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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. For integration to create negotiating power: This option describes a strategic reason for healthcare integration but does not directly relate to the need for long-term care (LTC).
B. For continuity of care after hospitalization: Long-term care (LTC) is often needed when
individuals require ongoing support with activities of daily living or medical care after being discharged from a hospital, rehabilitation facility, or other acute care setting.
C. For physicians maintain their independence and autonomy: This option describes a potential motive for physicians but does not directly relate to the need for long-term care.
D. For joint owners to diversify into new services: This option describes a business strategy but does not directly relate to the need for long-term care.
Correct Answer is B
Explanation
Rationale:
A. 10%: This percentage is too low; hospitals employ a larger portion of the healthcare workforce.
B. 39%: Hospitals employ approximately 39% of the healthcare workforce, including various professionals such as physicians, nurses, allied health professionals, and administrative staff.
C. 50%: While hospitals employ a significant portion of the healthcare workforce, it is not as high as 50%.
D. 75%: This percentage is too high; hospitals do not employ three-quarters of the healthcare workforce.
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