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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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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.
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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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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,...
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Related Experiment Videos

"Managed competition" for Ireland? The single versus multiple payer debate.

Misja Mikkers, Padhraig Ryan1

  • 1Centre for Health Policy and Management, Trinity College Dublin, 3-4 Foster Place, Dublin 2, Ireland. ryanp17@tcd.ie.

BMC Health Services Research
|September 28, 2014
PubMed
Summary

Ireland

Area of Science:

  • Health Policy
  • Health Economics
  • Health Services Research

Background:

  • International health policy debates often center on single-payer versus multiple-payer systems.
  • Ireland is considering a major health reform introducing 'managed competition' with competing insurers, modeled on Dutch reforms.
  • This reform aims to replace functions of the public payer with private health insurers.

Purpose of the Study:

  • To evaluate whether Ireland meets the preconditions for successful managed competition.
  • To determine if the proposed timeline for implementing managed competition in Ireland is appropriate.
  • To analyze the functioning of Dutch and Irish health systems to inform the debate.

Main Methods:

  • Comparative analysis of health system structures in the Netherlands and Ireland.

Related Experiment Videos

  • Assessment of preconditions for managed competition in the Irish context.
  • Discussion of potential challenges and mitigation strategies for the proposed Irish reform.

    • Main Results:

    • Ireland currently lacks essential preconditions for effective managed competition.
    • The Dutch experience suggests some preconditions, like risk equalization, can be developed over time.
    • Ireland's sparse hospital distribution may empower hospitals and hinder insurer control over quality and costs.

    Conclusions:

    • Managed competition necessitates a lengthy transition period and adequate preconditions.
    • The Irish government should postpone introducing managed competition until necessary prerequisites are established.
    • Potential issues include hospital market power, challenges in quality improvement incentives, and regulatory capacity shortfalls.