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Methods Of Healthcare Delivery System

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...

Primary Healthcare Services

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...

Secondary Healthcare System

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...

Healthcare Agencies II

Healthcare Agencies II

There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...

Integrated Healthcare System

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,...

Introduction To Health Care Delivery System

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...

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Updated: Feb 17, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Government-managed healthcare.

William A Niskanen

Postgraduate Medicine

|December 6, 2017

Summary

Government-managed competition in healthcare is unlikely to control costs or maintain the quality of American medical care, according to expert analysis. This approach poses significant risks to patient outcomes and healthcare system efficiency.

Area of Science:

Health Economics
Public Policy
Healthcare Management

Background:

Healthcare costs in America are a persistent challenge.
Managed competition is a proposed policy solution.
Concerns exist regarding the impact of government intervention on healthcare quality.

Purpose of the Study:

To analyze the potential effectiveness of government-mandated managed competition in controlling healthcare costs.
To evaluate the risks associated with managed competition for the quality of American medical care.

Main Methods:

Analysis of economic principles related to healthcare markets.
Review of theoretical impacts of managed competition on provider behavior and patient access.
Expert opinion and commentary on policy implications.

Related Experiment Videos

Last Updated: Feb 17, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Main Results:

Government-mandated managed competition is predicted to be ineffective in controlling healthcare expenditures.
Such policies are likely to compromise the quality of medical services provided.
Potential negative consequences for patient care and healthcare system integrity.

Conclusions:

The proposed policy of government-managed competition presents substantial risks to both cost containment and quality of care in the US.
Alternative strategies should be explored to address healthcare cost and quality challenges.