Evolution of health care delivery systems

: Evolution of health care delivery systems

Specifications : 4 Pages , 3 Sources , APA Style

: language Prepare a 1 ,050 - 1 ,400 word in APA format discussing how the evolution of health care delivery systems has influenced current health care systems . Select one of the following systems : HMO 's Medicare /Medicaid , managed care , or insurance companies . At least two references are required Management care is a health care delivery system in which cost , quality utilization of healthcare services and monitoring of the services is provided by healthcare institution known as `Health Maintenance

br Organization (HMO . It tries to form an effective healthcare service in which provide cost and quality of services are maintained as healthcare packages or plans to the customers are provided . However the level to which the HMO is able to achieve its objectives may vary Managed care is a continuously evolving concept of the delivery of healthcare . However , the impact on the healthcare delivery system and on the health status of the population is not understood . Many people feel that management care as a delivery system of healthcare may be lacking coherence , consumes a large amount of resources and has very poor organizational integrity (Fairfield , 1997 . As a system it may be unable it does not focus on preventive aspects , and may either under-treat or over-treat the patients . The clinical responsibility by the managed care organization is also poor , as healthcare services are provided by a healthcare consisting of a physician and several other healthcare professionals . More patient work is allocated to other healthcare professionals rather than the physician . Managed care actually began in the early part of the 20th century . Several companies began to operate medical services or got into contracts with healthcare organizations to provide healthcare services to their employees Employee associations were formed to ensure that the workers were able to obtain healthcare services from these healthcare organizations or physicians . These healthcare providers agreed to provide medical care for a prepaid amount . The employers and the employees benefited hugely from this scheme as medical care was effectively 20 to 40 less in terms of cost (Fairfield , 1997 . The Government slowly became interested in such schemes and slowly began to develop a system by which the people could access healthcare services from organizations setup in a corporate fashion

There are three aspects in managed care namely , the health policy , the manner in which the health policy is operated and the clinical management of the patient (Fairfield , 1997 . The managed care system is administered by a HMO and several healthcare providers arranged within the organization (which are known as `micromanagement . These micromanaged units ensure that certain quality standards are maintained Once each micro-unit maintains a quality in standards , automatically the macro-unit (that is the HMO ) would demonstrate high standards in quality . This is basically how United Health Group , the leading managed care organization and the second largest insurance organization in the US functions . All the three aspects of managed namely the heath policy the administration...