Health Care System in US

Table of Contents

Introduction3

Optimum Data on probes (Riata ST Optimum and Durata)4

Discussions and recommendations4

Failures observed in probes and Riata ST silicone7

Riata ICD leads failures--Patient deaths10

Definitions13

Lead-related Deaths13

Indeterminate Lead Deaths14

Cost of HealthCare in United States15

Alternative Healthcare Providers in the Us16

Current Performance16

The health care system in the United States: Insurance Nation17

The structure of the health care system19

Government programs20

Why the U.S. health care system is inefficient?22

U.S. health system does not cover needs24

Evolution of Private Health Insurance26

Regulation and supervision in the health system27

Aspects of Strategic Healthcare Commissioning29

Assessing Need & Demand for Services30

Health and Social Care Policy Reforms30

Conclusion32

Health Care System in US

Introduction

The company St. Jude Medical has sent 15 December 2010 an information Safety on the probes and Riata ST which the insulator is silicon A indicating that the defibrillation ranges silicone Riata returned for expertise following the identification of a malfunction, had a rate of abrasion of their insulation 0.47%. The St. Jude Medical has updated this information in December 2011 because the abrasion rate observed on the probes returned was increased from 0.47% to 0.63%. On 20 February 2012, the Dutch competent authority forwarded the results to a study by the Dutch Society of Cardiology driving on 627 patients' holders and probes Riata ST Silicone which have all been examined Radiological pushed. This study shows that 15% (= 93) patients were followed a probe which presents drivers and outsourced data confirms an earlier study conducted in a centre of Northern Ireland on 212 patients. In most cases (80%), probe showed no malfunction in spite of outsourcing seen. Given these elements, and in addition to recommendations given by St. Jude Medical, researches recommends that you review, within a maximum of 3 months, all patients with these probes followed at your facility to inform, to verify the integrity of the sensor and use an X-ray chest, to identify a possible outsourcing abrasion with the conductors. This examination shall include at least two implications. To monitor the occurrence of cases of abrasion on these probes, researchers needs collect comments to be made during these examinations. You are therefore requested to report any malfunction in equipment monitoring observed which could be related to abrasion problems (with or without outsourcing): over detections or sub-detections, loss of capture, inappropriate shocks, changing the pacing impedance and / or defibrillation, failure to deliver therapy. In the case where he was put in obviously a result of outsourcing drivers' radiography performed, it is necessary to mention in the declaration. The doctors also ask you to declare any malfunction of the same type that would be observed on probes defibrillation St. Jude Medical Riata ST Optimum and Durata (Optimum insulation and not Silicone). In addition to monitoring the longer term, studying the establishment of a monitoring the evolution of the failure rate of these probes with some centers implanters

Optimum Data on probes (Riata ST Optimum and Durata)

The probes and Riata ST Optimum Durata, using Optimum insulation is like the market for over 5 years and over 278 000 probes have been sold ...