The Evolution Of Hospital System

The paper will discuss the evolution of health care in America and how it has affected the health care system today. It will discuss the advancements made in technology and medical services that have evolved over two centuries. It will review how health care delivery has evolved and impacted today’s health system. The delivery of medical services has changed over many decades. The culture, social economics, and political views, have influenced society on how the medical services and advancements in medical technology have evolved. The three phases of health care structural change is preindustrial era, postindustrial era, corporate era (Shi & Singh, 2013).

The delivery of the U.S. healthcare system has changed drastically over the years from the inception of organized healthcare to today’s underdeveloped system. Prior to the 1920’s,

Globally, the United States has one of the largest and most convoluted healthcare systems, whereas universal healthcare coverage seems extremely farfetched. Annually, the US spends over $3 trillion on healthcare. Nevertheless, we have the worst health outcomes when compared to other industrialized countries. As stated by Anja Rudiger (2008), “Recent data suggest that around 101,000 deaths a year can be attributed to the underperformance of the US healthcare system.” Thus, the United States’ healthcare system greatly relies on revenue. Both funding and the distribution of services are commercially structured and held accountable by investors to increase financial gains. According to Andrew Jameton and Jessica Pierce (1997), “the US healthcare system increasing appears to have

As progress was made in medicine gradually with new medical technologies which could only be used in the hospitals, doctors started charging more, which was unaffordable for most people, with time, all this started to change as the industrialization of the American economy caused families and people to start relying on services from doctors and the

According to the American Hospital Association the cost of equipment, services, and information services has risen drastically. A huge problem for hospitals now is that there has been an enormous increase in patients who have Medicare or Medicaid. The Hospital Association states that “60% of all admissions. Neither program fully reimburses the cost of hospital care.” Not only is the hospital not getting paid the full amount through the health insurance, but they have also seen a jump in people who do not have insurance and cannot pay for their hospital expenses this averages out to about six percent of hospital expenses. Hospitals must assume these costs as a part of their charity pay. These costs are then calculated and increase the costs of health care for people who pay for it, in order to cover these costs.

Hospitals also attempt to provide every available service to their patients, some say in an attempt to do everything they can as a medical professional, others as a way to squeeze every last penny from a sick individual and even others a means to ensure patients do not sue the hospital for not carrying out their duties to the fullest. The major problem with hospitals and how they relate to healthcare however is the fact that your local hospital basically runs a monopoly system. In an emergency an American does not have the luxury to shop around the area hospitals looking for the best price they can, they are rushed to the nearest emergency room and are subject to the costs of care given. Americans have no say on the price of procedures, operations and medicines because they cannot use a market system to hold hospitals accountable for their prices. Furthermore, hospitals like any other business may merge to consolidate their power and financial influence. For example, the 1993 merger between two eminent Harvard-affiliated hospitals, Massachusetts General Hospital and Brigham and Women’s Hospital created a city wide influence on healthcare costs. When the two most prestigious hospitals in the state pooled their resources and merged, insurers and by extension their patients, had incredibly fewer options inside the city to take their money to. This new massive healthcare corporation, Partners HealthCare, could

Healthcare in America was very limited during the early 1800s but advanced during the 1900s. One of the most critical scientific discoveries was made by Alexander Fleming in 1928 when he found a way to fight infection utilizing penicillin (Ho, 1999). This provided a way to treat infection and save lives. Also, facilities, organizational structure and training of health care were limited along with advancements in medicine and technology. However the expansion of heath care facilities advanced with the adoption of the Hill-Burton Act that provided federal funds matched by state/local governments to construct 10,748 healthcare facilities ranging from nursing homes, mental health and public hospitals (Thomas, 2006). Prior to this there were

Health care has been inclined by several significant events that have occurred throughout history. Change is the primary focus on what has shaped health care and continues to by pain of improvement, and to focus on the importance of our population and their needs. Though there are several influences politics, finance, culture, technology, health trends, and religions they all play a major contribution towards shaping the healthcare field. (Shi & Singh, 2012) Throughout this paper we will present significant events that have changed and affected health care today, give details about how the historical evolution of health care

It has been said that one cannot know where he or she is going until he or she knows where they has come from. This saying is especially true when discussing the current model of the United States healthcare system. The present day model of the United States healthcare system is the culmination of two hundred years of constant evolution due to ever changing societal norms. America has been in the forefront of major transformations throughout history and there have been integral factors that have been the catalyst for these changes. “Changes driven by

As America became increasingly urbanized in the mid 1800s, hospitals, first built by city governments to treat the poor, began treating the not-so-poor. Doctors, with increased authority and power, stopped traveling to their sickest patients and began treating them all under one roof. Unlike hospitals in Europe where patients were treated in large wards, American patients who could pay were treated in smaller, often private rooms.

Healthcare industry in United States has been an important industry for a long time. It is one such industry that has representation from both public sector and private sector. The current health care system is segregated and fragmented in America. Some states have very effective and efficient healthcare system while some states lack the desired infrastructure. The evolution of healthcare system in USA can be traced back to 1750. The period from 1750 to 1849 is termed as preindustrial period where the care of sick people was primarily handled by families (Brian, 2010). The period of 1850 to 1969 is termed as postindustrial period which reflects the growth of organized medicine and systematic healthcare delivery.

This paper provides an overview of the healthcare environment and its financing in the U.S. and define acute care and long term care. It addresses three important issues. First, it provides a snapshot of how health care is currently financed in the United States, including the differences and/or similarities between Managed Care Organizations. The second part of the paper examines the current federal government programs and various types of access to health care available to every citizen. The third part of paper examines the implications nurses have in

Though they are not entirely comprehensive tools, a great deal can be learned about a hospital or other healthcare organization for-profit or not-for-profit from an examination of their annual financial documents (Finkler & Ward, 2006). The balance sheet and statement of revenue and expense can both yield valuable clues even in the absence of other evidence about changes that might be occurring in the organization, a definition of the type and degree of certain problems that it might be facing, and potential opportunities for improvement in performance that might exist (Finkler & Ward, 2006). Comparing two or more years' worth of financial information yields even more valuable insights, tracking movement in the hospital or other organization's ability to finance its activities and thus continue providing services at the same level, quantity, and scope as current operation.

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.

Hospitals and health systems in the U.S. are experiencing a remarkable transformation in their business models directed from numerous influences that are projected to ultimately turn the industry around. Pressures include providers troubled with the quantity of services they are responsible for, to providers who concentrate on presenting high-cost services that give emphasis to sustaining healthy populations (Dunn & Becker, 2013).