Who has the primary responsibility of cost containment in the United States?
The patients
Both physicians and patients
The private sector
The nursing unions
The Correct Answer is C
A. The patients: While patients play a role in cost containment through their healthcare choices and behaviors, they do not have the primary responsibility.
B. Both physicians and patients: Physicians and patients contribute to cost containment efforts, but they are not primarily responsible for it.
C. The private sector: The primary responsibility of cost containment in the United States lies with the private sector, including insurance companies, employers, and healthcare providers, who implement policies and practices to manage and reduce healthcare costs.
D. The nursing unions: Nursing unions advocate for better working conditions and patient care but do not have primary responsibility for cost containment.
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Correct Answer is B
Explanation
Rationale:
A. Private long-term care insurance: While private long-term care insurance can help cover the costs of nursing home care for individuals who have purchased policies, it is not the largest source of financing for nursing home care.
B. Medicaid: Medicaid is the largest source of financing for nursing home care in the United States. It provides coverage for low-income individuals who meet eligibility criteria, including coverage for long-term care services such as nursing home care.
C. Medicare: While Medicare provides limited coverage for skilled nursing facility care following a hospital stay, it is not the largest source of financing for nursing home care overall.
D. Private out-of-pocket payments: Private out-of-pocket payments, including payments made by individuals or their families, contribute to financing nursing home care but are typically not as significant as Medicaid.
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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