Lesson 1 Topic 3: Models of National Systems

U.S. Health Care System U.S. Health Care System Differs greatly from those in other countries Most notable differences are in the cost to the consumer and the populations covered U.S. system has gaps in care and is relatively costly for the consumer

Models for National Health Systems Most western Europe has universal access Models for national health systems: 1. National Health Insurance 2. National Health System 3. Socialized Health Insurance System Look at Table 1.1, page 16

National Health Insurance Canada uses this system Core of care delivered by private providers Tighter consolidation of the financing, coordinated by government

National Health Systems Great Britain uses this system finance a tax-supported national health insurance program: government manages the infrastructure for the delivery of medical care most medical institutions are operated by government most providers are government employees

Socialized Health Insurance Systems Germany uses this style Health care is financed through government-mandated contributions by employers and employees Health care delivered by private providers Sickness funds collect and pay for services Insurance and payment is closely integrated Delivery characterized by independent, private arrangements Government exercises overall control

Systems Framework Systems consist of: The systems framework: a set of interrelated and interdependent components designed to achieve common goals The systems framework: explains the structure of health care services in the U.S. based on the foundations provides a logical arrangement of various components demonstrates a progression from inputs to outputs

Systems Framework Outline The framework outlines: System Foundations System Resources System Processes System Outcomes System Outlook Look at Figure 1.2, page 18

Conclusion The U.S. has a unique system of delivery, therefore continuous and comprehensive care is not enjoyed by all Americans it’s a patchwork of subsystems No country has a perfect system The Systems Framework is an organized approach to understanding the components of the US health care delivery system

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Slides created by: Elizabeth A. Berzas Chair and Program Director Our Lady of the Lake College Department of Health Services 7434 Perkins Road Baton Rouge, LA 70808 (225) 786-1706 eberzas@ololcollege.edu www.ololcollege.edu