Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Public Policy and Health Care Affordability for Working-Age Individuals in the US.

JAMA health forum·2026
Same author

Kids Give You Headaches? Universal Prekindergarten and Maternal Prescriptions for Pain-Relief and Hormone Medications.

Health economics·2026
Same author

Medicaid claims alone have high sensitivity but low specificity in identifying child abuse and neglect.

Frontiers in pediatrics·2026
Same author

Diminishing Returns-HSAs and Health Care Cost Control.

JAMA health forum·2026
Same author

Hospital Mergers, Hospital Choice, and Care Quality for Pregnant Enrollees in Medicaid.

JAMA health forum·2025
Same author

Using Markov Modeling to Understand the Dynamics of Unhoused Populations Experiencing Serious Mental Illness.

Psychiatric services (Washington, D.C.)·2025

Related Experiment Video

Updated: Jun 21, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

Single payer as a financing mechanism.

Sherry Glied1

  • 1Columbia University, USA.

Journal of Health Politics, Policy and Law
|July 28, 2009
PubMed
Summary
This summary is machine-generated.

Single-payer health systems are modestly less costly and spend less GDP on health than other universal coverage models. However, differences in performance among OECD countries are small, with the US performing significantly worse.

More Related Videos

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
08:34

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies

Published on: February 6, 2019

Related Experiment Videos

Last Updated: Jun 21, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
08:34

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies

Published on: February 6, 2019

Area of Science:

  • Health Economics
  • Comparative Health Systems Analysis
  • Public Policy

Background:

  • Universal healthcare coverage is a policy goal in many developed nations.
  • Different models of universal coverage exist, including single-payer systems.
  • Debate continues regarding the efficiency and cost-effectiveness of various healthcare financing models.

Purpose of the Study:

  • To compare the cost and care delivery of single-payer health systems against other universal coverage models.
  • To assess the claims that single-payer systems reduce administrative costs and control provider payments more effectively.
  • To analyze Organisation for Economic Co-operation and Development (OECD) data for cross-country comparisons.

Main Methods:

  • Utilized Organisation for Economic Co-operation and Development (OECD) health data.
  • Defined single-payer systems based on revenue sources, financing concentration, and limited private insurance.
  • Compared cost, administrative expenses, and physician incomes across different universal healthcare models.

Main Results:

  • Single-payer-like systems showed modest cost savings and a slightly smaller share of GDP spent on health compared to peers.
  • Administrative cost savings were observed in single-payer systems relative to more fragmented models.
  • No consistent advantage in controlling physician incomes was found for single-payer systems.
  • Significant variations in performance exist within and across universal coverage models.
  • The United States demonstrated persistently poorer performance compared to all analyzed universal coverage OECD countries.

Conclusions:

  • Single-payer health systems offer modest cost advantages and some administrative efficiencies.
  • Overall performance differences among OECD universal coverage countries are minimal.
  • The US healthcare system's performance lags significantly behind comparable developed nations.