VERIFIED ANSWERS (100% CORRECT) /A+ GRADE ASSURED
Telemedicine - ....ANSWER...has a chance to revolutionize rural health but, will
require a significant investment in communications infrastructure and
mechanisms to transport patients from remote areas to places where care can
be given.
The healthcare system is designed as an NHS (National Health Service) -
....ANSWER...This means that the government owns and operates most of the
infrastructure
,(hospitals, ambulatory care facilities, long-term care facilities, most clinics and
pharmacies) as well as provides funding for the majority of healthcare given in the
United Kingdom. Socialism is the economic system in which "the people" (the
central government) own the means of production
private health insurance (PHI) - ....ANSWER..."voluntary insurance" PHI is usually
provided as a perquisite of employment or purchased by individuals in the
marketplace.
The NHS was established by parliament in 1947. It's three core principles were -
....ANSWER...1) that NHS met the needs of everyone, 2) that it be free at the point
of delivery, and 3) that it be based on clinical need NOT the ability to pay.
Funding: - ....ANSWER...Virtually all of the NHS budget, comes from general
taxation. 80% from tax revenues and about 19% from National Insurance (includes
pensions) contributions. Out-of-pocket contributions from citizens approach 20%
of total health expenditures and generally focus on medication's, dental and
optical care. This is a growing fraction of expenditures.
Governance - ....ANSWER...The NHS was established to be an arm's-length body
that is funded by the government but, operates independently. Although
Parliament indirectly has some control over the NHS through establishment of
policy and budgeting, the Department of Health (DH) has control over the NHS,
and matters affecting healthcare and its delivery are reserved to the DH under
various agreements.
, Workforce: - ....ANSWER...The NHS is the largest employer in United Kingdom and
one of the top five employers in the world. It's ranks include 1.5 million people.
NHS employees over 300,000 nurses, 25,000 midwives, 18,000 ambulance staff
and 110,000 hospital and community health service non-doctor medical and
dental staff. The NHS clinical staff include 45,000 consultants, 53,000 doctors in
training and 40,000 general practitioners.
Delivery of Care: - ....ANSWER...The first point of contact for most patients in the
NHS is through general practice physicians and surgeons (GPs). GPs act as the
"gatekeepers" for secondary care (specialists, hospitalization, therapy, etc).
About 2/3 of GPs operate under the nationally- negotiated general medical
services contract. This contract includes payment based on capitation, fee-for-
service and pay-for- performance initiatives. The remaining 1/3 of physicians
"straddle" the system by accepting only private payments and payments from
both the NHS and private insurers. (Remember that the rich in any culture can
and often do choose to pay for medical care out-of-pocket.) Most specialists are
employees of the NHS and/or its hospitals.
40% of UK positions accept PHI payments.
Patient Satisfaction: - ....ANSWER...: Patient satisfaction with the NHS has been
falling steadily over the past decade. As of 2019, the overall satisfaction rate from
all age groups was 53%. This was down 3% from the year before. The four main
reasons people gave for being satisfied with the NHS were 1) the quality of care,
2) the fact that the NHS is free at the point of use, 3) the range of services and
treatments