Chapter 2:Healthcare Care Disparities
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Questions and Answers

Why do low payment rates in Medicaid discourage physicians from participating in the care of low-income patients?

  • The rates are adjusted based on patient demographics
  • The rates are higher for other insurers (correct)
  • The rates are not disclosed to physicians
  • The rates are the same for all insurers
  • What was the purpose of the Medicaid payment increase for primary care practitioners included in the ACA?

  • To encourage physicians to participate in Medicaid (correct)
  • To decrease the number of primary care practitioners
  • To increase administrative burden on physicians
  • To discourage physicians from participating in Medicaid
  • How did the National Health Service in the United Kingdom encourage physicians to work in less affluent areas?

  • By paying higher capitation rates to general practitioners in less affluent areas (correct)
  • By preventing new practices from opening in less affluent areas
  • By offering fewer benefits in less affluent areas
  • By providing luxury facilities in affluent areas
  • What was a concern regarding the impact of the Medicaid payment increases for primary care practitioners under the ACA?

    <p>The increases were not effective</p> Signup and view all the answers

    Why are some people critical of the distribution of general practitioners per 1000 population across neighborhoods in the UK, despite it being nearly equal?

    <p>They believe the distribution favors affluent areas</p> Signup and view all the answers

    What impact did the National Health Service's strategy of paying higher capitation rates have on physician distribution in the UK?

    <p>It led to an unequal distribution favoring affluent areas</p> Signup and view all the answers

    How did the ACA aim to address the issue of physician participation in Medicaid?

    <p>By offering incentives through higher payment rates for certain services</p> Signup and view all the answers

    What approach did other countries like the United Kingdom take to support primary care practitioners working in underserved areas?

    <p>Paying higher capitation rates for those areas</p> Signup and view all the answers

    Which group received worse care than whites for about one-third of quality measures?

    <p>Poor people</p> Signup and view all the answers

    Which group received better care than whites for about 30% of quality measures?

    <p>Asians</p> Signup and view all the answers

    In terms of activity limitations, who received worse care than people with neither type of activity limitation for about one-third of quality measures?

    <p>People with basic activity limitations</p> Signup and view all the answers

    Which group received worse care for about one-quarter of quality measures according to the text?

    <p>People with complex activity limitations</p> Signup and view all the answers

    Who received better care than whites for about 30% of quality measures?

    <p>American Indian/Alaskan Natives</p> Signup and view all the answers

    What do basic activity limitations include?

    <p>Problems with mobility and self-care</p> Signup and view all the answers

    Which group received worse care than whites for one-third of the quality measures?

    <p>American Indian/Alaskan Natives</p> Signup and view all the answers

    What does complex activity limitations include?

    <p>Limitations experienced in work or community life</p> Signup and view all the answers

    What percentage of dentists in the United States were comprised of African Americans, Latinos, and Native Americans during 2008-2010?

    <p>9.0%</p> Signup and view all the answers

    What did the South Asian patients in the United Kingdom report after consultations with physicians who shared their language?

    <p>Higher satisfaction with their care</p> Signup and view all the answers

    How did African American patients feel about the medical decision-making process with their African American physicians compared to non-African American physicians?

    <p>They felt more included</p> Signup and view all the answers

    What percentage of registered nurses in the United States were comprised of African Americans, Latinos, and Native Americans during 2008-2010?

    <p>15.1%</p> Signup and view all the answers

    Why might Mr. Dixon have declined urgent cardiac catheterization according to the text?

    <p>Lack of trust in his physicians and nurses</p> Signup and view all the answers

    How do Spanish-speaking patients feel about the care received from Spanish-speaking physicians compared to others?

    <p>More satisfied</p> Signup and view all the answers

    What organization is focused on eliminating healthcare disparities and can be found at http://health-equity.pitt.edu/index.html?

    <p>Agency for Health Research and Quality</p> Signup and view all the answers

    Which institution is associated with the Minority Health and Health Equity Archive?

    <p>Agency for Health Research and Quality</p> Signup and view all the answers

    Where can reliable information on health insurance be found?

    <p>U.S. Census Bureau</p> Signup and view all the answers

    Which organization is represented by the link http://www.pnhp.org?

    <p>Physicians for a National Health Program</p> Signup and view all the answers

    What is the focus of the American Medical Students Association as per the text?

    <p>Health equity and disparities</p> Signup and view all the answers

    Which reference is associated with 'Evaluating the quality of medical care'?

    Signup and view all the answers

    Where can more information on Medicare quality assurance be found?

    <p>Mount Saint Vincent College Access Provided</p> Signup and view all the answers

    Which organization is not directly linked to health disparities in the text?

    <p>U.S. Census Bureau</p> Signup and view all the answers

    What is the primary focus of the study by Trivedi et al.?

    <p>Racial disparities in Medicare managed care</p> Signup and view all the answers

    What does the study by Mertz and Grumbach aim to identify?

    <p>Communities with low physician supply</p> Signup and view all the answers

    What is the key finding of the study by UCSF Center for California Health Workforce Studies?

    <p>Nurse practitioners, physician assistants, and certified nurse midwives distribution in California</p> Signup and view all the answers

    According to Zuckerman et al., what trend did Medicaid physician fees follow from 2003 to 2008?

    <p>Increased moderately</p> Signup and view all the answers

    What proportion of physicians was unwilling to accept new Medicaid patients in 2011 according to Decker?

    <p>One-third</p> Signup and view all the answers

    What aspect of healthcare does the study by Barnett et al. focus on?

    <p>Epidemiology of multimorbidity</p> Signup and view all the answers

    'Ambulatory care sensitive conditions' as mentioned by Bindman et al. refer to conditions that can be effectively managed through:

    <p>Outpatient visits</p> Signup and view all the answers

    'Multimorbidity' as discussed by Barnett et al. refers to the co-occurrence of:

    <p>Multiple chronic diseases or conditions</p> Signup and view all the answers

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