OPERATION OF HEALTH CARE SYSTEM
The medical system in Cuba is a national priority, it provides care to every citizens. It is primary care based, which means that team of doctors and nurses are in every part of the country and are responsible for the health of a geographically defined population of 800-1800 people. Most of the frequent visitors and people with chronic diseases, usually they spent half the day consulting people in office and other half for the home visit. They are expected to be available for the patients in their community 24 – 7 for any urgent cases. Some of the doctors in these settings are residents in the second of their two-year FM residency, and they include those from other countries whose governments permit
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Health care system is structured on two levels.
Level 1: Primary health care
• Family doctor unit
• Polyclinics (includes dental care)
• Specialty institution
• Mother’s home
• Grandparents home
• Community mental health clinic
Level 2: Secondary health care
• Inpatient hospital
• Inpatient nursing homecare
One of the key differences between the US health system and Cuba health system is that Cuba focuses on preventing diseases rather than treating the diseases. And everyone will be having family physician and nurses. For the Cuba health system there are no private hospitals, all hospitals and clinics are controlled by the government and people are given access to the system without any cost. Every patient are visited by the family physician at home once in a year, one with chronic disease will be visited frequently. If it is necessary patients are referred for specialty evaluation, but after the evaluation they will come back to the community team for ongoing treatment.
This prevention orientation structure has produced positive result for the Cuba. Vaccination rates in Cuba is the highest in world. The infant mortality rate fallen from 80 per 1000 live births to 5 per 1000, lower than US.
PRINCIPLE OF THE HEALTH SYSTEM
The principle that govern the public health system in Cuba are:
• The public and social nature of the medicine
• Access to services at no cost
• Preventive
As the healthcare system prepares to select a outsource company as its vendor for this project, what types of information should it give to and gather from each vendor under consideration?
Western Health System noticed that many of its local clinic managers were leaving to join the competition. Their human resources director, Stephanie Anderson realized that they were losing a lot of talented people who had become demotivated, and she worked on developing a program to increase their motivation in hope that they would remain committed to Western Health System. Her program, Exploration, had many great features, but to truly asses the program one first has to understand motivation, motivational theories, and the current issues at hand.
Roemer’s model of a health care delivery system shows the different necessary elements for a system to be successful. As health needs are the input; the system needs resources, organization of programs, economic support mechanisms, and delivery of services to provide the health needs output (Roemer, p 33). Able 2 is an organization that provides services to people with disabilities. They have many resources, but perhaps not enough to meet the health needs of every consumer. They have well organized programs, have economic support, and can deliver services completely and holistically to produce health as the output of the client. The most important implication that was found in analyzing Able 2 was the need for increased resources as they are not able to meet the needs for every client in need of its services. Ultimately though, Able 2 is an excellent organization that provides an array of services for those people with disabilities.
In the past, managed care in the United States took the form of voluntary programs. Such programs date from about 1850, when managed care was provided chiefly by cooperative mutual benefit and fraternal beneficiary associations. Limited coverage by commercial companies was also introduced during that period, and subsequently many plans were established by industries and labor unions.
The U.S has many payer systems which many believe it to be its downfall among other countries. This may be because many view it more as an economic business and not an overall wellness plan. The United States’ main public program of funding is Medicare, which once followed a standard form of payment. It is now envisioned as a futuristic model that encompasses the payments of providers. Medicare is a national social insurance program that is run by the government since 1966. Also unlike Great Britain system, the program provides health care to Americans over 65 years of age for those who have paid their work dues in the system. Medicare has also extended its reach to those Americans who may be veterans or disabled. Another huge form of payment to providers is through Managed care which can be beneficial to physicians in the fee for service and capitation aspect. While this form of payment is similar to Great Britain’s programs, their execution of it remains vastly different. Managed Care is a type of healthcare system with health care plans that has restrictions on its selection of facilities and health care providers at a reduced cost for the patient. Rather than come to a conclusion about better ways to negotiate with payers, U.S providers continue to rage war against
Provision of care is of the utmost concern for the average citizen when it comes to health care; consequently this is a major factor when hashing out the details of legislation revolving around the health care system in both countries. “The Canadian [health care] system is government controlled, but not government owned. Doctors and facilities are privately operated(Part 5).” The U.S. health care system is the same way, both before and after the implementation of the Affordable Care Act. Canada takes further control of their system through regional health authorities(Northern Lights). Regional health authorities have been implemented at the provincial level by most; the remaining provinces use Local Health Integrated networks. These groups are very similar to the public health
A healthcare system is any type organization of institutions, people and resources that are there to provide a healthcare to the population. In any country healthcare system is very important because the quality of life, productivity of the country and life expectancy is determined by the country's healthcare system. Each country has a different healthcare system that is suitable for population. Most of the country has a Universal healthcare system while some of them have a single payer healthcare system. Different governments run different types of healthcare system. Every healthcare system has own strength and weakness. Among the country that
Thank you for mentioning health care IT system. As you stated, health IT system helps health care providers review patient's vital information, it also assists patients to be more informed with their health. As a patient and health care provider, I like to see my laboratory work-up and tests. The increased awareness will help me work toward a preventive solution. For example, if my cholesterol levels are borderline high, or my glucose is elevated, it will prompt me to find ways to prevent progression to diabetes. Staying on top of your health and keeping an open communication with your primary care physician will promote better outcomes and patient satisfaction.
