Question

ії. To improve the nation's health and resolve disparities a. it is critical to address disparitics arising from hcreditary detcrminants b. the hcalth system must opcrate on a social-justicc-bascd systcm c. the health system must operate on a market-justice-based system d. it is critical to address both the social and medical determinants of health 12. Monitoring a patient's prognosis for recovery becomes important in which type of utilization review? c. prospcctive d. pre-authorization a. rctrospcctivc b. concurrent 13. Which is an issue related to HIVAIDS? a. efforts at reporting and survcillancc have largely been unsucccssful b. there is lack of HIV prevention programs. c. antiretroviral therapy has led to an increase in the incidence of new cases d. since the advent of antiretroviral therapy, fewer people feel the need to get tested 14. The U.S health care delivery system is centrally controlled. (True or false) 15. An example of defensive medicine a. when a physician orders a scan for a patient's migraine because he is afraid they have a brain tumor wait to have an ultrasound until the 20 week guideline as stated by ACOG c. when a physician refers a patient to a college d. when a physician refuses to prescribe outside the guidclines b. when a physician makes a pregnant patient 16. In the U.S, the private sector is the dominant player in the health care system (True or false) 17. HMO plans were created by insurance companies in response to the growth of PPOs. (True or false) 18. Hcalth insurancc with no (0) covcragc for out-of-nctwork physicians tend to bc morc expensive them plans that offer out-of-network coverage (Truc or falsc) 19. Why does the third-party payment system increase health care cost? a. patients decline their insurance coverage b. paticnts bcar most of the cost c. paticnts are shiclded from the truc cost d. patients, through the system become more cost-conscious 20. With regard to health insurance, does moral hazard lead to same, lower or higher care utilization? 21. The cost of health insurance to the enrollee tents to decrease as the size of their insurance group gets bigger. (True or false)

Answer 1

11. The correct option is D) . To improve the nation's health and resolve disparities it is critical to address both the social and medical determinants of health .

12. The correct option is A) Retrospective .

Retrospective review is a type of utilization review in which review of services after they have been rendered is done .

13. The issue related to HIV/AIDS is the effort at reporting and surveillance have largely been unsuccessful . There are many prevention programs and initiative for antiretroviral therapy but the detection of positive Ines are not that successful

14. False ,the U.S health delivery system is not centrally controlled . The united states has a unique system of health delivery system which is more complex than centrally controlled ones and it lacks universal access. The health care system in united states is characterised by a patchwork of subsystems developed either through market forces or need to take care of certain population segments .