Health Analytical Essay

COMPARISON OF HEALTH CARE DELIVERY SYSTEMS IN THE UNITED STATES, THE UNITED KINGDOM, AND GERMANY.
Name
Institution
United States United Kingdom Germany
1. Structure of the health care system
There is no central governing agency for funding the system.
The National Health Service funds the healthcare system using taxes collected from citizens. It is funded through social insurance contributions shared between the employers and the employees.
Health insurance is purchased from the private market with the government providing for certain groups (disabled, elderly or economically disadvantaged>It is largely employee related with heavy restrictions on the choice of health providers, accounting to only 30% of the insured. However, the services such services are available to only legal citizens (Berwick and Hockbarth, 2012). The National Health System provides primary and specialist care to all legal residents. Primary and specialist care is provided only to those insured under the compulsory public healthcare scheme or under the private healthcare scheme.
2.Expenditure Spends up to 17.6% of its GDP on healthcare Spends 9.9% of its GDP on healthcare Spends 11.2% of its GDP on healthcare.
3.Allocation of resources 48% of the sector is privately funded,28% state funded, while 17% is funded by local and state authorities( National Health Expenditure Highlights,2014). The central government sets the overall budget of the NHS, commissioners, and providers determine their purchases among alternative services and interventions, and clinicians allocate their time and resources (Klein and Maybin, 2012) Highly regulated insurance providers account for 90% of the funds provided, with the remaining 10% opting for private providers( Knox, 2009)
4.

Quality Indicators. Characterised by infant mortality rates, premature deaths, disease burden, survival rates for chronic diseases and life expectancy (Boyle,2011). Characterised by infant mortality rates, premature deaths, disease burden, survival rates for chronic diseases and life expectancy. Characterised by infant mortality rates, premature deaths, disease burden, survival rates for chronic diseases and life expectancy.
5. Outcomes Lower mortality rates, higher deaths amenable to health care, higher diseases burden. Lowest mortality rates, Lower disease burden, higher instances of early deaths attributed to cancer. Generally low mortality rates, lowest disease burdens,
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References
“National Health Expenditures 2014 Highlights” Center for Medicare and Medicaid Services.
Available at: https://www.cms.gov/research-statistics-data-and-systems/statistics-
trends-and-reports/nationalhealthexpenddata/nationalhealthaccountshistorical.html.
Klein, R., Maybin, Jo. (2012) ‘Thinking about Rationing.” The King’s Fund.
Knox Richard, “Most Patients Happy With German Health Care,” NPR, August 5, 2009. Available at:
http://www.npr.org/templates/story/story.php?storyId=91971406.
http://www.oecd.org/health/healthdata.
2010 Commonwealth Fund International Health Policy Survey.
Berwick, Donald M., and Hockbarth, Andrew D. “Eliminating Waste in U.S. Health Care,” JAMA 307, n
No. 14 (2012):1513-1516.
Boyle, Sean.United Kingdom Health systems Review. Health Systems in Transition, 2011.