Question 1

Medical dominance is defined as:&#10;A)a license to practise provided by an authority&#10;B)a strong basis in the science of medicine&#10;C)the power medicine has to determine the work of other health professions such as nursing and allied health&#10;D)a strong service ethic,scientific training,and autonomy of practice

Accepted Answer

Medical dominance is defined as the power vested in medicine to direct the work of other health professionals who care for a client.

Question 2

The purpose of interprofessional practice is to deal with:&#10;A)interprofessional education&#10;B)issues of acute-care length of stay&#10;C)issues of efficiency and productivity&#10;D)the fragmentation of how health professionals work,particularly for those patients with chronic conditions

Accepted Answer

Dealing with the fragmented way in which health professionals work gave rise to the concept of interprofessional practice (IPP),which is the intended outcome from interprofessional education (IPE).If you are studying health systems with students from a range of other professions,that is the first step towards understanding their patient care practices,in order that you might eventually work together.

Question 3

In Australia,control over health professions is exercised by the government through regulation.Professional regulation is controlled by which government agency?&#10;A)The Australian Health Practitioner Regulation Agency&#10;B)The Australian Medical Association&#10;C)The Australian Association of Health Practitioners&#10;D)The accrediting body of each profession

Accepted Answer

In 2009,the federal government established the Australian Health Practitioner Regulation Agency (AHPRA).Fourteen professions are regulated.

Question 4

The health status of individuals and nations depends on the provision of services,but also on issues of equity linked to the social determinants of health (SDH)- for example:&#10;A)the social gradient&#10;B)access to housing,education,labour conditions,and gender equity&#10;C)major morbidity and mortality patterns&#10;D)the welfare state

Accepted Answer

Inequity arises when attention is not paid to the social conditions that underpin poor health,such as housing,education,labour conditions,gender and early childhood.There is a large body of work that has given rise to the conceptual field of the SDH and the determinants of equity and inequity.

Question 5

The philosophy of economic rationalism has generated the practice of 'new public management' to make the public sector,funded by government,more efficient.This means that government services:&#10;A)are given increased funding to ensure high productivity&#10;B)take up ideas from other countries with similar health sectors to Australia&#10;C)are run like a private company through competitive practices such as outsourcing,performance management and turning some services into private business&#10;D)seek public-private partnerships

Accepted Answer

New public management includes outsourcing non-essential services in the public sector,such as cleaning and catering,to a private company,or turning the pathology and radiology services into businesses that must make a profit.It also means that when governments want a particular task done they must put it out to competitive tender,allowing private companies to compete for the job,and in some cases the government and a private company may run a service such as a hospital together in what is known as a public-private partnership.

Question 6

A Cochrane systematic review of interprofessional practice (IPP),published in 2013,showed that IPP:&#10;A)is a growing area of health care reform,but has little supporting evidence of impact or take-up&#10;B)has had positive results in all clinical settings&#10;C)requires health professionals to have been introduced to the concept during their education&#10;D)is not relevant to the acute setting

Accepted Answer

Reeves and his colleagues (2013,p 16)note that in 1999 when they did their first review,they could find no eligible studies.However,they agree that IPP is a growing area of health care reform that focuses on the very way in which health professionals work.

Question 7

Eliot Freidson defined a profession as a group of workers who:&#10;A)have the knowledge and skills to do a highly specialised task&#10;B)who make the tools for a particular occupation&#10;C)earn over $100,000 per year&#10;D)are affiliated with a union

Accepted Answer

Eliot Freidson suggested that where the knowledge and skills required to perform a task are highly specialised,control of the work is recognised as being held in the hands of a profession.

Question 8

Freidson argued that professions were characterised by:&#10;A)a license to practise provided by an authority&#10;B)a strong basis in science&#10;C)a capacity to influence government policy&#10;D)a strong service ethic,scientific training,and autonomy of practice

Accepted Answer

Freidson outlined the key characteristics that all professions aspire to:a strong service ethic with set standards and ideals that sets it apart from other occupations;specialised training and a scientific orientation that forms a unique body of knowledge that gives it a professional monopoly in this area;and autonomy of practice over this work,with the capacity to set prices and self-regulate.

Question 9

The Australian health care system is a mixed system,as it provides:&#10;A)free access to health care to all citizens,through Medicare&#10;B)the opportunity for all Australians to receive a rebate if they have private health insurance&#10;C)the capacity for allied health professionals to work in private clinics&#10;D)both a welfare-state-funded public health system and a private system

Accepted Answer

The Australian health care system is a mix of publically funded health care through Medicare and private,market driven health systems that offer health insurance,and private providers including private hospitals.

Question 10

According to Tuohy,there are three major players in health care: the professions,the State,and the private for-profit sector.A fourth player is:&#10;A)the public hospital sector&#10;B)non-governmental organisations&#10;C)patients,consumers or clients&#10;D)patients admitted within 28 days

Accepted Answer

The fourth player is the patient,or consumer (or client).However,they are presumed to have little power in the delivery of health care.

Deck 1: Introduction to Understanding the Australian Health Care System