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PAGE THREE

TIME WEEKLY QUIZ -- OCTOBER 12, 1998

Below is a series of multiple-choice questions based on the special cover package "A Week in the Life of a Hospital." Circle the letter of the best answer for each question. The numbers in parentheses indicate the first page of stories in which answers can be found.(NOTE: Answers are provided only in the printed version of the teacher's guide, sent weekly to TIME Education Program subscribers.)

1. The percentage of U.S. HMOs that reported profits last year was: (p. 56)

a. 36
b. 49
c. 62
d. 77

2. Of the 9 million patients with chest pain who go to hospital ERs, the number who have heart attacks is: (p. 60)

a. 1 million
b. 3 million
c. 5 million
d. 7 million

3. Stem-cell transplant is a treatment for leukemia that involves collecting blood from the: (p. 62)

a. liver
b. umbilical cord
c. kidneys
d. pancreas

4. Of the treatment decisions that doctors make every day, the percentage based on evidence is: (p. 68)

a. 15
b. 25
c. 55
d. 75

5. The method that Duke University's CRI favors for its

research projects is the: (p. 68)

a. open-ended trial
b. random study
c. narrowly focused study
d. large, simple trial

6. A study of the effects of prayer by strangers on patient outcomes is: (p. 72)

a. Ave
b. Om
c. Kaddish
d. Mantra

7. The groups of doctors who band together to act like HMOs are known as: (p. 82)

a. TKOs
b. PCPs
c. IPAs
d. ICUs

8. The Medicare reform bill now being debated in Congress proposes to end subsidies for: (p. 74)

a. psychotherapy
b. residents
c. drug detox
d. transplants

9. Those patients who have the BRCA1 gene are at greatly increased risk of developing: (p. 89)

a. cerebral palsy
b. multiple sclerosis
c. breast cancer
d. tuberculosis

10. Private medical clinics that compete with general hospitals for specialty medical services are: (p. 90)

a. carve-outs
b. poachers
c. PCPs
d. boutiques

11. The total yearly budget for the Duke University Medical Center is approximately: (p. 56)

a. $27 million
b. $450 million
c. $1.3 billion
d. $8 billion

12. The hospital area devoted to the care of seriously ill newborns is the: (p. 58)

a. TLC
b. CRI
d. NICU

13. The doctors who have been called "the future of health care" are: (p. 74)

a. neurosurgeons
b. PCPs
c. cardiologists
d. NREMT-Ps

14. HMOs that contract to pay health-care providers a set amount per patient, per year operate on a(n): (p. 82)

a. American plan
b. capitated basis
c. Swedish plan
d. p.r.n. basis

15. The written treatment guidelines that Duke doctors are supposed to follow are: (p. 73)

a. PCR templates
b. operating outlines c. DDMs

d. care maps

INTERPRETING GRAPHICS: Review the graphic material in Reinventing Health Care: Duke's Model on pages 76 and 77. Based on the information in it, decide whether the following statements are true or false. Write an X next to each true statement. Leave false or unsupported statements blank.

_______ 16. Duke plans to cut costs by eliminating HMOs.

_______ 17. Doctors and hospitals in general receive less money under a managed-care system as compared with the old system.

_______ 18. Under the old system, both patients and insurance companies paid doctors and hospitals.

_______ 19. The growth of HMOs has ended the rise in the nation's health-care expenditures.

_______ 20. Duke plans to increase profits by specializing exclusively in high-cost medical services.

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