Health care delivery system
The health care delivery structure in the organization is composed of private sector and public sector (Miao-Sheng & Yu-Ti, 2008). The public sector consists of hospitals established and funded by the government. Private sector consists of hospitals that are privately owned either by organizations or individuals. The health care structure is composed of profit and non- profit participants. The insurance, payment mechanism in the system are under standardized. The mechanisms affect the quality of care offered to patients. Moreover, the health care structure is managed by different groups. The government controls health care delivery and insurance. The private sector controls the delivery of health care, payment and insurance (Hagan & Encinosa, 2008). The private sector has the largest share in offering insurance covers, payment services and delivery of health care. Most employers purchase health insurance policies for workers from the private sector. Also, most people seek medical insurance from the private sector and get medical attention from private health facilities. The government provides health care insurance to citizens through Medicare, Medicaid, and other government institutions. Only low -income earners access health insurance policies from the government.
The competition between the private sector and the public sector has made it difficulty for people to access health care. For example, the cost of insurance services is high and also health care cost. The government delivers health care services to the public through county clinics and government hospitals (Hagan & Encinosa, 2008).The health care delivery system is similar to other health care delivery systems in the market. The health care delivery system is composed of private sector and public sector like other health care delivery system (Hagan & Encinosa, 2008). The private sector provides health care insurance and delivery of health care services like the private sector in other health care systems. The public sector provides health care services to the public through public hospitals and clinics. Most health care systems in the market have few employees. The health care system is similar to other health care systems in the market as it has few employees. The cost of accessing health care in the health care systems is also high like the cost of accessing health care in my health care system. This is because most private hospitals and pharmaceutical in the health care market are only aimed at making profits.
This has led to increase in health care costs and insurance cost (Hagan & Encinosa, 2008).The competition among private providers and public providers has made it difficulty for people to access quality care. Most patients do not get quality care, and this has increased the rate of deaths in the country. This is because medical practitioners are only interested in making profits. This makes it hard for practitioners to provide quality, effective and safe care. It has also become difficulty for low- income earners to access insurance policies from the private sector. Low income earners have no enough funds to get health care insurance covers from private organizations like HMO (Robinson, 2005). To overcome the problems in health care , the government should establish regulations and licensing policies. The government should establish regulations to govern practitioners in the private sector and public sector offering medical services (Robinson, 2005). The regulatory policies should be based on the quality of care, safety and effectiveness. The regulations will help improve health care services in the country. Most practitioners do not provide patients with quality, effective and safe care.
Most hospitals do not have enough doctors who are trained. The hospitals only want to make profits, but not providing proper care. Thus, it is hard for hospitals to provide quality care. Also, the hospitals do not have enough facilities to treat various types of diseases. This interferes with the quality of care and safety of care given to the patient. The regulations will have an impact on the health care delivery system as they will improve the quality of care, safety and effectiveness (Getzen, 2007).Licensing of health care facilities will help low income earners access health care covers (Getzen, 2007). This will reduce the rate of deaths resulting from poor care. It will also improve living standards for most citizens. Licensing of health care facilities and insurance companies will help improve health care delivery system. It will help reduce competition between for profit and not for profit organization. It will also eliminate illegal participants who provide ineffective health care services from the health care delivery system. Hence, licensing and regulations will help reduce competition in health care delivery (Getzen, 2007).The current economic crisis has affected delivery of health care services.
The economic crisis has led to increase in health care cost (Getzen, 2007). The economic crisis is likely to affect delivery of health care services in the future if the government and health practitioners do not take measures to prevent changes. The crisis has led to increase in insurance cost, and most people are not able to access health care services and insurance cover. It has also become difficulty to establish new facilities and improve existing one. Most health care facilities have a shortage of employees. Changes like finical cost, insurance cost, and medical cost need to be addressed (Getzen, 2007).There are various national trends that affect competition and pricing initiative. Examples include health care cost and Workforce shortage (Getzen, 2007). The health care cost has increased much for the last 10 years. This is due to the economic crisis experienced by many countries. The health care spending at the national level is high. This has forced health care practitioners to increase the cost of health care.
The increase in cost of health care and insurance cost has increased the rate of competition among for profit organizations and not for profit organizations. Another factor that influences competition and pricing initiative is workforce shortage and cost of maintaining Workers in the organization. Most hospitals in the public sector have a shortage of workforce and depend on financial assistance from the government to pay and employ workers. Most workers have moved to the private sector to search for better opportunities (Getzen, 2007).Various quality indicators influence pricing in health care. Examples of the indicators are patient safety indicators and preventive indicators. The indicators determine the king of services offered to the patient. For example, patient safety indicators determine the pricing of healthy care in private sector (Getzen, 2007).
Reference
Getzen, T. E. (2007). Health economics and financing. (3rd ed.). John Wiley and Sons,
Inc., Hoboken, NJ.
Hagan, M., & Encinosa, W. (2008). Health care markets: Concepts, data, measures,
and current research challenges. Inquiry – Excellus Health Plan, 45(1), 15.
Miao-Sheng, C., & Yu-Ti, S. (2008). Pricing of prescription drugs and its impact
on physicians’ choice behavior. Health Care Management Science, 11(3), 288.
Robinson, J. C. (2005). Managed consumerism in health care: A new vision for pursuing
public ends through private means. Consumerism, November / December. 1478 – 1489.
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