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The United States Health Care System

Combining Business Health and


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Chapter 1 Health and Care in America

1) The medical model includes all of the following, EXCEPT


A) illness and disease require treatment
B) focus is diagnosis
C) focus is on disease prevention
D) focus is on treatment
Answer: C

2) In the two decades following 2010, millions of Americans will reach age 65. This concerns
the health care industry because
A) men are living longer and will outpace women; thus, there will be a need for increased
services for men
B) of the exodus of experienced health care professionals
C) the generation after the baby boomers will overwhelm the health care system
D) there will be an increased need for geriatric care
Answer: D

3) According to the 2014 National Health Interview Survey, who is more likely to suffer from
poor health?
A) A person with a college degree
B) A person who has graduated from high school
C) An individual with a yearly income of $85,000
D) An individual with a yearly income of $20,000
Answer: C

4) The Centers for Disease Control and Prevention do all the following, EXCEPT
A) survey Americans about their health
B) collect health statistics
C) report the leading causes of death
D) monitor hospital compliance with HIPAA
Answer: D

5) Focus areas of Healthy People 2020 and patterns of disease in the population direct research
efforts. Research can be directed at all of the following, EXCEPT
A) cure
B) control

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C) prevention
D) elimination
Answer: D

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6) What was the leading cause of death in 2012?
A) Suicide
B) Diabetes
C) Heart disease
D) Pneumonia/flu
Answer: C

7) All of the following occupations are expected to increase by more than 40% by 2022,
EXCEPT
A) sonographers
B) medical secretaries
C) home care aides
D) occupational therapy assistants
Answer: B

8) Health care employment continues to grow for all of the following reasons, EXCEPT
A) managing costs
B) advances in medical technology
C) aging population
D) inability to automate many functions
Answer: D

9) In 2013, the U.S. spent on health expenditures.


A) $2.5 billion
B) $50 billion
C) $2.9 trillion
D) $50 trillion
Answer: C

10) Which statement does NOT describe health care?


A) It accounts for the largest percentage of the gross domestic product.
B) It is one of the fastest growing industries in the United States.
C) It is the process of providing care to individuals to maintain and improve their physical and
mental well-being.
D) It is an industry.
Answer: A

11) The study of disease and death in a population is called


A) microbiology
B) epidemiology
C) anthropology
D) sociology
Answer: B

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12) Two parameters that usually result in an indication of excellent health are
A) genetics and education
B) genetics and income
C) education and income
D) profession and income
Answer: C

13) All of the following are types of health care facilities, EXCEPT
A) a physician's office
B) an HMO
C) a long-term-care facility
D) a hospital
Answer: B

14) Which is TRUE regarding long-term care?


A) Only those 65 and older are eligible.
B) The majority of care is provided in nursing homes.
C) In 2012, more than 4 trillion people received services.
D) All age groups are eligible for services.
Answer: D

15) The term LTC means providing health care services to an individual for more than
A) 30 days
B) 60 days
C) 90 days
D) 180 days
Answer: C

16) All of the following are examples of locations where long-term care could take place,
EXCEPT
A) clinics
B) hospitals
C) rehabilitation centers
D) adult day cares
Answer: A

17) All of the following are examples of the role of public health, EXCEPT
A) crosswalks on streets
B) hard hat laws for construction workers
C) prompt processing of insurance claims
D) free immunization clinics
Answer: C

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18) Mental illness
A) is usually a chronic lifetime disease
B) strikes one of every 10 adults
C) is treated 90% of the time
D) is readily available and inexpensive
Answer: A

19) The three major places of employment for health care workers are
A) hospitals, nursing and residential care facilities, and practitioners' offices
B) practitioners' offices, dental offices, and public health facilities
C) CDC, hospitals, and residential care facilities
D) adult day care, hospitals, and practitioners' offices
Answer: A

20) Health care policy addresses all of the following issues, EXCEPT
A) cultural
B) access
C) costs
D) quality
Answer: A

21) The Patient Protection and Affordable Care Act


A) helps increase the number of people who are uninsured
B) allows the market to drive costs up
C) seeks to improve health care delivery performance
D) is surveying Americans about their health care utilization patterns
Answer: C

22) Managed care can be described by all of the following, EXCEPT


A) manages the patient's utilization of services
B) manages the price paid for services
C) has the objective of only providing those services that are necessary to contain costs
D) maintains a sustainable noncompetitive advantage
Answer: D

23) Sustainable competitive advantage is described by all of the following, EXCEPT it


A) varies from business to business
B) depends on the objectives the firm is trying to achieve
C) helps a business maintain its position in the marketplace
D) allows the market to drive costs up
Answer: D

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Copyright © 2017 Pearson Education, Inc.
24) The ability to stay in business for a health care facility is based on the facility's
A) sustainable competitive advantage
B) reimbursement rates
C) business plan
D) business viability
Answer: A

25) Health care expenditures account for greater than 15% of the GDP.
Answer: TRUE

26) Women are more likely to live in poverty than men.


Answer: TRUE

27) Competition is a component of a market economy.


