International Healthcare services Flashcards
How does healthcare spending and outcomes in the US compare to other countries?
the US spends more on healthcare than any other country
US spending on health is more than most countries spend on entire economy
consistently ranked on of the worst healthcare systems in world relative to other developed countries
Describe the characteristics of Socialized Medicine
healthcare financed and provided by government
government employs healthcare practitioners, owns healthcare facilities, and administers healthcare systems
*also called Beveridge model
Describe the characteristics of national health insurance program
single payer, government run, universal health insurance
care mostly delivered by non-profit hospitals
healthcare services financed by the program with negotiated reimbursement
Describe the characteristics of the decentralized national health program
individuals are required to get health insurance provided by non-profit, nongovernmental health insurance or private health insurance
no direct financing/delivery of care by government
*also called Bismarck model
Describe the characteristics of the out-of-pocket model
lack of private or government health insurance, shortage of healthcare facilities, low expenditures, and poor health outcomes
What are the main characteristics of the health care system in the UK
-universal comprehensive service
-financing through general taxation with little or no charge at point of service
-nationalization of country’s hospitals and providers
-GP/PCP act as gatekeepers(have to have referral to see specialist)
-small copay for prescription medications
*like giant managed care org
**provides comprehensive coverage
Describe the characteristics of the health care system of Canada
-healthcare for everyone(medicare)
-government-financed insurance, private facilities/providers
-created in 1966 with 5 principles( portability, comprehensiveness, universality, accessibility, public administration)
-universal access to care
-PCP are privately employed
-most hospitals are nonprofit and privately owned
*each province/territory has a different health insurance plan(like MEDICAID)
Describe the characteristics of the health care system of Germany
- world’s oldest national healthcare system
-no comprehensive national health plan
-requires employers and employee to obtain PRIVATE health insurance
-each plan provides comprehensive coverage
-majority of services are free at point of service
-utilizes reference pricing when it comes to prescription medications
Compare drug policies in other countries with the United States
in other countries, we have government negotiating prices of drugs ON BEHALF of the country, they decide on a NATIONAL formulary and they decide on patient cost-sharing. Heavy government involvement in drug pricing and payment
in US, it is left up to each individual insurer to negotiate discounts, coverage and patient cost sharing. little to no government involvement
Why does the US spend more on healthcare
-pay doctors nearly double that of other countries(specialists make even more)
-US spends double the amount per person on pharmaceuticals than other countries
-8% spending on administrative costs v. 3% in other countries
Where does each model of the international healthcare system models show up in the US healthcare system
VA models socialized medicine
Medicaid and Medicare Part D models the national health insurance model
Private insurance models Bismarck model very loosely
