Concept of health and disease: universal health coverage dimensions: 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 · Concept of health and disease: universal health coverage dimensions

Sample item

A state government decides that its health insurance scheme will now pay a larger share of each hospital bill, so that families pay less out of pocket. In the WHO framework of three dimensions for progress towards universal health coverage, which dimension is being extended?

AShare of population coveredBRange of services coveredCShare of costs coveredDNumber of empanelled hospitals

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

The answer and the reasoning

C. Share of costs covered

The WHO coverage framework has three dimensions: who is covered, which services are covered, and what proportion of the cost is covered. Paying a bigger share of each bill extends the third dimension, which is financial protection.

Option by option

A. Share of population covered
Population coverage would change only if more families were enrolled, which the stem does not describe.
B. Range of services covered
Service coverage would change only if new types of care were added to the benefit package.
C. Share of costs covered (correct)
Correct. Reducing out-of-pocket payment extends the proportion of costs that is pooled and covered.
D. Number of empanelled hospitals
The number of empanelled hospitals is a supply-side measure and is not one of the three dimensions.

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.

Questions about this PSM question

What is the answer to this PSM question?

The best answer is C, Share of costs covered. The WHO coverage framework has three dimensions: who is covered, which services are covered, and what proportion of the cost is covered.

Why is "Share of population covered" not the answer?

Population coverage would change only if more families were enrolled, which the stem does not describe.

Why is "Range of services covered" not the answer?

Service coverage would change only if new types of care were added to the benefit package.

Why is "Number of empanelled hospitals" not the answer?

The number of empanelled hospitals is a supply-side measure and is not one of the three dimensions.

What concept does this question test?

It tests Concept of health and disease: universal health coverage dimensions in PSM. Paying a bigger share of each bill extends the third dimension, which is financial protection.

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 Concept of health and disease: universal health coverage dimensions?

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.