Health care delivery systems refer to all components of providing healthcare within a country or a locality. They comprise organizations, people, and actions whose aim is to promote, maintain and restore health. The healthcare delivery systems are greatly changing the way individuals interact with higher-level healthcare systems. The purpose of this paper is to examine two health delivery systems which include managed care and telemedicine.
Managed Care
Managed care is a healthcare delivery system made through agreements among a determined team of healthcare experts to offer health care services at the lowest possible costs. Based on the American Academy of pediatrics some examples of managed care plans include Preferred Provider Organizations (PPOs), Health Maintenance Organizations (HMOs), and Point of Service (POS) plans among others. Under managed care reimbursements are set on a per capitation or per individual which leads to more predictable and lower costs. There is a selection of primary care physicians for patients to care for. There is the creation of contracts in managed care which involves care accountability, reduced cost, and coverage of medical services (Piña et al, 2015).
Telemedicine
Telemedicine is an innovative healthcare delivery system. However, unlike managed care telemedicine does not need the patient to meet the physician in person. Telemedicine allows ill persons to use video technology to interact with physicians. This kind of healthcare delivery system has proven to be suitable in rural populations where the proximity between the doctors and patient is an accessibility factor. Unlike managed care where health care experts have dedicated their resources to in-person urgent and emergency care, telemedicine ensures that patients receive specialized medical advice proficiently. Like managed care telemedicine reduces patients’ medical costs (Bashshur et al, 2000).
Summary of the mission or philosophy statement for each of the health care delivery systems
Managed care
To be acknowledged as a resource in managed care treatment, to come up with managed care standards that have a positive impact on public policy related to managed care delivery, and to make awareness on healthcare management.
Telemedicine medical board embraces recognized standards of ethics of the medical profession. It also recognizes that delivery of services through telemedicine depicts potential benefits including probable challenges for patients and that the delivery method does not affect the scope of practice. Apart from the scope of practice the method also does not affect the professional setting, obligations, and the practice of a licensee beyond what is approved by the law. The licensee is expected to maintain a high level of expertise while placing the welfare of the patient first and meeting standards of professional practice. He or she is obliged to adhere to ethical conduct and protect the confidentiality of the patient. This is important because certain situations ought to be presented appropriately via telemedicine (Bashshur et al, 2000).
Formulation of philosophy statement, with a rationale
Affordable-holistic care.
The organization unites medical experts of all kinds from primary care to larger organizations to offer a holistic and cheaper approach to healthcare.
Organizations are constantly looking for approaches to improve patient experiences, reduce hospitalized costs and keep them financially stable. Usually, payment and deductible models impact how a hospital operates from revenue cycle management strategies and the cost of medical care to the needs of their communities. With managed care, specialized medical practices and primary care offices are unified into one group. There is a need for being treated in-network is crucial. This means reduced costs for the patient with a small pool of healthcare experts who are able to provide care including referrals to other professionals. Because many people receive health insurance through insurance companies this gives a patient simpler options for looking for care.
Interactive medical care for quick diagnosis and treatment.
This philosophy seeks to address the widening gap between Medicare expertise and the health care delivery system. Through telemedicine the knowledge of diagnosis and treatment of medical conditions has advanced. However, the system to assist in the provision of that care has lagged behind and as a result, a great number of people have been denied healthcare needs. The use of interactive video and its integration in medical telemetry has allowed a physician to establish a specialty medical complex. This has in turn allowed for the treatment of patients in different localities such as in rural hospitals, correlational institutions, facilities for the care of the elderly, and ambulatory care services. Based on how the design system has been built consultation with a physician at a base station usually provides a complete history including physical examination as if the satellite site sitting in a physical office (Bashshur et al, 2000).
In conclusion, the aim of a health care delivery system is to promote and maintain health while providing care within a country or a locality. Some types of health delivery systems include managed care and telemedicine. These two kinds of health delivery systems are focused on reducing the cost of care, provision of improved care, and accountability.
References
Bashshur, R. L., Reardon, T. G., & Shannon, G. W. (2000). Telemedicine: a new health care delivery system. Annual review of public health, 21(1), 613-637.
New Healthcare Delivery Systems Retrieved from, https://healthadministrationdegree.usc.edu/blog/what-you-need-to-know-about-4-new-healthcare-delivery-systems/#:~:text=Telemedicine,technology%20to%20interact%20with%20physicians.
Piña, I. L., Cohen, P. D., Larson, D. B., Marion, L. N., Sills, M. R., Solberg, L. I., & Zerzan, J. (2015). A framework for describing health care delivery organizations and systems. American journal of public health, 105(4), 670-679.
What Is Managed Care? Retrieved from, https://www.decorm.com/managed-care/
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