Health Care Delivery in the United States PowerPoints to Accompany Health Care Delivery in the United States 12th Edition 12th Edition Jonas Kovners James R. Knickman Brian Elbel Editors Copyright Springer Publishing Company. All Rights
"Health Care Delivery in the United States" is the property of its rightful owner. Permission is granted to
download and print the materials on this website for personal, non-commercial use only, and to display it
on your personal computer provided you do not modify the materials and that you retain all copyright
notices contained in the materials. By downloading content from our website, you accept the terms of this
agreement.
Presentation Transcript
01
Health Care Delivery in the United States PowerPoints to Accompany Health Care Delivery in the United States 12th Edition 12th Edition Jonas & Kovner’s James R. Knickman Brian Elbel Editors Copyright Springer Publishing Company. All Rights Reserved.
From: Jonas & Kovner’s Health Care Delivery in the United States
ISBN: 9780826172747<br>
02
Chapter 1: The Challenge of Health Care Delivery and Health Policy 1-1<br>
03
The Importance of Good Health to American Life 1-2 “Life, liberty, and the pursuit of happiness”
Good health is a core need
History of research & investment in health
19th century: germ theory & sanitation
20th century: rapid advances in technology
Today: health care as an enterprise
Altruistic goals + huge industry
20% of economy, 11% of jobs<br>
04
Defining Characteristics of the U.S. Health Care System 1-3 Disorganization & lack of coordination
Many actors working independently
Haphazard evolution
Shaped more by economics than logical design
Maintaining vs. restoring health
Economic & social determinants of health<br>
05
Defining Characteristics of the U.S. Health Care System (cont’d) 1-4 Importance of organizations in delivering care
Role of professionals in running system
Emergence of new medical technology, smartphones, big data, & new pharmaceuticals
Tension between “the free market” and “government control”
A dysfunctional payment system
Fee for service system
Valued services<br>
06
Major Issues and Concerns 1-5 Improving:
Quality
Customer friendly
Access & coverage
Patient Protection and Affordable Care Act (ACA)
Slowing growth of health care expenditures
Encouraging healthy behavior<br>
07
Major Issues and Concerns (cont’d) 1-6 Improving the public health system
Improving the coordination, transparency, and accountability of medical care
Addressing inequalities in access & outcomes<br>
08
Key Stakeholders Influencing the Health System 1-7 Stakeholder
Consumers
Providers and other professional engaged in the health system
Employers
Insurers
Public policy makers<br>
09
Key Stakeholders Influencing the Health System (cont’d) 1-8 Individuals
Should be at center of health system
Are often bystanders in:
Decisions affecting their own health & care
Payment issues
Can be influential when many are dissatisfied
Need to grasp their role in making healthy choices
Want easy access to quality health care<br>
10
Key Stakeholders Influencing the Health System (cont’d) 1-9 Providers & health care professionals
Work to advance medical knowledge & practice
Are motivated by goal of keeping people healthy
Face pressures to:
Contain costs
Accept lower fees
Provide higher quality at a greater value
Provide better patient experiences
Want simpler rules for health care provision & compensation<br>
11
Key Stakeholders Influencing the Health System (cont’d) 1-10 Employers
Often offer employees insurance as a benefit
View insurance as a cost of doing business
Are concerned about effect on profitability
Want a decrease in their health care expenditures
Want healthy, productive employees
Advocate for:
Quality health care
Wellness & prevention programs<br>
12
Key Stakeholders Influencing the Health System (cont’d) 1-11 Insurers
Mediate among payers, providers, & consumers
Take some financial risk
Negotiate & set rules governing:
Eligibility for reimbursement
Payment rates
Face pressure from other stakeholders
Are moving toward capitated payment systems
Promote higher quality & more efficient delivery<br>
13
Key Stakeholders Influencing the Health System (cont’d) 1-12 Public policy makers
Do not act as a single stakeholder group
Often set conflicting agendas
Differ in views about:
How health care system should work
The role government should play in health care
Share consensus on wanting:
Slower inflation rates in the health sector
State-of-the-art medical care & prevention measures
High quality care & a better patient experience<br>
14
Organization of This Book 1-13 Part I: Health Care Delivery in Context
Current state of health care delivery
Charts depicting key statistics
Discussion of the important role of policy
Comparative analysis of health care delivery in other countries<br>
15
Organization of This Book (cont’d) 1-14 Part II: Keeping Americans Healthy
Population health
Public health
Behavioral health
Health of vulnerable populations<br>
16
Organization of This Book (cont’d) 1-15 Part III: Medical Care Delivery
Organization of care
Work force
Financing
Cost & value
Quality of care
Health care management & Governance
Information technology<br>
17
Organization of This Book (cont’d) 1-16 Part IV: Futures
Summary of key ideas
Look to the future about how change in the health system might play out<br>
