SET-II CENTRAL UNIVERSITY OF TAMIL NADU EXAMINATION FOR THE DEGREE OF MASTER OF SCIENCE in EPIDEMIOLOGY& PUBLIC HEALTH ACADEMIC SESSION 2016-17 END SEMESTER EXAMINATION EPH-S3-E3: COMPARATIVE HEALTH SYSTEM AND MANAGEMENT NOVEMBER 2018 | TIME: 3 HOURS | TOTAL MARKS: 60 (SIXTY MARKS) ___________________________________________________________________ INSTRUCTIONS TO CANDIDATES 1. This paper has TWO (2) parts: Part A: One best answer (OBA) (10 questions) Part B: Essay type (7 questions) State your matric number clearly on each answer script provided. 2. The candidates must answer any five of the SEVEN questions in Part B 3. Each question in Part A carries 1 mark and Part B carries 10 (ten) marks 4. While answering Part B questions, draw neatly labeled diagrams wherever appropriate. 5. State the question number clearly on each answer script provided. Registration No.: ……………………………………………………….. (This question paper consists of 17 questions in 3 printed pages) EPH S3-12/1 PART A 1. American Health Care Act is promulgated in the year (A) 2017 (B) 2016 (C) 2015 (D) 2006 2. OECD is (A) Organisation for economic and corporation development (B) Organisation of economic cooperation development (C) Organisation for employment cooperation development (D) All 3. Infant mortality RATE OF Sweden is (A) 6.7 (B) 8.1 (C) 2.5 (D) 3.5 4. One of the major drawback of Swedish health care system is (A) Technology driven (B) Long waiting period (C) High insurance cost (D) None 5. Which of the following is an emerging disease of CUBA (A) TB (B) Dengue (C) HIV (D) Flu 6. The medical profession has the autonomy to make decisions about the provision of services is considered as (A) Bismarck system (B) Semashko model (C) Beveridge model (D) Sungri 7. Which of the following is the Basic principle applied to Swedish health care system (A) Dignity (B) Solidarity (C) Cost effectiveness (D) All EPH S3-12/2 8. Life expectancy at birth in Norway is (A) 67 (B) 85 (C) 73 (D) 91 PART B 1. What is the real and perceived performance of the US health care system? Are the views different among patients, providers, payers, policy makers? Why or why not? 2. What are some of the promising new approaches to changing Indian health system so that it has incentives to provide more efficient care 3. Elaborate on Comparative health care system of Sweden, USA and UK 4. Why aren't Americans healthier and how the health system might make them so? What are the strengths and limitations of having multiple payers versus a single payer in relation to health insurance? 5. What should be your recommendations for improving Cuban health care