1. Main characteristics of U.S. Health System 1. no central governin
agency and
little integration and coordination
2. technology driven
3. high cost, unequal access
with av- erage outcomes
4. delivery of healthcare under
im- perfect market conditions
5. government as subsidiary
to the private sector
6. fusion of market justice and
social justice
7. multiple players and
balance of power
8. legal risks influencing
practice be- haviors
2. Primary objectives of a HC system 1. To enable all citizens to receive
health care services whenever
need- ed- universal access
2. To deliver services that are
cost-ef- fective and meet certain
pre-estab- lished standards of
quality
3. A system is consist of a set of interrelated
and interdependent componen
designed to achieve some comm
goals
4. The US HCS of HC delivery No single entity oversees or
man- ages healthcare
delivery
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5. More than 20 million
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How many people work to delivery
healthcare services in America?
6. Health Care Delivery working breakdown Most: Physician practices
Nursing Homes
Home Health and Hospice Agen- cies
Hospitals
Inpatient Mental Health Facilities Basic
Public Health Programs
7. Healthcare Education working breakdown Most: Nursing Programs
Medical schools
Pharmacy
schools Dental
schools
8. How many doctors are in the US? 860,500
28% PCP
72% Specialist
9. What kind of shortage will there be by PCPs
2035 of 10%
10. Four factors that affect access 1. Ability to pay
2. Availability of services (deliver
3. Payment
4. Enablement barrier
11. Factors that affect access (Ability to pay) Do you have health insurance?
12. Factors that affect access (Availability Rural and remote areas lack ade-
of ser- vices) quate services
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13. Factors that affect access (Payment) Many providers don't accept Med
aid
14. Factors that affect access (Enablement barrier) Transportation, racial, cultura
and
language barriers
15. Universal Access -a healthcare system that
provides routine and basic
health care
-run by the government
-financed through general taxes
16. Delivery of care is influenced by what is paid and how much is pai
17. Biggest single purchaser of healthcare services Federal government
-because of this, they have lots
of influence over healthcare
delivery
18. Examples of private insurance BCBS, United Healthcare
19. Medicaid is through state government
20. Does our healthcare delivery system function in No
a free market?
21. Characteristics of US healthcare Hospitals
delivery sys- tem Pharmacy
Physician oflce
EMS
Palliative care
Home health
Community
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