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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...
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...
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...
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Standards of Care I01:22

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:

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Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
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Considering "Single Payer" Proposals in the U.S.: Lessons from Abroad.

Sherry Glied1, Morgan Black2, Wiley Lauerman1

  • 1Robert F. Wagner Graduate School of Public Service, New York University.

Issue Brief (Commonwealth Fund)
|April 17, 2019
PubMed
Summary
This summary is machine-generated.

Universal health insurance systems vary significantly among high-income nations, challenging the notion of a single "payer" model. Understanding these differences in governance, benefits, and private insurance roles can inform U.S. policy options.

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Area of Science:

  • Health Policy
  • Comparative Health Systems
  • Health Economics

Background:

  • Policymakers often contrast U.S. health insurance with universal systems in high-income countries.
  • Universal coverage systems are frequently oversimplified as uniform 'single payer' models.
  • Significant diversity exists among international universal health care systems.

Purpose of the Study:

  • To compare universal health coverage systems in 12 high-income countries.
  • Analyze the distribution of governmental responsibilities and resources.
  • Examine the scope of benefits, cost-sharing, and the role of private insurance.

Main Methods:

  • Utilized data from the Organisation for Economic Co-operation and Development (OECD) and the Commonwealth Fund.
  • Conducted a comparative analysis of 12 high-income nations with universal health coverage.
  • Focused on three key comparative areas: government roles, benefit/cost structures, and private insurance integration.

Main Results:

  • Significant variations exist in the decentralization of financial and regulatory control among countries.
  • The scope of public benefits and the extent of patient cost-sharing differ considerably.
  • The integration and importance of private insurance within universal systems display substantial country-specific variation.

Conclusions:

  • The label 'single payer' is an oversimplification of diverse universal health care systems.
  • Understanding cross-national variations in system design offers valuable insights for U.S. health policy.
  • Nuanced analysis of international models can broaden policy options for achieving universal coverage in the U.S.