NURS 6231 FINAL EXAM PREP Healthcare Systems and Quality Outcomes ANSWERED 2026/2027(7 pages)

1. What are the three main types of healthcare systems in the world? How do they differ in terms of

financing, provision, and regulation of health services?

- The three main types of healthcare systems are:

- Beveridge model: The government provides and finances health care for all citizens through taxes.

Examples: UK, Spain, New Zealand.

- Bismarck model: Health insurance is mandatory for all citizens and financed by employers and

employees through payroll deductions. The insurance plans are non-profit and regulated by the government.

Examples: Germany, France, Japan.

- National health insurance model: The government finances health care for all citizens through taxes, but

the provision of health services is mostly private. Examples: Canada, Australia, Taiwan.

2. What is the difference between quality assurance and quality improvement in health care? Give an

example of each.

- Quality assurance is the process of ensuring that health care services meet certain standards of quality and

safety. Quality improvement is the process of continuously monitoring and evaluating health care services

and implementing changes to improve quality and outcomes. For example, quality assurance can involve

conducting audits, inspections, or accreditation of health facilities. Quality improvement can involve

implementing clinical guidelines, protocols, or feedback systems.

3. What are some of the common indicators of quality in health care? How are they measured and reported?

- Some of the common indicators of quality in health care are:

- Structure indicators: These measure the characteristics of the health care system, such as the availability,

accessibility, and adequacy of resources, facilities, staff, equipment, etc. They can be measured by surveys,

census, or administrative data.

- Process indicators: These measure the activities and interventions that are performed in health care

delivery, such as the adherence to clinical guidelines, standards, or protocols. They can be measured by

observation, chart review, or self-report.

- Outcome indicators: These measure the results or effects of health care delivery on patients' health status,

satisfaction, or well-being. They can be measured by clinical tests, surveys, or registries.

4. What are some of the challenges or barriers to measuring and improving quality in health care? How can

they be overcome or addressed?

- Some of the challenges or barriers to measuring and improving quality in health care are:

- Data availability and reliability: There may be a lack of data sources or systems to collect, store, analyze,

and report quality information. There may also be issues with data validity, accuracy, completeness, or

timeliness. These can be overcome or addressed by investing in data infrastructure, standardizing data

definitions and collection methods, ensuring data security and privacy, and enhancing data quality control

and verification.