Health systems: practice question

A PSM question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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PSM · Health systems

Sample item

What is gatekeeping in a health system?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Primary care coordinates access to specialist services

Gatekeeping uses primary care to assess needs and coordinate referral to specialist services, aiming to improve continuity and appropriate resource use.

Option by option

  • A. Only insurance companies choose treatment

    Clinical decisions involve patients and clinicians.

  • B. Hospitals refuse all referrals

    Referrals still occur when indicated.

  • C. Patients cannot receive emergency care

    Emergency care remains available.

  • D. Primary care coordinates access to specialist services (correct)

    Correct: primary care manages specialist access.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More PSM questions

Questions about this PSM question

What is the answer to this PSM question?

The best answer is D, Primary care coordinates access to specialist services. Gatekeeping uses primary care to assess needs and coordinate referral to specialist services, aiming to improve continuity and appropriate resource use.

Why is "Only insurance companies choose treatment" not the answer?

Clinical decisions involve patients and clinicians.

Why is "Hospitals refuse all referrals" not the answer?

Referrals still occur when indicated.

Why is "Patients cannot receive emergency care" not the answer?

Emergency care remains available.

What concept does this question test?

It tests Health systems in PSM. The correct option holds because: Correct: primary care manages specialist access.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Health systems?

Practise biostatistics with small calculations until sensitivity, predictive values and risk measures are automatic. Then use the flashcards and the other PSM questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.