The Evolution of the Healthcare System Module 3

Transcript:The Evolution of the Healthcare System Module 3:
The Evolution of the Healthcare System Module 3 Cynthia M. Wiford, MRC, CCS, LCAS Addiction Consulting and Training Associates (ACT), LLC Learning Objectives Draw a comparison between the US healthcare system to healthcare in other countries Introduce the historical context for US healthcare reform efforts Develop an awareness of the bifurcated healthcare system currently in existence Provide a summary of the issues regarding patient protections and electronic records How the U.S. Health Care System Compares The US continues to outspend all other industrialized countries on healthcare In 2008, medical expenses were $7538 per capita Spent 16% of its gross domestic product on healthcare Has far more private source funding on healthcare than any of the other countries which rely on government or social service models rather than private insurance Source: OECD Health Data 2011 (June 2011). Average Health Care Spending per Capita, 1980–2009 Adjusted for differences in cost of living1 Dollars 5 Health Care Spending per Capita by Source of Funding, 2009 Adjusted for Differences in Cost of Living2 Dollars 7,960 4,363 4,218 3,978 3,722 3,487 3,445 2,878 2,983 5,352 5,144 *2008 Source: OECD Health Data 2011 (June 2011). Comparing Service Patterns3 The United States has the fewest practicing physicians and lowest physician visits among any of the 12 nations in the study Hospital admission rates are lower, stays shorter and costs higher Has the highest drug utilization, prices and spending More hospital admissions for chronic conditions Why U.S. Spends More on its Healthcare4 The usually cited reasons: Aging population Complexity of health care administrative system Defensive as opposed to preventive healthcare High rates of mal-practice insurance The reality: The US population is substantially younger in age than populations from other countries The US has average or below average rates of chronic conditions But these are not substantiated in the research as the reasons for the distinct discrepancies when drawing a comparison between the US and other healthcare systems Challenges to the U.S. Health Care System5 The US has substantially higher healthcare prices compared to the other 12 countries Has a fragmented care delivery system which Promotes the duplication of resources and Has an extensive use of poorly coordinated healthcare specialists 100 Years in the Making In 1912, Teddy Roosevelt advocated for the concept of Social Insurance, which included healthcare insurance As world events and US events unfolded through time, healthcare in various iterations has been a topic of national