...The U.S. health care system is the subject of much differentiating debates. On one side we have those who argue that Americans have the “best health care system in the world”, pointing to our freely available medical technology and state-of-the-art facilities that have become so highly symbolic of its system. On the hand we have those who criticize the American system as being fragmented and inefficient, pointing to the fact that America spends more on health care than any other country in the world yet still suffers from massive un-insurance, uneven quality, and administrative waste. Understanding the debate between these two diametrically opposed viewpoints requires a basic understanding of the structure of the U.S. health care system. This paper will explain the organization and financing of the system, as well as explain the U.S. health care system in a greater perspective. For most people, the frightening prospect of being unemployed, losing health insurance coverage, having inadequate insurance benefits, or living in a rural community without a physician raises one vital access-related question: Will I be able to get the care I need if I become seriously ill? Because of health care's special status, society has an ethical obligation to ensure that all people have access to an adequate level of health care including access to new technologies as well as existing ones, without facing excessive burdens in obtaining such care. Society's recognition and implementation of...
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...Akshata Makkaru kd7643, HCA 6200-02 April 22, 2015 Important trends in the Hospital Industry The objective of this paper is to discuss certain emerging trends in the hospital industry and their impact on the U. S health care system. The focus will be on Big Data, Re-admissions reduction program, and Tele Health services which have brought significant reforms in the U.S health care system. Big Data in Hospital industry: Large amount of data is produced in the healthcare industry and most of the data is stored in hard copy form. The current trend is towards the digitization of these enormous troves of data. Report says that the data from the U.S. healthcare system alone has reached,150 exabytes in the year 2011. Kaiser Permanente, the California-based health care network which has more than 9 million members is believed to have between 26 and 44 petabytes of potentially rich data from electronic health records, including images and annotations. By definition, big data in healthcare refers to electronic health data sets are so large and complex that they neither possible to manage with traditional software and/or hardware nor can they be easily managed with traditional or common data management tools and methods. Now, most of the patient data is compiled electronically because it is...
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...The U.S. Health Care System Catherine Wiley HCS531 September 12, 2011 Kenneth Feldman The U.S. Health Care System A health care system is a “network of agencies, facilities, and providers of health care within a specific geographic region” (Widipedia). The health care system is designed to meet the health care needs of a target population. According to Shi and Singh (2008), “A health care delivery system has two primary objectives: 1. Provide health care to all its’ citizens; 2. Services must be cost effective and meet standards of quality” (5). A system, “consists of a set of interrelated and interdependent components designed to achieve some common goals, and the components are logically coordinated (Shi & Singh, 28). As Shi & Singh (2008) state the health care system in the United States is a mixed market system. The source of coverage comes from the government, insurance from employers, and private payment. The health care system in the United States is not a system because there is no standardization, and is fragmented. Financing, insurance, delivery, and payment is from private and public sources. These four components creates the fragmentation of the system. These components compose the Quad-function Model and are necessary for the delivery of care in the United States. The components overlap to varying degrees in traditional insurance, government-run insurance...
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...patients.” The wizard is a perfect way to standardize and customized care based on individual’s needs. With the EMR, pathways can be established to fit the workflows you want to establish, instead of performing the current workflows in digital form. This is currently what I see in our EMR. Our EMR was set up just like our paper forms. Easy for nurses, however is retitled with extra steps, redundant information, and not way to interface into a decision support to guide us to position our patients any different, be on the lookout for potential needs while our patient is under anesthesia, or how to promote standardization among our patient population-surgical patients. The other example I see that will be a great improvement in the health care system is Employee Health. The idea of self-assessment in the work place to improve the health of the work force could be integrated into a yearly bonus or break on their health care insurance. What a concept, those that log self-assessments, see a primary care doctor, and then follow up pays less for insurance. The HIT that could be involved in this aspect would be adding “fit bit” technology which was mentioned in class. The thought I have is that if the employee can plug in their “fit bit” technology into some kind of wizard that would help the employee take next steps……increase your exercise, decrease your calorie intake, see your primary care doctor to follow up on… This would be a large amount of data that could be shared by the employer...
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...Running Head: Healthcare System Healthcare System in US [Name of the Writer] [Name of the Institution] Healthcare System in US Introduction United States is the largest and most diverse society on the globe. It spends almost 2 trillion dollars every year on health care, which is one in every seven dollars in the economy. U.S is one of the very few nations where all its citizens do not have medical coverage. Although it spends heavily on per capita on health care, and it has the most advanced medical technology system in the world, still it is not the healthiest nation on earth. The system performs so poorly that it leaves 50 million without health coverage and millions more inadequately covered (Garson, 2010). Discussion History of Medicare In 1945, the United States president Harry Truman decided to bring to the attention of the Congress. The message was in an attempt to develop a universal plan that would be applicable to all United States citizens. The Congress contemplated the bill that would establish a healthcare plan. The debate for a comprehensive plan carried on for twenty years. The prolonged wait made president Truman give up on the idea. Even though the president had given up on the healthcare bill, Social Security system and a number of other participants continued the efforts. After two decades of struggle, in 1965, the Medicare and Medicaid plans became legislation after the Congress approved the bill. President Lyndon Johnson’s vision of a “Great...
