Exam 7: Medical Education, Organization, and Business Practices

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One would expect that price elasticity will be greater for __________ than for __________.

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D

Strict rules about the conduct of physicians are rooted in the agency relationship between doctor and patient.

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Clinical pathways based on evidence-based medicine are often cited as the wave of the future in patient care. Is it likely that in the near future payments will only be approved when evidence-based medical efficacy of the selected treatment can be proven?

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Physicians will likely oppose the development of clinical pathways and evidence-based medicine as "cookbook" medicine. The goal of evidence-based medicine is to supplement, though not to completely replace, physician treatment and training norms with cost and outcome evidence from the scientifically rigorous clinical studies.

It is common for many fertility physicians to run their own individual offices where they see patients. It is also common for many of the same fertility physicians not to set up their own surgical and lab facilities, necessary for performing in-vitro fertilization (IVF), and other infertility treatments and procedures. Rather, many of them choose to share one well equipped facility. Which of the following must be true about the business organization in this particular sector?

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For physicians in an individual practice, foregoing average higher earnings of physicians in group practice represents a rational economic decision.

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Explain why the expansion of physician supply at the level which maintained a ratio of 1.33 physicians per thousand population and allowed for population growth rate of 1% per year was criticized by the late 1960s as causing a shortage of physicians.

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Charging higher premiums to women of child bearing age than to men of the same age is an example of price discrimination.

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An HMO may monitor the diagnoses and treatments of participating physicians to determine how closely physicians follow observed norms of care or designated clinical pathways. This is a means of measuring

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The Stark laws (1989 and 1993) ban physicians from referring patients to facilities in which the physician has a financial interest, such as a specialty hospital, radiation lab, or clinical lab. The Stark laws address

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When assessing the market demand and supply of physicians, economists look at all of the following except

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One of the best ways to learn how the complicated healthcare system in the U.S. works is to

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A local dentist provides a deep discount for dental care to his elderly patients; a 10% discount to the uninsured patients; but is able to charge substantially more than "usual, customary and reasonable charges" to all other patients. It is an example of price discrimination and is an informal way for patients in wealthier circumstances to subsidize patients with less financial resources.

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According to the Stark law, physician self-referrals are illegal. The law allows an In-Office Ancillary Services Exception, however, when the physician can refer the patient for necessary testing on equipment located directly in the physician's office, such as diagnostic imaging equipment. Discuss your opinion about the impact of this exception on all the parties involved: patients, physicians, insurers, and the society.

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If the amount billed to a patient increases because the surgeon encountered difficulties during surgery which required additional medical interventions, this is an example of price discrimination.

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Economies of scale mean that a group physician practice is likely to return more income to physicians than an individual practice.

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If a physician receives a bonus for referring a patient for cardiac surgery to a specialty hospital nearby his office,

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Two events that were most effective in bringing about licensure of physicians were

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In the absence of empirical evidence, professional norms in treatment of certain medical conditions are observed to prevail. Differences from one geographic area to another are found. This is an example of

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Explain why government incentives to increase the number of physicians by increasing the number of medical graduates in the U.S. may take years to have any effect. Be sure to discuss the typical training and career cycle of a physician.

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The total cost of attending medical school is covered by payments from all of the following sources except

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