Help me answer the quiz below; “There are 6 questions

Help me answer the quiz below; “There are 6 questions in this quiz. Some questions have multiple possible answers. The number of correct answers varies from question to question. Your job is to pick all of the right answers, but none of the wrong ones. The quiz has 17 possible points. Each correct answer gets 1 point, while each incorrect “answer” selected takes away that point. To get credit for this module, you must achieve a score of at least 80% on your final submission (14 points). You get 3 tries to “get it all right” on each quiz. Be careful! Some of the answers offered, on some of the questions, may be true statements in other settings. They’re just not the best / correct answer in this setting. They don’t match the content presented in the video and slides. On the other hand, some are completely wrong … but perhaps in a tempting way. Also, each time you take the quiz, the computer will randomize the order of the possible answers – they won’t be in the same place each time, so you’ll need to read each answer carefully.” Question 1 Building on Clayton Christiansen’s idea of the “job to be done” in any enterprise, list IN PRIORITY ORDER the things patients seek when they come into a care delivery setting – the things people are willing to pay money to get. Group of answer choices 1 [ Choose ] Rescue – the imperative people feel to help someone suffering or facing death; peace of mind that we are doing the best we can with the hand we’ve been dealt. Expertise – assurance that they’re getting “best in the world” diagnosis and treatment. Caring always – heal the spirit; reduce (mental) suffering. Life expectancy – how long and how well a person will live. Curing when possible – heal the body / mind. Speed, comfort and convenience – ease in scheduling, traveling to and wayfinding within the health facility, comfortable and peaceful environment, ease and convenience of billing practices, and the like. 2 [ Choose ] Rescue – the imperative people feel to help someone suffering or facing death; peace of mind that we are doing the best we can with the hand we’ve been dealt. Expertise – assurance that they’re getting “best in the world” diagnosis and treatment. Caring always – heal the spirit; reduce (mental) suffering. Life expectancy – how long and how well a person will live. Curing when possible – heal the body / mind. Speed, comfort and convenience – ease in scheduling, traveling to and wayfinding within the health facility, comfortable and peaceful environment, ease and convenience of billing practices, and the like. 3 [ Choose ] Rescue – the imperative people feel to help someone suffering or facing death; peace of mind that we are doing the best we can with the hand we’ve been dealt. Expertise – assurance that they’re getting “best in the world” diagnosis and treatment. Caring always – heal the spirit; reduce (mental) suffering. Life expectancy – how long and how well a person will live. Curing when possible – heal the body / mind. Speed, comfort and convenience – ease in scheduling, traveling to and wayfinding within the health facility, comfortable and peaceful environment, ease and convenience of billing practices, and the like. Question 2 Define Wildavsky’s “Great Equation.” Group of answer choices A fully trained and certified physician, honoring a fiduciary trust to put each patient’s health needs before any other goal, and drawing on a truly massive knowledge base gained from formal education and treatment experience; can craft a unique diagnostic and therapeutic experience customized to each patient. This approach guarantees that each patient gets the best clinical result possible. The belief that “health equals medical care,” and “medical care” implies access to care. This implies that the key issue is access to health insurance. Seeking out a sophisticated, top-end care delivery group leads to the best physician experts, plus quick, complete access to all diagnostic, specialty consultation, and treatment modalities. This guarantees the best care possible. Value in health care happens when a care delivery group delivers the best possible care at the lowest necessary price. Question 3 Outline the primary factors that determine life expectancy (length and quality of life), including the relative percentage contributions of each to a person’s life expectancy. Group of answer choices 40% [ Choose ] Access to health insurance Geographic location (the “subway map” problem; rural vs urban) Socioeconomic status Genetics (the hand you were dealt at birth) Social structures – race, ethnicity, gender preferences, etc. Environment – physical (housing, food, air, water), social (relationships, social status), and public health (control of epidemic infectious disease through sanitation and immunization) Health care delivery Health-related behaviors 30% [ Choose ] Access to health insurance Geographic location (the “subway map” problem; rural vs urban) Socioeconomic status Genetics (the hand you were dealt at birth) Social structures – race, ethnicity, gender preferences, etc. Environment – physical (housing, food, air, water), social (relationships, social status), and public health (control of epidemic infectious disease through sanitation and immunization) Health care delivery Health-related behaviors 20 % [ Choose ] Access to health insurance Geographic location (the “subway map” problem; rural vs urban) Socioeconomic status Genetics (the hand you were dealt at birth) Social structures – race, ethnicity, gender preferences, etc. Environment – physical (housing, food, air, water), social (relationships, social status), and public health (control of epidemic infectious disease through sanitation and immunization) Health care delivery Health-related behaviors 10% [ Choose ] Access to health insurance Geographic location (the “subway map” problem; rural vs urban) Socioeconomic status Genetics (the hand you were dealt at birth) Social structures – race, ethnicity, gender preferences, etc. Environment – physical (housing, food, air, water), social (relationships, social status), and public health (control of epidemic infectious disease through sanitation and immunization) Health care delivery Health-related behaviors Question 4 List 6 primary health-related behaviors, that determine how long and how well a person will lives, in priority order. Group of answer choices Participation in high-risk social groups, such as gang-related activities in poor neighborhoods Diet and exercise (obesity, with its consequent chronic diseases) Distracted driving Suicide, violence, and accidents (especially among you men) Use of tobacco products Pregnancy without a continuous support network for the newborn (e.g., unwed pregnancy) Sexually transmitted disease, including AIDS Alcohol and other recreational (non-therapeutic) drugs Question 5 Explain why it is more appropriate to call health care delivery a “disease treatment system” rather than a “health care system.” Select all (but only) the answers that apply. Group of answer choices Health care delivery has a relatively low overall association with life expectancy – how long and how well someone lives. Life expectancy depends on correcting and repairing the health challenges that people regularly face, such as injuries or diseases. Most often, patients come to the care delivery system when they have a problem – a “disease to be treated.” The realized promise of today’s medical care is that we can almost always make it “good as new.” Even in the most extreme cases of injury or disease, modern medicine can almost always pull people “back from the brink” and postpone death. Question 6 Make the case for including both “disease treatment” and “health” as key components of health care delivery, going forward. Group of answer choices People directly value disease treatment, but they also want to live long lives with good health. Today, it is possible to help people do better through care delivery, environmental factors (physical, social, and public health), and by promoting healthy behaviors. Over the years, clinical research has continued to find more and better treatments on a broad scale, that address heretofore unapproachable diseases and bring the hope of ever better human lives. The U.S. has the best rescue medicine in the world, with strong evidence to support that fact. That justifies the higher costs of care delivery seen in the U.S., compared to other countries. Focusing on “health” fulfills the core calling of the healing professions. Disease treatment, a subset of health, is a major source of resources that can keep a care delivery group alive so that it can deliver care.

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