Health Systems - Health Systems

Health Systems - Health Systems - Comparative Health Care...

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Comparative Health Care Systems Why is the United States Why is the United States Unique or as it is Unique or as it is sometimes termed, exceptional”? sometimes termed, exceptional”? The United States is alone among The United States is alone among developed nations in not having a developed nations in not having a universal health care system. Why? universal health care system. Why? Is this good or bad? Is this good or bad?
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Which of the following is true? A. Among developed nations those that spend the  most on health care in terms of GNP have the  longest life expectancies at birth. B. The Canadian health care system is heavily  dependent on private insurance. C. In the British health care system hospitals are  privately owned. D. Professional physician organizations like the AMA  have had a major impact on the health care  financing system of the U.S.
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The Concept of a Health Care System Nations differ radically in the way they organize and finance health care. This holds true even among nations at the same level of economic development. Our basic objective in this lecture is to ask why countries like the United States, Sweden, Great Britain, and others differ so markedly in their organization and financing of health care. We will also discuss how a nation s health care system reflects its history and political culture. National medical care systems can only be understood in terms of the larger society in which they operate.
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Mark Field, 1980. The Health Care System and the Polity: A Contemporary American Dialectic. Social Science and Medicine , 14A(5).397-413. The health care system consists of: Personnel who must be recruited and trained. Technologies that must be developed and paid for. Services that must be organized and delivered in order to address problems of morbidity and mortality through prevention, diagnosis, treatment, rehabilitation, etc. This “system” constitutes the Gross Medical Product or outputs of the system.
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Resources or Inputs According to Field the system depends on at least four major resources or inputs: Legitimacy/Mandate (a political resource). Knowledge and techniques ( a cultural resource). Personnel (a human resource). Physical resources, such as land, buildings, capital (economic resources). There is competition between the health care system and other societal systems, such as education and defense, and even competition within the medical system.
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Field s typology of Medical Systems The specific type of health system that a nation creates depends on a society s concept of whether health care is a commodity to be purchased like any other or something to be provided by the state.
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Health Systems - Health Systems - Comparative Health Care...

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