Health Services Organization and Management HSA 500 Health Care Professionals Williams, S. J., & Torrens, P. R. (2008). Introduction to Health Services (7 th ed.). New York: Cengage Delmar Learning.

Objectives Upon completion of this lesson, you will be able to: –Explain the impact that policy, social and financial forces have on health care access and quality of care in the United States –Explain the major components of the U.S. health care system, their functions, and the relationships among these components

Employment Trends in the Health Care Sector Health care employees –624,000 in 1920 –10 Million in different job titles

The Role of Osteopathic Medicine in the U.S. Emphasizes treatments that involve correction of the position of joints or tissues Licensed to practice medicine and perform surgery in all states More predominant in rural areas

The Expanding Supply of Physicians Number of physicians increasing rapidly Two sources: –U.S. Citizens Trained in U.S. Medical Schools –People trained in Foreign Medical Schools Specialty distribution –37.3% of med. students go into primary care –7.5% go into other medical specialties –13.6% go into surgical specialties –41.6% go into all other specialties More physicians = better supply in rural areas

Trends in the Dental Profession Gap between dentists and need for services Two major types of auxiliaries: –Dental hygienists –Dental assistants

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Public Health Profession General roles of public health Trends in the public health workforce

Trends in the Nursing Profession Many not working or inactive Most are women Three forms of training: –3 Year (Hospital Based) –2 Year (Associate Degree) –4 Year (Baccalaureate Program)

Trends in the Pharmacy Profession Changing role Employed in: –Pharmacy chains –Independent pharmacies –Hospitals

Trends with Physician Assistants and Nurse Practitioners Perceived shortage of physicians led to development of: –Physician Assistants Perform many functions usually completed by physicians –Nurse Practitioners Registered Nurses with expanded roles

The Impact of Managed Care on the Health Professions Increasing number of professionals will deal with managed care May exacerbate provider surplus Unwillingness to finance education and training in hospitals

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Summary Employment trends in the Heath Care Sector Role of Osteopathic Medicine in the U.S. Expanding supply of physicians Professional trends Impact of managed care