A Review of Data on the Health Sector of the United States January 2002

2002 ◽  
Vol 32 (3) ◽  
pp. 579-599 ◽  
Author(s):  
Ida Hellander
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Systems ◽  
Health Sector ◽  
The United States ◽  
Health Maintenance Organizations ◽  
The State ◽  
Health Maintenance ◽  
Care Systems

This report presents data on the state of U.S. health care at the end of 2001. It provides information on access to health care, inequalities in incomes and medical care, the increasing costs of health care and health insurance, and the role of corporate money in the provision of health care and the development, marketing, and patenting of pharmaceuticals. The author also looks at the state of health maintenance organizations, the results of some recent surveys on physicians' and public opinion on managed care, and news about the nursing professions. Also provided is an update on Congressional activity on health care legislation, the role of health care industry money in politics, and some developments in health care systems elsewhere in the world.

A Review of Data on the U.S. Health Sector Fall 2002

2003 ◽  
Vol 33 (1) ◽  
pp. 173-192
Author(s):  
Ida Hellander
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Health Sector ◽  
The State ◽  
Health Care Information ◽  
Care Systems ◽  
Care Information ◽  
Care Health ◽  
Pharmaceutical Industries

This report presents information on the state of U.S. health care in mid-2002. It provides data on the uninsured and underinsured and their difficulties in finding health care; the increasing costs of care; health, social, and economic inequalities; and the role of corporate money in health care. Information is also presented on mental health care, the hospital and pharmaceutical industries, Medicare HMOs, and the state of nursing. The author then provides updates on Congressional activity and the results of polls on matters of health, and some data on health care systems elsewhere in the world.

Beveridge, Bismarck and Southern European Health Care Systems: Can We Decide Which is the Best in EU-15? A Statistical Analysis

2017 ◽  
Vol 1 (1) ◽  
pp. 41
Author(s):  
Angeliki Moisidou
Keyword(s):  
Health Care ◽  
Statistical Analysis ◽  
Empirical Analysis ◽  
Access To Health Care ◽  
High Performance ◽  
Social Protection ◽  
Health Care Systems ◽  
Health Sector ◽  
Economic Cost ◽  
Care Systems

A statistical analysis has been conducted with the aim to elucidate the effect of health care systems (HSs) on health inequalities assessed in terms of (a) differential access to health care services and (b) varying health outcomes among different models of HSs in EU-15 ((Beveridge: UK, IE, SE, FI, DK), (Bismarck: DE, FR, BE, LU, AT, NL), (Southern European model: GR, IT, ES, PT)). In the effort to interpret the results of the empirical analysis, we have ascertained systematic differences among the HSs in EU-15. Specifically, it is concluded that countries with Beveridge HS can be characterized more efficient (than average) in the most examined correlations, showing particularly high performance in the health sector. Similarly, countries with Bismarck HS record fairly satisfactory performance, but simultaneously they display more structural weaknesses compared with the Beveridge model. In addition, our empirical analysis has shown that adopting Bismarck model requires higher economic cost, compared with the Beveridge model, which is directly financed by taxation. On the contrary, in the countries with Southern European HS, the lowest performances are generally identified, which can be attributed to the residual social protection that characterizes these countries. The paper concludes with a synthesis of the empirical findings of our research. It proposes some directions for further research and presents a set of implications for policymakers regarding the planning and implementation of appropriate policies in order to tackle health inequality within HSs.

