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The Beveridge Model. Done By: - Dr. Jehad Alqurashi - Dr. Abdullateef Allebdi. In 1940s, Great Britain went into economic depression after two WW.
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The BeveridgeModel Done By: - Dr. JehadAlqurashi - Dr. AbdullateefAllebdi
In 1940s, Great Britain went into economic depression after two WW. • During that time came out a book called “Social Insurance and Allied Service”published in 1942 also known as the BeveridgeReport by William Beveridge. • A bestseller in its day, the report was distributed to British troops despite an aborted attempt by Churchill to suppress it until after the war.
It focused mainly on social insurance. • Articulated the right of anyone to receive health care on the basis of clinical need regardless of ability to pay. • The term "socialized medicine" is often used carelessly and inaccurately, the Beveridge Model is in fact socialized medicine: A health care system owned and operated by government.
Today, the Beveridge Model is applied by: • Cuba • Denmark • Finland • Great Britain • Hong Kong • Italy • Norway • Spain, and Sweden. • With the exception of Cuba, all are capitalist democracies that have decided to remove the profit motive from health care on the grounds that it compromises equity and efficiency.
Beveridge Model Concepts: • It operates on the basis of a set of one or more common characteristics: • Health care is a human right, not a privilege. • Government ownership and operation of health care. • National government responsibility for delivery of equitable and efficient health care. • Full access to all regardless of ability to pay. • Primary care physician is gatekeeperto the rest of the system.
Misconception : Beveridgecountries pay a lot of cost to provide expansive health care for all residents which lead to bankrupting these countries.
The following table shows that Beveridge Model countries deliver health care efficiently and with great effect:
As a whole, Beveridge Model countries spend a lower percentage of GDP on health care than any other nation. Why? • Because the Beveridge Model is tax-based and not insurance-based, the governments of those countries have great incentive to emphasize on preventive care.
Key Facts about BM Countries: • Beveridge Model countries tend to have excellent public health programs. • Finland is one of two countries to reverse the obesity epidemic. • Seventy per cent of British doctors are PCPs as opposed to 30% in the United States.
The Good in Beveridge Model • Primary care contributes to Better outcomes for society. • Increased use of preventive services. • Fewer hospitalizations. • Reductions in overall costs. • Fewer hospitalizations. • Less use of emergency departments.
The Bad in Beveridge Model • Welfare state values that call for a high level of social services also mean higher taxes. • The emphasis on efficiency often results in less choice for patients, and broad service offerings tend to concentrate in urban areas. • Doctors receive free education, have little administrative burden, and are almost never sued for malpractice, they are also salaried and earn less than their American counterparts.
Equal access and the emphasis on primary care can translate into long wait times for non-acute secondary and tertiary care. • Finally, the imperative to hold down costs means that the newest technologies are not easily available.
What to think about: • There are lessons to be drawn from the Beveridge countries: • The value of a national health policy to provide guidelines and direction for federal response to national health issues. • The importance of a strong public health program (at all levels of government) to preventive health and reduced costs. • The key role of primary care, again in prevention and efficient allocation of health care resources.
William Beveridge • He died at his home on 16 March 1963, aged 84. • His last words before his death: "I have a thousand things to do"
References • http://www.bbc.co.uk/history/historic_figures/beveridge_william.shtml • http://healthmatters4.blogspot.com/2010/12/beveridge-model.html