PHC 4104 PAPER FINAL COPY

.docx

School

University of South Florida *

*We aren’t endorsed by this school

Course

4104

Subject

English

Date

Jun 23, 2024

Type

docx

Pages

7

Uploaded by HighnessElephantPerson1119

Norman 1 Taralynn Norman Professor Oberne PHC 4101-310 11 June 2023 Healthcare Paper The United States arguably has one of the most complex healthcare systems in the world. It supports intertwining relationships between organizations, institutions, payers, and providers that deliver services to meet the health needs of patients. Compared to international countries, the most notable way the U.S. differs is the absence of universal health insurance coverage (Davis et al., 2014). Countries like Austria, France, Denmark, Greece, and Germany, to name a few, ensure the accessibility of quality health care through universal systems meaning that all people have access to services when needed without experiencing financial hardship. This paper will examine similarities and differences between global healthcare systems through specific dimensions while also analyzing the Patient Protection and Affordable Care Act's (PPACA) impact on healthcare delivery in the United States. Every country operates differently in organizing and delivering health coverage for its residents, offering a unique approach for those receiving care. The Commonwealth Fund conducted an international survey that assessed the performance of various multinational healthcare systems, measuring across five domains—access to care, care process, administrative efficiency, equity, and healthcare outcomes. Data from the Organization for Economic Co- operation and Development and the World Health Organization also contributed to this research. This survey aims to generate insights into the policies and practices associated with superior performance (Schneider et al., 2021). The first dimension, access to care, refers to the
Norman 2 affordability and timeliness of healthcare, which includes coverage costs and availability of promptly getting care. The next dimension is the care process, which contains four relevant subdomains: preventative care, safe care, coordinated care, and engagement/patient preferences. Surveys conducted within this dimension examine the entire operating process of standard patient care. Next, the administrative efficiency dimension assesses the effort involved in the documentation process that clinicians, insurance companies, and government agencies often complete. Moreover, this dimension also describes any limitations to care due to a physician's availability. The equity domain requires all patients to attain their full health and well-being potential regardless of their social, economic, demographic, geographic status, or other dimensions of inequality (WHO, n.d.). Lastly, the final dimension used to rank systems is healthcare outcomes, which includes ten measures focusing on improving practices to deliver more satisfactory patient outcomes. Although all domains are essential within patient care, access to care is crucial for overall wellness and positive patient outcomes. This segment refers to the capability of obtaining health services that are affordable, convenient, and effective in preventing and combating illnesses. Of the eleven nations surveyed, the Netherlands ranked first in this category, followed by Norway and Australia as the top-performing countries. Healthcare in the Netherlands is known for its high standards and a vailabil ity through a universal program managed by the government and supplemented by private insurers (Stadhouders et al., 2020). All residents must carry health insurance, and the government monitors all access, quality, and costs. Over the past decade, there has been a consistent decline in the number of uninsured individuals in the Netherlands, leaving only 23,000 people without insurance. Unfortunately, the United States ranked last in terms of affordability a nd timeliness c ompared to other nations. Reports suggest that adults are more
Norman 3 likely to go without health insurance and necessary treatment due to financial difficulties, such as securing proper housing and nutritious food. These issues lead to poor physical and mental health. To address these concerns, expanding Medicaid eligibility in all states would improve health outcomes, reduce disparities, and increase access. Although the U.S. has made significant progress in expanding insuran ce coverage under the Patient Protection and Affordable Care Act, it remains an outli er among high-income countries (Osborn et al., 2016). The Affordable Care Act, commonly known as Obamacare, was enacted in 2010 to enhance the accessibility and quality of healthcare services for American citizens. It sought to expand health insurance coverage to more individuals and families, as well as to reduce healthcare costs and improve the overall health outcomes of the population. This law consists of nine critical components that affect different aspects of healthcare delivery, such as access to public assistance programs and coverage of preventive services. These elements have far- reaching effects on issues, and it is crucial to understand the significance of each of these elements to ensure that healthcare delivery is efficient and effective. Public programs, such as Medicaid and the Children's Health Insurance Program (CHIP), have significantly reduced the number of uninsured nonelderly individuals. The uninsured population dropped from 48 million in 2010 to 28 million in 2016 before rising to 30 million in 2020, due to new policy changes (Finegold et al., 2021). When the expansion first took effect in 2014, only 26 states, including the District of Colombia, adapted to the change. Over the years, more and more states have chosen to expand, as the current count is 41. On May 11, 2023, the Department of Health and Human Services declared the end of the Public Health Emergency as the COVID-19 pandemic concluded. This triggered the "Unwinding" phase, which involves resuming annual Medicaid eligibility reviews after the end of the continuous coverage
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
  • Access to all documents
  • Unlimited textbook solutions
  • 24/7 expert homework help