Under a dispersed model of care if I was a 63-year old experiencing chest pain, and I did not have a regular provider, I would be able to go directly to the cardiac surgeon at the medical school. The dispersed model of care is the traditional health care organization model in the United States (Bodenheimer & Grumbach, 2012). The dispersed model does not have strict organization like the regionalized model does, and people can go to a specialist of their choice without seeing their provider first (Bodenheimer & Grumbach, 2012). There are also overlapping roles, as primary care providers are taking on secondary care functions by providing inpatient care on top of their primary care functions that they are supposed to be fulfilling (Bodenheimer …show more content…
The regionalized model organizes levels of care into primary care, secondary care, and tertiary care (Bodenheimer & Grumbach, 2012). Primary care would be general practitioners, who make up the majority of physicians in Great Britain, secondary care would be physicians specializing in areas like internal medicine, pediatrics, obstetrics and gynecology and general surgeries (Bodenheimer & Grumbach, 2012). Tertiary care specialists include cardiac surgeons, immunologists, and pediatric hematologists, and they work at a few highly specialized medical centers (Bodenheimer & Grumbach, 2012). Hospitals are also organized in a similar fashion, with district hospitals serving local communities, and regional tertiary care medical centers providing highly specialized care services (Bodenheimer & Grumbach, 2012). While some think that dispersed model of care provides flexibility and convenience, others find the regionalized model of care to be more organized and less expensive (Bodenheimer & Grumbach, 2012). I have to agree with the supporters of the regionalized model of care because I would rather have a few different doctors look at me and decide on the best course of action than go straight to the cardiac surgeon. Care should be planned for a patient in a way that the patient only receives services that he or she requires, and organizing our health care delivery model in a different way can help us attain cost containment and ensure that the patient does not get unnecessary
Britain is distinguished as being a socialist country when it comes to medicine, due to the fact that all medical positions and their financial profits are supported and maintained by the government. In addition, the NHS system makes it so that citizens of the UK will never have to pay for a medical bill. Comparing the America’s and Britain’s medical facilities, the two countries systems are direct opposites of one another. When reflecting over Britain’s success of a substantially low infant mortality rate, and high life expectancy rates in the beginning of the film, it made me question if America would be better off with an approach similar to Britain’s.
‘Since its launch in 1948, the NHS has grown to become the world’s largest publicly funded health service. NHS employs more than 1.7m people and deals on average with 1m patients every 36 hours. It is also one of the most efficient, most egalitarian and most comprehensive. Even though NHS services in England, Wales, Scotland and Northern Ireland are managed separately and each might have some system differences, they remain similar in most respects and belong to a single, unified system. The NHS core principle is that good healthcare should be available to all, regardless of wealth.’ (NHS, 2010) Success of NHS depends on how well the organisation balance quality and customer (patient) satisfaction with adequate financing and long-range goals. Health care organisations such as NHS must deal with government oversight, managed care, new technologies, and increasing pharmaceutical prices.
I agree with Heath’s argument that a two-tier health care system is effective as long as it does not undermine the integrity of the public insurance mechanism. The main argument against the two-tier health care system is that doctors will turn away from the public sector to pursue a higher income within a private practice. The concern arises that this will cause a scarcity of doctors within the public sector. I believe this argument is invalid and will discuss throughout this paper why the two-tier system improves upon health care systems in many ways.
As of April 1, 2010, many changes in the health care structure is changing. Many of these changes are reorganizing the responsibilities of who makes the decisions on how services are commissioned, the way money is spent and issuing more involvement from local authorities and opening up comp...
In the past few years there has been much debate over the Affordable Care Act and its effects on the healthcare industry in the United States. The Affordable Care Act (ACA) “Will ensure that all Americans have access to quality, affordable health care and will create the transformation within the health care system necessary to contain costs” (The patient protection and affordable care act detailed summary, n.a.). However, what these transformations are and how they will affect the healthcare system, specifically primary care physicians are uncertain. Primary care physicians are the cornerstones for patients in the health care system. They act as a liaison between families and specialist physicians. Primary care physicians provide a variety of patient care services that involve multiple skill sets. They are in charge of diagnosing the patient and managing the plan of care. As a result of the newly implemented Affordable Care Act and the current shortage of primary care physicians “The primary care doctor is a rapidly evolving species -- and in the future could become an endangered one” (Okie, 2012).
