1. In the system analysis inspired by Donabedian exhibit 1.1 in the

Chapter 1

• In the system analysis inspired by Donabedian (exhibit 1.1 in the

textbook), the relation between resources and health services processes contributes to or produces which of the following?

• Utilization
• Productivity

*c. Efficiency

• Effectiveness
• Outcomes
• None of the above

• In the system analysis inspired by Donabedian (exhibit 1.1 in the

textbook), the relation between health services processes and outcomes contributes to or produces which of the following?

• Utilization
• Efficiency
• Indicators

*d. Effectiveness

• None of the above

• The main functions of healthcare systems and organizations in the

continuum of care include which of the following?

• Financing
• Provision of health services
• Stewardship
• Resource development

*e. All of the above

• Only a, b, and c

• Which of the following domains reported in a World Bank study are

related to the “iron triangle” concept?

• Access
• Efficacy
• Sustainability
• Quality
• All of the above

*f. Choices a and d only

• Which of the following was not identified as critical issue facing

hospitals by the BMZ/GTZ/WHO meeting in 2010?

(The Global Healthcare Manager Competencies, 1e Michael Counte, Bernardo Ramirez, Daniel West) (Official Complete Test Bank) 1 / 4

• Clarifying the role and function of hospitals in the health

system

• Hospital governance and autonomy
• Involvement of private hospital actors

*d. The diapering of public hospitals around the world

• All of the above
• Choices c and d

• Which of the following statements about primary care provision is

true, according to chapter 1 of the text?

• The development of primary care has emerged as the central

strategy to achieve universal access, comprehensive care, and cost containment mostly in developing countries.

• The declaration of Alma -Ata in 1978 was formulated by public

health leaders who were not committed to healthcare as a right or responsibility of the state.

• The primary care team becomes a mediator between the community

and the other levels of the system.

• Primary care systems are ultimately dependent on hospital s.
• Choices a, b, and c

*f. Choices c and d

• Which of the following objectives have emerged as central to the

regionalization process?

• The efficient utilization of limited health resources
• The efficient utilization of expensive health r esources
• The provision of adequate health services to the population
• The improvement of standards for health services provision

*e. All of the above

• Only a, b, and c

• A good organizational chart for a healthcare organization is one

based on which of the following?

• Functional design
• Divisional design
• Matrix design
• A combination of a, b, and c

*e. All the above

• Only a, b and c

• Which of the following elements is critical for determining the

physical design and structure of a healthcare organization?

• The prearchitectural medical functioning program 2 / 4

• The urbanization and development plans of surrounding

communities

• The physical human, material, and technological resources of

each functional unit

• The potable water and water treatment management plan
• Choices a, b and c

*f. Choices a, c, and d

• Which of the following should be considered before the

determination of medical and instrumental equipment requirements?

• Installation of capa city that responds to the needs of the

target population

• Functionality in compliance with current regulation
• The clinical and support units’ specific capacities
• Financial resources available and level of complexity expected

for the medical faci lity *e. All the above

• Choices a, b and c

• Which of the following elements are part of a successful planning

process in the design and construction of a hospital?

• The executive project that is done before the prearchitectural

functional program

• The executive project that does not require a detailed project

management system

• The executive project that always must be contracted to a

third-party company *d. An executive project that defines all systems, facilities, and equipment and incorporates development of the operating system and definition of the management model to be used to operate the unit.

• Choices a, c, and d
• Only a and c

• The functional units of the clinical area include which of the

following categories?

• Outpatient services
• Support services
• Support treatment services
• Hospitalization and special care units

*e. All of the above

• Only a and d

• / 4

• Which of the following statements is true when managing facilities,

materials, and suppor t services?

*a. Managing of physical infrastructure focuses on the conservation, maintenance, and operation of buildings, facilities, and equipment.

• Routines must be strictly followed, allowing no flexibility.
• Training is not the responsibility o f the medical equipment

maintenance and supply department.

• Health technology assessment focuses on making specific

technical evaluations of medical equipment.

• Choices a, b, and c
• Only d and d

• Which of the following statements about pha rmacy services in a

healthcare unit is not true?

• The function of pharmacy services is only to procure, prepare,

and distribute drugs.

• The operation of pharmacy services should not be affected by

the way physicians prescribe or nurses administer me dications.

• The operation of the medication system is affected by the

administrative processing, control, and reimbursement mechanisms established by the health organization.

• Drug and medication management is critical in the overall

operations of healthcare organizations.

• Choices b and c

*f. Choices a and b

• The original conception of a healthcare systemic analysis by

Donabedian includes structure, process, and outcomes.

*a. True

• False

• All of the six domains included in the World Bank Report by Bradley

(2010) are related to the “iron triangle” concept introduced by Kissick.

• True

*b. False

• The “triple aim” and the “iron triangle” use exactly the same

principles and concepts.

• True

*b. False

• / 4