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The Role Of Healthcare Delivery In The United States

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Healthcare delivery has evolved from the traditional doctor who is responsible in providing the majority of care to a team of healthcare professionals across a range of care due to an increase in the population, the rise of chronic and new diseases, and the evolvement of technology. The impact of population in healthcare has evolved the traditional doctor, the primary care provider, who enlisted the help of few other healthcare professionals such as nurses and staff to carry out specific tasks to requiring a workforce to keep up with the needs of a growing population. The need for specialization in certain areas of care due to the increase in new found diseases led to the growth of new staff to fulfill arising duties, responsibilities, ensure …show more content…

Chronic illnesses and diseases are another factor that has shaped the healthcare delivery in the United States. In present day, as the generation of the baby boomers approaches retirement and faces chronic illnesses, a team of healthcare professionals must be solicited to carry the various needs to accommodate this generation. Healthcare competition has given rise to the constant change of technology that serves to prevent, cure, or rehabilitate the population. Technology in healthcare has replaced and required a new team of healthcare professionals to operate the equipment and delegate specific tasks that will reduce the work of a doctor. The recruitment of healthcare professionals to perform and carry out medical tasks with the rise of technology has benefited the patient in being able to have a variety of healthcare resources such as a hospital, medical clinic, or doctor’s office that can attend to their medical needs and weigh out medical …show more content…

Succeeding medical school, training cardiologists must enroll in a three year residency program in internal medicine where they “allow residents to gain hands-on experience under the supervision of licensed physicians” (Study.com). After the residency program cardiologists have the option to choose from various fellowship programs in cardiology such as: cardiovascular diseases, interventional cardiology, and heart failure, and are to pass the United States Medical Licensing Examination (USMLE) (Study.com). To further their knowledge candidates can become certified in cardiology subspecialties such as: clinical cardiac electrophysiology, cardiovascular disease, or interventional cardiology and pass board examinations

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Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.

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With the uberization of healthcare and telehealth we often feel overwhelmed by the push for telehealth. As independent advisors, Ingenium Telehealth Consultants will work with you to determine which services will be successful, appropriate and the best way to integrate technology into the care delivery processes. Several benefits have been identified as a result of telehealth services being introduced. Increase the accessibility of and to professional caregivers Increase the quality and continuity of care to patients Increase the focus on preventive medicine through early intervention Reduce the overall cost of healthcare Education and training Contrary to vendor solutions, one size does not fit all.

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Eric Dishman’s Ted talk, “Healthcare Should be a Team Sport”, shares how today’s health care needs to conform and revolutionized to fit in today’s technological, and widespread society. A patient told him to take control of his health, and not let the doctors take control of him. Dishman goes into detail how the healthcare system is a “flawed expensive system that is set up in the wrong way” (2:07). The American health system is dependent on clinics and the occupants residing within, how specialists are necessary in the healthcare system to look at specific parts of us, and having passive patients that would follow the orders of a doctor, that might satisfy the appropriate issue at hand, and satisfying the individual patients’ needs.

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The limitations are to be addressed such as lack of infrastructure, high start-up cost and optimal funding need to be allocated. At this point of time it is apposite to to plan for the future through this recommendations using the telehelath, good governance, maintain good infrastructure, patient awareness and implementing the laws. Implementations of all this will transform the current health care into technological advanced health care. There by reaching being more feasible to clinicians and patients.

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In the film Escape Fire the Fight to Rescue American Healthcare, there were many insightful examples of why our Unites States healthcare revolves around paying more and getting less. The system is designed to treat diseases rather than preventing them and promoting wellness. In our healthcare industry, there are many different contributors that provide and make up our system. These intermediaries include suppliers, manufacturers, consumers, patients, providers, policy and regulations. All these members have a key role in the functionality of the health care industry; however, each role has its positives and negatives.

