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. This is a highly readable book on healthcare that's well worth the reading: informative, insightful, and innovative. It discuses whether healthcare is a right or a privilege. It provides essential information in an easy-to-read format that educates without burying readers in statistical data. It draws from the best healthcare innovations in other nations.
It offers a comprehensive model for U.S. healthcare rather than just one or several pieces of such a model. It addresses major problems including cost, variances in access and quality of care, malpractice, competition, inadequate health records and access to information, and lack of a preventative focus.
Chapter 1 Introduction The Challenge Dealing with the Weaknesses Reference Chapter 2 The Current US Healthcare "Mess" The Challenge Policy Issues Medicare Medicaid Veteran's Administration Tricare SCHIP The Profit Motive Healthcare Insurance Cost of Prescription Drugs Cost of Medical Malpractice Insurance and Malpractice Suits People Not Doing Their Part and Taking Care of Themselves The Cost of Education for Healthcare Professionals References Chapter 3 Structure and Decision-Making Model in an Idealized Healthcare Network The Challenge France Key Features of the French System Italy Key Features of the Italian System Sweden Key Features of the Swedish System Finland Key Features of the Finnish System European Union Japan Key Features of the Japanese System An Idealized Structure for a US UHS UHS Governance System The National UHS Board of Directors Regional UHS Boards of Directors State UHS Boards of Directors Local UHS Boards of Directors UHS Administration System The National UHS Department of Healthcare Administration State UHS Departments of Healthcare Administration Local UHS Departments of Healthcare Administration47UHS Service Delivery Community Health Centers Specialized Clinics General Hospitals Regional Research, Teaching/Medical Hospitals Implementation References Chapter 4 Network Financial Model The Challenge France Key Features of the French System Germany Key Features of the German System Canada Key Features of the Canadian System Japan Key Features of the Japanese System Norway Key Features of the Norwegian System Interesting Comparisons An Idealized Finance System for a US UHS How the Necessary Monies Will Be Raised How the Money Will Be Spent Compensation for Healthcare Providers References Chapter 5 Network Universal Information System The Challenge Information Systems in Other Countries with UHS Canada Key Features of the Canadian UHS Approach to Information Great Britain Key Features of the British UHS Approach to Information Germany Key Features of the German UHS Approach to Information Spain Key Features of the Spanish UHS Approach to Information Sweden Key Features of the Swedish UHS Approach to Information Idealizing a UHS Information System for the United States Integration Is the Key Weaknesses of Our Current Approach US Focus on Individual Pieces of the Healthcare System Dealing with Information Needs of the UHS as a Whole Moving Forward Implementation References Chapter 6 Profession Education The Challenge Necessary Changes France Key Features of the French Healthcare Education System Italy Key Features of the Italian Healthcare Education System Denmark Key Features of the Danish Healthcare Education System Canada Key Features of the Canadian Healthcare Education System Japan Key Features of the Japanese Healthcare Education System Idealizing a UHS Healthcare Education System for the United States The Training of Physicians Paying for a Physician's Education Training of Nurses and Therapists New Course Requirements References Chapter 7 Dealing with Malpractice The Challenge Outside Assistance Holding Down the Size of Rewards Eliminating the Need for Trials How Malpractice Is Handled in Other Countries Sweden Key Features of the Swedish Malpractice Insurance and Compensation System France Key Features of the French Malpractice Insurance and Compensation System Great Britain Key Features of the British Malpractice Insurance and Compensation System Japan Key Features of the Japanese Malpractice Insurance and Compensation System Similarities in the Countries Studied Back to the US Tort Reform Keeping Watch So, That's It References Bibliography About the Author Index