Question

Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect. Describe the effect of health care reform on the U.S. health care system and its respective stakeholders. Support your post with a peer-reviewed journal article .

Answer 1

The Health Care Delivery System:

For Americans to enjoy optimal health—as individuals and as a population—they must have the benefit of high-quality health care services that are effectively coordinated within a strong public health system. In considering the role of the health care sector in assuring the nation's health, the committee took as its starting point one of the recommendations of the Institute of Medicine (IOM) report Crossing the Quality Chasm (2001b: 6): “All health care organizations, professional groups, and private and public purchasers should adopt as their explicit purpose to continually reduce the burden of illness, injury, and disability, and to improve the health and functioning of the people of the United States.

Finance Health Care system:

Health care is paid for by government programs (such as Medicare and Medicaid), private health insurance plans (usually through employers), and the person's own funds (out-of-pocket).

Sustainability:

The sustainability of healthcare interventions and change programmes is of increasing importance to researchers and healthcare stakeholders interested in creating sustainable health systems to cope with mounting stressors. The aim of this protocol is to extend earlier work and describe a systematic review to identify, synthesise and draw meaning from studies published within the last 5 years that measure the sustainability of interventions, improvement efforts and change strategies in the health system.

Effectiveness of Quality patient care and health outcome

1. The aim of many strategies to improve health-care quality has been to ensure that essential inputs – e.g. technology, operational facilities.

2. pharmaceutical supplies and trained health workers – are in place.

3 Many such strategies have focused on the supply side and been designed to support the provision of services according to clinical guidelines.

4 The acknowledgement that quality improvement approaches should be applied within patient-centred models of care is relatively recent.

measurement of quality.

We have identified and structured our discussion around six conceptual and measurement challenges.

First is the recognition that, even though they may not reflect actual quality, perceptions of the quality of care are an important driver of care utilization.

Second, a patient’s experience of quality must be conceptualized as occurring over time.

Third, responsiveness to the patient is a key attribute of quality.

Fourth, so-called upstream factors – e.g. management at facility and higher levels – are likely to be important for quality.

Fifth, quality can be considered as a social construct co-produced by different actors. F

there are substantial measurement challenges that require the adaptation and improvement of current approaches.

Please find the potential Health Care reform solution:Health care reforms is one of the biggest issue for voters. With our aging population, complexity of illness and growing cost of health care, the government need a new approach to delivery of health care system. There is still a large population that are uninsured. There is mounting recognition that our country’s health system is greatly influenced by social determinants, socio-economic status, and environmental,show more content.

The health care system must change to improve our nation’s health and takes strong steps to address the unsustainable growth of health care costs in America. We still have a long way to go before our health system become effective. We still have population that do not have insurance, have difficulties accessing their health care, or their needs are not met within the healthcare system. It is an investment in prevention and wellness and increasing access to primary care physician.

Here are four key reasons why we need health care reform (Whelan & Russell, 2010): We need to address adverse health industry practices.

• Stopping discriminatory health insurance industry practices. It will also stop insurance companies from charging people more because of these conditions and prevent them from dropping your coverage when you get sick.

• Requiring more transparency and accountability. Make the insurance companies more accountable by requiring federal oversight of premium increases and public disclosure of the amounts they spend on administrative expenses.

• Eliminating waste, fraud, and abuse. Rein in waste, fraud, and abuse by imposing tough new requirements to identify high-risk providers who have defrauded the American taxpayers and identify where there are conflicts of interest.

We support our post with a peer reviewer journey article:

1. CDC HEALTH POLICY SERIES:

A.Towards ustainableImprovements in Population Health.

b..Overview of Community Integration Structures

and Emerging Innovations in Financing by
Hester JA,
a Stange PV,
b Seeff LC,
b Davis JB,
c Craft CAd