—Access, The Uninsured & Health Policy Ch.11 Full Test Bank

Chapter 11—Access, the Uninsured & Health Policy

Multiple Choice & True/False

1. Which of the following statements is NOT true about access to health services?

[1] Access to health services is not linked to payment

[2] Access to health services is linked to payment

[3] Access to health services is linked to geographic location

[4] Access to health services is linked to income level

[5] Access to health services is linked to racial or ethnic demographics

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Which of the following statements about access and health policy in the 20^th century is/are TRUE?

[1] Scientific and technological advancement that increased cost resulted in decreased access

[2] Scientific and technological advancements produced higher quality services and resulted in increased demand

[3] The norm of possession of medical insurance equating to access to healthcare services developed

[4] During the end of the 20^th century USA health policy focused on cost control, disparities, and uninsured

[5] All of the above

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Which of the following statements about disparities of care is/are TRUE?

[1] Since 2003, AHRQ has annually reported on disparities of care

[2] Since 2003, AHRQ has reported significant improvement (reduction) in disparities of access

[3] The primary characteristic of disparities of access is low socioeconomic status

[4] 1. & 2.

[5] 1. & 3.

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Which of the following is TRUE about vulnerable populations?

[1] Vulnerable populations are the sole focus of medical legislation

[2] Vulnerable populations have unfettered access to medical care

[3] Vulnerable populations have been the primary focus of medical legislation

[4] Vulnerable populations only include those who cannot afford to pay for health services

[5] Vulnerable populations have equal access to health services through nongovernmental providers

Subject: Chapter 11

Complexity: Difficult

Simplified Functional Taxonomy: Recall

1. Which of the following statements is NOT a characteristic of the uninsured?

[1] A small portion of the uninsured are of substantial economic means and view purchase of health insurance as a poor economic choice

[2] About one-half of the uninsured are acutely uninsured, between jobs, and will have a job and be insured in 6 months

[3] About one-half of the uninsured are chronically uninsured and in low paying jobs with little chance of health insurance in the future

[4] A majority of the uninsured do not work

[5] A majority of the uninsured have or are seeking regular employment

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Which of the following statements about FQHC’s is/are TRUE?

[1] FQHC’s began in 1965 as Neighborhood Health Centers

[2] FQHC’s transitioned through several organizational changes over 3 decades with their current form emanating from the Health Center Consolidation Act of 1996

[3] FQHC’s target low-income populations

[4] FQHC’s are funded by federal grants through section 330 of the Public Health Service Act

[5] All of the above

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Which of the following statements align with geographic access barriers?

[1] Align with racial / ethnic barriers

[2] Greater in urban than rural areas

[3] Frequently addressed through the establishment of FQHCs and health provider loan payment programs

[4] 1. & 2.

[5] 1. & 3.

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Which of the following Congressional actions was NOT intended to address geographically underserved areas?

[1] Defining Medically Underserved Areas (MUA) and Medically Underserved Population (MUP)

[2] Passage of the 1975 Special Health Revenue Sharing Act

[3] Passage of the Conrad J-30 Visa Program

[4] Passage of the Health Center Consolidation Act

[5] Passage of the Medicare Modernization Act

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Complete the following sentences.

The concept of community benefit allowing nonprofit, community hospitals to maintain tax free status was codified in __________.  Chronicling of community benefit by community hospitals is __________ defined and the responsibility of __________.  In 2004, the Senate, CHS, and VHA worked __________ to develop community benefit planning and reporting standards resulting in IRS schedule __________.  Community benefit rules codified in PPACA and HCEARA require IRS to use these rules as a __________.

[1] 1913 - poorly - the IRS - in simultaneous union - starting point 

[2] 1969 - poorly - HRSA - disjointedly - end point

[3] 1969 - poorly - the IRS - in simultaneous union - starting point 

[4] 1913 - well - HRSA - disjointedly - starting point

[5] 1969 - poorly - the IRS - simultaneous union - end point

Subject: Chapter 11

Complexity: Difficult

Simplified Functional Taxonomy: Recall

Short Answer & Essay

1. Discussion question: What are the access trends over the past two centuries?

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Recall.

1. Discussion question: How has legislation attempted to improve access?

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Recall.

1. Discussion question: How do we define and provide care for vulnerable populations?

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Recall.

1. Discussion question: How has access to care legislation driven the development of health service organizations.

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Application.

1. Discussion Question: How can healthcare executives influence access to care legislation?

Subject: Chapter 11

Complexity: Moderate

Simplified Functional Taxonomy: Analysis.