What triggered hospital downsizing in the United States in the 1980s?
Technology
Hill-Burton Act (1946)
Covid 19
Prospective Payment System (PPS)
The Correct Answer is D
Rationale:
A. Technology: While technological advancements may have influenced healthcare delivery, they did not directly trigger hospital downsizing in the 1980s.
B. Hill-Burton Act (1946): The Hill-Burton Act provided federal funding for hospital construction and modernization, which typically led to expansion rather than downsizing of hospitals.
C. Covid-19: Covid-19 emerged long after the 1980s and is not related to the hospital downsizing trends of that decade.
D. Prospective Payment System (PPS): The implementation of the Prospective Payment System (PPS) in the 1980s, particularly for Medicare reimbursements, shifted hospital reimbursement from fee-for-service to a predetermined payment based on diagnosis-related groups (DRGs).
This change incentivized hospitals to become more efficient and led to downsizing, closure of underutilized facilities, and consolidation of services.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Secondary care: Secondary care refers to specialized healthcare services provided by medical specialists upon referral from primary care providers. It typically involves services such as diagnosis, treatment, and management of specific health conditions.
B. Primary care: Primary care involves general healthcare services provided by healthcare professionals such as physicians, nurse practitioners, and physician assistants. It focuses on preventive care, health maintenance, and initial diagnosis and treatment of common health problems.
C. Hospice care: Hospice care is a type of end-of-life care provided to individuals with terminal illnesses or conditions. It focuses on enhancing quality of life and providing comfort, support, and symptom management for patients and their families during the final stages of life.
D. Tertiary care: Tertiary care refers to highly specialized medical care provided by specialized hospitals, medical centers, or specialty clinics. It involves complex procedures, treatments, and interventions for patients with serious or complex health conditions.
Correct Answer is B
Explanation
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.