01:920:210 Lecture Notes - Lecture 19: Baby Boomers, Cardiology, Health Care
14 Dec 2016
School
Department
Course
Professor
Class 19: Organization of Medical Care I
I. The Challenge
A. To provide the best possible health care, to the most people, at the lowest cost
1. 3 goals mentioned above
B. US medical care fails to do this
1. Universal right to care conflicts with self-responsibility for own care
2. No agreement on the fundamental question about how to organize a health
care system
a. Surveys show that vast majority support universal health care for
every US citizen, but ‘would you use your money to help pay for
the medical care for someone else? NO.
b. People do not want to sacrifice themselves.
Most of the World
• Enabling Factors: Outcomes:
Defense Wealth
Education
Health
US
• Enabling Factors: Outcomes:
Defense Wealth
Health
1. Government provides free services to enable higher quality of life ‘wealth’
(defense, education, health).
2. Rise of public education was followed by tremendous gains of economic
productivity
3. Healthy population = wealthy population
4. US believes that health is not an enabling factor- we are responsible for the
health we get.
5. Health is given a lower priority
6. This makes it difficult to create the best possible health care system
US spends over $371.1 billion on health care per year – is it spend wisely?
A. We are the only health care system in the world that is for profit
B. We have the shortest lifespan for both males and females
C. People who are affluent are not at all concerned with the health care system
D. Look for solutions within our countries or suggested by others
II. Current US medical care system
A. Basic elements of organization
B. Major players
1. Hospitals
a. To receive expensive surgeries
b. More care is being done outside of hospitals- outpatient care
c. Consequences are going bankrupt
d. Developing their own outpatient care that do not require in-patient
stay (adopting)
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Class 19: organization of medical care i: the challenge, to provide the best possible health care, to the most people, at the lowest cost. No: people do not want to sacrifice themselves. Most of the world: enabling factors: outcomes: Private insurance companies: have to make money to stay in business, profit comes first, therefore helping people maintain their health care is a second priority, make constant adjustments to make profit. Physicians: necessary to provide medical care, are dedicated to provide best quality medical care, fear a loss of control and autonomy because other players are reducing the jurisdiction they have over providing medical care. Fails to work in health care: demand keeps increasing (population phenomenon) and costs keeps increasing. Private control does not bring competition among health care providers, hospitals, etc. (no pressure to keep prices down) System is not new, but it does not work: advantages and disadvantages of managed care.
