Health care Infrastructure and Services:
Denmark is a small high-income country with a high population density, is governed by a constitutional monarchy, has a central parliament and is administratively divided into regions, municipalities and has 2 dependencies (Greenland and the Faroe Islands) (Kravitz & Treasure, 2009). It has a national health service (funded by general taxation) and a decentralized healthcare system in which the individual regions run most services and the municipalities are responsible for some public health services (Kravitz & Treasure, 2009). However, a process of (re) centralization (under the structural reform of 2007) has been taking place, which has lowered the number of regions from 14 to 5 and the municipalities from 275 to 98 (Olejaz, Nielsen, Rudkjøbing, Okkels, Krasnik & Hernández-Quevedo, 2012; Schäfer et al., 2010). The hospital structure is also undergoing reform, moving towards fewer, bigger and more specialized hospitals (Olejaz, Nielsen, Rudkjøbing, Okkels, Krasnik & Hernández-Quevedo, 2012). Greenland and the Faroe Islands are independent in health matters but follow the Danish Legislation (Kravitz & Treasure, 2009). The National Board of Health (NBH) (based in Copenhagen) is responsible for the legislation concerning dentistry in Denmark (Kravitz & Treasure, 2009; Schäfer et al., 2010).
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...
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... (2010). The Netherlands: Health system review. Health Systems in Transition, 2010; 12(1):1–229.
Sundby, A., & Petersen, P. E. (2003). Oral health status in relation to ethnicity of children in the Municipality of Copenhagen, Denmark. International Journal of Paediatric Dentistry, 13(3), 150-157.
Vigild, M., & Schwarz, E. (2001). Characteristics and study motivation of Danish dental students in a longitudinal perspective. European Journal of Dental Education, 5(3), 127-133.
World Health Organization. (2014). Country profile: Denmark (Statistics). Retrieved from http://www.who.int/countries/dnk/en/
Bergström, K1., Söderfeldt, B., Berthelsen, H., Hjalmers, K., & Ordell, S. (2010). Overall job satisfaction among dentists in Sweden and Denmark: A comparative study, measuring positive aspects of work. 2010 Nov;68(6):344-53. doi: 10.3109/00016357.2010.514719.
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
Ultimately, the Dutch healthcare system is a very practical system to possible be instituted within the US, but lacks one key aspect that would drastically increase the efficiency of the system. Currently the Dutch health system is attempting to establish complexly electronic file but currently they are not complete and thus the national health system lags behind France and Germany that both have completely electronic health records and payment and thus with over 300,000,000 citizens to coordinate care for, it is more intelligent to have electronic records. This is why France and Germany are slightly more practical for the United States to reduce complexity.
When assessing where the industry will go over the next ten years, there is one area that stands out. Government involvement in healthcare has become a major player in how this industry is changing. New regulations are being introduced at a rapid rate and have pushed hospitals into constant change management (Arab Kash, Spaulding, Johnson, & Gamm, 2014).
The current state of healthcare provision in Finland can be traced to its roots beginning prior to the Second World War and just before Nazi occupation in the region. Tuberculosis and infectious disease was responsible for nearly one in three Finn deaths, particularly among the younger population of the time. (Koskinen, 2006) As such, government-sponsored healthcare was primarily rendered in tuberculosis sanitaria distributed throughout the country and initially divided into tuberculosis districts known today as municipalities.
In this study it was hypothesised that children from more socio-economically deprived areas would have more experience of dental caries than children from less deprived areas as measured by the IMD 2007. The IMD is a composite score derived from seven domains (income, employment, health, housing, education, local environment and crime measured using 38 different measures). Each area reflects a local area population of 1500 people. The calculation of the IMD 2007 is based on the Super Output Area (SOAs) and this was according the Government Office for London 2007. There are six measures for the IMD at every local authority level: average score, average rank, extent, local concentration, income scale, employment scale. In this study the measures used fo...
A country’s health care system refers to all the institutions, programs, personnel, procedures, and the resources that are used to meet the health needs of its population. Health care systems vary from one country to another, depending on government policies and the health needs of the population. Besides, health care programs are flexible in the sense that they are tailored to meet health needs as they arise. Among the stakeholders in the formulation of a country’s health care system are governments, religious groups, non-governmental organizations, charity organizations, trade/labor unions, and interested individuals (Duckett, 2008). These entities formulate, implement, evaluate, and reform health services according to the needs of the sections of the population they target.
To further understand the US healthcare system and put in context how health coverage is provided to its population it is important to compare the US health system to another country like the Netherlands. In the Netherlands healthcare coverage has been achieved through competitive insurance markets similar to the US and the Dutch government does not control prices, productive capacity or funds but instead only acts as a regulator (Daley & Gubb, 2011). In 2006 the Dutch government held healthcare reforms because the country faced an issue that was very similar to the US, in regards to healthcare coverage inequalities, the population was covered through private and public health insurance, with stable private health insurance for the wealthy and unstable public insurance which lacked patient focus and was inefficient in comparison (Daley & Gubb, 2011). Many factors called for healthcare reformation in the Netherlands like a disarranged structure that ineffectively controlled cream skimming, lack of competitive incentives that for insurance companies resulting in bad performance, and the rising premiums
Niles, N. J. (2014). Basics of the U.S. health care system (2nd ed.). Retrieved July 14, 2016, from http://samples.jbpub.com/9781284043761/Chapter1.pdf
States in the recent years. The purpose of today’s health care is to manage costs while
This paper would seek to look at healthcare systems from a U.S perspective. Whileit may differ in the arrangement and the degree of overlappingthe components are the fundamental basis for every healthcare system whetherall aspects are consolidated by the government or privately run.
Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.
Professional satisfaction among California general dentists DA Shugars, MR DiMatteo, RD Hays, S Cretin and JD Johnson, 1990 American Dental Education Association
Petersen, P. E. (2009). Global policy for improvement of oral health in the 21st century–implications to oral health research of World Health Assembly 2007, World Health Organization. Community dentistry and oral epidemiology, 37(1), 1-8.
There are lots of information like 90000 people a year dies from infections that are contaminated in hospitals or clinics. The government could provide good quality for people and patients. It will need more care and restrictions to keep the quality. People should be careful of their quality, what kinds service they provide? However, if is their good quality it will be comfortable for all. Most of the time the government doesn’t care what happen in their performance level. They could run a performance program where everyone will be included and transparency their service. Also, they could survey and it needs to make sure treatment process will good certification. Pay for performance is the best idea to maintain quality. There will be a committee who observes the pay for performance system. It would be bonuses to providers. All over the worlds, every country has a different system to keep good quality and nursing their services to upgrade. In the United Kingdom, they have a p4p program to keep maintain their quality. Moreover, quality is a vital part of health care. That’s why data analysis helps to upgrade this performance. It 's never possible to keep in high without analysis. The third reason is health care cost. The cost is made differently to us. In our society, health care bills system is under pressure and its complexes our rest of life. The government system is
Switzerland is predominately known for its great health care, rated as best in the world. This is largely due to how it is organized. Reorganization began in the 1994 with the Federal Heath Insurance Act, which came effect in 1996. The system is basically organized into 26 cantons, which are equivalent to US states. Each canton is responsible for the health care of the people in that region and insurance companies operate on a regional basis (James). The government decides on what policies will be covered, and sets prices of the cost of medial charges (McManus). In addition, with in the system there is a complex way with how access, quality and cost are organized.