Intercapitalist Maneuvers and the ICD-10 Transition: The Instrumental Role of the State in the Corporate Governance of U.S. Health Care

2019 ◽  
Vol 49 (3) ◽  
pp. 457-475 ◽  
Author(s):  
Mary Bugbee
Keyword(s):  
Health Care ◽  
Corporate Governance ◽  
Financial Burden ◽  
Health Sector ◽  
The United States ◽  
The State ◽  
Coding System ◽  
Role Of The State ◽  
Icd 10

In 2015, the United States transitioned to the ICD-10-CM/PCS, a comprehensive updated coding system for medical reimbursement. This transition was part of a larger move toward value-based reimbursement in U.S. health care and required nearly 2 decades of planning. As an unfunded mandate from Congress, it created a substantial financial burden for many groups within the health sector. This article traces the ICD-10 transition using the concept of the corporate governance of health care, attending to the role the state plays in mediating intercapitalist maneuvers. The ICD-10 was not a simple top-down declaration originating in a neutral state. Rather, it was produced and modified through lobbying efforts on the part of various stakeholders who, along with their competitors, would be affected by the transition in differential ways. The health information technology industry, in particular, stood to gain the most from this transition, at the expense of other capitalist players. An examination of the intercapitalist maneuevers behind the ICD-10 transition demonstrates that even when corporate powers govern U.S. health care, the role of the state should not be written off as inconsequential but rather interrogated and analyzed in relation to the corporate interests with which it is entangled.

scholarly journals Medical Supply Acquisition in Italy and the United States in the Era of COVID-19: The Case for Strategic Procurement and Public–Private Partnerships

2020 ◽  
Vol 50 (6-7) ◽  
pp. 642-649
Author(s):  
Veronica Vecchi ◽  
Niccolò Cusumano ◽  
Eric J. Boyer
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Critical Role ◽  
The United States ◽  
Protective Equipment ◽  
Economic Market ◽  
Strategic Role ◽  
Care Systems ◽  
Strategic Procurement

The article analyzes contracting challenges faced by Italian health care authorities and U.S. procurement officials in the immediate aftermath of the COVID-19 crisis, and it provides practitioner-derived lessons for improving procurement in times of disaster. The lessons we have learned so far emphasize (a) the need to recognize the strategic role of procurement, (b) empowering procurement officials, (c) formalized coordinative mechanisms cannot ensure effectiveness without trust among different governance levels, (d) the ability to identify reliable and proactive suppliers of personal protective equipment, (e) the importance of stimulating the economic market to diversify the production of needed materials and to ensure a more risk-resilient supply chain, and (f) the critical role of public–private collaborations to ensure responsiveness and resilience of health care systems.

Telemedicine Use in Disasters: A Scoping Review

2021 ◽  
pp. 1-10
Author(s):  
Mark Litvak ◽  
Katherine Miller ◽  
Tehnaz Boyle ◽  
Rachel Bedenbaugh ◽  
Christina Smith ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Systems ◽  
The United States ◽  
Flow Diagram ◽  
Implementation Barriers ◽  
Telemedicine System ◽  
Health Response ◽  
Care Systems ◽  
Barriers To Implementation

Abstract Disasters have many deleterious effects and are becoming more frequent. From a health-care perspective, disasters may cause periods of stress for hospitals and health-care systems. Telemedicine is a rapidly growing technology that has been used to improve access to health-care during disasters. Telemedicine applied in disasters is referred to as disaster telemedicine. Our objective was to conduct a scoping literature review on current use of disaster telemedicine to develop recommendations addressing the most common barriers to implementation of a telemedicine system for regional disaster health response in the United States. Publications on telemedicine in disasters were collected from online databases. This included both publications in English and those translated into English. Predesigned inclusion/exclusion criteria and a PRISMA flow diagram were applied. The PRISMA flow diagram was used on the basis that it would help streamline the available literature. Literature that met the criteria was scored by 2 reviewers who rated relevance to commonly identified disaster telemedicine implementation barriers, as well as how disaster telemedicine systems were implemented. We also identified other frequently mentioned themes and briefly summarized recommendations for those topics. Literature scoring resulted in the following topics: telemedicine usage (42 publications), system design and operating models (43 publications), as well as difficulties with credentialing (5 publications), licensure (6 publications), liability (4 publications), reimbursement (5 publications), and technology (24 publications). Recommendations from each category were qualitatively summarized.

