Delivering Health Care in America 6th Edition Shi Singh Test Bank

Delivering Health Care in America 6th Edition Shi

Singh Test Bank

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 Delivering Health Care in America, Sixth Edition
Leiyu Shi and Douglas A. Singh
Test Bank, Chapter 7

Chapter 7: Outpatient and Primary Care Services

Multiple Choice Questions

1) Fill in the blank: Historically, inpatient care developed ________ outpatient care.
a. Before
b. After
c. At the same time as
d. In the absence of

2) Outpatient care accounts for what percent of gross patient revenue for all US hospitals?
a.10%
b.20%
c.40%
d.60%

3) What is the likely impact of the ACA on primary care?

a. increase
b. decrease
c. stay the same
d. unknown

4) Emergency departments, in most cases, are equipped to provide:

a. Primary care services
b. Secondary care services
c. Tertiary care services
d. Both b and c

5) Which of the following is a typical setting for ambulatory care services?

a. Sports medicine clinics
b. Physicians’ offices
c. Dialysis centers
d. All of the above

6) Typically, tertiary care:

a. Is highly specialized
b. Does not depend on technology
c. Takes place outside of traditional healthcare facilities
d. All of the above

7) Which of the following is an example of a secondary care service?

a. Rehabilitation
b. Surgery
c. Consultation
d. All of the above

© 2015 Jones & Bartlett Learning, LCC 1

 Delivering Health Care in America, Sixth Edition
Leiyu Shi and Douglas A. Singh
Test Bank, Chapter 7

8) What is gatekeeping?
a. The process by which patients are denied needed care
b. The process by which primary care physicians refer patients to specialists
c. The concept that specialists use more diagnostic tests than primary care physicians
d. The idea that patients should be allowed to choose their own doctors

9) Which country’s health care system is founded on the principles of gatekeeping?

a. UK
b. US
c. Australia
d. China

10) Countries whose health systems are oriented more toward primary care achieve:
a. Higher satisfaction with health services among their populations
b. Higher expenditures in the overall delivery of care
c. Worse health outcomes
d. None of the above

11) How is community-oriented primary care (COPC) different from primary care?
a. COPC does not believe in the link between primary and secondary prevention.
b. COPC adheres more strongly to the biomedical model.
c. COPC adds a population-based approach to identifying and addressing community
health problems.
d. All of the above

12) Which of the following factors helps determine the proportion of primary care personnel to
specialists needed for the adequate provision of primary care?
a. How rigidly the health care delivery system employs gatekeeping
b. The population’s rates of utilization of primary care services
c. Both a and b
d. Neither a nor b

13) Fill in the blank: The percentage of medical school graduates choosing careers in primary
care is ______________.
a. Increasing
b. Decreasing
c. Remaining steady
d. Unknown

14) The most prominent reason for the decline in the number of procedures performed in
hospitals is:
a. Most of these procedures were shifted to outpatient setting
b. Most of these procedures were deemed outdated
c. Most of these procedures were unsafe

© 2015 Jones & Bartlett Learning, LCC 2

 Delivering Health Care in America, Sixth Edition
Leiyu Shi and Douglas A. Singh
Test Bank, Chapter 7

d. Most of these procedures used technology that was too expensive

15) What does “PPS” stand for?

a. Preferred Provider System
b. Primary Physician System
c. Private Practice System
d. Prospective Payment System

16) Which of the following is a reason for the growth in outpatient services?
a. Managed care
b. New technology
c. Patient preference
d. All of the above

17) One reason women’s health centers were created is:

a. Women have more money than men
b. Women seek care more often than men
c. Women have shorter lifespans than men
d. None of the above

18) Hospice services are primarily for people with:

a. Chronic illnesses
b. Rehabilitative needs
c. Terminal illnesses
d. None of the above

19) What is palliation?

a. Pain and symptom management
b. Psychosocial support
c. A surgical intervention
d. Bed rest

20) Community health centers serve primarily:

a. High-income neighborhoods
b. Populations with insurance
c. Populations which are medically underserved
d. Both a and b

(Answers: 1a, 2c, 3a, 4d, 5a, 6a, 7d, 8b, 9a, 10a, 11c, 12c, 13b, 14a, 15d, 16d, 17b, 18c, 19a, 20c)

True/False Questions:

1) Historically, outpatient care has been independent from services provided in health care
institutions.

© 2015 Jones & Bartlett Learning, LCC 3

Delivering Health Care in America 6th Edition Shi Singh Test Bank

Delivering Health Care in America, Sixth Edition

Leiyu Shi and Douglas A. Singh
Test Bank, Chapter 7

2) Women visit health care providers more often than men.

3) Men report more chronic illness than women.

4) There is little distinction between the terms “outpatient” and “ambulatory.”

5) Compared to tertiary care, primary care services are more complex and specialized.

6) All ambulatory care is primary care.

7) Primary care may play an important role in mitigating the adverse health effects of income
inequality.

8) Delivery of health care with a central focus on specialization cannot maximize health.

9) The proliferation of health care delivery through managed care created a decreased demand
for primary care physicians.

10) Primary care practice in most industrialized countries is public.

(Answers: 1-true, 2-true, 3-false, 4-true, 5-false, 6-false, 7-true, 8-true, 9-false, 10-false)

© 2015 Jones & Bartlett Learning, LCC 4

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