Deck 14: The Future of Health Services Delivery

Question 1

The institutional infrastructure of long-term care delivery is going through a cultural change that emphasizes

A)improved quality of care
B)evidence-based care
C)enriched living environments
D)higher staff to patient ratios

Answer 1

enriched living environments

Question 2

What is the main use of regenerative medicine?

A)To revive an individual who is near death
B)To repair damaged genes
C)To provide substitutes for life giving products such as blood
D)To repair damaged organs and tissues

Answer 2

To repair damaged organs and tissues

Question 3

What has been identified as one of the main reasons for the shortage of physicians who are trained in geriatrics?

A)Lack of interest among medical students
B)Shortage of faculty in colleges and universities
C)Lack of government initiatives
D)Lack of demand

Answer 3

Shortage of faculty in colleges and universities

Question 4

Patient activation is the lowest among people

A)insured by managed care plans
B)enrolled in a medical home
C)enrolled in Medicaid
D)enrolled in Medicare

Question 5

One of the most disconcerting aspects of government regulation of long-term care is

A)inadequacy of regulations
B)inconsistent application of regulations within and across regions
C)overregulation
D)inconsistencies between the regulatory requirements and delivery of care

Question 6

What has been one of the main issues in Massachusetts since the implementation of the health plan in that state?

A)A large proportion of the population remains uninsured
B)Physicians have left the state in large numbers
C)Emergency department utilization has continued to rise
D)Health disparities have increased among minority groups

Question 7

What is the primary aim of International Health Regulations?

A)To prevent and respond to acute public health risks
B)Global dissemination of clinical practice guidelines
C)Ban the development and stockpiling of biological agents
D)To call upon international assistance in the event of major disasters

Question 8

Which two barriers will prevent the US health care system from reaching an ideal state?

A)Anthro-cultural factors; technological change
B)The American mindset in terms of expectations; inadequacies in the existing infrastructure
C)Cost of health care; social and demographic forces
D)Employment-based health insurance; insurance companies

Question 9

Which particular skill is fundamental to the delivery of patient-centered care?

A)Communication
B)Decision-making
C)Coordination
D)Analytical

Question 10

Geographic information systems will increasingly find applications in

A)public health
B)health delivery institutions
C)community-based long-term care
D)comparative effectiveness research

Question 11

Medical tourism will likely increase with the growth of

A)health insurance exchanges
B)the phenomenon referred to as "brain gain"
C)the national debt in the United States
D)high-deductible health plans

Question 12

Because of the transition of patients between long-term care and nonlong-term care settings, IT systems must be

A)portable
B)user-friendly
C)synchronous
D)interoperable

Question 13

What has been identified as the main obstacle to uniformity in the scope of practice for advance practice nurses?

A)Deficits in education and training
B)Different licensing and practice rules across states
C)Lack of partnership with physicians
D)Inadequate information systems

Question 14

Should the Affordable Care Act get repealed,

A)health care reform will become a dead issue
B)the main provisions of the ACA will be scrapped
C)it will be replaced by a single-payer system
D)some provision of the ACA will be retained

Question 15

Evidence-based medicine proposes to incorporate _____ in medical care delivery.

A)clinical trials
B)best practices
C)experimentation
D)clinical review

Question 16

Primary care physicians will need to become comprehensivists mainly because of

A)advances in medical technology
B)a growing number of people with complex chronic conditions
C)a greater emphasis on patient-centered care
D)the adoption of the medical home model in health care delivery

Question 17

Anthro-cultural forces refer to

A)the beliefs and values espoused primarily by middle-class Americans
B)unmet needs among the most vulnerable population groups
C)cultural change brought about by immigration
D)the complex interaction of all the forces of future change

Question 18

Should the Affordable Care Act get repealed, what provision would likely be made to cover preexisting conditions?

A)People with preexisting conditions will remain uninsured
B)People with preexisting conditions will become Medicaid beneficiaries
C)State-based high-risk pools will cover most people with preexisting conditions
D)Insurers will have mandates to cover preexisting conditions

Question 19

What is the main answer sought in comparative effectiveness research?

A)How can best practices be adopted in clinical care delivery?
B)What works best for which patients?
C)What new research should be undertaken to improve quality?
D)Why a particular treatment did not produce expected results?

Question 20

Delivery of community-oriented primary care requires all of the following except:

A)Training of physicians in primary care
B)Supplementing the biomedical model with social and behavioral sciences
C)Strengthening of public health functions
D)Improvements in secondary and tertiary care delivery

Question 21

Given the aging of the population, training in geriatrics is on the rise among physicians
and nurses.

Question 22

Two main concerns expressed by citizens in Massachusetts since the implementation of the health plan include cost and waiting times to see a physician.

Question 23

Ecological factors often have global consequences.

Question 24

Medicare will not meet the growing need for long-term care services.

Question 25

Hawaii and Oregon are two examples where universal access has been achieved in the United States.

Question 26

An understanding of the forces of future change can help health care executives in developing strategies for their organizations.

Question 27

Availability of qualified workforce is determined mainly by ecological factors.

Question 28

Economists have projected that the Affordable Care Act will improve employment and household incomes.

Question 29

Recent surveys have demonstrated that Americans are willing to forego technological innovation and availability of new technology in favor of universal health insurance coverage.

Question 30

There is a high degree of uniformity across states in the scope of practice for advance practice nurses.

Question 31

Before the launch of the Affordable Care Act, surveys showed that over 50% of Americans disapproved the ACA.

Question 32

Gene therapy promises to replace the use of medications and surgeries in some areas.

Question 33

Knowledge in comparative effectiveness research (CER) will grow more quickly if new studies are undertaken.

Question 34

By understanding the forces of future change one can accurately predict the future of health care in the United States.

Question 35

Americans generally demonstrate a high degree of agreement on major health policy issues.

Question 36

What is likely to be the biggest obstacle to the delivery of cost-efficient care?

A)Government mandates for the delivery of certain types of care
B)Rationing of services by the government
C)Public's attitudes
D)Inadequacy of comparative effectiveness research

Question 37

Many developed nations have been able to achieve universal access through a single-payer system.