1. Component 1: Introduction to Health Care and Public Health in the U.S. 1.4: Unit 4: Financing Health Care (Part 1) 1.4 b: The Business of Health Care in Other Countries

2. The Business of Health Care in Other Countries Health Care in the United Kingdom – The National Health Service –refers to the five single-payer systems that operate in the United Kingdom » National Health Service- England » Northern Ireland » Scotland » Wales » Isle of Man Component 1/Unit 4b2 Health IT Workforce Curriculum Version 1.0/Fall 2010

3. The Business of Health Care in Other Countries Health Care in the United Kingdom – Each of the systems is operated independently and is politically responsible to the corresponding governments » England- British Parliment » Northern Ireland- Northern Ireland Executive » Scotland- Scottish Government » Wales- Welch Assembly Government » Isle of Man- Isle of Man Government Component 1/Unit 4b3 Health IT Workforce Curriculum Version 1.0/Fall 2010

4. The Business of Health Care in Other Countries Health Care in the England (NHS) – Established by the National Health Service Act 1946; services began 5 July 1948 – Provides primary care, in-patient care, long-term care, ophthalmology, and dentistry – Private healthcare also available; used by about 8% of the population – Private healthcare is paid for with private health insurance Component 1/Unit 4b4 Health IT Workforce Curriculum Version 1.0/Fall 2010

5. The Business of Health Care in Other Countries Health Care in the England – Funding the National Health Service » Funded through general taxation » Department of Health (DOH)responsible for NHS » Secretary of State for Health heads the NHS » Most of DOH’s budget (£98.7 billion pounds) goes to NHS (approximately $197.4 billion) Component 1/Unit 4b5 Health IT Workforce Curriculum Version 1.0/Fall 2010

6. The Business Side of Health Care in Other Countries (cont’d) Health Care in Canada – Group of socialized health insurance plans – Provides coverage to all citizens – Publically funded and managed at the province or territory level Component 1/Unit 4b6 Health IT Workforce Curriculum Version 1.0/Fall 2010

7. The Business Side of Health Care in Other Countries (cont’d) Health Care in Canada – Provides preventive care and medical services from primary care providers – Access to hospitals, dental surgery, and prescription drugs – All citizens qualify for health coverage Component 1/Unit 4b7 Health IT Workforce Curriculum Version 1.0/Fall 2010

8. The Business Side of Health Care in Other Countries (cont’d) Health Care in Canada – There are waits, sometimes long waits, to access specific services – One of the highest life expectancies (80 years) and lowest infant mortality rates in industrialized nations Component 1/Unit 4b8 Health IT Workforce Curriculum Version 1.0/Fall 2010

9. The Business Side of Health Care in Other Countries (cont’d) Health Care in Canada – The Canada Health Act is federal legislation that outlines the conditions by which individual provinces and territories can receive health care funding – 5 main principles: Public Administration, Comprehensiveness, Universality, Portability, and Accessibility Component 1/Unit 4b9 Health IT Workforce Curriculum Version 1.0/Fall 2010