Health Care Utilization - Essay Example

?Introduction In what ways have recent health care reform measures expanded or inhibited access to care?  Healthcare reform processes are transformedthrough various processes and the economic relevance of reforms has been evidenced through a series of healthcare offers in the United States. According to Borger et al. (2006), the procedure of reconstructing healthcare reforms has been defined by various techniques aided by budgetary and political issues. The pundits according to the leading medical journal have gained significant strength in the recent past, within accomplishment being reviewed in the controversial reform expectations. However, Kessler et al. (1996) believe that health reforms have been successfully aided by several health policy reform needs with a series of core components reflecting both coverage and several legislative principles. The healthcare reform coordination, according to Sharma et al. (2003), involves a four stage process: coverage, control, coordinated care and choice. While the duration of accomplishing specific reforms could be longer, resource mobilization has continually helped establish better support for patients. The healthcare delivery has equally changed systematically, relying on Carmichael et al. (2003) and Borger et al. (2006), analytical reform that explains effective healthcare cycles that have benefited the people. Effective healthcare is constituted by properly laid down primary care system that is importantly classified according to the primary constructs of quality healthcare services. While other studies carried out by Fuchs et al. (1990) provide a critical point for determining significant reliance on healthcare provisions, potential support exists and has had significant role in providing substantial level of support for individuals seeking specific medical care services. However, Pearson et al. (2005) illustrate that systematic monitoring or adequate primary care development has not been effective due to lack of relevant reform background. The learning experience gained through the societal values and the contexts of healthcare systems explain that the determining levels are accustomed to varying levels of health care systems. The context of healthcare dependence involves highly changed systems, reflecting a critical dimension in the growing aspects of societal values and beliefs. How might changes to access influence utilization?  Medical care systems are considerably defined by changing experience in terms of unlikely or likely occurrences. According to the research carried out by Green et al. (2006), the underlying factors are hugely dependent on the expenses involved. The difficulties faced by patients especially within the disease treatment framework explain the thoughtful undertaking of daily disease management, and with considerable efforts to control or otherwise create a good environment for countering its effects. The US disease control system defines specific reforms within the probable area of disease control and healthcare development. The studies of Hutchison et al. (2003) indicate that large scale methodology that significantly employs possible drug use interventions are considerably applied to support medical practices aiding disease diagnostics. Specific reforms done and expressively integrated into the scientific scales are beneficially used to help establish the appropriate reform processes needed to effectively manage patient requirements (Ansari et al., 2003). The economic analyses of alternative considerations are virtually defined with notable consideration of the health service delivery networks. Furthermore, Borger et al. (2006) illustrate that the impact of known health care systems are considerably fused within the required sustainable healthcare process and, hence, overlooks the move used to implement relevant healthcare requirements. Accordingly, Kessler et al. (1996) offer an evidenced concept that functionally creates a customized healthcare system that employer-sponsored insurance scheme is put into practice. This agenda seek to generate adequacy in terms of effort and quality care. The exception that ensures that funding is shared and administratively used to offer target healthcare is fully envisioned within the limits of the healthcare process. The assessment level which includes generating functional reforms as well as improving technological assessments are hugely created to impart knowledge to people who are seeking appropriate health plans. Explain the concept of what universal health care may be, and how current care reflects or contrasts with this.  The universal healthcare practice is essentially a practice that combines costs while allowing patients to make independent selection regarding their healthcare providers. This independence ensures that specific services are offered at lower costs, while still meeting the required medical standards. While the level of service delivery differs depending on policies, the universal healthcare has specific merits and demerits, different from the existing healthcare system. Carmichael et al. (2004) explain that the costs of universal healthcare have changed dramatically, with the US spending about 15% of its GDP on the healthcare while Canada spends 10% on its healthcare system. Ultimately, in the US, the universal healthcare covers about 85% of the population. However, Kessler et al. (1996) explain that universal system is based on the existing metrics, noting that universal healthcare is portable and that the employee plan remains universally applicable even in job changes. Research pundits explain that in Canada, the effectiveness of the system is high with a remarkable scale of 77%, and a lowered mortality rate because of the pre-natal care medical policy. This is available even in specific environments related to the medical practice, especially where provider selection is a major component that determines the completeness of the universal system. Drugs can be purchased in bulk but with prices reduced and even negotiated to help make formal reduction strategy, hence implying that insurance companies are able identify significant changes in terms of costs applied. What has been your experience with health care expansion? Was it positive or negative? Explain. Healthcare reforms provide reduction in the overall cost required to implement relevant medical support. The healthcare expansion, according to the policy definition, demonstrates painful choices and the shift is again hugely controversial. Accordingly, the insurance companies offering specific health care specify the premiums according to the health statues of the enrollee. But ultimately, because of the expectations from the patients/employees, the cost of care could equally be significantly high. Because low income individuals requiring relevant healthcare services need equal services, complex methods need specific addressing and this includes household incomes as well as appropriate shifts in possible subsidies. An exciting analysis has demonstrated that families and individuals who need cover to have the costs of treatment reduced, also need specific government cut to enable them access quality healthcare services. The universal healthcare provide services irrespective of job changes or job cuts but in the United States specific policy reforms ensure that family spending is reduced while ensuring that all employees are able to access treatments irrespective of the earnings. The cost shift in terms of health care does not automatically lead to relevancy in comprehensive cost reduction. Ultimately, the whole process has specifically remained complex and the services rendered to employees remain hugely controversial. Although several people benefit from this scheme, there is still a lot of skeptism about its relevance and about its long term benefits. Many people believe that high administrative costs, reliance on employee-based insurance schemes as well as on other private firms would ultimately lead to hike in the overall cost of treatment. As such, government subsidies could play a crucial role in helping patients and employees to be able to access better services but with well guided policies. References Borger, C., et al. (2006). Health spending projections through 2015: changes on the horizon. Health Aff (Millwood), (2): w61-w73. Carmichael, J. M., et al. (2004). Establishment and outcomes of a model primary care pharmacy service system. Am J Health Syst Pharm, 61: 472-482. Fuchs, V. R., et al. (1990). The new technology assessment. N Engl J Med., 323(10): 673-677. Green, C. J., et al. (2006). Information system support as a critical success factor for chronic disease management: Necessary but not sufficient. Int J Med Inform, 75: 818-828. Hutchison, B., et al. (2003). Patient satisfaction and quality of care in walk-in clinics, family practices and emergency departments: The Ontario walk-in clinic study. Can Med Assoc J, 168: 977-983. Kessler, D, & McClellan, M. (1996). Do doctors practice defensive medicine? Q J Econ., 111(2) :353-390. Pearson, S. D., & Rawlins, M. D. (2005). Quality, innovation, and value for money. JAMA, 294(20): 2618-2622. Sharma, V., et al. (2003). Influence of the news media on diagnostic testing in the emergency department. Arch Pediatr Adolesc Med, 157(3): 257-260. Read More