Health Care Delivery

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Health Care Delivery

LaKesha Lewis

HCA 305

Rebecca Gillaspy

August 29, 2011

I. What is society’s obligation to ensure access to a basic level of health care for all its citizens and how can it be accomplished?

a. Provide adequate levels of healthcare.

b. Create local, nonprofit managed care plans for low income workers, uninsured residents, or people living with chronic diseases.

II. Should government take a more aggressive role in reshaping the health care system or should the economy be allowed to continue exerting market-driven reforms?

a. Government should only be involved with controlling the drug, insurance, and medical industry advertising spending which would bring down costs.

b. The economy market-driven health care sector should be the foundation upon which reform efforts are built.

III. What lessons can be learned from healthcare delivery systems that exist in other industrialized nations?

a. The use of different strategies to achieve universal coverage.

b. Adoption of a uniform billing systems.

c. Incentives to encourage personal responsibility for health.

d. Effective physician payment systems.

IV. Hospital emergency departments continue to be used as a source of primary medical care by large numbers of the community’s medically underserved. What are the implications of this practice for the patients and on health care costs and quality of care?

a. Lack of primary care providers.

b. Inability to pay.

c. Reduces treatment quality on legitimate emergencies.

V. Identify the major factors that have resulted in the shift in utilization from inpatient hospitalization to ambulatory care services. What are the implications of this shift for hospitals, consumers, and the health care delivery system as a whole?

a. Shift in site of services away from the hospital.

b. Payer incentives to pay for care in the most effective setting....
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