Sultz_PP01

Sultz_PP01 - Chapter 1 Overview of Health Care: A...

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Chapter 1 Overview of Health Care: A Population Perspective
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Overview Economic & social changes are altering the public’s view of providers, facilities, services Providers, insurers, institutions now commercial entrepreneurs Health care ~15% of GDP, $2 trillion Major conflicts among providers, policymakers and insurers
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Many Frustrations…. Physicians: allege insurers constrain fees without adequate regard for quality Policymakers: Allege providers resist accountability and transparency Insurers: Providers resist evidence-based guidelines Patients: Confront a confusing payment morass & disjointed services
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Problems of Health Care Inexplicable contradictions in objectives (e.g. prevention vs. intervention) Unwarranted variations in performance Ineffectiveness (lack of evidence) Difficult relationships with public and governments
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Reform Efforts: A Long History 40+ years: balance cost, quality & access 1960s: increased access for low- 1970s-1980s: controls to slow cost growth 1990s: more cost controls + quality improvements; market influences 2000 cost, quality & access
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Access, Cost and Quality Strategies to address access, cost, quality reflect periodic changes in political philosophies 1960’s government programs improved access for aged, poor, without regard for costs. Later, access, price quality regulations. Ensuing patchwork of government reforms replaced by market forces
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The Health Care Situation The quest for greater efficiency in the delivery of health care services is eternal in a country that spends far more on health care than any other, consistently has growth in spending that outstrips that of income, is unable to provide insurance coverage to at least 15% of its population and ranks poorly. ..in life expectancy and infant mortality.” L. M. Nichols, 2004
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The Reform Dilemma… General acknowledgement that system is in need of major reforms Americans have been unwilling to risk health
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This note was uploaded on 08/26/2010 for the course HR 99 taught by Professor Staff during the Summer '08 term at Idaho.

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Sultz_PP01 - Chapter 1 Overview of Health Care: A...

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