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As a result of the Dispersed Model of health care used in the U.S., the hospital structure resembles a diamond, with.

A.
The bulk of the hospitals in the middle, providing a wide range of secondary and tertiary services.
A.
The bulk of the hospitals in the middle, providing a wide range of secondary and tertiary services.
Answers
B.
A small number of hospitals at the top, which lack specialized units.
B.
A small number of hospitals at the top, which lack specialized units.
Answers
C.
The bulk of the hospitals in the middle, which lack specialized units.
C.
The bulk of the hospitals in the middle, which lack specialized units.
Answers
D.
A small number of hospitals at the base, which provide highly super specialized referral services.
D.
A small number of hospitals at the base, which provide highly super specialized referral services.
Answers
Suggested answer: A

In addition to first contact care, the key task(s) of primary care include.

A.
Longitudinality, or following a patient over time
A.
Longitudinality, or following a patient over time
Answers
B.
Comprehensiveness
B.
Comprehensiveness
Answers
C.
Coordination
C.
Coordination
Answers
D.
All of the above
D.
All of the above
Answers
Suggested answer: D

Critics of the United States health care system find fault with all of the following EXCEPT:

A.
its lack of organizational coherence
A.
its lack of organizational coherence
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B.
its tertiary care organization
B.
its tertiary care organization
Answers
C.
its over reliance on primary care
C.
its over reliance on primary care
Answers
D.
its specialist orientation
D.
its specialist orientation
Answers
Suggested answer: C

Vertical integration refers to an organization model that under one ownership.

A.
Contains all levels of care, from primary to tertiary
A.
Contains all levels of care, from primary to tertiary
Answers
B.
Provides the necessary staff for this full spectrum of care
B.
Provides the necessary staff for this full spectrum of care
Answers
C.
Provides the necessary facility for all levels of care
C.
Provides the necessary facility for all levels of care
Answers
D.
All of the above.
D.
All of the above.
Answers
Suggested answer: D

The inclusion of network-model HMOs in the Health Maintenance Act of 1973 ensured.

A.
the HMO movement would not create rapid change to the mode of health care delivery
A.
the HMO movement would not create rapid change to the mode of health care delivery
Answers
B.
universal coverage
B.
universal coverage
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C.
no economic risk among both physicians and HMOs
C.
no economic risk among both physicians and HMOs
Answers
D.
All of the above.
D.
All of the above.
Answers
Suggested answer: A

Network forms of managed care organization have been referred to as "virtual integration" because.

A.
The network is under one ownership.
A.
The network is under one ownership.
Answers
B.
The network includes hospitals and pharmacies, but not home health agencies.
B.
The network includes hospitals and pharmacies, but not home health agencies.
Answers
C.
The network is based on contractual relationships.
C.
The network is based on contractual relationships.
Answers
D.
None of the above.
D.
None of the above.
Answers
Suggested answer: C

Integrated medical groups differ from IPAs in that.

A.
Physicians own their practices and office assets.
A.
Physicians own their practices and office assets.
Answers
B.
Physicians become employees of an organization that owns the practice
B.
Physicians become employees of an organization that owns the practice
Answers
C.
Physicians act as gatekeepers
C.
Physicians act as gatekeepers
Answers
D.
All of the above
D.
All of the above
Answers
Suggested answer: B

The traditional dispersed model of independent private physicians working as solo practitioners or in small groups is in competition with.

A.
Neighborhood health centers
A.
Neighborhood health centers
Answers
B.
Multispecialty group practices
B.
Multispecialty group practices
Answers
C.
Large "corporate" group practice organizations and networks
C.
Large "corporate" group practice organizations and networks
Answers
D.
None of the above
D.
None of the above
Answers
Suggested answer: C

All of the following were a result of the Flexner Report in 1910 EXCEPT.

A.
Academic standards of medical schools became much more rigorous
A.
Academic standards of medical schools became much more rigorous
Answers
B.
Many medical schools closed
B.
Many medical schools closed
Answers
C.
Homeopathic schools sanctioned homeopaths as "physicians"
C.
Homeopathic schools sanctioned homeopaths as "physicians"
Answers
D.
Only schools meeting the standards of LCME were able to award MD degrees
D.
Only schools meeting the standards of LCME were able to award MD degrees
Answers
Suggested answer: C

The Physician Assistant (PA) profession was developed in order to.

A.
Function alongside a physician without having to complete the many years of medical education and residency
A.
Function alongside a physician without having to complete the many years of medical education and residency
Answers
B.
Replace the overly-paid physician role
B.
Replace the overly-paid physician role
Answers
C.
Perform the few roles broadly skilled physicians are not licensed to perform
C.
Perform the few roles broadly skilled physicians are not licensed to perform
Answers
D.
All of the above
D.
All of the above
Answers
Suggested answer: A
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