The Past Health Care Initiative
In order to solve the problems regarding the increasing cost on health care, different organizations in the United States developed a new integrated system wherein the components such as the system’s organization, the financing division, and healthcare processes are all assimilated into one governing system. The organizations believed that this new system, which is coined ‘managed care,’ will provide an adequate healthcare to all patients while preserving the resources (Shortell, Gillies, & Anderson, 1994).
Similarity and Difference
However, the article was written prior to the establishment of the Clinton health care initiatives, thus, there were changes that happened when the new initiative was put into application. Because of this, there will be some similarities and differences between the health care system of the past and the present. A similarity that can be seen is that the health care systems both consider the rapid change of the environment. Their solutions are different, as the previous initiative developed an integrated system (Shortell, Gillies, & Anderson, 1994), while the new healthcare system focuses on outcomes and improving patient satisfaction (Accreditation Insider, 2015). Despite the difference, they have the same in objectives, as well as they both benefit the patients. However, the main difference between the two lies on the laws and policies. Before, managed care aimed to reduce cost by establishing the integrated system. The system promoted unification between hospitals, physicians, and other role players to establish a health care system wherein everyone will benefit regardless their financial capabilities (Shortell, Gillies, & Anderson, 1994). Unfortunately, today’s health care system does not support this. Now, in order to obtain a high-quality health care, one must have the money needed by the physicians. Without the money, the physicians will never be available at service, which is very discouraging and unfair for the unfortunate ones (Accreditation Insider, 2015).
References
Accreditation Insider. (2015). Impact of Leadership on Today's Healthcare Environment. Retrieved June 23, 2016, from http://www.hcpro.com/ACC-323723-4634/Impact-of- Leadership-on-Todays-Healthcare-Environment.html.
Shortell, S., Gillies, R., & Anderson, D. (1994). The new world of managed care: Creating organized delivery systems. Health Affairs, 13(5), 46-64.