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...The Russian Healthcare System Topic: The Russian Healthcare System 1. Introduction 1. History of Russia’s Healthcare System 2. The Russian Government’s Role in Healthcare 2. Body 1. Russian healthcare today 2. Healthcare availability, quality and cost 1. Access to care 2. Employee contribution 3. Private insurance 3. Becoming a healthcare provider in Russia 1. Training 2. Income 4. Hospitals in Russia 1. Rural Health Posts 2. Health Centers 3. Urban Polyclinics 4. Special Focus Polyclinics 5. Pharmaceuticals 1. Availability and affordability 2. Pharmacies in the Russian Federation 3. Conclusion 1. Conclusion The Russia Healthcare System Since the collapse of the Soviet Union the health of the Russian population has declined greatly as a result of social, economic and lifestyle changes. Before the 1990s Russia has a socialist model of healthcare which was centralized and integrated with the government providing free healthcare to all of its citizens. All health personnel were state employees and communicable disease had priority over non-communicable ones. Emphasis was placed on specialist and hospital care. The Russian Federation is the largest country in the world in terms of surface area and it covers an area of 17 million km2 with a coastline of 37653 km. The Russian population in...
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...U.S. Healthcare System The U.S. healthcare system undergoes certain changes and reforms in the modern society, and there is an increasing need for health care reforms in the modern society due to the increasing costs on healthcare, the high rate of various diseases in the community decreasing the quality of the national health on a regular basis. The modern U.S. health care system is not very effective in the context of delivery, finance, management, and/or sustainability, and this is the major reason to imply certain changes and reforms in this field promoting its efficacy and success in the market. People living in the modern society should feel valued and important in the healthcare system receiving the needed assistance and support in a timely manner not depending on their health and economic status. Bar-Yam (2006) stated that “efforts to implement cost controls and industrial efficiency that are appropriate for repetitive tasks but not high-complexity tasks lead to poor quality of care” (p. 459). Thus, health care reforms will help to improve the quality of care increasing the efficiency of the U.S. health care system in the modern society inspiring much confidence, stability and security on the part of the patients. The U.S. health care system is overwhelmed with the inefficiencies and problems affecting the quality of care provided for the general population. The greater number of reforms in this field will change the situation for better applying the new and innovative...
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...Abstract In this article, I introduce the Chinese Healthcare System. From establishment of the People's Republic of China till now, the Chinese healthcare have a lot of changes and revolutions. Due to the special social and economic structure, Chinese healthcare system is different from other countries healthcare system. This article will explain how dose Chinese healthcare system work? What problems dose it have? How can we manage those problems? Background After the establishment of the People’s Republic of China in 1949, the country was recovering from the chaos of long conflicts both internally and with Japan. As a result, Chinese health conditions had declined, with health indicators at the lowest level compared with other countries at a comparable level of development (World Bank, 2004). In this period, communist party who have the whip hand support the model of the 20th century communism ideology, and trust people should to be represented by the government, should have all production together: without the private department. Formation of the Chinese healthcare system. Therefore, since 1949, the Chinese government has gradually established a free medical care, labor insurance and cooperative medical care system as the main content of the health care system, and initially formed a socialist country's health care system. The government owned, funded, and ran all health care facilities, including large hospitals in urban areas and small township clinics in the countryside...
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...National Health Care System “Of all the forms of inequality, injustice in health care is the most shocking and inhumane.” Martin Luther King, Jr. A national health care system is a program operated by the government, designed to provide health care for people in need of medical assistance. All industrial nations except the United States have a national health care system that covers everyone. Generally, in the U.S. health care systems are privately funded insurance companies. The U.S. has three forms of governmental health care; Medicare for the elderly, Medicaid for lower income families, and the Children‘s Health Insurance Program. The problem with these health care systems is that many people fall short of qualifying. Is the U.S. in dire need of a national health care system or should we always rely on the familiar and dependable; as in private health care systems? In the U.S. billions of dollars are spent each year on health care; “approximately 232 million out of a total of 274 million people now have health insurance” (Blue Cross Blue Shield 2001); leaving 42 million people uninsured. Insurance can be expensive for people to attain on their own, this explains why the majority are covered mainly through private health care provided by their employers. Not all employers provide insurance, such as, small business who can‘t afford to provide coverage for their employees. People who have insurance frequently waste money on health care that exceeds their needs; while...
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...Medical Ethics 2420 11/26/13 When it comes to healthcare, it affects people’s lives more than anything else. Great Britain’s healthcare system is tricky. The question I struggle with is do I want government intrusion on all aspect of our lives, including healthcare. I believe everyone has the right to healthcare in this country. It comes with a price. Great Britain represents all that is good and bad with a centralized single-payer health care system. Health care spending is fairly low. Long waitlists for treatments are horrendous, and rationing pervades the system. Patients have the choice of providers with little access to specialists. Under Great Britain’s healthcare everyone is covered. Great Britain has a single-payer system funded by general revenues. With this centralized system, avoiding deficits is difficult. Great Britain’s deficit in 2006 was 700 million pounds despite healthcare spending increases over 43 billion pounds in 5 years. They pay through government taxation that is protected under the National Health Services (NHS). The people who are a part of the NHS bear the benefits while the people who opt out of the NHS will receive the burdens. You can’t defect from enrolling or you’re not covered. That being said, only 11.5% of the people opt out of the NHS. Private health insurance replicates the coverage provided by the NHS, but gives patients access to higher quality care and reduced waiting times. The general mission of Great Britain is to live and...
