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Since the 1960s,


A) the percentage of health care institutions owned by investor-owned corporations has increased.
B) corporations increasingly have purchased only one kind of health care institution (such as only nursing homes or only hospitals) .
C) the ratio of doctors per capita has decreased.
D) the proportion of doctors in private practice has grown.
E) doctors' ability to fight government regulation has grown.

F) A) and E)
G) C) and E)

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A

The federal government developed a vested interest in restraining health care costs following the implementation of


A) DRGs.
B) HMOs.
C) Medicaid and Medicare.
D) horizontal integration.
E) vertical integration.

F) B) and D)
G) B) and C)

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What is cultural health capital? Which populations are least likely to have cultural health capital? How does low cultural health capital affect doctor-patient relationships?

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Cultural health capital refers to the cu...

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The process through which medical students learn the skills, knowledge, and values of medicine as an occupation is referred to as


A) normative errors.
B) medical norms.
C) medical dominance.
D) professional dominance.
E) professional socialization.

F) None of the above
G) B) and E)

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The ways in which medical residents talk about patients sometimes suggest that residents


A) view patients as enemies.
B) depersonalize their patients.
C) believe patients' feelings are not important to their treatment.
D) all of the above
E) a and b only

F) B) and E)
G) A) and B)

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Published guidelines that establish norms of care for particular medical conditions based on a review of clinical research are known as


A) managed care documents.
B) practice protocols.
C) utilization summaries.
D) RBRVS decrees.
E) socialization literature.

F) None of the above
G) A) and C)

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Which of the following have threatened medical dominance?


A) the rise of corporatization
B) the rise of government control
C) the decline in public support
D) all of the above
E) none of the above

F) A) and E)
G) B) and C)

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Nineteenth century allopathic medical schools


A) had stringent admissions standards.
B) trained students primarily through laboratory work.
C) trained students primarily through lectures.
D) played a critical role in teaching scientific principles to new doctors.
E) emphasized scientific research.

F) B) and E)
G) C) and D)

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You have been appointed to an American Medical Association committee on reforming medical education. What would be your top three goals for reforming medical education? Why? What policies would you want to implement to achieve those goals? Why?

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My top three goals for reforming medical...

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Another term for "regular doctors" is


A) allopaths.
B) homeopaths.
C) chiropractors.
D) botanic healers.
E) bonesetters.

F) A) and D)
G) A) and E)

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The professional dominance of doctors has declined in part because of


A) the growth of paraprofessionals.
B) changes in public attitudes.
C) doctor's skyrocketing salaries.
D) the decline of corporate medicine.
E) decreases in government regulation.

F) A) and D)
G) B) and E)

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Until recently, doctors overwhelmingly were white, male, and middle- or upper-class. How has this affected medical dominance over other occupations? How has it affected the treatment of patients who are not white, male, or affluent? How might this be changing?

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The dominance of white, male, and afflue...

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Doctors' power over their patients increases when


A) patients are physically unable to communicate.
B) doctors work in solo practice.
C) doctors and patients share the same culture.
D) doctors and patients share the same language.
E) doctors belong to the AMA.

F) B) and D)
G) A) and B)

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A

A doctor who strongly believes in the core medical values described in your textbook would be most likely to


A) work with Medicare patients.
B) become a primary care doctor.
C) practice in a rural area.
D) become a surgeon.
E) become a dermatologist.

F) A) and B)
G) A) and D)

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To become a profession, an occupation must


A) set its own education and licensing standards.
B) eliminate all competitors.
C) prove its scientific grounding.
D) have all members take courses in ethics.
E) earn over $60,000 per person.

F) B) and E)
G) B) and D)

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The system under which the government sets an average length of hospital stay and costs for in-patient treatment for each possible diagnosis is known as


A) retrospective payment.
B) deprofessionalization.
C) corporatization.
D) diagnostic-related groups.
E) Medicaid.

F) None of the above
G) All of the above

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Medical culture stresses that doctors should


A) value clinical experience more than scientific knowledge.
B) care deeply about their patients.
C) trust natural bodily processes.
D) value working with chronic illnesses more than with acute illnesses.
E) value working with common illnesses more than with rare illnesses.

F) None of the above
G) B) and E)

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The American Medical Association


A) spends more than other competing interest groups on political lobbying.
B) has increased in power over recent decades.
C) is less powerful than the combined countervailing powers in health care.
D) has long supported a national health care system.
E) is more powerful than the insurance and pharmaceutical industries.

F) A) and E)
G) C) and E)

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The profession of medicine includes an ideology that dictates doctors' values, attitudes, and behaviors towards patients, colleagues, and other health care workers. Learning the role of medicine involves learning this ideology as well as learning specific technical knowledge. What does this ideology consist of, and how do doctors learn it?

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The ideology of medicine consists of pri...

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During most of the nineteenth century, allopathic doctors typically


A) were highly respected by the general public.
B) based their treatment on scientific data.
C) were far better trained than their competitors.
D) received their education in Europe.
E) received less than one year of training.

F) C) and D)
G) A) and B)

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E

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