What are alternative ways to use system wide incentives to encourage delivery of high-quality, prevention-oriented primary care Custom Essay

You are a program conductor ce a main bloom economy footing that wants to revitalize primitive economy in the United States. You keep been asked to face at the experiences of other countries to visit whether the methods and ideas they keep representationd to elevate primitive economy epochncy keep contact in this country. Here is some of the counsel you keep establish environing Spain and Switzerland:
Spain
Spain’s 1978 Constitution visible bloom refuge and bloom economy to be the fit of thorough burgess and required figment of a “universal, public, and unconditional exoteric bloom regularity that guaranteed similar way to destructive, sanatory, and rehabilitative services.” (Borkan, Eaton, Novillo-Ortiz, Corte, & Jadad, 2010, p. 1433)
Compared to the United States, by 2006, Spain had broadned the derangement in provisions of main duration expectancy and inferior infant lethargy objurgates, and it had achieved or maintained inferior objurgates of precocious termination ce most main indispositions, at an annual require of near than $2,700 per peculiar, compared to the U.S. per-capita objurgate of closely $7,300.
Spain’s quick accomplishment relied on view solution principles: (a) very-much strengthened primitive economy; (b) giving burgesss a suffrepoch in decisions; (c) adopting electronic bloom records; (d) creating an wayible network of aggregation pharmacies (with medications unconditional to crowd older than 65 years of epoch and some other groups); (e) regional and common flexibility in implementing exoteric policy; (f) broad option of best practices; (g) a regularity broad entrance that “transcend(s) transmitted geographic, sector, and institutional boundaries”; and (h) a sustained, bipartisan commitment to achieving the goals of way and description. (Borkan, Eaton, Novillo-Ortiz, Corte, & Jadad, 2010, p. 1438)
The regularity is funded through assessment dollars. To determine that thorough burgess has services nearby, the country’s 17 autonomous regions and communities are advance meek down into bloom areas, which manepoch facilities, bloom services, and benefits ce crowd in a prescribed geographic area, and smooth advance, into “basic bloom zones” typically regularityatic encircling a unique primitive economy team and hideing 5,000–25,000 residents.
Switzerland
In 1996, Switzerland restructured its bloom regularity in classify “to decline the existing regularity of not attributable attributable attributable attributable attributable-public deliberate bloom protection into . . . a mandatory not attributable attributable attributable attributable attributable-public political bloom protection regularity.” (Cheng, 2010, p. 1442) Today, 84 very-much regulated not attributable attributable attributable attributable attributable-public bloom insurers, which present basic benefits parcels and minor hideage, rival ce enrollees. Swiss burgesss are required to keep the basic parcel, and those who cannot attributable attributable extend it may take a reward supply from the council, except the council itself does not attributable attributable attributable attributable attributable attributable present an protection scheme. Not attributable attributable attributable attributable attributable-public insurers are not attributable attributable attributable attributable attributable attributable recognized to merit allowance on the basic parcels they present, singly on minor hideage.
Bloom economy providers take the similar acquittal ce basic benefits, regardnear of the allowance smooth of their patients or whether they are subsidized. Basic benefits hide (a) what a teacher prescribes, (b) pharmaceuticals middle in the exoteric cemulary, and (c) controversial procedures middle on a “positive list” by the exoteric bloom pattern. “Negative lists” hold items enclosing from basic benefits.
In the coming, Switzerland wants to controlfeit its fee-for-service regularity ce ambulatory economy and agitate to “integrated economy,” probably paid ce on a capitated premise. Another tread needed is to overpower the shortepoch of primitive economy physicians, who keep covet agoing hours and inferior reckless than specialists. Still, regularity leaders keep contrived to indoctrinate the burgessry that bloom preferment and indisposition prevention—pillars of primitive economy—are leading tonnage of a thorough bloom economy regularity. However, says Thomas Zeltner, Switzerland’s cemer bloom supply, bloom amend is “a constant work.” (Cheng, 2010, p. 1450)
Using the aforementioned weak country descriptions and the other esthetic environing inter-exoteric experiences in this chapter:
1. What are resource ways to representation regularity broad incentives to encourepoch exhibition of high-quality, prevention-oriented primitive economy?
2. How epochncy Americans be reoriented to using primitive economy, rather than requirelier particular services?
3. How does the project of the recklessment regularity seek individuals’ precious of provider?
4. What show to be the best ideas from other nations’ experiences that could be tested in the United States as ways to extension primitive economy?
5. If Thomas Zeltner is chasten that bloom amend efforts are constant, which of these hopeful ideas should be the apex control, or dressed leading?

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