Medical Sociology SOCI 8851
University of Memphis
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This 8 page Class Notes was uploaded by Yesenia Auer on Friday October 23, 2015. The Class Notes belongs to SOCI 8851 at University of Memphis taught by Staff in Fall. Since its upload, it has received 11 views. For similar materials see /class/228427/soci-8851-university-of-memphis in Sociology at University of Memphis.
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Date Created: 10/23/15
Comparative health care systems Why does US health care cost so much What do other nations do Medical Sociology SOCI 4851 November 17 2004 How does the US compare High health spending per capita Relatively high infant mortality Moderate life expectancy Bottom line the United States ranks low 37 in overall health system performance The US ranks 1 in health system responsiveness the extent to which providers respond to patient expectations regarding dignity respect and wishes 4500 4000 III Health spending per capita 3500 3000 2500 2000 1500 1000 500 0 9 a ltbo lt lt9 oltb gt 9 o 0 b o 0 9 Q 63 lt b ltgt gt lt p9 9 lt5 Qlt 069 3 gb e9 esp lt v o 0 0 Q 9 Higher is more expensive I Infant Mortality Rate Lower is better I Life Expectancy Disability adj Higher is better Rising US health care costs Myth 1 Americans expect more But Americans visit the doctor less often Myth 2 Malpractice drives increasing costs But malpractice insurance only accounts for 1 of total US health care costs Including defensive medicine with malpractice insurance only accounts for 4 of total US health care costs Myth 3 Aging Americans account for rising costs But other nations populations are even olderthan the US Myth 4 Advanced technologies used in American medicine drives increasing costs But other nations use the same technologies technologies account for a small proportion oftotal health care costs Rising US health care costs cont The true sources of expensive health care in the US Administrative costs Doctors fees Hospital costs US Health Care Spending About 146 of GDP 2002 Average for OECD countries is 82 Total health spending per capita is 5267 more than double the average for OECD countries 44 of US health spending is funded through government compared to about 72 Growth of health spending in the US 1980s 53yr 1990s 33yr same as OECD 1999 45yr n arl 3 chllll expenditure per capim llsM PP 2002 up e exponhealm lPublic zxp anneallh Source UECD llmllll Dull Jim Iquot ethnml Votes ll Amalia mmquot Korea 2am Tuxkey zuoa l1 xeumnmd Puthllnvule mm m tum 1mm extmkhlura m milvmlable mm r rh n bnsker US Health Care Spending cont US spends more on Rx than other countries Majority of Rx spending in US is private Physicians per capita is low in US 24k Nurses per capita is average in US 79k Acute hospital beds is low in US 29k Average length of stay is low in US But stays are more costly in US due to more service intensive and more costly rate per day 39 usss mm l l l IUUZ plmrumrn iml um 10ml Ilcnl l spending 9921002 Scum 011w Haulh mm 2704 l imam News Amlmlm Japan Kmm 100L39Turkcyln a y l a Terms amp Definitions Universal coverage everyone all citizens all legal residents within a country are provided with health care or a means to pay for health care Defensive medicine tests and procedures doctors perform in order to protect themselves from lawsuits or from questions about providing low or inappropriate standards of care Rationing a fixed portion or share related to scarcity Feeforservice FFS payment based on services prow e Capitation payment based on number of people enrolled Salaried payment fixed per provider US Health System Compared United States Germany Entrepreneurial Social insurance High r0le 0f Perate enterprise High role of private enterprise Many 1 care payment FFS 10 care payment mechanisms Mixed sources pay for 1 care No universal coverage Salary amp FFS payment mechanism for hospital Drs Many payment mechanism for hospitals mechanisms Sickness funds nonpro t ins pay for 1 care Universal coverage Salary payment mechanism for hospital Drs FFS amp lump payments for hospitals US Health System Compared United States Canada Entrepreneurial National health insurance High r0le 0f Perate enterprise Moderate role of private ent Many 1 care payment FFS 10 care payment mechanisms mechanisms Mixed sources pay for 1 care Gov39t pays for 10 care No universal coverage Universal coverage Salary amp FFS payment Salary payment mechanism mechanism for hospital Drs Many payment mechanism for hospitals for hospital Drs Lump payments for hospitals US Health System Compared United States UK Entrepreneurial National health insurance High r0le 0f Perate enterprise Low role of private enterprise Many 10 care payment Capitation 1 care payment mechanisms Mixed sources pay for 1 care No universal coverage Salary amp FFS payment mechanism for hospital Drs Many payment mechanism for hospitals mechanisms Gov t pays for 1 care Universal coverage Salary payment mechanism for hospital Drs Lump payments for hospitals US Health System Compared United States China Entrepreneurial National health to High role of private enterprise entrepreneurial Many 1 care payment Moderate role of private ent mechanisms FFS 10 care payment Mixed sources pay for 1 care No universal coverage Salary amp FFS payment mechanism for hospital Drs Many payment mechanism for hospitals mechanisms Individual pay for 1 care No universal coverage Salary payment mechanism for hospital Drs Lump payments for hospitals
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