or tertiary medical care.
-Interventions aimed at disease prevention and health promotion
-Interventions aimed at disease prevention and health promotion
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25
As the U.S. population ages, how are healthcare services impacted?
A) Demand for healthcare decreases, but costs increase.
B) Demand for and cost of healthcare decreases.
C) Demand for healthcare increases, but costs decrease.
D) Demand for and cost of healthcare increase.
E) There is no significant impact on demand or cost of healthcare.
A) Demand for healthcare decreases, but costs increase.
B) Demand for and cost of healthcare decreases.
C) Demand for healthcare increases, but costs decrease.
D) Demand for and cost of healthcare increase.
E) There is no significant impact on demand or cost of healthcare.
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26
Per capita government public health activity spending in the United States in 2017 was closest to:
A) $2.70 per year.
B) $27 per year.
C) $273 per year.
D) $2,730 per year.
A) $2.70 per year.
B) $27 per year.
C) $273 per year.
D) $2,730 per year.
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27
Private health insurance in the United States pays for approximately what percent of all national health expenditures?
A) 20%
B) 33%
C) 50%
D) 66%
A) 20%
B) 33%
C) 50%
D) 66%
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28
Which of the following countries has the highest per capita spending on health care services?
A) Germany
B) Japan
C) United States
D) United Kingdom
A) Germany
B) Japan
C) United States
D) United Kingdom
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29
Visiting a physician on a regular basis is considered which of the following types of care?
A) Primary care
B) Secondary care
C) Tertiary care
D) Quaternary care
A) Primary care
B) Secondary care
C) Tertiary care
D) Quaternary care
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30
The Patient Protection and Affordable Care Act strove to achieve "Triple Aim." "Triple Aim" refers to all of the following except:
A) improve quality of healthcare.
B) contain health care costs.
C) improve healthcare workforce capacity.
D) improve overall population health.
A) improve quality of healthcare.
B) contain health care costs.
C) improve healthcare workforce capacity.
D) improve overall population health.
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31
Evidence has shown that the Patient Protection and Affordable Care Act improved which of the following?
A) Access to care
B) Cost of health care
C) Quality of healthcare
D) Simplification of healthcare regulations
A) Access to care
B) Cost of health care
C) Quality of healthcare
D) Simplification of healthcare regulations
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32
Disease management and rehabilitation are examples of which of the following?
A) Primary prevention strategies
B) Secondary prevention strategies
C) Tertiary prevention strategies
D) Quaternary prevention strategies
A) Primary prevention strategies
B) Secondary prevention strategies
C) Tertiary prevention strategies
D) Quaternary prevention strategies
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33
All of the following are the main sources for overall national health expenditures except:
A) all levels of government.
B) private health insurance.
C) individuals paying out of pocket.
D) research and development.
A) all levels of government.
B) private health insurance.
C) individuals paying out of pocket.
D) research and development.
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34
A tool to highlight the intentional collaboration between primary clinical care and public health is known as:
A) The Three Buckets of Prevention.
B) Triple Aim.
C) The Affordable Care Act.
D) The Practical Playbook.
A) The Three Buckets of Prevention.
B) Triple Aim.
C) The Affordable Care Act.
D) The Practical Playbook.
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35
Which of the following trends has not been noted in healthcare delivery in the United States over the past 40 years?
A) The number of community hospitals has declined.
B) The number of jobs in ambulatory care has declined.
C) Average occupancy rates of hospitals have declined.
D) Average length of stay of hospital admission has declined.
A) The number of community hospitals has declined.
B) The number of jobs in ambulatory care has declined.
C) Average occupancy rates of hospitals have declined.
D) Average length of stay of hospital admission has declined.
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