2.50
Hdl Handle:
http://hdl.handle.net/10755/152896
Type:
Presentation
Title:
Health Care Finance Fallacies and Flaws: An International Perspective
Abstract:
Health Care Finance Fallacies and Flaws: An International Perspective
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Cox, Thomas, PhD, MS, MSW, MSN, RN, BSN, BA
Title:Consultant
21st INRC [Research Presentation] Purpose: This paper addresses commonalities between health care systems that seem dramatically different but share many commonalities in operating characteristics. Methods: Three health care systems were reviewed: the British National Health Service, The Canadian Provincial health care system, and the American privatized health care system. Results: Despite superficial differences, efforts to rationalize health care delivery and financing are promoting very similar characteristics within these national health care systems in terms of access, efficiency, responsiveness to consumer needs, and responses to aging populations are on far more convergent than divergent courses. British efforts to establish community control and similar efforts to localize service delivery in some Canadian systems have correlates in the American system. All three systems shift the responsibility for managing the uncertain costs of health care services to smaller, less financially capable, and less inefficient settings. In the USA, the Prospective Payment systems and capitation-like mechanisms lead to conflicted ethical and financial relationships between providers and consumers, and efforts to deliver minimal care to meet the financial constraints of inefficient insurance operations. Conclusion: Local control and decision-making and inadequate budgets for the risks assumed have predictable effects. Small insurers are less efficient, less capable, and must reduce benefits compared with large and remote insurance risk management. While end of the year costs may be lower than expected, providers cannot assume this throughout the year. Instead, they must reduce costs throughout the year to protect their full term capacity. Transferring insurance risks from large, capable insurers, whether public or private, to health care providers, reduces service capacities. While local control has its appeal, local decisions can produce undesirable effects -responding to the needs of populations with more political and financial power and failing to address the needs of minorities without political or financial power, independent of the national system.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHealth Care Finance Fallacies and Flaws: An International Perspectiveen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152896-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Health Care Finance Fallacies and Flaws: An International Perspective</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cox, Thomas, PhD, MS, MSW, MSN, RN, BSN, BA</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Consultant</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">tc_spirit@yahoo.com</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: This paper addresses commonalities between health care systems that seem dramatically different but share many commonalities in operating characteristics. Methods: Three health care systems were reviewed: the British National Health Service, The Canadian Provincial health care system, and the American privatized health care system. Results: Despite superficial differences, efforts to rationalize health care delivery and financing are promoting very similar characteristics within these national health care systems in terms of access, efficiency, responsiveness to consumer needs, and responses to aging populations are on far more convergent than divergent courses. British efforts to establish community control and similar efforts to localize service delivery in some Canadian systems have correlates in the American system. All three systems shift the responsibility for managing the uncertain costs of health care services to smaller, less financially capable, and less inefficient settings. In the USA, the Prospective Payment systems and capitation-like mechanisms lead to conflicted ethical and financial relationships between providers and consumers, and efforts to deliver minimal care to meet the financial constraints of inefficient insurance operations. Conclusion: Local control and decision-making and inadequate budgets for the risks assumed have predictable effects. Small insurers are less efficient, less capable, and must reduce benefits compared with large and remote insurance risk management. While end of the year costs may be lower than expected, providers cannot assume this throughout the year. Instead, they must reduce costs throughout the year to protect their full term capacity. Transferring insurance risks from large, capable insurers, whether public or private, to health care providers, reduces service capacities. While local control has its appeal, local decisions can produce undesirable effects -responding to the needs of populations with more political and financial power and failing to address the needs of minorities without political or financial power, independent of the national system.</td></tr></table>en_GB
dc.date.available2011-10-26T11:54:11Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:54:11Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.