Verified Test Bank Ch4 —Comparative National Health Systems

Chapter 4—Comparative National Health Systems and Health Policy

Multiple Choice

1. Which of the following statements is/are correct?

[1] The methods of delivering health services throughout the world are too diffuse and

complex to categorize.

[2] Although the methods of delivering health services throughout the world are

diffuse and complex, scholars have been able to develop four categories or models of

health service delivery.

[3] Due to scholars’ ability to develop categories or models of delivery, little to no

consideration needs to be given to country cultures or economics.

[4] Due to the uniqueness of country culture and economics, there is little regarding

health service delivery that countries can learn from each other.

Subject: Chapter 4

Complexity: Difficult

Simplified Functional Taxonomy: Application

1. Which of the following is NOT a general health delivery model?

[1] National Health System

[2] National Health Insurance

[3]International Health Insurance

[4] Statutory Health Insurance

Subject: Chapter 4

Complexity: Easy

Simplified Functional Taxonomy: Recall

1. Which of the following statements about the National Health System model is/are incorrect?

[1] The government owns the system and all assets

[2] Funded through a variety of taxes

[3] No one is denied services

[4] These countries rate low on quality and hold their cost / GDP to 9% to 11%

Subject: Chapter 4

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Which of the following statements about National Health Insurance is/are incorrect?

[1] The government acts as the payer, funded through premium payments, and

services provided through the private market

[2] No one is denied access to health services provided they meet minimal

requirements

[3] Quality results are moderate to fair and costs / GDP range from 9% to 11%

[4] The US uses this model for traditional Medicare

Subject: Chapter 4

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Which of the following statements about Statutory Health Insurance is incorrect?

[1] All citizens and residents are required to have health insurance provided through

the private market

[2] Nonmandated health services can be purchased through private insurance

companies

[3] All providers are employed through the government.

[4] Quality is medium to high and costs / GDP are 11% to 12%.

Subject: Chapter 4

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Which of the following statements about the out-of-pocket model is/are incorrect?

[1] Services are not limited due to an individual’s inability to pay

[2] Provided services limited to whatever individuals can afford to pay out-of-pocket

[3] Quality level poor and costs / GDP less than 10%

[4] The US comparison to this model are the uninsured

Subject: Chapter 4

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Which of the following statements about cost is/are correct?

[1] Cost is seldom discussed when comparing national health models

[2] Cost is not a good proxy measure for quality

[3] High cost can produce an access barrier and low costs can produce moral hazard

[4] Cost has limited association with incentives to provide services

Subject: Chapter 4

Complexity: Difficult

Simplified Functional Taxonomy: Recall

1. Which of the following statements about quality is/are incorrect?

[1] Common quality measures include length of life, infant mortality, and

immunizations

[2] Quality measures are proxy measures for access to and efficacy of health services

[3] Quality can be measured by how closely disease regimens align with evidenced

based practice

[4] Quality is not correlated with a country’s communicable versus noncommunicable

disease load

Subject: Chapter 4

Complexity: Difficult

Simplified Functional Taxonomy: Recall

1. Which of the following statements about access is /are correct?

[1] Access is not concerned about the ease of contacting providers as long as individuals

eventually gain access to their providers.

[2] Access is not associated with the cost of care

[3] Access barriers include: transportation, physician availability, child care, and

language

[4] Physician to population ratio is not an access to care concern

Subject: Chapter 4

Complexity: Difficult

Simplified Functional Taxonomy: Recall

1. Which of the following statements about innovation is/are correct?

[1] Innovation is not limited to scientific and technological innovation

[2] Innovation can include models of delivery and payment methods

[3] The US has weak support for scientific and technological innovation and diffusion

[4] Global budgets can constrain access to scientific and technological innovation.

Subject: Chapter 4

Complexity: Moderate

Simplified Functional Taxonomy: Recall

Short Answer & Essay

1. Compare and contrast healthcare delivery under the four models (National Health System, National Health Insurance, Statutory Health Insurance, and Free Market) with the delivery of health services in the United States.

Subject: Chapter 4

Complexity: Moderate

Simplified Functional Taxonomy: Analysis

1. After examining the differences in national healthcare systems, what are some positive lessons the United States can learn from other countries?

Subject: Chapter 4

Complexity: Moderate

Simplified Functional Taxonomy: Analysis

1. After examining the differences in national healthcare systems, how would you redesign the United States healthcare system. Consider a model without barriers and a model that would need to be vetted and approved in the current public and political climate.

Subject: Chapter 4

Complexity: Moderate

Simplified Functional Taxonomy: Analysis

1. Discuss how cost, quality, and access are complexly related to the delivery of healthcare services (see chapter 1).

Subject: Chapter 4

Complexity: Moderate

Simplified Functional Taxonomy: Analysis