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Evolution of health care delivery models

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Health care delivery models have evolved over time. What events—social, demographic, economic, political, environmental, or governmental—triggered the various models of health care organizations to come and go?

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Health care delivery models have evolved over time. What events triggered the various models of health care organizations to come and go? —social, demographic, economic, political, environmental, or governmental—
For most of the twentieth century the traditional U. S. health care system was predicated upon an indemnity plan, based primarily on what the patient wanted. This system had several striking characteristics such as patients relying upon autonomous physicians acting as their healthcare agents; patients received complex care from independent, nonprofit hospitals; and insurers refraining ...

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Health Care Delivery Models are discussed.

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Healthcare delivery model evolution

Health care delivery models have evolved overtime.
What events, social, demographics, economic, political, environmental, governmental triggered the various models of healthcare to come and go?

Answers (still formulating but wanted to get started sending something).

Events - 3 Main (Preindustrial; Postindustrial and Managed Health Care- Globalization)
Pre-industrial - no standards or education (Barbers also were medical doctors/surgeons and during this time a doctor was a trade and not a profession; no prestige and was considered a 2nd job. Medical procedures were primitive; education was substandard and doctors had to travel long distances and received pay for their travel.

Post-industrial - cities were born; science and technology advances were made. AMA enacted in 1847; American Medical Association); set minimum standards of education and again in 1870 reforms were passed such as (?)? Doctors were at the lower end of the middle class and served the upper classes. Almshouses and Managed Health Care / MHC -

Globalization - E-Health and Pesthouses were the precursor to hospitals (called pesthouses because they took care of the poor and people without families and the disabled). Pesthouses contained people during epidemics (cholera, smallpox, tuberculosis etc.). Dependent on charity.

Social - Medicaid and Medicare (talk about); Value and Beliefs (Canada believes in taxation for better medical care which has equated to less day missed from work; overall quality of life improved and better for the social justice. Whereas, Americans feel that moral justice; what a man earns is what he can buy; to be self-reliant and not reliant on the government. With this said, there are many factors that play a role in the overall development and quality of life for an individual (location, parents education, access to healthcare. Etc.).

Shi, L. & Singh, D. (2012). Delivering health care in America: A system approach. (5th. ed.). Boston, MA: Jones & Bartlett.

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