Based on historical observations, which of the following is most likely to determine future health reform initiatives?
The national debt
Demographic trends
Political ideology
Global challenges
The Correct Answer is B
Rationale:
A. The national debt: While the national debt may influence policy decisions, including healthcare reform initiatives, it is not as directly linked to healthcare as demographic trends.
B. Demographic trends: Historical observations suggest that changes in population
demographics, such as aging populations, shifts in racial and ethnic composition, and changes in family structures, have significant implications for healthcare needs and delivery. These trends often drive policy discussions and reform initiatives to address evolving healthcare demands.
C. Political ideology: Political ideology certainly plays a role in shaping healthcare policies and reforms, but it is often influenced by demographic trends and other factors.
D. Global challenges: Global challenges, such as pandemics or emerging infectious diseases, can impact healthcare systems and may lead to specific policy responses, but they are not as consistent determinants of health reform initiatives as demographic trends.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Place caps on the rise of health insurance premiums: This option does not align with the main purpose of the Health Maintenance Organization (HMO) Act of 1973, which aimed to promote
the development of HMOs as an alternative to traditional fee-for-service models rather than directly addressing insurance premiums.
B. Transfer the control of HMOs from the federal government to private companies: The HMO Act of 1973 aimed to encourage the establishment of HMOs by providing federal grants and
loans, but it did not involve transferring control from the government to private companies.
C. Rein in the growing power of managed care: The HMO Act of 1973 actually facilitated the growth of managed care by providing federal support for the establishment of HMOs, rather than attempting to rein in their power.
D. Provide an alternative to fee-for-service: The primary purpose of the HMO Act of 1973 was to promote and facilitate the development of Health Maintenance Organizations (HMOs) as an
alternative healthcare delivery model to traditional fee-for-service arrangements. HMOs were intended to emphasize preventive care, cost containment, and coordination of services.
Correct Answer is B
Explanation
Rationale:
A. Private long-term care insurance: While private long-term care insurance can help cover the costs of nursing home care for individuals who have purchased policies, it is not the largest source of financing for nursing home care.
B. Medicaid: Medicaid is the largest source of financing for nursing home care in the United States. It provides coverage for low-income individuals who meet eligibility criteria, including coverage for long-term care services such as nursing home care.
C. Medicare: While Medicare provides limited coverage for skilled nursing facility care following a hospital stay, it is not the largest source of financing for nursing home care overall.
D. Private out-of-pocket payments: Private out-of-pocket payments, including payments made by individuals or their families, contribute to financing nursing home care but are typically not as significant as Medicaid.
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