Which of the following contributed to the growth of hospitals from 1930 to 1980?
Prospective Payment System (PPS)
The growth of managed care
Technological advances
Increased use of skilled nursing
The Correct Answer is C
Rationale:
A. Prospective Payment System (PPS): PPS was introduced in the 1980s and aimed to control healthcare costs by reimbursing hospitals based on predetermined rates for services provided. While it had an impact on hospital operations, it did not directly contribute to the growth of hospitals.
B. The growth of managed care: Managed care emerged as a significant force in healthcare delivery in the latter part of the 20th century, but its impact on hospital growth was more complex, including efforts to control costs and utilization.
C. Technological advances: Advances in medical technology, such as diagnostic imaging, surgical techniques, and pharmaceuticals, played a significant role in the growth of hospitals by expanding their capabilities to diagnose and treat a wider range of conditions.
D. Increased use of skilled nursing: While skilled nursing facilities and services are important components of the healthcare system, they did not directly contribute to the growth of hospitals during this period.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. Has an organized physician staff: This describes one characteristic of managed care organizations (MCOs), but it does not fully define managed care itself.
B. Managed care is a mechanism of providing health care services: Managed care refers to a system or approach to healthcare delivery that aims to manage and coordinate healthcare services
to improve quality, control costs, and optimize outcomes. It involves mechanisms such as provider networks, utilization management, and financial incentives to achieve these goals.
C. An institution with at least six beds and that delivers diagnostic and therapeutic services for medical conditions: This describes a hospital rather than managed care.
D. Provide continuous nursing service under RNS: This describes a specific nursing service and is not a comprehensive definition of managed care.
Correct Answer is D
Explanation
Rationale:
A. Technology: While technological advancements may have influenced healthcare delivery, they did not directly trigger hospital downsizing in the 1980s.
B. Hill-Burton Act (1946): The Hill-Burton Act provided federal funding for hospital construction and modernization, which typically led to expansion rather than downsizing of hospitals.
C. Covid-19: Covid-19 emerged long after the 1980s and is not related to the hospital downsizing trends of that decade.
D. Prospective Payment System (PPS): The implementation of the Prospective Payment System (PPS) in the 1980s, particularly for Medicare reimbursements, shifted hospital reimbursement from fee-for-service to a predetermined payment based on diagnosis-related groups (DRGs).
This change incentivized hospitals to become more efficient and led to downsizing, closure of underutilized facilities, and consolidation of services.
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