Answer: TRUE

28) The patient is at the center of the health care industry.


Answer: TRUE

29) Less than half of health care workers provide direct patient care.
Answer: FALSE

30) The United States has a national health care system.


Answer: FALSE

31) Focus on the prevention of disease and the maintenance of well-being describes the
model.
Answer: wellness

32) The population has more than doubled since 1990 and is younger than the total
population.
Answer: Hispanic

33) Census data indicates that the United States has increased its diversity.
Answer: ethnic

34) Study of the nature, cause, control, and determinants of the frequency of disease, death, and
disability in the human population is .
Answer: epidemiology

35) Name two trends that emerge from the demographic data about age and the impact on health
care.
Answer: Responses will vary, but may include:
Americans are living longer
The record number of baby boomers reaching age 65

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Copyright © 2017 Pearson Education, Inc.
36) Define health from the perspective of the wellness model.
Answer: Responses will vary but may include:
the optimal functioning of each human being in his or her mind, body, and spirit

37) The Patient Protection and Affordable Care Act will impact many areas of health care.
Discuss the implications you anticipate for you, your family, and your fellow classmates, based
on the information in this chapter.
Answer: Responses will vary, but may include:
insurance mandated for all family members and by all employers
cost of care is controlled, which decreases personal cost and potential tax burden
quality of care is improved

38) Describe health care. List two viewpoints.


Answer: Health care is a set of delivery systems; health care is a set of related businesses.

7
Copyright © 2017 Pearson Education, Inc.
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A book written as a defense of President Wilson and as a plea for


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(STICKNEY) (MRS JOHN KENNEDY
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The present volume is the result of the author’s long illness, and is
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was scattered and difficult to collate, and he has shown, in its
presentation, a scholarly viewpoint and a ready pen.”

+ Cath World 111:542 Jl ’20 700w

“The book is not to be taken too seriously as a contribution to


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“Captain Cresson’s work rests on the standard researches of


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Lit D p86 Je 26 ’20 1250w
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+ − Review 3:712 Jl 7 ’20 260w


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spirit world. Previous to the occurrences described, the author
avows, he had been a decided skeptic on the subject of spirits. The
communications came by way of the ouija board, table tippings,
levitations and materializations, all through non-professional means.
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The seven spirit planes—and some ancient American history;
Levitation extraordinary.

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which contain some of her finest lyrics. In poems like The mould,
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somewhat frailer Emily Dickinson, with a less incisive and more
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the flight of the foreign legations and embassies through Finland in
the following February.”—N Y Times

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CROTHERS, SAMUEL MCCHORD. Dame


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In the opening paper the author reports an interview he had with


the “withered dame” who teaches the school of experience. He found
the schoolhouse an ancient building and the equipment primitive.
The dame treated his inquiry into her methods as a prehistoric joke
and made it plain that she did not go in for the fancy branches of
ethics. Her parting advice was to treat experience not as a noun but
as a verb and to mind the adverbs. The other papers are: The
teacher’s dilemma; Every man’s natural desire to be somebody else;
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CROWDER, ENOCH HERBERT. Spirit of


selective service. *$2 (2c) Century 353

20–5259

In part one of this book the author tells how the draft act was put
into operation. Its success was made possible, he says, thru the
cooperation of the men and women, nearly two hundred thousand
strong, who made up the backbone of the selective service system.
This body, composing the draft boards, “espoused the administration
of an unpopular law, and not only achieved success in its execution,
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confusion. The chapters of part one are: America elects; Feeding the
god of war; The volunteer system in America; Pride of tradition
versus common-sense patriotism; Universal service in America;
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permanency of the selective service idea; The preservation of
Americanism; A plan of action; The old guard. An appendix gives
General Crowder’s report as provost marshal general to the secretary
of war on the demobilization of his department.

“Clearly written and very interesting historically.”

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description, and theory of the draft and its aftermath than it does
‘spirit,’ it is none the less a well written and valuable contribution to
the already large collection of semi-technical post-war literature.” C.
K. M.

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that the writer is over-hopeful of the success of some of his plans,
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lucidly what he esteems to be the lesson of one of the greatest
administrative achievements in the history of our government.”

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R of Rs 61:557 My ’20 120w

CROWELL, JOSHUA FREEMAN. Outdoors


and in. *$1.50 Four seas co. 811

20–5146

Nature themes predominate in this volume of poems and not the


least attractive of them are those inspired by the cultivated garden
flowers. There are a few poems of social interest, including those
which touch on the war. An occasional vein of satire is also disclosed.
The verses are grouped under the following heads: Through the year;
Along the way; Above the clouds; From sea and shore; By wood and
stream; Of field and town; To tone and tune; Garden wise; An
interlude; Dream wise.

“Skilled though he be in verse forms, Mr Crowell is nevertheless


far from being a poet, and no discriminating reader will ever suspect
him of it.”

