In: Nursing
1, examine the current scope of the US healthcare delivery system and its major stakeholders.
2, consider the various national systems models as a framework for studying components of health services systems such as values, resources, processes and outcomes.
3, address the history of integration prevention component into the current system.
1. The health care delivery system in the US comprise clinicians, hospitals,and other health care facilities, insurance plans and independent practices. Some are public sector and others are private. When delivery of health care through the private sectors the responsibility for providing some level of basic health care services to the poor and and other special populations falls to government public health agencies. The provision of high quality, affordable, health care services are really a challenge.
Specific care that are important for population heath. Clinical preventive services, mental health care, treatment for substance abuse and oral health care are less available now.but looking forward to provide insurance coverage for these services.
The federal government controls the entire system. The regulators include the US department of health and human services, the centres for Medicare and medical services, the food and drug administration, and the centres for disease control and prevention.
2.different models include A.Beveridge model- named after William Beveridge ,in this system health care is provided and financed by the government, through tax payers.
B.the Bismarck model. Found in Germany Named for Otto von Bismarck..this is a system uses an insurance system called sickness fundsusually financed jointly by employers and employees through payroll deduction.
C. The national health insurance model- it uses the private sector providers but payments comes from government run insurance programme.
D. The out of pocket model- only introduced in the developed countries
Us is unlike other countries because it maintains so many systems for separate classes of people.
3.The integrated prevention focus on population heath which address changes in the social and physical environment. It is achieved by implementing nutritional standards for a population is one ideal epitome.early attempts to control communicable diseses focused on community based premention aimed at improving personal hygiene, housing and sanity reforms and laws to improve living conditions among poor.other efforts focused on improving food and work place safety.