A Comparison of Ambulatory Care and Selected Procedure Rates in the Health Care Systems of the Province of Manitoba, Canada; Kaiser Permanente Health Maintenance Organization; and the United States

1997 ◽  
Vol 10 (4) ◽  
pp. 26-34 ◽  
Author(s):  
Carolyn A. DeCoster ◽  
Marvin Smoller ◽  
Noralou P. Roos ◽  
Edward Thomas
Keyword(s):  
United States ◽  
Primary Care ◽  
Health Care ◽  
Health Care Systems ◽  
Health Maintenance Organization ◽  
The United States ◽  
Kaiser Permanente ◽  
Financial Barriers ◽  
Health Maintenance ◽  
Care Systems

To determine if there are differences in physician services in different health care systems, we compared ambulatory visit rates and procedure rates for three surgical procedures in the province of Manitoba, Canada; Kaiser Permanente Health Maintenance Organization; and the United States. The KP system, with its single payer and low financial barriers, is not unlike the Canadian system. But, for most of the United States, the primary payment mechanism is fee-for-service, with the patient paying a significant amount, thereby militating against preventive and early primary care. Manitoba and KP data were extracted from computerized administrative records. U.S. data were obtained from publicly available reports, Manitoba provides 1.8 times and KP 1.2 times (1.4 when allied health visits are included) as many primary care physician visits as the United States. For the surgical procedures studied, U.S. rates were higher than those in either the KP HMO or in Manitoba. We conclude that (1) the U.S. system leads to more surgical intervention, and (2) removal of financial barriers leads to higher use of primary care services where more preventive and ameliorative care can occur.

scholarly journals THE ROLE OF PHARMACEUTICAL REGULATION IN IMPLEMENTATION OF THE HUMAN RIGHT TO THE HIGHEST ATTAINABLE STANDARD OF HEALTH

2016 ◽  
pp. 0-0
Author(s):  
Рамил Хабриев ◽  
Ramil Khabriev ◽  
Аслан Абашидзе ◽  
Aslan Abashidzye ◽  
Владислав Маличенко ◽  
...  
Keyword(s):  
Health Care ◽  
Human Rights ◽  
Access To Health Care ◽  
Health Care Systems ◽  
Health Sector ◽  
Access To Medicines ◽  
International Standards ◽  
Regulation System ◽  
Human Right ◽  
Care Systems

Socio-demographic processes, increased economic instability, epidemiological transitions and disproportionate access to health care present serious challenges to the health care systems of major global powers, especially to the medication supply. In many countries, inadequate regulation of the health sector, in particular in the pharmaceutical area, leads to serious human rights’ violations. At the same time ensuring the safety of drugs is the basis for the full exercise of the human right to health, which is impossible to achieve without effective international cooperation. Enjoyment of the right to the highest attainable standard of health, enshrined in the main international human rights documents, in particular by providing access to medicines is only possible on the basis of an effective and integrated regulation system and in compliance with recognized international standards, as well as national and regional priorities.

Report from the United States: The U.S. Health Crisis Deepens amid Rising Inequality—A Review of Data, Fall 2011

2012 ◽  
Vol 42 (2) ◽  
pp. 161-175 ◽  
Author(s):  
Ida Hellander ◽  
Rohith Bhargavan
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Systems ◽  
The United States ◽  
Health Crisis ◽  
Access To Health ◽  
Care Systems ◽  
Health Care Law ◽  
The U.S

This report presents information on the state of the U.S. health system in late 2011. The authors include data on the uninsured and the underinsured and their access to health care, socioeconomic inequality in care, the rising costs of the U.S. health system, and the role of corporate money in health care, with special reference to the pharmaceutical industry and the hospice industry. They also provide updates on Medicaid and Medicare and on the new federal health care law. Some information on health care systems elsewhere in the world is also included.

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