In which way would an office nurse setting up a patient's appointment and operating in a rationing of healthcare environment accept appointments?
1. The patient's ability to pay
2. The lottery system
3. Referrals
4. Recommendations from case managers
Correct Answer: 1
When rationing is implemented by having the government set limits, the cost of services is kept low and people wait for availability. The second rationing approach is by ability to pay, so primary care physicians operating in a rationing of healthcare environment would accept appointments by the patient's ability to pay. This limits demand for more expensive procedures by offering them only to those who are willing and able to pay out of pocket or who have sufficient health insurance coverage. Referrals from privacy care providers are often necessary for specialty care. A lottery system would operate by drawing patients' names from a selected pool of patients and would not involve rationing of healthcare. Case managers make recommendations for patient's follow up care and would not base their recommendations on the rationing of healthcare but the needs of the patient.
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