Deck 3: Public Health and the Healthcare System

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Question
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.
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Question
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.
Question
Immunizations fall into what category of disease prevention?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
Question
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.
Question
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
Question
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
Question
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.
Question
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.
Question
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.
Question
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%.
Question
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.
Question
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
Question
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.
Question
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
Question
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.
Question
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.
Question
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
Question
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%
Question
Match the following as either primary, secondary, or tertiary medical care.
-Care commonly provided by physicians and hospitals
Question
Match the following as either primary, secondary, or tertiary medical care.
-Population-based public health services
Question
Match the following as either primary, secondary, or tertiary medical care.
-Clinical preventative services
Question
Match the following as either primary, secondary, or tertiary medical care.
-Care requiring specialized personnel and facilities
Question
Match the following as either primary, secondary, or tertiary medical care.
-Support services for people with chronic or long-term conditions
Question
Match the following as either primary, secondary, or tertiary medical care.
-Interventions aimed at disease prevention and health promotion
Question
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.
Question
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.
Question
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%
Question
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
Question
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
Question
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.
Question
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
Question
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
Question
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.
Question
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.
Question
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.
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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.
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.
D
3
Immunizations fall into what category of disease 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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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%.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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%
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
19
Match the following as either primary, secondary, or tertiary medical care.
-Care commonly provided by physicians and hospitals
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
20
Match the following as either primary, secondary, or tertiary medical care.
-Population-based public health services
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
21
Match the following as either primary, secondary, or tertiary medical care.
-Clinical preventative services
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
22
Match the following as either primary, secondary, or tertiary medical care.
-Care requiring specialized personnel and facilities
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
23
Match the following as either primary, secondary, or tertiary medical care.
-Support services for people with chronic or long-term conditions
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
24
Match the following as either primary, secondary, or tertiary medical care.
-Interventions aimed at disease prevention and health promotion
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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%
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
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.
Unlock Deck
Unlock for access to all 35 flashcards in this deck.
Unlock Deck
k this deck
locked card icon
Unlock Deck
Unlock for access to all 35 flashcards in this deck.