The U.S. health care system has undergone many changes in its
history. Complete the following for this Discussion Board:What do
you believe is the greatest achievement that the health care
industry has made from both the patient and provider perspectives?
Why? Do you believe that there is too much or too little redundancy
in our health care delivery system? Where does most of the
redundancy occur? Where should we have more redundancy (second
opinions)?
Page 2 Quality of care has always been a concern in the U.S.
health care system. Although great strides have been made to
improve the quality of care delivered many critics still believe
that the United States has a long way to go before truly delivering
uniform quality care.
How would you define quality of care from the provider and
patient perspectives? Why do you believe that quality can be viewed
as a strength and a weakness of the U.S. health care system? Be
sure to provide at least 2 reasons for this and provide specific
examples for discussion. Identify several difficulties and several
benefits of working with licensed independent practitioners to
improve quality in a typical hospital. What considerations should
managers keep in mind when working with them? Page 3(2 references)-
Although preventative services such as routine well-care visits and
immunizations have often shown to be beneficial in terms of
preventing future more expensive health care encounters not all
insurance plans offer reimbursement for such things.
Why do you believe that funding preventive health care
services has taken so long to become a major component of health
plans? What do you think will need to happen to change the
prevailing mindset of funding health care services reactively
versus proactively from a third-party payers and a providers? Why?
Page 4(2 references)- In an HMO the primary care physician acts as
the gatekeeper to all higher levels of care that the patient may
need. In theory this means that the physician decides what is best
for the patient and coordinates his or her care while at the same
times working to control costs and trying to ensure the delivery of
care in the most efficient manner possible.
Thinking about this from both a providers and a payers
perspectives answer the following questions:
What are the advantages and disadvantages of using the
gatekeeper system in terms of progressing through the levels of
care? Provide an example of each perspective. What are at least 2
advantages and 2 disadvantages for each group? Provide a rationale
for your choices. Page 5(2 references)- Although both for-profit
and not-for-profit hospitals provide a certain amount of charitable
services to the public there is debate as to which provides a
higher level of charitable services to its respective community.
Which type of hospital do you believe provides more charitable
health care services and why?
In your answer provide at least 2 to 3 reasons for your
choice using a specific example for each type of orga
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