Models of Healthcare Delivery

Question 1

Under the demand-side model, the government cannot:

A) Mandate insurance
B) Regulate benefits package
C) Set premium rates
D) All of the above

Answer 1

D) All of the above

Question 2

True or false: The demand-side model works under the idea that healthcare is a basic human right

Answer 2

False

This is the supply-side model

The demand-side model treats healthcare like any other product on the market - consumer decides what goods to buy and at what price

Question 3

What determines the allocation of resources in the demand-side model?

Answer 3

Consumer willingness to pay

Consumers decide whether to buy insurance or pay directly at the point of delivery

Question 4

How is healthcare funded in the UK

Answer 4

General taxation and national insurance contributions

Amount determined by vote in parliament

Question 5

Is the UK modelled after the demand-side or the supply-side approach?

Answer 5

Supply-side

Question 6

What is ‘capitation’ in healthcare?

Answer 6

Capitation is a payment arrangement for health care service providers such as physicians or nurse practitioners. It pays a physician or group of physicians a set amount for each enrolled person assigned to them

Question 7

True or false: The cost of the NHS is high compared to other countries

Answer 7

False

The UK healthcare model is cheap by international standard

Question 8

Which of the following is a strength of having GPs as part of the UK healthcare model:

A) Ensures universal primary care
B) Decreases hospitalisation rates
C) Results in better containment of costs
D) All of the above

Answer 8

D) All of the above

Question 9

True or false: Consumer ignorance is a weakness of the UK model of healthcare

Answer 9

False

Because the patient isn’t paying for their care, the doctors don’t benefit from prolonged treatment and so they can’t take advantage of consumer ignorance

Question 10

True or false: The canadian healthcare system involves a single, government-run insurance program that every citizen pays into

Answer 10

True

Province is the sole insurer

Question 11

True or false: Canada uses private-sector health care providers

Answer 11

True

Although they use the supply-side approach, care is provided by private-sector and paid for through the government-run insurance program that every citizen pays into

Question 12

True or false: Waiting lists and delays for services are worse in the UK than in Canada

Answer 12

True

These are weaknesses of both UK and Canadian systems, but in Canada they are relatively minor issues when compared with the UK

Question 13

Which of the following countries follow the demand-side approach to health care:

A) Germany
B) Canada
C) UK
D) USA

Answer 13

D) USA

The others take a supply-side approach

Question 14

Which country’s healthcare system uses insurers called ‘sickness funds’?

Answer 14

Germany

Question 15

True or false: German hospitals do not have outpatient departments

Answer 15

True

There is a strict separation of inpatient and ambulatory care

Question 16

True or false: In Germany, local doctors are largely specialists

Answer 16

True

Because inpatient and ambulatory care are strictly separate, local doctors are often specialists so they can provide outpatient care

Question 17

True or false: Per diem reimbursement is a weakness of the German healthcare system

Answer 17

True

Question 18

Which of the following has the shortest treatment delays:

A) Germany
B) UK
C) Canada

Answer 18

A) Germany

Question 19

True or false: The US healthcare system is the most expensive

Answer 19

True

Question 20

What is the difference between Medicare and Medicaid?

Answer 20

Medicare is for the elderly and disabled, whereas medicaid is a welfare system for poor Americans

Question 21

True or false: The UK ranks in the bottom quartile in life expectancy among OECD countries

Answer 21

False

The US does

Question 22

The UK and Germany spend about 50% of what America does on health care. How does Canada compare?

Answer 22

Canada spends 70% of what America spends on heathcare

Question 23

True or false: Infant mortality is higher in USA than in UK, Germany and Canada

Answer 23

True