Which of the following phrases could be used by a nurse to characterize the present health care delivery system in the United States? (Select all that apply.)
a. Responds to illness
b. Is oriented to promote wellness
c. Provides for universal access
d. Depends on national health insurance
e. Is fragmented and confusing
f. Is unsafe
ANS: A, E, F
The U.S. health care system responds to illness rather than health promotion. Universal access is not available. National health insurance is not available. The system is fragmented, with a variety of payment options and multiple sources of funding and only a few seamless systems in place. The U.S. health care system has been described as a poorly designed, fragmented, and disjointed maze of services that lacks preventive care, wastes resources, and is low quality, unsafe, and confusing.
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