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...Evolution of the Healthcare Delivery System in Hospitals The healthcare system has gone though many changes in its long history. . The American health care system has not only made drastic changes within the last 2 centuries but also continues to change and evolve. It is very important that those who have access to healthcare today understand the history of the U.S. healthcare delivery system, how it operates today, and what problems continues to be issues today. We are all consumers of health care. In this paper, I will discuss the origins of the first hospital, and how it has influenced out healthcare system today. Origins of Hospital Healthcare The evolution of hospitals in the Western world has been...
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...THE STATE OF OUR HEALTHCARE SYSTEM VIEWED THROUGH THE EYES OF A HEALTHCARE LEADER SAMANTHA CHERY KAPLAN UNIVERSITY ABSTRACT Our healthcare system has changed dramatically throughout the years. Many concerns are about the quality of services given to the patients, as well as the direction in which our system is heading today. One important issue that is very evident is that, the kind of services given to patients and community in our healthcare facilities is a reflection of the kind of leadership and management that it contains. The purpose of this paper is to introduce the great accomplishments of healthcare leader, Ronald G Spaeth. The paper will also highlight on how his philosophies and leadership methods have contributed to the success of his career and the impact that it’s had on the healthcare system today. Ronald G Spaeth is a pioneer in the health care industry. He has dedicated his life works to creating, ensuring an effective system for its employees and community. Spaeth obtained his education from Western Reserve University in Ohio where he graduated with a Bachelor of Arts degree. Following his undergrad studies, he went on to pursue a master’s degree in business administration from the University of Chicago in Illinois (Grazier, 2005pg. 144). After completing his education Spaeth advanced full force into the work field, building up a very extensive and impressive resume. He worked for Evanston Hospital from 1972-1983 serving various types of roles such...
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...Delivery Systems What conditions need to be in place for an integrated delivery system to work properly and achieve the financial benefits possible from such a system? Integrated healthcare systems offer an array of healthcare services as a chain; in fact integrated delivery systems are forms of joint ventures. For such a system to work properly, its primary focus should be making sure it meets the local population’s general health needs. An integrated healthcare system should be able to match the services required and must have the capacity to take care of the population’s requirements and the care offered must be coordinated and integrated across the continuum. It should have a management information system good enough to link its patients, the providers and payers across the whole system. An integrated healthcare system should be able use financial incentives and the organization’s structures to support day to day running, physicians in the network and other caregivers so as to meet the goals of the organization. Care provided must be continuously improved and the integrate network should be willing to work with others in the region to make sure that the community’s health objectives are fulfilled in continuum of care. Cost effective measures that still fulfill good patient care must be used because one of the main objectives of the integrated care system is providing care in the lowest cost setting, Gapenski 2012 (p.15). The success of integrated health systems is also...
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...Canada’s health care system is one of many countries in the developed world that provides universal health care for all its inhabitants, paid for it by taxes. The opposite of this system reliant on government intervention is a private healthcare system. In this system, instead of the government providing healthcare, healthcare is offered by entities that have no affiliation with the government. This system can still be found in use in many countries as well, such as the U.S, Egypt, and Belarus. Both of these systems have their fair share of pitfall and triumphs –but which is better? Is the private system good enough to replace Canada’s publically funded healthcare system? The answer to this question can be revealed by peering...
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...AND THE HEALTHCARE DELIVERY SYSTEM The Public and the Healthcare Delivery System September 11, 2009 The Public and the Healthcare Delivery System Thesis: Discuss the current American health care delivery system and provide recommended improvements. I. Discuss current healthcare delivery system A. Define concept of healthcare delivery system B. General public opinion regarding our current delivery system II. Examine the cost for the current healthcare delivery system A. Primary methods for funding B. Reforming cost III. What is the current role of the U.S. government in the healthcare delivery system? A. Medicare coverage B. Veteran’s hospitals IV. Insurance coverage for U.S. citizens A. Total number of U.S. citizens with no insurance coverage B. Reforming Insurance coverage for U.S. citizens V. Discuss changes we need to make in the healthcare delivery system A. Public option B. Offer low cost-coverage to individuals with pre-existing medical conditions VI. Who will absorb the cost for the changes needed in healthcare delivery? A. Insurance companies B. U.S. citizens References Bohmer, R. M., & Lee, T. H. (2009). The Shifting Mission of Health Care Delivery Organizations. The New England Journal of Medicine. Retrieved September 11, 2009. Retrieved from http://healthcarereform.nejm.org/?p=1347 Dove, J. T., Weaver, W. D., & Lewin, J. (2009). Healthcare Delivery System Reform:...
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