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Related Concept Videos

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...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
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:
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...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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...

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Related Experiment Video

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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Bending the curve through health reform implementation.

Joseph Antos1, John Bertko, Michael Chernew

  • 1American Enterprise Institute for Public Policy Research, Washington, DC, USA.

The American Journal of Managed Care
|February 26, 2011
PubMed
Summary

Healthcare reform is essential to slow spending growth and improve care quality. Updated strategies are needed to leverage the Patient Protection and Affordable Care Act (ACA) for better health outcomes and economic benefits.

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Published on: January 8, 2020

Area of Science:

  • Health Policy and Economics
  • Healthcare Management
  • Public Health

Background:

  • The Patient Protection and Affordable Care Act (ACA) expanded insurance coverage, increasing the urgency to control healthcare spending growth.
  • Previous recommendations for slowing healthcare spending and improving quality require updates in light of the ACA.
  • The ACA presents opportunities for reform, but legislative action and regulatory execution are crucial.

Purpose of the Study:

  • To update recommendations for slowing healthcare spending growth and improving care quality within the framework of the ACA.
  • To outline three key objectives for achieving savings and enhancing health system quality within five years.
  • To identify areas where further legislative action is needed to support consumer choice and cost reduction.

Main Methods:

  • Focus on accelerating payment reforms away from volume-based systems towards quality and efficiency.
  • Implement health insurance exchanges and reforms to incentivize selection of high-value, lower-premium plans.
  • Reform coverage options to reward individuals for making health-conscious decisions that reduce costs.

Main Results:

  • The ACA partially or fully addressed some previous reform recommendations, while others remain outstanding.
  • Significant progress in curbing spending growth and improving quality is achievable through regulatory and execution strategies.
  • The proposed objectives aim to create a healthcare system prioritizing evidence, choice, balanced regulation, and collaboration.

Conclusions:

  • Achieving a high-quality, cost-efficient healthcare system requires decisive regulatory and execution steps, even without further legislation.
  • Further legislative support is necessary to empower consumers, including Medicare beneficiaries, in making cost-saving and health-improving choices.
  • The outlined objectives offer a feasible path toward a more sustainable and effective healthcare system.