Health Policy Essay Example | Topics and Well Written Essays - 1000 words

Health Policy - Essay Example Among these the social factor can be considered to be the most influential. This is because it is only the awareness of the public that makes to utilize the medical resources. Most of the people lack awareness. This could be possibly due to illiteracy. Hence those sections must be taught regarding various aspects of health and care. Modern public health is often concerned with the addressing determinants of health across a population, rather than advocating for individual behaviour change. There is a recognition that our health is affected by many factors including where we live, genetics, our income, our educational status and our social relationships - these are known as "social determinants of health." A social gradient in health runs through society, with those that are poorest generally suffering the worst health. However even those in the middle classes will generally have worse health outcomes than those of a higher social stratum (WHO, 2003). The new public health seeks to ad dress these health inequalities by advocating for population-based policies that improve the health of the whole population in an equitable fashion. (Wikipedia -the free online encyclopedia) Managed Health Care, a general classification used for a type of health insurance that provides comprehensive medical care based on a prepaid contract as opposed to traditional fee-for-service health insurance. Traditional health insurance pays a health-care provider each time a medical service is performed. Managed health-care plans, however, pay health-care providers a set monthly fee for each member of the plan, regardless of whether the member seeks medical care. Managed health-care plans are so-named because they attempt to manage or control the costs of health care by requiring participants in the plan to seek medical care from designated physicians. These physicians act as "gatekeepers" who determine if patients need to see more costly medical specialists. Most managed care systems encourage preventive medicine, operating with the philosophy that it is better for the patient and more cost-effective to focus on preventing illness or to treat an illness in its early stages than to treat an illness in advanced stages. Accordingly, managed health-care plans provide broad coverage for preventive care, such as immunizations and physical examinations, unlike traditional health insurance plans. Managed care plans are unique to the United States. They are usually offered through employers, although individuals and senior citizens who receive government-funded health insurance through Medicare can enroll directly in managed care plans. Most employer-sponsored plans allow an "open enrollment period" of one month when employees can decide whether they want a managed care plan or a traditional fee-for-service plan, also known as an indemnity plan. (See also Health Insurance.) There are three basic types of managed care plans: health maintenance organizations (HMOs), preferred provider organizations (PPOs), and point-of-service plans. II HEALTH MAINTENANCE ORGANIZATIONS HMOs provide comprehensive medical services in exchange for a monthly payment from the plan participant. HMOs developed in the early 1970s with the passage of the federal Health Maintenance Organization Act of 1973. The law applied minimum, uniform standards in all 50 states for a health insurance organization to qualify as an