Healthcare Delivery in the United States

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HealthcareDelivery in the United States

TheUS Health Care System Fact Sheet

History

  • Between 1750 and 2000, the healthcare provision in the United States developed from the use of home remedies to the involvement of highly trained professionals. The system also transformed to include the use of sophisticate machines and other devices that have helped to improve the citizens’ health.

  • The acceptance of the germ theory paved way for the diagnosing and treatment of various conditions.

  • The citizens also have a chance to benefit from health insurance programs that were not present in the past.

  • The managed care system- It seeks to enhance efficiency through the integration of the essential functions of delivery of care. It also deploys the management mechanisms of the utilization of medical services. The system also comes up with the prices for services are paid for, and consequently, the amount the providers are rewarded with (Johnson &amp Stoskopf, 2011).

  • Military medical care system- I t avails free services to the active staff of the U.S. Air Force, Coast Guard, and the Army (Johnson &amp Stoskopf, 2011). The beneficiaries are covered with both treatment and preventive services.

  • Health for vulnerable populations- The system offers services to persons who are in need of health services, but they have inadequate resources. They include the poor and uninsured or those who reside in communities that are economically and geographically disadvantaged (Johnson &amp Stoskopf, 2011).

  • The integrated delivery system- It plays an imperative role in the citizens’ wellbeing. The main aim of this program is to have a single health care organization that will be delivering a variety of services. In other words, a network of agencies that avails coordinated services to a particular population (Johnson &amp Stoskopf, 2011).

Characteristics

  • Unlike in many developed countries, the healthcare delivery in the United States lacks a central governing agency. This gives room for different insurance arrangements and financing.

  • The system is technology-driven and it embraces new ideas for the purposes of efficiency.

  • There is also an aspect of imperfect market condition but the multiple players help in balancing the power.

  • Also, the access to health is selective and it is based on the insurance coverage of the patients.

Professionals

Theyinclude

  • Community health nurses- They provide preventive care and treat minor conditions in community hospitals and health centers.

  • General physicians- They diagnose complications and recommend treatment. They are present in hospitals and clinics.

  • Specialists- They are professionals in particular fields of medicine. They include cardiologists, dentists, psychiatrists, ophthalmologists, oncologists among others. They are instrumental in providing specialized care to patients suffering from varied conditions.

  • Medical technologists- They are on the frontline of assisting practitioners to adopt new technology. They also invent and maintain hospital equipment.

Settings

  • Outpatient care setting- The services are provided in clinics, nursing homes and community hospitals. (Shi &amp Singh, 2008).

  • Acute care setting- In this type of health provision, patients are usually admitted. The rationale for this is that they must be in the constant monitoring of physicians and nurses.

  • Managed care- It involves the fundamental transformation in the delivery and financing of health care. That is, it integrates process elements and resources of a systems model (Shi &amp Singh, 2012).

Opportunities/Challenges

  • The delivery of healthcare services has been reengineered through technological advancements. For instance, improved access to the services, higher quality of life for all persons, and tremendous cost savings have been facilitated by the adoption of effective models (Shi &amp Singh, 2012). The technology presents a viable opportunity for the health system to adopt efficient methods that are geared towards patient-centered care.

  • The imperfect market condition is a major challenge in the healthcare sector. Some of the patients are uninsured, and this poses a challenge in meeting the cost of treatment (Shi &amp Singh, 2012).

  • The free market conditions also create an indirect relationship between the price of medical services and the demand. Some public hospitals have many clients since they charge low fees and this strain the resources (Shi &amp Singh, 2012).

HealthPolicy

  • The government affects the healthcare industry through the enactment of policies.

  • For example the federal administration has introduced the Affordable Care Act, Obamacare, Medicaid, Medicare and the HealthyPeople 2020 strategy. The policies aim at easing the access, improve quality, and enhance efficiency in the patient care (Milstead, 2013).

References

Johnson,J. A., &amp Stoskopf, C. H. (2011).&nbspComparativehealth systems: Global perspectives.Sudbury, Mass: Jones and Bartlett Publishers.

Milstead,J. A. (2013).&nbspHealthpolicy and politics: A nurse`s guide.Burlington, MA: Jones &amp Bartlett Learning.

Niles,N. J. (2011).&nbspBasicsof the U.S. health care system.Sudbury, Mass: Jones and Bartlett

Shi,L., &amp Singh, D. A. (2012).&nbspDeliveringhealth care in America: A systems approach.Sudbury, Mass: Jones and Bartlett.

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