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…
& Grumbach, 2012). Hospitals are all aiming at offering a great number of specialists, instead of being grouped into smaller community hospitals and regional more specialized hospitals (Bodenheimer & Grumbach, 2012). Under a regionalized model of care, which is the traditional model of health service in Great Britain, I would have to find a primary care doctor first, and have him refer me to a cardiologist at a local hospital, who will then decide together with my doctor whether it would be appropriate to refer me to a cardiac surgeon at a regional more specialized hospital (Bodenheimer & Grumbach, 2012).
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
procedures.
Willis, E, Reynolds, L & Keleher, H 2012, Understanding the australian health care system, Mosby Elesvier, Chatswood, NSW.
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...
Shi, L., & Singh, D. (2012). Delivering health care in America: a system approach. Burlington, MA: Jones & Bartlett Learning, LLC.
It is no secret that the current healthcare reform is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify ways to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal.” (Bailey, Jones & Way, 2006, p. 381).
In consequence, this will limit poor adults finding the proper treatment since many doctors do not accept Medicaid patients. High rates of uninsured populations were associated with lower primary care capacity (Ku et al., 2011). Thus, expanding insurance coverage can support more primary care practices in rural areas and can help equal the gap in primary care positions. The impact of not expanding affects APRN practice by limiting them to practice in areas where they are needed the most. This not only affects APRNs from practicing without a physician supervision but also limit those that need coverage for basic preventive measures to reduce non-paying visits to the emergency room. Ensuring access to care will be contingent upon the ability to attain progress from insurance coverage and primary
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.
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...
Wilson, J. (2008). Primary care delivery changes as nonphysician clinicians gain independence. Annals of Internal Medicine, 149(8), 597-600.
Shi, L. & Singh, A.D. (2012). Delivering healthcare in America: A systems approach (5th ed.). Burlington, MA: Jones & Bartlett.
Shi, L. & Singh, D. A. (2010). Delivering Health Care in America: A System Approach 5th ed. Baltimore, Maryland: Jones & Bartlet
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
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
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.
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.