#1
Which of the following is not a primary level of healthcare delivery?
Research institutions
ExplanationResearch institutions are not primary healthcare delivery levels; they focus on research rather than direct patient care.
#2
What is the purpose of co-payment in healthcare financing?
To increase the cost burden on patients
ExplanationCo-payment aims to share the financial burden with patients by requiring them to contribute a portion of the healthcare costs.
#3
What is the main purpose of health insurance?
To protect individuals from financial burdens due to healthcare expenses
ExplanationHealth insurance shields individuals from financial strain by covering or subsidizing their healthcare expenses.
#4
Which of the following is an example of a primary healthcare provider?
Nurse practitioner
ExplanationNurse practitioners are primary healthcare providers who offer a range of basic healthcare services.
#5
Which healthcare financing model relies on individuals paying for healthcare services directly out of their own pocket at the time of service?
Out-of-pocket payment system
ExplanationIn an out-of-pocket payment system, individuals pay for healthcare services directly without external financial assistance.
#6
Which healthcare financing system involves the government as the sole provider and payer of healthcare services?
Socialized healthcare system
ExplanationIn a socialized healthcare system, the government is the exclusive provider and payer of healthcare services.
#7
What is capitation in healthcare financing?
A fixed payment per patient per unit of time
ExplanationCapitation involves a fixed payment per patient over a specific time period, providing a predictable income for healthcare providers.
#8
What does DRG stand for in healthcare financing?
Diagnosis-Related Group
ExplanationDRG categorizes and reimburses healthcare services based on specific diagnoses, promoting efficiency and cost control.
#9
What is the purpose of risk pooling in healthcare financing?
To spread financial risk across a large group of people
ExplanationRisk pooling involves combining financial resources from a large group to distribute the financial burden of healthcare more equitably.
#10
Which of the following is a characteristic of fee-for-service healthcare financing?
Patients pay a fixed amount for each service received
ExplanationFee-for-service healthcare involves patients paying a predetermined amount for each specific service received.
#11
Which healthcare delivery model focuses on providing comprehensive, coordinated care for a specific population?
Accountable Care Organization (ACO)
ExplanationACOs aim to deliver coordinated and comprehensive care to a specific population, improving overall health outcomes.
#12
In healthcare delivery, what does the term 'telemedicine' refer to?
The use of technology to provide remote medical services
ExplanationTelemedicine utilizes technology to deliver medical services remotely, enhancing accessibility and convenience.
#13
Which of the following is a characteristic of a Health Maintenance Organization (HMO)?
Requires referrals for specialists
ExplanationHMOs typically require members to obtain referrals from primary care providers before consulting with specialists.
#14
What is the primary goal of universal healthcare coverage?
To ensure that everyone has access to healthcare services
ExplanationUniversal healthcare coverage's primary goal is to guarantee that all individuals have access to essential healthcare services.
#15
Which of the following is a characteristic of a Point of Service (POS) healthcare plan?
Requires referrals for specialists
ExplanationPOS healthcare plans often require members to obtain referrals from primary care providers before seeking services from specialists.