In: Computer Science
Briefly describe the history of healthcare delivery and health insurance. Describe who participates in the system. Discuss the strengths and weaknesses of the US healthcare system.
1.health insurance:-
in 1850, the first US insurance was founded . he was provided with accident insurance .hospital and medical cost insurance was first introduced i the 1920's ,and individual hospitals (and employers in 1929) provided upfront plans to cover medical costs.employer (or union )health insurance has become commonplace since the second world war as a tool to offset limited wages or hire more in-demaded job catagories and limited supplies,after the war ,truman began the idea of a government -supported health plan.however ,lyndon johnson came into 19965 and signed a contract with medicare and medicad.in the 1970's changes in the law made HMO managed care possible.as you know ,today's health care planing options are vast and very complex.
when the children went to the hospital, the payment was a breakthrough ,not insurance,but some of them did not have children.
the hospital's birth plan has evolved as it is today with regard to disease and wound care. It only applied to hospital expenses. Then a Blue Shield was created to cover rising medical costs.
Healthcare:-
In the United States, health care has increased from local general practitioners to larger group practices. Often there were cases when family members followed the instructions of the doctor and did not need external help. The family paid the doctor as much money as possible and the exchange was regular. The hospital saw doctors and nurses in the same place taking care of more patients at the same time. Those who could afford and pay for medical and nursing services received health care. People who do not have the money or resources to pay will succeed without professional success.
The way you pay for medical care has changed when Medicare, Medicaid, and health insurance pay your employer. But about 15% of Americans explained this and could not afford private health insurance.
2. The 2010 Affordable Care Act (ACA) introduced "shared responsibility" between government, employers and individuals to ensure that all Americans have affordable, high-quality health insurance. However, a large number of private and public resources and extensive U.S. health insurance are decentralized. Medicare and Medicaid Services (CMS) focus on Medicare, a federal program that manages 65 adults and seniors, and works with Medicaid's state and the federally planned large company Child Health Insurance Program (CHIP). Management. Population income is low.
The members of the health team we are considering are:
* Doctor
* Doctor's assistant
* Nurse
* Pharmacy
* Dentist
* Technician and technician
* Expert therapist and rehabilitation specialist
* Emotional, social and spiritual support
* Management and support staff
* Community health workers and patient owners.
• Manage member appointments, check medical reports, send alerts, greet patients and display insurance information.
• The nurse or medical assistant records the weight and length of the patient, takes the patient to the laboratory and records the reason for the visit.
• Your PCP may be monitored by your doctor, physician assistant or nurse and consult with you when planning a diagnosis and treatment.
• Upon ordering, a technician will inspect the laboratory or radiation. To help drivers distribute samples (blood, skin, saline), analyze the lab and record it. A technician, nurse or doctor will discuss the results with the patient. Treatments such as prescription drugs fill pharmacists with prescription drugs.
• The invoice specialist issues an invoice to the patient for office visits, inspections or medication.
3. Strengths:-
1. Worldwide System:-Population Data
Extensive system coverage allows you to monitor the effectiveness of clinical care. The management database is not restricted to a specific organization, so it is dismissed from the organization and in poor health. This allows you to compare and analyze the results of organizations with different durations of stay. The management database attracts the attention of multiple providers, so you can not really detect any complications.
2. Efficiency vs. efficiency
This problem can be said simply. Treatments that produce good results in a (effective) research environment are not useful when applied to a wide range of patients in a clinical setting. The results of community hospital practices and health care results may vary significantly from those published by researchers in the academic center.
3. Focus on risk
With a focus on healthcare, the management database allows you to more accurately assess treatment-related risks (specific effects of death, recurrence, prostate fertilization, enlarged prostate, etc.).
4. Possibility of various news reports:-
Given the possibility of multiple analysis, it is criticized as theoretically and opportunistic. Health databases vary by subject and there are limitations to the types of data available, so research should be tailored to your strengths.
Weakness :-
1. Managed data generally has structural restrictions when submitting records, available codes, and coding conventions. Such restrictions can only be overcome by changing structures of laws or regulations. Other coding issues are of interest to the researcher.
2. The ability of an individual to contact a doctor or enter a hospital depends on certain system characteristics (coverage and insurance factors), individual characteristics (actions that require treatment) and recovery. (Possibly in the hospital).
3. it is difficult to identity the benefits of treatment in managed data systems .quality of life assessment is very indirect.changes in the frequency of diagnosis and hospitalization can provide information and calculate survival intervals after significant events.