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Delivering Health Care in America, Sixth Edition

Leiyu Shi and Douglas A. Singh
Test Bank, Chapter 3

Chapter 3: The Evolution of Health Services in the United States
Multiple Choice Questions
1. Which of the following was the main force that prevented a government-run national
health care program from becoming a reality in the United States?
a. Economic forces
b. Political change
c. Beliefs and values
d. Social forces
2. Medical care in preindustrial America had a strong _____ character.
a. scientific
b. professional
c. applied
d. domestic
3. The delivery of medical care in preindustrial America was governed mainly by
a. free market conditions
b. collusion among providers
c. professionalization of medical care
d. high barriers to entry
4. In the preindustrial era, _____ often functioned as surgeons.
a. butchers
b. tailors
c. clergymen
d. barbers
5. In the preindustrial period, what was the main role of dispensaries?
a. Dispensaries were affiliated with hospitals to provide charity care.
b. Dispensaries functioned as laboratories to conduct diagnostic tests.
c. Dispensaries provided basic medical care to ambulatory patients.
d. Dispensaries provided advanced medical treatments by private physicians.
6. Hospitals in the United States evolved from
a. almshouses
b. sickhomes
c. pesthouses
d. inns
7. What main purpose was served by an almshouse in the preindustrial period?
a. It was used to quarantine people who had contracted a contagious disease.
b. It provided free medical care and drugs to ambulatory patients.
c. It specialized in performing basic surgeries.

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10. cultural authority 14. LCC 2 . cohesiveness d. private entrepreneurs c. Singh Test Bank. d. b. organized strength c. The cost of medical education became too high. Medical education became regulated. a. 9. What was the function of a pesthouse in the preindustrial period? a. b. Which of the following factors was particularly important in promoting the growth of office-based medical practice in the postindustrial period? a. Science and research became part of medical education. Science and technology d.Delivering Health Care in America. To house people who had a contageous disease. Dependency 13. 8. d. they impart _____ to the profession a. Chapter 3 d. In the preindustrial era. as opposed to state-sponsored schools. Why in the preindustrial period most people could not afford the services of a qualified physician? a. Educational reform c. The economic cost of travel was too high. the federal government b. c. 12. It performed general welfare and custodial functions. Cultural authority was conveyed to the medical profession mainly through a. Standards were low. To provide refuge to those who were threatened by pests. asylums were built by ____ to accommodate patients with severe and chronic mental illness. Most people relied on home remedies. b. the state governments 11. Sixth Edition Leiyu Shi and Douglas A. What was the main consequence of early proprietary medical schools. c. Professional fees were too high. d. To eradicate pests. the development of the AMA © 2015 Jones & Bartlett Learning. psychiatrists d. When a profession's services are generally accepted and are legitimized. Urbanization b. c. specialization b. Private health insurance was too expensive. in the preindustrial era? a. To treat contageous diseases.

improve living conditions in mental asylums 20. LCC 3 . dependency of patients b. Concerted activities of physicians through the American Medical Association b. public health and private practice of medicine developed separately because a. b. a. The Flexner Report. growth of AMA membership 16. c. Physicians who took up practice in a corporate setting were castigated by the medical profession.Delivering Health Care in America. Americans favored private delivery of medical care over public health. The inception of _____ was used as a trial balloon for the idea of government-sponsored universal health insurance. Chapter 3 b. directed US states to a. Development of the hospital and ______ happened almost hand in hand in a symbiotic relationship between the two. The US Supreme Court decision in Olmstead v. Physicians disliked salary arrangements. Hospitals were unable to pay high enough salaries to physicians. d. physicians were skeptical of the government taking control of medical practice. Standardized practice of medicine d. b. Licensure laws had not yet been passed. the practice of public health was not based on scientific methods. Singh Test Bank. increase funding for mental asylums d. patients' dependency d. standards of training in medical schools c. achieve parity in the delivery of physical and mental health services c. Sixth Edition Leiyu Shi and Douglas A. 21. Organized medicine a. c. growth of scientific knowledge c. professionalization of medical practice d. published in 1910. Affiliation of physicians with medical schools c. L. Why did physicians remain independent of corporate settings even after the medical profession became well recognized? a. deinstitutionalize people with mental illness b. © 2015 Jones & Bartlett Learning. the state of medical specialization 19. In the US. d. licensing 15.C. 17. a public health infrastructure was lacking. reported on a. standards for medical licensure in the US and Canada b. Unionization of physicians 18. advances in medical science c. rates of death in US hospitals d.

