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    Healthcare Delivery at the Micro and Macro Levels in The USA

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    This report analyses how the emerging healthcare reform and managed care have each changed healthcare delivery on both the macro and micro levels. It highlights the unique differences of health care in the United States especially in comparison to other industrialized nations. Finally, it details the micro as well as macro aspects of health care reform and managed care in the United States.

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    Health care reform is here to stay. The issues are so vast, and real, and will continue to affect our lives, and the way health care is delivered and received. Health care in the United States is very different and unique in comparison to most other industrialized nations because it lacks a national (Universial) health insurance program. As such, it is important to understand the micro as well as macro aspects of health care reform and managed care.


    - Managed Care
    Micro Level:
    Before managed care, physicians and hospitals were the system's principal billing units. After managed care, group practices and organized delivery systems became the principal billing units and physicians are now just a part of a clinicians team of an extended team of health care professionals, in which the very aspect of managed care organization staffing ratios in the delivery system translates into a significant physician surpluses, especially specialists surpluses as well as shortages. The micro level impacts health care at the service level and in terms of reform would ensure the best and most appropriate care is provided to patients. In effect, many practitioners act as their own micro level providers by providing that first entry level of primary care to patients.

    Macro Level:
    The macro level facilitates the performance of the entire health care system internally, by networking and negotiating with insurance companies, etc. to help improve the front-line and primary care provider systems, speciality care services, and hospitals and long-term care facilities to support individuals. Some ...

    Solution Summary

    Decisions and practices that are made by the government to impact insurance and care delivery will impact the objectives of the health care system in general. As a result, a lack of efficient, health care providers such as a shortage of nurses and doctors will even further decrease access to care and level of efficiency. As well, if policies and certain incentives are in place to encourage care providers to serve and work in remote, under-served regions, where patients tend to be poorer will only exacerbate and increase the health care disparities and barriers to care that currently exists.