Which of the following is credited with having the greatest impact on the expansion of hospital beds?
Health insurance
Hill-Burton Act
Technological advances
Medicare and Medicaid
The Correct Answer is B
Rationale:
A. Health insurance: While health insurance has influenced healthcare delivery and financing, it is not credited with the significant expansion of hospital beds as compared to other options.
B. Hill-Burton Act: The Hill-Burton Act, passed in 1946, provided federal grants and loans for hospital construction and modernization, leading to a substantial increase in the number of hospital beds in the United States.
C. Technological advances: Technological advances have certainly influenced healthcare
delivery and the types of services provided in hospitals, but they may not have directly led to the expansion of hospital beds to the same extent as the Hill-Burton Act.
D. Medicare and Medicaid: While Medicare and Medicaid have had significant impacts on
healthcare financing and access, they may not have directly influenced the expansion of hospital beds as much as the Hill-Burton Act.
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Related Questions
Correct Answer is ["A","D","E"]
Explanation
Rationale:
A. Obtaining patient's consent before treatment: Hospitals must adhere to legal and ethical standards by obtaining informed consent from patients before providing treatment or performing medical procedures.
B. Women are admitted to hospitals more often than men, but men incur longer stays: While this statement highlights a potential disparity, it does not directly address legal or ethical issues faced by hospitals.
C. Only a few hospitals in some major US cities: The scarcity of hospitals in certain areas is a concern but is not necessarily a legal or ethical issue hospitals face.
D. Discussion of alternatives: Hospitals have an ethical obligation to discuss treatment
alternatives with patients, ensuring they are fully informed and involved in decision-making about their care.
E. Patient's participation in decision making: Ethically, hospitals must respect patients' autonomy and involve them in decision-making processes regarding their healthcare.
Correct Answer is D
Explanation
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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