− + Cath World 111:838 S ’20 100w

“The verses are pleasant and often graceful. The book is enjoyable
reading, though hardly belonging to the heights of poetry.”
+ N Y Call p11 Ag 1 ’20 120w

CROWTHER, SAMUEL. Common sense and


labour. *$2 (3½c) Doubleday 331

20–7435

In attempting to put his finger on the something wrong in the


industrial world of today, in the relations between employer and
employee, the writer does not find any intrinsic antagonism between
capital and labor. On the contrary he believes that “there is a growing
conception that capital and labor are complementary, that it is
perfectly possible to effect a bargain and sale with a reasonable profit
to both sides and without more than a natural amount of bickering.”
He has little use for any of the revolutionary changes involved in
“profit-sharing,” the “democratization of industry” and the like, but
thinks that constructive results can be achieved when “capital and
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fundamental causes of labour unrest; The relation between the
employer and the employed; The worker and his wage; Wages and
profit-sharing delusions; The fetish of industrial democracy; When
they get together; The economic truths of work; The man and the
machine; The methods and policies of British labour.

“The many cases cited give it a lively interest for the average,
concerned business man or worker.”

+ Booklist 16:299 Je ’20


+ Cleveland p75 Ag ’20 40w
Reviewed by J. E. Le Rossignol

Review 3:651 D 29 ’20 500w

“His book makes for sanity on both sides.”

+ R of Rs 61:672 Je ’20 40w

“Distinguished by rare good sense and lack of partisanship.”

+ St Louis 18:215 S ’20 20w

“He is not always judicious in his strictures and his indulgence in


cutting epigram is sometimes rather annoying, but there is much of
stimulating information and suggestion in his essay.”

+ − Springf’d Republican p10 My 6 ’20


240w

“His initial chapter Mr Crowther entitles The fundamental causes


of labor unrest and in it he indicates clearly his own lack of
understanding of those causes.”

− Survey 44:316 My 29 ’20 200w


+ The Times [London] Lit Sup p554 Ag
26 ’20 80w
CROWTHER, SAMUEL. Why men strike.
*$1.75 (3c) Doubleday 331.1

20–8812

The author’s contention is that men are now no longer striking for
higher wages or shorter hours, as formerly, but are striking against
work, i.e. against what they think is an unjust system of society. He
has no fault to find with capital, as such, but thinks its present mode
of distribution could be improved upon. To that end he advocates a
new kind of thrift, that is not based primarily on self-denial but
rather on wise spending. By affording opportunities for investment
of savings, thus returning them to production, he would give the
workers a stake in society, create a nation of capitalists and appease
social unrest.

Booklist 17:51 N ’20


Ind 103:319 S 11 ’20 20w

“It is a genial and smoothly written but ill-informed piece of work.”


G: Soule

− + Nation 111:533 N 10 ’20 170w

“He is involved in assumptions which are hardly tenable, and in


conclusions which are of negligible social value.” Ordway Tead

− New Repub 24:100 S 22 ’20 2100w


+ The Times [London] Lit Sup p783 N 25
’20 70w

CROY, HOMER. Turkey Bowman. il *$1.75


(2½c) Harper

20–16795

Like the author’s novel “Boone Stop” this is a story of boy life in
the West. But it pictures a somewhat earlier period when the Indians
were not yet subdued and when Indian uprisings were to be feared.
The young hero, Turkey Bowman, jilted by the girl he has fallen in
love with, runs away from home in company with a somewhat older
vagabond who shares his opinion of the sex. Slim too has a broken
heart and the two are drawn together in misery. They have various
wandering adventures and settle down for a time on a cattle ranch.
Slim eventually changes his attitude toward women and Turkey
carries news of a proposed Indian raid to the army post and returns
home a hero.

“Turkey is always amusing, and he is a very human boy.”

+ Boston Transcript p5 D 4 ’20 340w

“There is real humor crammed into the pages, the juvenile


principals are real boys and described true to nature, while there is
no taint of artificial coloring in description or action.”

+ Springf’d Republican p7a N 21 ’20 110w


CROZIER, WILLIAM. Ordnance and the world
war. *$2.50 (3c) Scribner 940.373

20–8902

A book subtitled “a contribution to the history of American


preparedness.” The author’s purpose is to describe the ordnance
department and to trace the various steps in equipping the army for
France, leaving the reader to judge to what extent the department
met its responsibilities. Contents: Ordnance department;
Embarrassments; Overhead organization; Criticisms; Rifles;
Machine guns; Field artillery; Smokeless powder; Responsibility;
Conclusion. The author states that since he is no longer a member of
the war department he speaks “without official authority, and with
something of the freedom of any other citizen.”

“So far as the book is an apology for the Ordnance department, it is


well done and is successful. So far as it is an apology for the writer
himself, it had better have been left undone. It doth protest too
much; it leaves the reader not quite convinced; worse, far worse, it
leaves him bored.” H: W. Bunn

+ − Review 3:319 O 13 ’20 1500w

“Altogether the book has a larger field than its mere name implies.
It may be said to be an authoritative and comprehensive history of an
achievement characteristically American in dealing with new and
extraordinary problems.” F. B. C. Bradlee

+ Springf’d Republican p6 Jl 16 ’20 310w

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