contemporary medicine
HEALTH SERVICES SYSTEM IN 5 COUNTRIES
The United Kingdom
Advantages for patients :no medical bills,no need to pay for insurance and no co-payment
Advantages for providers :strengthening the primary care
:if the family medical doctors can keep their area-based people healthy ,they will
obtain the incentive remuneration
:people can choose the hospital (in elective case) after consulting their family medical
doctors
Disadvantages for patients :longer waiting time in elective care such as artificial joint replacement
:high tax expenditure
:unable to pass directly to the specialist unless the permission of
their family medical doctors
Advantages for the country: able to control health care service expenditure
Japan
Advantages for patients :single payment in the name of social insurance fund which is co-paid between employer and employee ,nevertheless,anyone who lose his or her job can have benefit from this fund due to government support
:obligate to purchase the health insurance from community fund /office but in very low premium
:no gate keeper and 80% are private clinic ,so,they can easily access to the specialist and readiness to consume high technology medical services
:no need to make appointment with doctors, though,the specialist
Disadvantages for provider : single standard price which is extremely low ,so,more than 50% of hospital business are in financial deficit.
Disadvantages for insurance companies:unable to make profit
Advantages for the country: able to control health care service expenditure
Germany
Advantages for patients: everyone have to purchase insurance which cost of premium depending on income (but they have not to pay if they lose their job ), whenever the people got sick , “ the sickness fund “ pay for their medical bills and there is little co-paid in the differences that they have to pay moreover this insurance included the charges for mental health, dental health care and also optical health ,furthermore;alternative medicine such as Homeopathy and relaxing spa were included
Disadvantages for providers: low remuneration for doctors
Advantages for providers: no tuition fee for medical student
Advantages for country: able to control health care service expenditure
Taiwan
Advantages for patients:no gate keeper,no waiting time,have to pay for health insurance but low cost for premium ,moreover;this insurance included not only mental and dental health care but also traditional Chinese medicine
Advantages for the country: able to control health care service expenditure
Switzerland
Similar to Germany
CONCLUSION
Three important keys to make good healh service system
1.The insurance company must accept universal coverage(unable to refuse the elderly,unhealthy person,disability person) and unable to make profit from basic health care
2.Co-payment from everyone is necessary unless the poors
3.The doctors and hospital accept the standard items that the government proposed such as single standard price,basic services
ความเห็น (1)
Many countries found the good and bad things of the health system and try to improve the most benificial health system but the real showed non of system is perfect. Indeed of strength primary care can present healthy population more than secondary or tritary care.