Question

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27. Which of the following statements is false?

		The Institute of Medicine described the three main issues of health care quality as over use, underuse, and misuse.
		The United States follows a top-down control system when it comes to control of health care espenditures.
		Women face a distinct disadvantage in employer based health insurance coverage.
		The United States is a pluralistic society, with varying demands and expectations on healthcare services.

29. Several tools and measurements have been created to better understand the quality of life for patients with chronic and/or debilitating disease that are living longer but in a declining state of health. One of the measures is HRQL. This is an acronym for:

		Hospital Related Quality of Life
		Health-Related Quality of LIfe
		Health and Wellness related qualifications for living
		Helping resources coordinated for ife

QUESTION 36

1. The IOM report provided three recommendations. Recommendation #1: All health care organizations, professional groups, and private and public purchasers should adopt as their explicit purpose to continually reduce the burden of illness, injury, and disability and to improve the health and functioning of the people of the U.S. Based on that recommendation, health care leaders should pursue the following.

   		Compare quality outcomes across multiple institutions
   		Identify and eradicate fraud and abuse.
   		Six specific aims for improvement-safe, effective, patient-centered, timely, efficient and equitable.
   		A single-payer solution that reduces administrative fees and improves access.

QUESTION 37

1. The Institute of Medicine (IOM) published Crossing the Quality Chasm and reports that:

   		"Four key aspects of the current context for health care delivery help explain the quality problems; the growing complexity of science and technology; the increase in chronic conditions; a poorly organized delivery system; constraints on exploiting the revolution in information technology."
   		"Quality can and should be measured by a federal agency, comprised of unique representatives throughout the nation and amalgamated into a consistent but complicated matrix."
   		"Quality is in the eye of the beholder"
   		"determining quality is based on cost, access, quality, and expectations"

Answer 1

27. (Option b) The United States follows a top-down control system when it comes to control of health care expenditures.

29. (Option b) Health-Related Quality of Life

36. (Option c) Six specific aims for improvement-safe, effective, patient-centered, timely, efficient and equitable.

37. (Option a) "Four key aspects of the current context for health care delivery help explain the quality problems; the growing complexity of science and technology; the increase in chronic conditions; a poorly organized delivery system; constraints on exploiting the revolution in information technology."