Which of the characteristics or components (define at least two) health care delivery system have the most significant impact on the health care delivery system in the United States?
United States Health United States Health United States Health United States Health Care DeliveryCare DeliveryCare DeliveryCare Delivery
There are ten basic characteristics that differentiate the U.S. health care delivery system
f th t f th t ifrom that of other countries
No central agency to No central agency to No central agency to No central agency to governgoverngoverngovern
The U.S. health care delivery system is not administratively controlled by one department or
agency
A i b d A i b d Access is based on Access is based on insurance insurance insurance insurance
Health care is not available to all citizens equally
I f t k t I f t k t Imperfect market Imperfect market conditionsconditionsconditionsconditions
Patients are not free to choose providers, and prices are not governed by the interaction of the
f f l d d dforces of supply and demand
Thi d t i t Thi d t i t Third party insurers act as Third party insurers act as intermediariesintermediariesintermediariesintermediaries
Insurers act as a wall of separation between the financing and delivery functionsg y
Multiple payersMultiple payersMultiple payersMultiple payers There is no “single-payer”, and the multiple payer system represent billing and collection nightmaresy p g g
No single entity dominatesNo single entity dominatesNo single entity dominatesNo single entity dominates The fragmented self-interests of the numerous
stakeholders create countervailing forcesg
L l i k i fl L l i k i fl Legal risks influence Legal risks influence practicepracticepracticepractice
The potential for malpractice litigation and large jury awards influences practice leading to
“d f i di i ”“defensive medicine”
A t ti d d f A t ti d d f Automatic demand for use Automatic demand for use of new technologyof new technologyof new technologyof new technology
Advances and growth of medical technology creates immediate consumer demand without consideration
f tfor costs
New service settings New service settings l th ti f l th ti f along the continuum of along the continuum of
deliverydeliverydeliverydelivery Health care delivery is no longer confined to the
hospital setting. Over the past few years we have p g p y witnessed the emergence of outpatient surgery
centers, home health, hospice, etc…
Focus on qualityFocus on qualityFocus on qualityFocus on quality The American consumer has higher expectations of
outcomes
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