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Growing up, I have had my fair share of medical encounters, and was even on state insurance for most of my life. This meant that exceptional care was not always in reach, as I had to visit overflowing medical facilities and was unable to choose the better treatment options due to finances. Due to this, I advocate for my patient’s daily at work by calling insurances and working out the logistics of getting them the care they need, or helping them find resources if we hit a dead-end. Putting their care first, each and every day, has helped me advocate for patients of all populations.

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“Technology and the Future of Healthcare.” Journal of Public Health Research, U.S. National Library of Medicine, 1 Dec. 2013,

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However, the health care aspect of care can pose a problem. Veterans rely on the VA health care services to provide the absolute best in care while utilizing innovative technology. The strategic goal of improving care and

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Health care has gone through a great evolution through the years. Before 1965, individuals older than 65 years old received inadequate healthcare and more than half of this population did not have coverage (Reinhard, 2012). Due to this predicament, the need to identify issues and implement health policy was imperative to improve health care. Consequently, Medicare was introduced with the goal to mitigate the health issues during the 1960’s and to improve the healthcare availability for individuals 65 years and older. Since then, Medicare has gone through numerous changes in order to incorporate other population needs.

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Medical Arms Race – A Review Indubitably, the contemporary medicinal care has become progressively reliant on the use of the latest technology, and the newer health devices are the designated quintessence of that trend. A modern healthcare facility is a utopia of complex equipment, rationalized care, and easy accessibility of the finest physicians. Before the rise of the managed care in the 80s, the competition amongst the hospitals was limited to the availability of the finest medical technology and the association of the local physicians to that particular health facility. The high cost of care was supported by the open-ended reimbursement of the insurance system at that time and the rivalry amongst the hospitals was in regard to the provision of sophisticated medical amenities. However, with the emergence of managed care, the concept of medical arms race is not feasible in the current time zone.

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“Ow! My knee! I think I need to go see a physical therapist.” This is an example of one of the many reasons people go to see a certified physical therapist. “Physical Therapists, sometimes called PTs, help injured or ill people improve their movement and manage their pain” (Bureau 1).

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Hospitals first started out as a place where various healthcare professional functions came together in order to care for and eventually cure patients. Consequently, as healthcare organizations grew bigger they adopted a vertical structure that was organized in departments and along the functions they supported. This, along with the further increasing specialization within the functions and the decentralization of care, that was planned with the intention of capturing economies of scales, resulted in a large number of small patient groups who were receiving care in small but highly specialized units that were in turn being supported by numerous supporting departments (Lathrop, Seufert, McDonald, & Martin, 1991). This structure resulted in a care delivery process that was fragmented and highly complex since the organization of care was not tailored to the patients needs but preformed according to the most relevant metical specialization or medical skills (Lee & Clarke, 1992).

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Health care in the United States is provided by many distinct organizations.[1] Health care facilities are largely owned and operated by private sector businesses. 58% of US community hospitals are non-profit, 21% are government owned, and 21% are for-profit.[2] According to the World Health Organization (WHO), the United States spent more on health care per capita ($8,608), and more on health care as percentage of its GDP (17.2%), than any other nation in 2011. 60–65% of healthcare provision and spending comes from programs such as Medicare, Medicaid, the Children's Health Insurance Program, and the Veterans Health Administration.

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The healthcare system in the past has had many flaws. In fact, lessons learned from previous issues have what helped the healthcare system improve drastically over the years. In the past, the healthcare system was stated to be inefficient, poor in quality, costly and ineffective however issues that the system had in the past help them to implement strategies to ensure a well- improved healthcare system in today's society. The first lesson learned was to deliver better healthcare. The second lesson learned was that the performance of medical staff could improve.

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The healthcare sector is expected to continue with its accelerated growth momentum and by 2020 it is expected to reach $ 280 billion [5]. As per 2015 data, no. of beds to population ratio is just 0.09% and no. of physicians to population ratio is 0.07%. Comparatively bed to population ratio is 0.38% and no. of physician to population is 0.19%. The numbers are similar for US and UK [9].

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