Shi, L., & Singh, D. (2012). Delivering health care in America: a system approach. Burlington: Jones & Bartlett Learning, LLC.
Healthcare systems are put in place so that they can meet and satisfy the healthcare needs of a people within a geographical area. They have the mandate to deliver healthcare services to the intended group or population and ensure fair...
This essay will be comparing the defining characteristics of the Australian and United States healthcare system. The key features of Australian and United States healthcare systems will be discussed as well the jurisdictional roles and responsibilities of the three-tiered governance within the two countries. The pattern of fund distribution in both countries will also be examined to provide an understanding of national healthcare system. The positives, negatives and challenges of the Australian and United States healthcare system will also be discussed in this paper to acknowledge the problems that are within the Australian and United States healthcare system. A final comparative discussion will be provided in this essay in order to fully grasp the similarities and differences of the two healthcare systems.
As healthcare becomes more and more complex due to growing fields of study as well as advances in technology, each healthcare provider, whether it be specialists, primary care physicians, or even emergency room doctors, have limited time with each patient. The patient may receive different recommendations from each professional in order to produce a better lifestyle for that patient however this care is not coordinated thus the patient becomes confused as to how to proceed.
The state is responsible for the overall regulatory, supervisory and fiscal functions as well as for quality monitoring and planning of the distribution of medical specialties at the hospital level (Schäfer et al., 2010). The 5 regions are responsible for hospitals and for self-employed health care professionals, whereas the municipalities are responsible for disease prevention and health promotion rel...
The United States is going through a huge shortage of physicians, which is composing a very severe supply and demand problem in this country. Citizens living in rural areas should be able to receive the same amount of quality care as those living in urban areas. The shortage of physicians in rural America calls for immediate attention and change because the shortage is affecting the quality of patient care. The life expectancy of people living in these areas is declining due to treatable conditions like diabetes, cancer, heart disease and chronic obstructive pulmonary disease. Thankfully, these conditions can be managed with proper medical treatment. Many people living in rural America have poor access to medical care. Approximately twenty percent of the population live in rural areas, which is twenty percent not getting adequate healthcare. Healthcare is in catastrophe in many different countries. There are many providers that are unable to provide medical care to an increasing number of chronically ill and the aging population. There are numerous amounts of systemic failures, none are more difficult to fix than the usual basic lack of human resources. There are not enough physicians to service the needs of the entire population. Many physicians get into the more specialized fields. The issue is deepened in rural areas, where specialized physicians are not found within several hundred miles. This healthcare system need to figure out how to do more with less and stretch a limited amount of resources to work more efficiently. There are many programs that are created to recruit and retain physicians in rural communities. Physician shortages continue to threaten the healthcare delivery in rural areas. This area will be hit the hard...
The contentious debate about our healthcare system is an epitome of the ongoing political circus in America. With the 2012 elections looming just around the corner, we can expect the vitriol to rise rapidly. Our country spends twice as much on health care per capita compared to other developed countries. The current system is so dysfunctional and projected spending will increase every year, putting an unbelievable strain to our fragile economy. Majority of health care dollars spending are channeled on to patients with chronic illnesses, many of which can be prevented. Unfortunately, medical doctors practicing preventive care are being squeezed out of the equation. The shortage of primary care doctors in America is inevitable because of limited income, lesser prestige, and fewer opportunities.
Shi, Leiyu, and Douglas A. Singh. Delivering health care in America: A systems approach. Johns
These regions also combined various practice settings in urban hospitals, semi-urban hospitals, and rural and remote health centers.
Shi, L. & Singh, D. A. (2010). Delivering Health Care in America: A System Approach 5th ed. Baltimore, Maryland: Jones & Bartlet