[The effects of legislation on health care delivery]
By
Acknowledgement
This research would not have been possible without the supervision of my supervisor and my family and friends so I would like to thank them for their support throughout this research.
DECLARATION
I hereby take an oath that the content of this research is my own unaided work and it does not present the idea of my university or someone else. Moreover this report has not been submitted for any educational purpose to anyone.
Signed __________________ Date _________________
Abstract
In this study we try to explore the concept of “health care delivery” in a holistic context. The main focus of the research is on “legislation” and its relation with “health care delivery”. The research also analyzes many aspects of “health care reform” and tries to gauge its effect on “health care”. Finally the research describes various factors which are responsible for “health care delivery” and tries to describe the overall effect of “legislation” on “health care delivery”
Contents
DECLARATIONIII
ABSTRACTIV
CHAPTER 01: INTRODUCTION1
Introduction1
Significance of the Study4
Specific Research Sub Questions4
CHAPTER 02: LITERATURE REVIEW6
Health Care System6
Health Care Reform6
Types of Health Care Systems8
Government Intervention in the Health Care Market10
Entrepreneurial11
Welfare-Oriented11
Comprehensive11
Problems behind American Healthcare System12
Financial Structure13
Cost of care13
Acute Care14
What We (Americans) Have Failed To Do14
Social Policy Overview15
Barack Obama and Organizing for America: 2009-201016
Obama's health care17
Summary of the Bill18
Main points18
Health Care Structure19
Pros and Cons of the Health Care Reform20
Status of Health Care Reform in America22
Community and the society30
CHAPTER 03: METHODOLOGY32
Action Research32
Historical Development33
Characteristics34
Reflection34
Iterancy34
Collaboration35
Role of the Researcher36
A Case for and Against Action Research37
Making Judgment on Action Research39
CHAPTER 04: DISCUSSION41
Analysis of Q141
What are the factors that impede the implementation of a universal health system?41
Access to Health Care44
The importance of access to health care44
Improved access to health care services is now entrenched in provincial agendas.46
b)Measuring access to health care47
Public Opinion on the Health Care System48
Satisfaction with Health Care48
Current Definitions of Access and Barriers to Care49
Defining Access and Barriers to Care49
Barriers to Entry, Barriers in the Care Process, and Barriers from the Consumer's Perspective51
Barriers within Systems of Care or Treatment Episodes52
Analysis of Q254
What role should the federal government play in health care?54
The Need for Federal Intervention55
Analysis of Q356
What are some factors that can explain why the U.S. per capita spends more on health care?56
Health Care Spending: Large Differences, Unequal Results58
Money Alone Does Not Extend Lives59
What measures that can be implemented to constrain costs without restricting access?61
Utilization Review62
Utilization Review Defined62
Utilization Review Structure63
Strict Enforcement through Financial Risk Shifting64
Summary66
Analysis of Q4 and Q566
What are some of the possible effects of cost containment measures?66
Effects of Cost Containment Measures on Health Care66
Assuring Quality Care in the Managed Care Product67
Maintaining the Ethical Basis of Health Care70
Maintaining Access to Health Care71
CHAPTER 05: CONCLUSION AND RECOMMEDATIONS73
REFERENCES76
CHAPTER 01: INTRODUCTION
Introduction
Universal health care coverage has elicited much debate in recent times, particularly in the United States. Specifically, efforts to increase coverage have not addressed the inadequate reimbursement rates for physicians, which have sparked many contemptuous debates. The most controversial aspect of the health care bill seems to be the unprecedented mandate for all Americans to purchase health insurance. Within this mandate lies the “minimum essential coverage”, this coverage is either ...