Health Care Delivery System Us Public Health System

Health care systems are different in every country around the world. There are four main components that complete a health care delivery system, described by Shi and Singh (2015) as the quad-function model, which includes insurance, financing, payment and delivery of care (p. 5). Along with the components of the quad-function model it is important to analyze a countries access to care, their health outcomes and how public health is integrated into the health care delivery system. The United States has a unique health care system that is like no other country. Great Britian, in contrast, also has a unique system that is very different than the United States.

The U.S. health care system faces challenges that indicate that the people urgently need to be reform. Attention has rightly focused on the approximately 46 million Americans who are uninsured, and on the many insured Americans who face rapid increases in premiums and out-of-pocket costs. As Congress and the Obama administration consider ways to invest new funds to reduce the number of Americans without insurance coverage, we must simultaneously address shortfalls in the quality and efficiency of care that lead to higher costs and to poor health outcomes. To do otherwise casts doubt on the feasibility and sustainability of coverage expansions and also ensures that our current health care system will continue to have large gaps even for those with access to insurance coverage.

The first characteristic of the US health care system is that there is no central governing agency which allows for little integration and coordination. While the government has a great influence on the health care system, the system is mostly controlled through private hands. The system is financed publically and privately creating a variety of payments and delivery unlike centrally controlled healthcare systems in other developed countries. The US system is more complex and less manageable than centrally controlled health care systems, which makes it more expensive. The second characteristic of the US health care system is that it is technology driven and focuses on acute care. With more usage of high technology,

The Centers for Disease Control and Prevention mission is to collaborate to create information and tools for people and communities to protect themselves through health promotion, prevention of disease, injury and disability, and the preparedness for new health threats The Centers for Disease Control and Prevention seeks to accomplish its mission by working with partners throughout the nation and the world to monitor health, detect and investigates health problems, conduct research to enhance prevention, develop and advocate sound public health policies, implement prevention strategies, promote health behaviors, foster safe and healthful environments, and provide leadership training. In order for the Centers for Disease to achieve their mission, the Centers for Disease Control and Prevention relies on external partners including public health association, state and local public health agencies, schools and universities, and volunteer organizations. The Centers for Disease Control and Prevention has a created a set of four health protection goals. The goals are all people especially those at a greater risk of health disparities will achieve their optimal life span, the place where people live, work, learn, and play will protect and promote their health and safety, people in all communities will be protected from infectious, occupational environmental, and terrorist threats, and people around the world will

The U.S. health care system is a scrutinized issue that affects everyone: young, old, rich, and poor. The health care system is comprised of three major components. Since 1973, most Americans have turned to managed-care programs, known as HMOs. The second type of health care offered to Americans is Medicare, health care for the elderly. The third type of health care is Medicaid, a health care program for the poor.

People living with HIV and AIDS have always had a difficult time obtaining access to health coverage (Sorian, 2010). Medicaid, Medicare, and the Ryan White HIV/AIDS Program have provided a critical safety net (Sorian, 2010). But today, nearly 30% of people living with HIV do not have any health insurance coverage, and many others have limited coverage (Sorian, 2010). In addition, people living with HIV and AIDS have faced hurdles to getting quality care from qualified providers (Sorian, 2010).

Health care in the US is delivered through a compilation of care providers and settings. The Commonwealth Fund points out the dysfunction in the system stating;

Health care systems are organizations that are formed to meet the overall health needs of the population. Health care is regarded as one of the leading cause in promoting not only physical and mental health but the well-being of the population. Legislation is implemented requiring government to offer services to all members of its society. The role of health services and the organizations that provide aid is to focus on the health of an individual and to uphold their human rights. According to WHO (2013), a “well-functioning health care system requires a robust financing mechanism, a well-trained and adequately-paid workforce, reliable information on which to base decisions and policies, and well maintained facilities and logistics to deliver quality medicines and technologies (World Health Organization; 2013).

The United States healthcare delivery system is a uniquely developed system that involves various features, components, and services. The US delivery system is massive, with total employment in various healthcare settings of qualified medical professionals that provide key functions to delivering quality healthcare. This essay will discuss the characteristics if the United States healthcare delivery system and how it could be developed from a free market perspective.

The United States has a unique system of healthcare delivery, it is complex and massive. Twenty-five years ago; American citizens had guaranteed insurance, meaning the patient could see any physician and the insurance companies and patients would share the cost. But today, 187.4 million Americans have private health insurance coverage (Medicaid, 2014). The subsystems of American health care delivery are Managed care, military, vulnerable populations and integrated delivery

Cost is a critical component of any health care system. Proper health care system ensures that a large part of the population can access good quality health care at low cost. If not well organized it might take a large part of national income and still not be able to serve a significant part of the population. The health care delivery system of United States is excellent compared to that of other countries; however, the health care alone takes 17% of gross domestic

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 World Health Organization (WHO) defines health systems as all organizations, people, and actions whose primary intent is to promote, restore, or maintain health. This includes efforts to influence determinants of health as well as more direct preventive and curative activities. WHO describes health systems as comprising six interrelated building blocks: service delivery; fielding a well-performing health workforce; maintaining a functioning health information system; providing access to essential medical products, vaccines, and technologies; provision of adequate financing; and leadership and governance. HSS is generally defined as those activities that aim to improve a country 's ability to successfully perform the essential functions described or implied by WHO 's building blocks. Key concepts within health systems strengthening include capacity building (within both the public and private sectors), sustainability, equity, effectiveness, and efficiency. Public health is a critical part of the larger concept of health systems and has been defined as “what we as a society do collectively to

Health care services in public health sectors are organised at three levels, which are primary health care ,secondary health care and tertiary health care (Park 2009). The primary level of health services are providing through village teams, Sub-centres (SCs) and Primary Health Centres (PHCs). The Community Health Centres (CHCs), Sub-district Hospitals district hospitals and dispensaries make up the secondary level, and the teaching hospitals provided health care in tertiary level (Park 2009). Community health centers present for every 100,000 population which is 30 bedded multi-functional centers consists of 4 specialists, 3 medical officers and other paramedical staffs. Primary health centers available for every 30,000 rural population which is a 6 bedded center consists of 3 medical officers, one physician in every traditional medicine, midwives, nurses, a laboratory technician, a computer/statistician, driver, a male and female health assistant with no physiotherapist (WHO 2010). Sub centres available for every 5000 population at very remote areas (WHO 2010).