Public general hospitals originated in the almshouse infirmaries estab

1. According to the passage, the very first private hospitals

A. Developed from almshouse infirmaries
Wrong. The first hospital developed were Public General Hospitals and from there the private hospitals developed.

B. Provided better care than public infirmaries
Wrong. Both private charity hospitals and public hospitals provided food and shelter for the sick.

C. Were established mainly to service the poor
Right. Since middle class people were treated at their homes with private physicians.

D. Were supported by government revenues
Wrong. Private hospitals were funded by donations.

E. Catered primarily to the middle-class patients
Wrong. It catered to poor.


2. It can be inferred that the author believes the differences that currently exist between public and private hospitals are primarily the result of

A. Political considerations
Wrong. No political considerations were involved.

B. Economic factors
Right. Public hospitals did not have money and Private hospitals charged patients so could afford new technologies and doctors.

C. Ethical concerns
Wrong. Both were ethically correct to serve the poor. One charged and another didn't.

D. Legislative requirements
Wrong. Now laws or anything were passed.

E. Technological developments
Wrong. This happened after the economic development.


3. It can be inferred that the growth of private health insurance

A. Relieved local governments of the need to fund public hospitals
Wrong. Public hospitals did not have private health insurance. It was funded by the government.

B. Guaranteed that the poor would have access to medical care
Wrong. Poor did have access to medical care. Just that, they didn't have better conditions and doctors like private hospitals.]

C. Forced middle-class patients to use public hospitals
Wrong. Private health insurance was only in private hospitals.

D. Prompted the closing of many charitable institutions
Wrong. No charitable institutions closed. They evolved to private hospitals.

E. Reinforced the distinction between public and private hospitals
Correct. As the private health hospitals grew, technological advancement happened and different social status people started visiting different
hospitals according to their pocket.

4. Which of the following would be the most logical topic for the author to introduce in the next paragraph?

A. A plan to improve the quality of public hospitals
Right. In the last line, author states that public hospital has been used as dumping ground so as a personal voice, author will give its
suggestion to improve the public hospital.

B. An analysis of the profit structure of health insurance companies
Wrong. The author has not even touched the profit structure of health insurance companies.

C. A proposal to raise taxes on the middle class
Wrong. This is political decision. We are not concerned with it here.

D. A discussion of recent developments in medical technology
Wrong. Yes medical technology has been mentioned but talking specifics about it would digress from the topic.

E. A list of the subjects studied by students in medical school
Wrong. Out of scope.

5. The author’s primary concern is to

A. Describe the financial structure of the healthcare industry
Wrong. The passage talks about development of healthcare industry.

B. Demonstrate the importance of government support for health-care institutions
Wrong. No importance has been cited.

C. Criticize wealthy institutions for refusing to provide services to the poor
Wrong. The author has not critized anyone.

D. Identify the historical causes of the division between private and public hospitals
Right. It documents the journey of hospitals from 19th century to present time.

E. Praise public hospitals for their willingness to provide health care for the poor
Wrong. Author had a very neutral approach.


6. The author cites all of the following as factors contributing to the decline of public hospitals EXCEPT.

A. Government money was used to subsidize private medical schools and hospitals to the detriment of public hospitals.
cities were reimbursing private hospitals for their care of indigent patients and the public hospitals remained dependent on the tax dollars.

B. Public hospitals are not able to compete with private institutions for top flight managers and doctors.
large private medical centers with expensive research equipment and programs have attracted the
best administrators, physicians, and researchers

C. Large private medical centers have better research facilities and more extensive research programs than public hospitals.
large private medical centers with expensive research equipment and programs have attracted the
best administrators, physicians, and researchers

D. Public hospitals accepted the responsibility for treating patients with certain diseases.
public hospitals continued to provide services for patients with communicable diseases

E. Blue Cross insurance coverage does not reimburse subscribers for medical expenses incurred in a public hospital.
Right. Thus, reimbursement for ambulatory care has been minimal under most Blue Cross plans.

7. The author’s attitude toward public hospitals can best be described as

A. Contemptuous and prejudiced
Wrong.
B. Apprehensive and distrustful
Wrong.
C. Concerned and understanding
Right. the public hospital has become a “dumping ground.”
D. Enthusiastic and supportive
Wrong.
E. Unsympathetic and annoyed
Wrong.

8. The author implies that any outpatient care provided by a hospital is

A. Paid for by private insurance
Wrong.Outpatient is someone who doesn't stay at hospital.

B. Provided in lieu of treatment by a private physician
Correct.

C. Supplied primarily by private hospitals
Wrong. It was provided by both private and public.

D. A source of revenue for public hospitals
Wrong. There is not revenue for public hospitals. They run on government tax money.

E. No longer provided by hospitals, public or private
Wrong. It is provided.

9. Which of the following titles best describes the content of the passage?

A. Public versus Private Hospitals: A Competitive Mismatch
Wrong. They have not illustrated the comparison.

B. Historical and Economic Factors in the Decline of the Public Hospital
Right.

C. A Comparison of the Quality of Care Provided in Public and Private Hospitals
Wrong. No specific detailed specification has been given.

D. A Proposal for Revamping the Health Delivery Services Sector of the Economy
Wrong. No proposal has been given yet.

E. Economic Factors That Contribute to the Inability of the Poor to Get Adequate Care
Wrong. That is one part of it.

CAN SOMEONE EXPLAIN QUESTION 8?

Let's me try

and provision of outpatient care has not been a major function of the private hospital, in part because private patients can afford to pay for the services of private physicians.

This is the sentence from the passage that can be inferred to choice B.

some people might hesitate between B and D. However, be notice the word "Private" and "Public" on this choice. Hence, B is correct.

Can someone share the reasoning behind Q6 and Q9??

For Q6, choice D: I agree that the author says that public hospitals continued to treat certain illnesses, BUT he doesn't imply that this is a reason for their decline.
Is choice E correct because it is not mentioned at all in the passage??

For Q9, how do we reject choice A? The author traces the history of developments in both public and private hospitals, and then compares their services and differentiating factors. Is that correct?

 

Question 6 is a bit debateable. I am going to explain why (A) is wrong in question 9. (A) might seem reasonable at first glance because the passage does discuss the competition between public and private hospitals. However, the passage primarily focuses on the historical and economic factors contributing to the decline of public hospitals rather than directly comparing the two types of hospitals in terms of their services or quality of care. Although author discusses a competitive aspect between public and private hospitals, the main emphasis is on the decline of public hospitals rather than a direct comparison of their services or quality of care. Therefor B is better than A.­

Thanks, Sajjad. That helps in understanding the logic behind Q9🙂

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