Hcs 235 Week One

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Week One Discussion Questions

How have demographic changes and cultural values influenced the evolution of health care delivery systems in the United States?

As stated by the Brookings web site, the U.S. health care system faces significant challenges that clearly indicate the urgent need for reform. Attention has rightly focused on the approximately 46 million Americans who are uninsured, and on the many insured Americans who face rapid increases in premiums and out-of-pocket costs. As Congress and the Obama administration consider ways to invest new funds to reduce the number of Americans without insurance coverage, we must simultaneously address shortfalls in the quality and efficiency of care that lead to higher costs and to poor health outcomes. To do otherwise casts doubt on the feasibility and sustainability of coverage expansions and also ensures that our current health care system will continue to have large gaps — even for those with access to insurance coverage.

Does the United States currently use a medical model or a wellness model or both? Briefly explain your position. What factors have led to using these models?

The United States use both medical model and a wellness model. The medical model addresses the care between the patient-doctor interaction. The wellness model is more about the patient because it considers Six Dimensions of wellness: Emotional Dimension, Occupational Dimension, Physical Dimension, Social Dimension, Intellectual Dimension and Spiritual Dimension. The common guide for clinics has been the medical model but with all the current changes the larger medical groups are not pushing the wellness model. This will address a lot of different ways to address health issues.

Identify three factors that influence the utilization of health care services. Which is the most important? Explain your rationale.…...

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