Community and Public Health Nursing Essay

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The creation of a three-tiered system of care can solve the problems associated with providing timely and effective care to the U.S. population. The first tier focuses on primary care, prevention, and outpatient care. The second one handles more complicated problems that often require inpatient care. The third level is medical care that is effective in the most challenging cases, many of which were previously considered hopeless. A feature that can be borrowed from the Beveridge model is the funding of the three-tiered system through taxes. In this way, all citizens would be guaranteed equal access to treatment (Rector & Stanley, 2021). From the Bismarck model, it is possible to adopt the feature that the state controls price formation.

As noted above, funding for the operation of the health care delivery system will come from taxes on citizens. In addition, taxes will be used to pay for provider services. A comprehensive health care service is a set of simple health care services that end with either preventive measures, a diagnosis, or the completion of a certain stage of treatment (Rector & Stanley, 2021). The health care delivery system presented here will provide this type of service to the population. Basic coverage will pay for most medical services – exceptions will be made only for those services that are not available in the United States due to lack of technology or drugs. It is expected that this number of unavailable facilities will decrease each year. Thus, basic coverage will be available to all residents, which is a definite advantage of the system. The health care system created will cover four levels of U.S. health care. These include primary care (essentials), secondary care (specialists), tertiary care and hospitalization, and quaternary care.

Reference

Rector, C., & Stanley, M. J. (2021). Community and public health nursing. Wolters Kluwer.

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