Chapter Thirteen

Chapter Thirteen - Health Care System: Structure Chapter 13...

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Health Care System: Structure Chapter 13
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Introduction Health care delivery in U.S. is different than all other developed countries Other developed countries have national health care programs run or organized by government Health care in U.S. delivered by an array of providers (health care facilities & professionals that provide care)
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Does the U.S. really have a health care system? Providers Consumers (patients) = + System? 0 First question…
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Brief History of Health Care Delivery in the U.S. - 2 Pre-1870 Timeline Today
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Brief History of Health Care Delivery in the U.S. - 3 Pre- 187 0 Far behind Great Britain & Europe in both health care & medical education Not grounded in science Medical education was provided through apprenticeships
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Brief History of Health Care Delivery in the U.S. - 4 Pre- 187 0 Health care provided in patients’ homes Almshouses (poorhouse) to provide food, shelter & basic care for indigent
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Brief History of Health Care Delivery in the U.S. - 5 Pre- Pre- 187 187 0 0 1900 Health care moved from patients’ homes to physician’s Health care based on more science
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Brief History of Health Care Delivery in the U.S. - 6 Pre- 187 0 1911 First health insurance 1900
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Brief History of Health Care Delivery in the U.S. - 7 Pre- 187 0 1911 Flu epidemic 1900 1918-19
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Brief History of Health Care Delivery in the U.S. - 8 Pre- 187 0 1911 Spending 3.9% of GDP on health 1900 1918 1929
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Where the medical dollar went in 1929 4.2 3.3 3.4 5.5 12.2 18.2 29.8 23.4 Doctors Hospitals Pharm Dentists Nursing Quacks Pub Hlth Misc
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Brief History of Health Care Delivery in the U.S. - 9 Pre- 187 0 1911 Diagnosis, treatment, fee Hill-Burton Act 1900 1918 1929 1930s & 1940s
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Brief History of Health Care Delivery in the U.S. - 10 Pre- 187 0 1911 Right or privilege 3rd party system takes hold 1900 1918 1929 30s/40s 1950s & 60s
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This note was uploaded on 02/16/2011 for the course NURS 231 taught by Professor Hickey during the Spring '10 term at South Carolina.

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Chapter Thirteen - Health Care System: Structure Chapter 13...

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