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PHMD 5140 Exam 1 Questions And Answers

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PHMD 5140 Exam 1 Questions And Answers...

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  • October 21, 2024
  • 52
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PHMD 5140
  • PHMD 5140
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Easton
PHMD 5140 Exam 1 Questions And Answers

How did the US perform in the health care system?

spend a lot but our performance is rank poorly. The only bright side is our care process



Define paradox

A statement that seem contradictory or absurd, but it actually true



Ex: US is a wealthy country and spend so much on health care but yet US get poor
results compared to other countries



How was the health care outcomes of US on different categories?

◉Maternal mortality – high



◉Infant mortality – high



◉Suicide rate – high



◉Obesity rate – high



◉Chronic condition rates among adults – high



◉Mortality “amenable” to health care – high



◉Life expectancy at 60 – low

,◉Improvements in mortality amenable to health care – slow




How was the access to care outcomes?

◉Frequency of physician visits per person – low



◉Number of practicing physicians per person – low




What are the outcomes of Efficiency and Coordination ?

◉Accurate history of care available during appointment – low



◉Time spent on billing disputes – high



◉Time spent getting approval for coverage of treatments – high



◉Used ER when an office visit would have sufficed – high




The US HC system is relatively _______ & ________

privatized & Fragmented



what type of US health care coverage? Universal or not?

not universal

,what are some good things about US health system?

Process of care

-Preventive care (screenings, lifestyle advice)

-Safe care, including medication review

-Patient engagement (Discussion and PlanninG)




In the first decades of 1900, how was the US health system?

-hospitals were primarily for deliveries and surgeries



-Doctors charged "Fee for service"



-patient paid Out-Of-Pocket for each service received



-Services was cheap but ineffective




During the great depression (late 1920s-late 1930), what company was established?

-people couldn't afford pay for health care

-hospital worried about reduced utilization

-Beginning of Blue Cross Health Insurances - to cover hospital care

-Then the started of "Blue Shield" coverage for MD care




In what year did Blue Cross and Blue Shield merge?

Blue Cross Blue Shield plans in 1980s

, During World War II (1939 -1945), what happened to the healthcare system?

-Labor unions could not negotiate for higher wages - demand more benefits (due to
shortages of good and worker)



-US tax laws in 1940s and 1950s made employer-based health care tax free - which
increased the value of this benefit relative to wages, and effectively created a
government subsidy



=>Working-age Americans now have insurance tied to employment




During world war II, where do we have the most advance medicine?

-in the military

-then the war end, the military MDs want the civilian hospital to have those lifesaving
new medical technology



(employer based coverage + technological imperative )




what happened post-war in Europe?

-Universal coverage

-National health services = public (Created in 1946

-Global budgeting: entire system and each facility works within an annual budget

-Shorter lengths of stay, fewer lab tests

-Less costly

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