Comprehensive Healthcare for the U. S. : An

Three years in its creation, Comprehensive Healthcare for the U.S.: An Idealized Model brings together contributions from physicians, nurses, administrators, and social workers from around the globe to critically examine the mire of excellent technical quality and inefficient delivery that has become the United States healthcare system.Written by award-winning author William Roth, the book systematically explores the key elements that must be part of any comprehensive model. Roth examines facility network and staffing patterns. He looks at approaches to decision making, the financial model, the design of a universal information system, training/education, and malpractice policy. He then provides a discussion of how these challenges are dealt with by 12 other nations, all of which, according to the World Health Organization, rank higher than the U.S.in terms of services provided for citizens.Roth tackles the larger philosophical issues and their connection to the specifics without obscuring the discussion with excessive statistics. He systematically shreds the inflammatory political rhetoric that is often used to shut down intelligent debate. He explores what it might take to make comprehensive care available to all, ways to shift our focus to wellness and prevention, the overuse of and lack of incentive for providers in universal systems, though some form of universal care is necessary, as well as the key role that the private sector must play in any approach.From there, the author draws from the best to design an idealized model for comprehensive healthcare that would fit the unique requirements of the United States. Referenced and researched to satisfy the needs of policy professionals and sector administrators, the book is lucidly written so that it provides all stakeholders with a more complete grasp of the involved problems as well as of the proven solutions that can be put into place once we understand their value and their viability.

Preface	p. xi
Introduction	p. 1
The Challenge	p. 1
Dealing with the Weaknesses	p. 4
Reference	p. 8
The Current U.S. Healthcare "Mess"	p. 9
The Challenge	p. 9
Policy Issues	p. 12
Medicare	p. 13
Medicaid	p. 13
Veteran's Administration	p. 14
Tricare	p. 14
SCHIP	p. 14
The Profit Motive	p. 17
Healthcare Insurance	p. 20
Cost of Prescription Drugs	p. 22
Cost of Medical Malpractice Insurance and Malpractice Suits	p. 25
People Not Doing Their Part and Taking Care of Themselves	p. 27
The Cost of Education for Healthcare Professionals	p. 28
References	p. 29
Structure and Decision-Making Model in an Idealized Healthcare Network	p. 31
The Challenge	p. 31
France	p. 32
Key Features of the French System	p. 34
Italy	p. 34
Key Features of the Italian System	p. 35
Sweden	p. 35
Key Features of the Swedish System	p. 38
Finland	p. 38
Key Features of the Finnish System	p. 39
European Union	p. 39
Japan	p. 39
Key Features of the Japanese System	p. 40
An Idealized Structure for a U.S. UHS	p. 40
UHS Governance System	p. 41
The National UHS Board of Directors	p. 41
Regional UHS Boards of Directors	p. 43
State UHS Boards of Directors	p. 44
Local UHS Boards of Directors	p. 45
UHS Administration System	p. 46
The National UHS Department of Healthcare Administration	p. 46
State UHS Departments of Healthcare Administration	p. 47
Local UHS Departments of Healthcare Administration	p. 47
UHS Service Delivery	p. 48
Community Health Centers	p. 48
Specialized Clinics	p. 52
General Hospitals	p. 53
Regional Research, Teaching/Medical Hospitals	p. 54
Implementation	p. 54
References	p. 55
Network Financial Model	p. 57
The Challenge	p. 57
France	p. 58
Key Features of the French System	p. 60
Germany	p. 60
Key Features of the German System	p. 61
Canada	p. 62
Key Features of the Canadian System	p. 63
Japan	p. 64
Key Features of the Japanese System	p. 65
Norway	p. 66
Key Features of the Norwegian System	p. 66
Interesting Comparisons	p. 67
An Idealized Finance System for a U.S. UHS	p. 68
How the Necessary Monies Will Be Raised	p. 68
How the Money Will Be Spent	p. 71
Compensation for Healthcare Providers	p. 74
References	p. 78
Network Universal Information System	p. 79
The Challenge	p. 79
Information Systems in Other Countries with UHS	p. 82
Canada	p. 82
Key Features of the Canadian UHS Approach to Information	p. 83
Great Britain	p. 83
Key Features of the British UHS Approach to Information	p. 85
Germany	p. 85
Key Features of the German UHS Approach to Information	p. 86
Spain	p. 86
Key Features of the Spanish UHS Approach to Information	p. 87
Sweden	p. 88
Key Features of the Swedish UHS Approach to Information	p. 89
Idealizing a UHS Information System for the United States	p. 89
Integration Is the Key	p. 90
Weaknesses of Our Current Approach	p. 93
U.S. Focus on Individual Pieces of the Healthcare System	p. 94
Dealing with Information Needs of the UHS as a Whole	p. 96
Moving Forward	p. 98
Implementation	p. 100
References	p. 100
Profession Education	p. 103
The Challenge	p. 103
Necessary Changes	p. 105
France	p. 105
Key Features of the French Healthcare Education System	p. 107
Italy	p. 107
Key Features of the Italian Healthcare Education System	p. 108
Denmark	p. 108
Key Features of the Danish Healthcare Education System	p. 109
Canada	p. 110
Key Features of the Canadian Healthcare Education System	p. 111
Japan	p. 111
Key Features of the Japanese Healthcare Education System	p. 112
Idealizing a UHS Healthcare Education System for the United States	p. 112
The Training of Physicians	p. 114
Paying for a Physician's Education	p. 115
Training of Nurses and Therapists	p. 117
New Course Requirements	p. 119
References	p. 124
Dealing with Malpractice	p. 125
The Challenge	p. 125
Outside Assistance	p. 127
Holding Down the Size of Rewards	p. 128
Eliminating the Need for Trials	p. 130
How Malpractice Is Handled in Other Countries	p. 131
Sweden	p. 131
Key Features of the Swedish Malpractice Insurance and Compensation System	p. 132
France	p. 133
Key Features of the French Malpractice Insurance and Compensation System	p. 134
Great Britain	p. 134
Key Features of the British Malpractice Insurance and Compensation System	p. 135
Japan	p. 135
Key Features of the Japanese Malpractice Insurance and Compensation System	p. 136
Similarities in the Countries Studied	p. 136
Back to the U.S.	p. 137
Tort Reform	p. 139
Keeping Watch	p. 141
So, That's It	p. 142
References	p. 144
Bibliography	p. 145
About the Author	p. 149
Index	p. 151
Table of Contents provided by Ingram. All Rights Reserved.

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Comprehensive Healthcare for the U. S. : An Idealized Model

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