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
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...
A strong primary care foundation is fundamental to constructing an effective health care system. Patients who have regular access to a primary care physician are more likely than those who do not to receive the necessary preventative care before their conditions become too difficult or expensive to treat (Bindman, Grumbach, Osmond, Vranizan & Stewart, 1996). Additionally, primary care physicians are significant to providing better care to low-income patients. Access to primary care correlates positively with better management of chronic conditions and reduced mortality (Starfield, Shi & Macinko, 2005). Despite the necessity of primary care in regards to health system performance, there has been little value and investment in primary care for decades (McGlynn et al., 2003). Consequently, health care in the U.S. is left poorly coordinated and expensive.
Shi, L., & Singh, D. (2012). Delivering health care in America: a system approach. Burlington: Jones & Bartlett Learning, LLC.
In Conclusion, the health care systems in both countries have their strong points as well as their weaknesses but I would still much rather have our own health care system. I hope these facts about the different systems will help you better understand them.
Shi, L. & Singh, A.D. (2012). Delivering healthcare in America: A systems approach (5th ed.). Burlington, MA: Jones & Bartlett.
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...
Every American will be at the losing end if the shortage of primary care doctors continues. Our current system is broken and all the alternatives our politicians are recommending favors only special interest groups whose only concern is their bottom-line. Our policy makers will not understand the predicament of the average citizen. Their special health insurance coverage insulates them from problem we all encounter.
Wilson, J. (2008). Primary care delivery changes as nonphysician clinicians gain independence. Annals of Internal Medicine, 149(8), 597-600.
Shi, L. & Singh, D. A. (2010). Delivering Health Care in America: A System Approach 5th ed. Baltimore, Maryland: Jones & Bartlet
The National health services (NHS) provides a comprehensive healthcare services across the entire nation. It is considered to be UK’s proudest institution, and is envied by many other countries because of its free of cost health delivery to its population. Nevertheless, it is often seen as a ‘political football’ as it affects all of us in some way and hence everyone carry an opinion about it (Cass, 2006). Factors such as government policies, funding, number of service users, taxation etc all make up small parts of this large complex organisation. Therefore, any imbalances within one sector can pose a substantial risk on the overall NHS (Wheeler & Grice, 2000). This essay will discuss whether the NHS aim of reducing the nations need for provision of health was achieved or not, taking into account different health models.
The United States’ healthcare system is often compared to health care systems in other industrialized countries. According to Davis, Stremikis, Schoen, and Squires (2014), “The
In France, healthcare relies on the “preferred doctor” scheme, which “represents a soft form of gatekeeping.” Patients would generally obtain a diagnosis with their GP, and then are referred to specialists for further care. However, patients have the option to neglect their GP’s referrals and instead take advantage of “direct access to specialists or other GP’s” (Chevreul K 75).There are no networks of doctors and hospital, as is the case in the American healthcare system, although patients seek other providers would only face “lower levels of reimbursements” (Chevreul K 54). As a result of France’s universal healthcare system at the statutory level, patients are not restricted by the doctor and hospital networks, whereas American patients are coerced to choose a provider as dictated by their private insurance. As a result, “France is generally perceived as a country with an extensive patient choice,” bolstered by the fundamental principle that it is “a patient’s right to choose [a] health professional and hospital” (Chevreul K
UK health care system, in turn, attracted to its topicality. National Health Service (NHS) occurred in several business ideas in the name of the article. UK health care system seemed also to be justified. It focused on patients' rights, as well as equality. The National Health Service (NHS) in England had undergoing changes on April 2013 (NHS 2009). Changes in the health care system in the English interest me but in this work I did not go into them.
Shi, L., & Singh, D. (2012). Delivering health care in America: a system approach. Burlington, MA: Jones & Bartlett Learning, LLC.