With a rapidly changing health care system, the Centers for Medicare and Medicaid Services (CMS) faces significant challenges in the coming years. Key populations served by Medicare and Medicaid will increase dramatically over the next 10 years as the Baby Boom Generation ages into Medicare, more Americans live longer with more chronic illnesses, and the number of Medicaid enrollees increases as a result of program expansions under the Affordable Care Act (ACA) (///citations///). The cost, quality of care, and effectiveness of both Medicare and Medicaid have never been more important issues for CMS and Congress. As part of its mission to serve Medicare and Medicaid beneficiaries, CMS has been implementing a wide range of new financing and
Smithson Healthcare System (SHS) is a not-for-profit health system which serves the greater community of Newland County and other rural satellite counties within the state. In 2013, SHS unfolded a new heart clinic located at their Smithson East hospital as a tactical response to some disturbing outcome data and the evolving healthcare environment. The clinic’s purpose was to improve outcomes for patients with a primary diagnosis of heart failure and respond to reimbursement changes associated with the Affordable Care Act (ACA). After three years of aggregating data on the operating performance of the heart clinic, an evaluation of the impact and success of the clinic is required. This analysis will offer conclusions and suggestions that will influence the future of the heart clinic’s vitality for consideration to Smithson East’s Chief Operating Officer (Chelsea Rigland) and its senior staff.
The United States health care system is one of the most expensive health care systems in the world, yet ranks last in performance when compared to other wealthy countries health systems. Among those countries the United Kingdom ranks number one because it is more effective and accessible. The United Kingdom’s universal coverage allows for a higher performance of quality care, access and efficiency as compared to the US which ranks at the bottom of the list due to its absence of universal health care. The United Kingdom spends around “$3,405 per person” whereas the “United States spends around $8,508” ("Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally," 2014) yet still fails to succeed in providing efficient health care to many Americans.
Health care administration is a very important and crucial role in today’s healthcare system. With an ever-changing national health care system, the role of a Health care Administrator or Healthcare Executive more than ever is needed. Healthcare facilities, organizations, and or offices rely on health care administrators to plan, direct and coordinate all medical health services (United States Department of Labor , 2014). Some areas where one might find administrators are managing entire medical facilities, specialized clinical departments, or a medical practice for a group of physicians (United States Department of Labor , 2014). The need for high-quality health care administers is more now than ever with the fast-changing health care laws.
In this paper there will be a brief discussion of three forces that have affected the development of the U.S healthcare system. It will observe whether or not these forces will continue to have an effect on the U.S healthcare system over the next decade. This paper will also include an additional force, which may be lead to believe to have an impact on the health care system of the nation. And lastly this paper will evaluate the importance of technology in healthcare.
Given the fact that the United states of America and Canada are linked together sharing a border which is open basically to and from both sides, their health care systems are highly different from each other and how the services are financed, organized and given to the citizens.
The information technology is changing the world at deviate speed and evident in the healthcare system. The integration of new technologies within the system are emerging the change in nursing practice and improvement of patient safety. The purpose of this paper is to provide an overview on the implemented in nursing practice strategies and contribution of information technology to the development of new healthcare system.