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Introduction to US Health Services . Chapter 1 Dr. Tracey Lynn Koehlmoos Adjunct Professor. Introduction. Many factors shape a healthcare system Culture, politics, economics Employment, research, drugs, technology Roemer model Cost-Quality-Access Framework “The Iron Triangle”.
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Introduction to US Health Services Chapter 1 Dr. Tracey Lynn Koehlmoos Adjunct Professor HSCI 678 Intro to US Healthcare System
Introduction • Many factors shape a healthcare system • Culture, politics, economics • Employment, research, drugs, technology • Roemer model • Cost-Quality-Access Framework “The Iron Triangle” HSCI 678 Intro to US Healthcare System
Overview of US Health System • Highest per capita $ in the world • 20% of population, no access • 20% of population consume 80% services • Isn’t it ironic? With huge gaps in access along the continuum of care, there is NO single US healthcare system. HSCI 678 Intro to US Healthcare System
Dr. Roemer’s Model Health services defined: organizations or activities focused on the maintenance, improvement, recovery of health Five parts to the model: Organization of Programs: govt, volunteer, private Management: planning, admin, regulations, laws Economic Support: public, private, insurance Production: trained work force, research, technology Delivery Systems: prevention, treatment, rehab HSCI 678 Intro to US Healthcare System
Cost Quality Access • Agency for Healthcare Research and Quality (AHRQ): outcomes, quality focus • Cost of care, 16% of GDP, always rising • Volume of services • Inflation • Health insurance HSCI 678 Intro to US Healthcare System
Course/Text Organization • Part I: Intro, Needs and Problem • Part II: System Organization • Part III: Management, Regulation • Part IV: Financial Support, Insurance • Part V: Resource Production • Part VI: Delivery System • Part VII: Outcomes Measures & Future HSCI 678 Intro to US Healthcare System
Your Tasks • Read your textbook • Watch all videos • Honor all deadlines • Take quizzes • Participate in Chat sessions • Do not be afraid to ask questions via the discussion board • Hold on to your notebooks and get ready to be empowered as a graduate student, a member of the work force and as a consumer of the US Health System. HSCI 678 Intro to US Healthcare System