During stage 2 of the Evolution of the Hospital in the United States, which of the following elements was included?
Well-to-do, private-pay patients started using hospitals.
Advanced sanitation, nursing, and medical services
Transition from primarily government institutions to community institutions
Medical discoveries transformed hospitals into institutions of medical
The Correct Answer is B
Rationale:
A. Well-to-do, private-pay patients started using hospitals: This development is more characteristic of stage 1 of the evolution of hospitals, where hospitals primarily served the wealthy and were often charitable institutions.
B. Advanced sanitation, nursing, and medical services: Stage 2 of the evolution of hospitals saw significant improvements in sanitation practices, the professionalization of nursing, and advancements in medical services, contributing to the transformation of hospitals into more
modern healthcare institutions.
C. Transition from primarily government institutions to community institutions: While the role of hospitals expanded to serve broader community needs during this stage, it was not the defining characteristic of stage 2.
D. Medical discoveries transformed hospitals into institutions of medical: While medical discoveries certainly influenced the evolution of hospitals, they were not unique to stage 2 and were ongoing throughout the development of healthcare institutions.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. Health insurance companies: While health insurance companies play a significant role in healthcare financing and administration, they are not typically drivers of future change in healthcare service delivery.
B. Technological innovation: Technological advancements, such as telemedicine, artificial
intelligence, wearable devices, and precision medicine, are major forces shaping the future of healthcare service delivery by improving access, efficiency, and patient outcomes.
C. Lawyers: While legal factors may influence aspects of healthcare delivery, they are not typically considered primary forces for future change in service delivery.
D. Doctors and Nurses: While healthcare professionals are integral to the delivery of care, they are not drivers of systemic changes in healthcare service delivery.
Correct Answer is C
Explanation
Rationale:
A. Promotes the use of performance measurements in health care: This answer describes the purpose of quality indicators in general but does not specifically address the macro perspective.
B. Focus on individual services at the point of delivery: This describes the micro perspective, which focuses on specific aspects of care delivery.
C. Reflect the performance of the entire health care delivery system: The macro perspective of quality indicators looks at the overall performance of the entire healthcare system, including factors such as access, effectiveness, and efficiency.
D. Look at the performance of an individual or organization: While this may be a component of quality measurement, it does not encompass the broader view of the macro perspective.
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