What was the first major stage of the hospital evolution?
Private inpatient facilities
Community homeless shelters
University-based medical centers
Almshouses
The Correct Answer is D
Rationale:
A. Private inpatient facilities: Private inpatient facilities emerged later in the evolution of hospitals and were not the first major stage.
B. Community homeless shelters: Community homeless shelters serve a different purpose than hospitals and are not considered a stage in the evolution of hospitals.
C. University-based medical centers: University-based medical centers evolved later and are associated with medical education and research, rather than being the first major stage of hospital evolution.
D. Almshouses: Almshouses, which provided care for the poor, sick, and elderly, are considered the earliest form of hospitals and represent the first major stage of hospital evolution. They originated in Europe during medieval times and were precursors to modern hospitals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. By integration of several organizations under the same ownership or contractual
arrangements: MCOs garner enormous buying power by integrating various healthcare providers and services under one ownership or through contractual agreements, which allows them to negotiate better rates with suppliers and providers.
B. By shared savings program under the ACA: While the shared savings program under the ACA aims to reduce healthcare costs, it is not the primary method through which MCOs gained their buying power.
C. By providing an array of health care services to a large community: Providing a wide range of services enhances the value offered by MCOs but does not directly lead to significant buying power.
D. By enrolling a large segment of the insured population: Enrolling a large number of insured
individuals helps MCOs spread risk but is not the main factor that provides them with enormous buying power.
Correct Answer is ["B","D","E"]
Explanation
Rationale:
A. CEO with responsibility for operations: While the leadership structure may vary among different managed care organizations (MCOs), it is not one of the critical factors in differentiating between types of MCOs.
B. Payment and risk-sharing: Payment mechanisms and risk-sharing arrangements are crucial factors that differentiate between different types of MCOs, such as HMOs, PPOs, and POS plans.
C. Organized physician staff: While the organization of physician staff may vary among MCOs, it is not one of the critical factors in differentiating between types of MCOs.
D. Choice of providers: The availability of provider networks and the degree of member choice in selecting healthcare providers are important factors that differentiate between types of MCOs.
E. Different ways of arranging services: The methods by which healthcare services are arranged and delivered, such as through primary care gatekeepers or direct access to specialists, are critical factors that distinguish between different types of MCOs.
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