By by Leiyu Shi by Douglas A. Singh
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Extra resources for Essentials of the U.S. Health Care System, Second Edition
Sample text
Historical, cultural, social, and economic f actors explain its current structure. These factors also affect forces that shape ne w trends and developments and those that impede change. Chapters 2 and 3 pro vide a discussion of the system foundations. System Resources No mechanism for the delivery of health services can fulfill its primary objective without the necessary human and nonhuman resources. Human resources consist of the v arious types and cate gories of w orkers directly engaged in the deli very of health services to patients.
Access, cost, and quality are the main outcome criteria for e valuating the success of a health care delivery system (Chapter 12). Issues and concerns regarding these criteria trigger broad initiati ves for reforming the system through health policy (Chapter 13). System Outlook A dynamic health care system must look forw ard. In essence, it must project into the future the accomplishment of desired system outcomes in view of anticipated social, cultural, and economic changes. Chapter 14 discusses these future perspectives.
The uninsured ha ve limited options when seeking medical care. They can either (1) pay physicians out of pock et that are typically at higher rates than those paid by insurance plans, (2) access federally funded health centers, or (3) obtain treatment for acute illnesses at a hospital emer gency department for which hospitals do not recei ve direct payments unless patients have the ability to pay. The Emergency Medical Treatment and Labor Act of 1986 requires screening and e valuation of every patient, necessary stabilizing treatment, and admitting when necessary, regardless of ability to pay .