Ward off political instability c. workers' compensation trade unions public health health care for the veterans 22. health insurance became employer-based because of a. laid the foundation for modern health insurance in the US. d. comprehensive d. The AMA objected to the inclusion of physician services. Initially. There was little demand for including other types of health care services. c. Provide access to emerging technology d. health insurance must cover major medical expenses 27. This was a _____ plan.Delivering Health Care in America. Provide comprehensive coverage d. b. all large employers must provide health insurance to their employees c. Sixth Edition Leiyu Shi and Douglas A. health insurance could be part of union-management negotiations d. what was the main purpose of private health insurance in the US? a. The Blue Cross commission determined that including other types of health care services would be unprofitable. prepaid 24. Prevent national health insurance from taking hold b. During the World War II period. Why did the first Blue Cross plans cover only hospital care? a. Compensate for loss of income during sickness and temporary disability 23. contributory c. Chapter 3 a. Improve the health of industrial workers b. managed care b. c. the US Supreme Court ruled that a. d. During the World War II period. The Baylor Hospital plan. d. a. endorsement from Blue Cross and Blue Shield plans wage freezes disputes between labor and management about the cost of health care union demands 26. Singh Test Bank. health insurance must be employer-based b. LCC 4 . 25. b. What was the main reason for initiating national health care in countries such as Germany and England? a. Relieve poverty © 2015 Jones & Bartlett Learning. c. Provide coverage for major illnesses c. Initial hospitalization was required in order to compensate a beneficiary for loss of income. b. started in 1929.

vulnerable c. b. Chapter 3 28. Employers c. the government finances Medicare and Medicaid. politically active 32. 33. b. The American Medical Association d.Delivering Health Care in America. d. d. most people served by the medical establishment are in a position of dependency. Medicare and Medicaid programs were created for population groups regarded as a. increased government regulation © 2015 Jones & Bartlett Learning. elderly b. Cost of health care 31. 34. Historically. the government has an interest in monitoring quality for all Americans. Sixth Edition Leiyu Shi and Douglas A. which interest group was the most powerful in opposing national health insurance during the 1900s? a. Many physicians do not serve Medicaid patients. Who was the first American president to make an appeal for national health insurance? a. Only the poor are insured under the Medicaid program. c. The program is heavily regulated. c. Physicians and hospitals in the US began consolidating and integrating mainly in response to a. The Republican party 30. c. How has Medicaid created a two-tier system of medical care delivery in the US? a. Funding for the program is shared by both federal and state governments. d. Higher taxes b. Erosion of personal freedoms d. b. On what grounds have middle-class Americans generally opposed proposals for a national health insurance program? a. LCC 5 . Theodore Roosevelt Franklin Roosevelt Harry Truman Bill Clinton 29. most health care services are in private hands. Trade unions b. The private medical sector in the US has been heavily regulated by the government mainly because a. Government intervention c. Singh Test Bank. underinsured d.

25b. © 2015 Jones & Bartlett Learning. 8. right from its inception primary care physicians were assigned a gatekeeping role. 2d. 4d. 36b) True or False 1. Which of the following is not true about the Patient Protection and Affordable Care Act of 2010? a. When hospitals first emerged in the United States. 23d. it emphasized specialization over primary care. they were opposed by labor unions. 2. When bills for compulsory health insurance were introduced in several states. 6. 18b. Most Americans supported the legislation once they found out what was in it c. 20b. increased corporatization of health care delivery. 11a. b. 35a. Not a single Republican voted for the legislation b. Chapter 3 b. The US Supreme Court upheld the individual mandate (Answers: 1c. 33d. Middle-class Americans have historically opposed proposals for a national health insurance program. 12a. As the health care delivery system developed in the US. In the preindustrial era. The legislation was supported by the AMA d. 14b. 13d. Sixth Edition Leiyu Shi and Douglas A. increased government regulation. they were supported by American employers.Delivering Health Care in America. 8a. 34c. 16d. c. patient empowerment and a dilution of their dependent role. 30a. E-health has resulted in a. 3. 17a. 36. 32a. 15c. 7d. d. 26c. 22d. 5c. 27b. 5. 29c. Europe was more advanced than the US in medical science. LCC 6 . 9b. 31b. 10d. 19a. 24a. 7. As the health care delivery system developed in the US. loss of control by physicians over health care delivery. pressures to contain costs c. 3a. 21a. they were used primarily by the wealthy. Singh Test Bank. the growth of managed care d. When bills for compulsory health insurance were introduced in several states. much of the medical care in the US was provided by nonphysicians. the demand for higher quality 35. 4. 6a. In the preindustrial period. 28c.

10-false. In June 2012. 11-false. Corporatization of medicine has resulted in delivering the same quality of health care at a lesser cost. 2-false. the US Supreme Court ruling settled the implementation issues concerning the ACA of 2010. 12. 10.Delivering Health Care in America. Sixth Edition Leiyu Shi and Douglas A. 4-true. 9-true. 5-false. 8-true. The Patient Protection and Affordable Care Act was vehemently opposed by the AMA. 7-false. 3-true. (Answers: 1-true. 12-false. 6-true. Globalization of health care has produced positive effects in both developed and developing countries. 13-false) © 2015 Jones & Bartlett Learning. 13. Singh Test Bank. 11. Chapter 3 9. Wage freezes during World War II helped promote employer-based health insurance in the United States. LCC 7 .