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Organizational Systems and Quality LeadershipTask 3Kaye TudoracheWestern Governors UniversityAugust 19, 2018
ORGANIZATIONAL SYSTEMS TASK 3 2Healthcare FinancingA1. Country to CompareFor this task, I will be comparing healthcare in the United States to that of Great Britain. These two countries represent the extremes between private and public sector systems.A1. AccessHealthcare in the United States is mostly private with the exception of some government funded programs such as Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) which provide insurance to the retired, the unemployed and children. The private coverage is provided partially by households and partially by employers. In comparison, Great Britain has the National Health System (NHS) which is government funded and provides medical care for all British citizens. The NHS “is financed through general taxation and run by the Department of Health.” (HealthManagement.org, 2018). Even though all citizens of Great Britain are provided healthcare, there is a trend in Great Britain moving toward its citizens who can afford it having additional private insurance. (HealthManagement.org, 2018)With all British citizens having access to healthcare, children, the unemployed and the retired are all covered. Each person’s care begins with being registered with a General Practitioner (GP). This is the frontline for people to access their care. However, according to a report by Doctors of the World UK (DOTW) in August of 2015, “82.7% of those who came to the DOTW clinic had not been able to register with a GP, the entry point to the healthcare system”. Without a GP to provide and direct care British citizens do not have access to needed Updated on 6/15/2018
ORGANIZATIONAL SYSTEMS TASK 3 3services. “Currently, the UK is experiencing a shortage of general practitioners”. (American Institute of Medical Sciences & Education (AIMS), 2015,). In contrast, healthcare in the United States can be accessed with or without a primary doctor. People here can go to an urgent care or emergency room to access services and often can see a specialist without a referral from a primary care provider (PCP). Here, having a PCP is not necessarily the entry point to the healthcare system, though it does make coordination of care easier. It seems the biggest challenge here is not lack of PCP’s, it is lack of insurance. For the unemployed, they do not have private insurance paid into by an employer. They often go withoutinsurance unless they have knowledge of or assist with getting a government program such as Medicaid, which provides free to low cost care. Children also have access to this system if their parents do not have insurance or they are disabled. I think the largest barrier to this system is thatthere are rules and regulations to qualify, including time frames, so access to care can often be delayed.