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 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 A
Explanation
Rationale:
A. Indicates higher performance and better clinical and health outcomes: Quality in patient care refers to the degree to which healthcare services improve patient outcomes, prevent harm, and achieve desired clinical results. It encompasses aspects such as effectiveness, safety, timeliness, efficiency, equity, and patient-centeredness.
B. Medical practice guidelines: While medical practice guidelines are important tools for guiding clinical decision-making, they are not synonymous with quality in patient care, which involves broader considerations of performance and outcomes.
C. Constitute a plan for managing a clinical problem based on evidence: This describes evidence- based practice, which is an important aspect of delivering high-quality care but does not encompass the entirety of quality in patient care.
D. Provide protocols to guide physicians' clinical decisions: Clinical protocols and guidelines can help standardize care and improve consistency, but they are not the sole determinant of quality in patient care, which encompasses broader dimensions of performance and outcomes.
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