Comprehensive Healthcare for the U.S.: An Idealized Model, 1st Edition (Hardback) book cover

Comprehensive Healthcare for the U.S.

An Idealized Model, 1st Edition

By William F. Roth

Productivity Press

174 pages | 1 B/W Illus.

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pub: 2010-01-27
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Description

Three years in its creation, Comprehensive Healthcare for the U.S.: An Idealized Model brings together contributions from physicians, nurses, administrators, and social workers from around the globe to critically examine the mire of excellent technical quality and inefficient delivery that has become the United States healthcare system.

Written by award-winning author William Roth, the book systematically explores the key elements that must be part of any comprehensive model. Roth examines facility network and staffing patterns. He looks at approaches to decision making, the financial model, the design of a universal information system, training/education, and malpractice policy. He then provides a discussion of how these challenges are dealt with by 12 other nations, all of which, according to the World Health Organization, rank higher than the U.S.in terms of services provided for citizens.

Roth tackles the larger philosophical issues and their connection to the specifics without obscuring the discussion with excessive statistics. He systematically shreds the inflammatory political rhetoric that is often used to shut down intelligent debate. He explores what it might take to make comprehensive care available to all, ways to shift our focus to wellness and prevention, the overuse of and lack of incentive for providers in universal systems, though some form of universal care is necessary, as well as the key role that the private sector must play in any approach.

From there, the author draws from the best to design an idealized model for comprehensive healthcare that would fit the unique requirements of the United States. Referenced and researched to satisfy the needs of policy professionals and sector administrators, the book is lucidly written so that it provides all stakeholders with a more complete grasp of the involved problems as well as of the proven solutions that can be put into place once we understand their value and their viability.

A highly readable book on healthcare

that‘s well worth the reading:

informative, insightful, and innovative

  • Disscuses whether healthcare is a right or a privilege
  • Provides essential information in an easy-to-read format that educates without burying readers in statistical data
  • Draws from the best healthcare innovations in other nations
  • Offers a comprehensive model for U.S. healthcare rather than just one or several pieces of such a model
  • Addresses major problems including cost, variances in access and quality of care, malpractice, competition, inadequate health records and access to information, lack of a preventative focus

Reviews

… the book will help readers understand the current state of the US health care system, as well as the state of other countries to which the United States is often compared. … useful for policy makers as well as for graduate students in various health care and related fields. … the book provides a starting point for discussions about US health care reform without the emotional misrepresentations that are, unfortunately, a part of the debate about health care in this country.

—Yvonne Ford, PhD, RN, CNOR, Western Michigan University, in AORN Journal, Vol. 93, No. 2, Feb. 2011

The book closes with recognition that although the idealized model is not likely to be fully implemented, it provides a standard by which to measure and shape health care reform in the US. The work is somewhat distinctive in the recent flood of books dealing with health care reform in that the author is not a health care specialist but a systems analyst.

—C. L. Kammer, The College of Wooster, CHOICE, Vol. 47, No. 11, Aug. 2010

Table of Contents

Chapter 1 Introduction

The Challenge

Dealing with the Weaknesses

Reference

Chapter 2 The Current US Healthcare "Mess"

The Challenge

Policy Issues

Medicare

Medicaid

Veteran’s Administration

Tricare

SCHIP

The Profit Motive

Healthcare Insurance

Cost of Prescription Drugs

Cost of Medical Malpractice Insurance and Malpractice Suits

People Not Doing Their Part and Taking Care of Themselves

The Cost of Education for Healthcare Professionals

References

Chapter 3 Structure and Decision-Making Model in an Idealized Healthcare Network

The Challenge

France

Key Features of the French System

Italy

Key Features of the Italian System

Sweden

Key Features of the Swedish System

Finland

Key Features of the Finnish System

European Union

Japan

Key Features of the Japanese System

An Idealized Structure for a US UHS

UHS Governance System

The National UHS Board of Directors

Regional UHS Boards of Directors

State UHS Boards of Directors

Local UHS Boards of Directors

UHS Administration System

The National UHS Department of Healthcare Administration

State UHS Departments of Healthcare Administration

Local UHS Departments of Healthcare

Administration47UHS Service Delivery

Community Health Centers

Specialized Clinics

General Hospitals

Regional Research, Teaching/Medical Hospitals

Implementation

References

Chapter 4 Network Financial Model

The Challenge

France

Key Features of the French System

Germany

Key Features of the German System

Canada

Key Features of the Canadian System

Japan

Key Features of the Japanese System

Norway

Key Features of the Norwegian System

Interesting Comparisons

An Idealized Finance System for a US UHS

How the Necessary Monies Will Be Raised

How the Money Will Be Spent

Compensation for Healthcare Providers

References

Chapter 5 Network Universal Information System

The Challenge

Information Systems in Other Countries with UHS

Canada

Key Features of the Canadian UHS Approach to

Information

Great Britain

Key Features of the British UHS Approach to Information

Germany

Key Features of the German UHS Approach to Information

Spain

Key Features of the Spanish UHS Approach to Information

Sweden

Key Features of the Swedish UHS Approach to Information

Idealizing a UHS Information System for the United States

Integration Is the Key

Weaknesses of Our Current Approach

US Focus on Individual Pieces of the Healthcare System

Dealing with Information Needs of the UHS as a Whole

Moving Forward

Implementation

References

Chapter 6 Profession Education

The Challenge

Necessary Changes

France

Key Features of the French Healthcare Education System

Italy

Key Features of the Italian Healthcare Education System

Denmark

Key Features of the Danish Healthcare Education System

Canada

Key Features of the Canadian Healthcare

Education System

Japan

Key Features of the Japanese Healthcare

Education System

Idealizing a UHS Healthcare Education System for the United States

The Training of Physicians

Paying for a Physician’s Education

Training of Nurses and Therapists

New Course Requirements

References

Chapter 7 Dealing with Malpractice

The Challenge

Outside Assistance

Holding Down the Size of Rewards

Eliminating the Need for Trials

How Malpractice Is Handled in Other Countries

Sweden

Key Features of the Swedish Malpractice Insurance and Compensation System

France

Key Features of the French Malpractice Insurance and Compensation System

Great Britain

Key Features of the British Malpractice

Insurance and Compensation System

Japan

Key Features of the Japanese Malpractice

Insurance and Compensation System

Similarities in the Countries Studied

Back to the US

Tort Reform

Keeping Watch

So, That’s It

References

Bibliography

About the Author

Index

Subject Categories

BISAC Subject Codes/Headings:
BUS041000
BUSINESS & ECONOMICS / Management
BUS042000
BUSINESS & ECONOMICS / Management Science