When ensuring that every patient receives quality care there are several things we must consider such as healthcare costs, medical technology, and most of all the credentials of physicians chosen to render services to patients. All these things play a key role in providing quality healthcare. First there is the insurance part of our healthcare system and many are concerned about the rising cost in healthcare. Managed care companies are collecting more in premiums but yet paying less for services rendered to it is members. Most people have a managed healthcare plan through an employer or self employment.
Social Factors Affecting the Delivery of Healthcare Social Factors Affecting the Delivery of Healthcare Access to care can be defined as the ability to obtain needed, affordable, convenient, acceptable, and effective person health services in a timely manner (Shi & Singh, 2010). In regards to the health care delivery system in America, one would be ignorant to believe that everybody has equal and parallel access and utilization of our health care system. Significant inequalities in health care and status exist across varying income groups, social classes, and ethnic groups. Due to these inequalities in health status, major challenges are facing the distribution of health care among certain groups, if not all, Americans. In order to improve the nation’s health and end the disproportion in health care to vulnerable populations, the social determinants of health must be addressed foremost in order to achieve an understanding of the issues that are affecting so many Americans and what must be done in the fight toward equality in the U.S. health care delivery system.
* Identify key macroeconomic variables that affect your industry. * Consumption- in today’s society the health care industry provides health care services to individuals by * Output- * Unemployment/ uninsured- * The health care industry is affected by individuals not being covered by insurance. This results in people who really needing health care services and not being able to pay for them. If individuals are laid off or not working they may not have the disposable income to pay for treatment, medicines or other services provided. Health insurance plans pay doctors, hospitals and other providers in various ways such as fee for service, bundled payments or a fixed amount for all services that a patient may receive over a period of time.
Consumers who have HMO pay a premium for coverage on medical cost and delivery of health care. Point-of-service plan (POS) is an open HMO. This plan allows members to choose a provider not on the HMO’s network and reduces restrictions. Out-of-network service must be paid by members and the deductible can be costly. The preferred provider organization (PPO) has premiums and copayments that are higher than the ones in HMO and PPO plans.
Individual health insurance is where individuals pay premiums, and the insurance company pays for certain health-care costs covered in the policy. Most non-elderly Americans with private health insurance receive it through their employers, nearly all of whom pay at least half the premiums. Individuals must pay all premiums for individual health insurance. In most states, premiums vary by age, and most states allow insurers to medically underwrite applicants. Some states sponsor high-risk pools for people who cannot get coverage on the open market, though premiums can be high.
The healthier they made their patients the bigger the bonus they would get. If hospital stays weren’t as expensive, doctors could be on call 24/7 for peoples’ needs as in doctors on wheels, and another idea making medicinal needs cheaper. 5. Compare and contrast for profit systems and not for profit systems. What are the pluses and minuses of each?
Each component is affected by, and has impact, the other. Ultimately, the system does link the consumer to health care services. 2. What distinguishes the U.S. health care system from those of other developed
People’s view of health care is that they want the best; however the best comes at a cost to which many cannot afford (Barton, 2010). Long term care is a special type of health care service, due to the fact that they provide a unique type of care. Individuals living at long term can are dependent on the facility to provide them the care, for the needs they have and will have in the foreseeable future. This creates a unique atmosphere, because of the various different types of health care professionals they will use. It is said the longer you live, the more likely you are to develop multiple problems (co-morbidities) that
Effective communication is an important part of functional society, but in the healthcare setting in which communication is of utmost importance, it seems to be facing the most challenges. Effective communication in healthcare is critical for the legal processes, effective management, correct diagnosis, correct care, and correct treatment. Healthcare communication takes place in two main settings: personal and professional. Effective communication in healthcare is essential for healthcare professionals, the patients, and the facility delivering care. Communication problems always had been considered a major concern in the delivery of health care.
Under general social security health providers are earmarked by the public or private insurance carrier in which an injured party is required to file their claim. Once the claim is approved the injured party is referred to a hospital of the carrier’s choice for medical care and income replacement as is the case in no-fault compensation schemes. The major difference between the two is the fact that the funds under general social security is obtained from the taxpayers’ coffers. 1.2 TORT LIABILITY Tort liability is deeply rooted in the traditional tort principles of existence of