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    Health Care Industry Issues

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    Considering the shifts in the U.S. health care environment in the following areas
    • Disease management
    • Delivery of care
    • Patient participation

    I need to develop a comparative analysis of these U.S. health care trends to health care shifts in other Western nations such as Canada, Germany, Australia, and England, to name a few.
    My focus is to address the following:
    • Are these trends facts or fads?
    • Justification of your position with examples.
    • Compare the U.S. system to a maximum of 3 other Western nations.

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    Solution Preview

    Healthcare Industry Issues
    • Disease management
    • Delivery of care
    • Patient Participation

    1. Are these trends facts or fads?
    2. Justification with examples
    3. Compare the U.S system to a maximum of 3 Western countries
    Cases of Germany, Canada and Norway will be used to justify how the shifts in other western countries which have been evolving since early in history are not just fads which will fade away in a short time but are for shaping the future of health care systems.
    The attached spread sheet (extracted from the organization of Economic Cooperation and Development (OECD) Health Delivery Comparison of 2014) will be used as a point of reference.
    It compares trends in health care delivery from 1980 to 2012. Please read the full reference (Anderson 2014) to get all the data showing trends from 1980 as only the 2012 data is o the attached spread sheet)
    Brief History of trends
    In the late 1990's Germany was faced with demands from an aging population and technology advances (Ridic 2012) began to make the following shifts in delivery of health care:
    • Raising income ceilings for those contributing to health plans in bid to raise more funds
    • Making civil servants and self-employed citizens to join statutory health insurance.
    • Including Non-wage income and assets under contribution levy
    In future Germany aims to ensure that everyone has access to high quality care at affordable costs! These aims are comparable to the U.S
    The German health care system based on the principle of social solidarity where it is mandatory for government to provide social benefits (including health) to all nationals.
    History of reforms:
    1883-The Sickness Insurance Act was introduced-established the social insurance programme in Germany
    As a result, the law required that everyone must have a health insurance cover
    Everyone earning less than $35,000 per annum is required to join a sickness fund (which are private not for profit insurance companies which collect premiums from employees and employers (Henderson 2002)
    1989-Health Care reform Act-reduced growth of health expenditure (Sherman 2000), comparable to the U.S
    1993-Health care Reform was passed to introduce competition amongst Sickness funds, led to:
    • Reduced salaries for physicians
    • Less technology, therapeutic and surgical equipment than the U.S
    • Lowered pharmaceutical prices and physicians fees
    • Increased co-payments for plans, compare this to the U.S

    Sickness funds are independent and self-regulating and they provide a set of benefits (Ambulatory care by physicians in private practice, hospital care, home care nursing, ...

    Solution Summary

    The USA and other industrialized countries are under pressure to reform their health care delivery systems in order to cope with the escalating costs while at the same time improving efficiency and quality of care.
    This is a guide on the compilation of data for developing a comparative analysis of these reforms across the industrialized world.