2024年4月4日发(作者：华为手机荣耀8x)

美国医疗系统（American Medical System）

Medical system in the United States

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There is a course on medical policy that describes the structure

and functioning of the American health care system, the

interaction between patients and health care providers, and the

role that they play in the health care system. The United States

does not currently have a national health care system, and only

two Medicare and Medicaid are federally managed medical

organizations. Although they are part of social welfare, the

former belongs to the elderly medical care, the latter to the

disabled and low-income families.

The medical administration is closely related to the daily

lives of the American people, affecting the patterns of medical

referral, the extent of physician prescribing, and the chances

that patients will receive appropriate care. In the 90s, the

American Medical System plunged into a dilemma of medical waste

and unequal allocation of medical resources. Some have a

complete health care who accept unnecessary medical services;

while others have no insurance (1996, more than 40 million

Americans without health insurance or medical insurance), is

not perfect, they receive the necessary medical services were

deprived of their rights. Over the past few years, however,

there has been a landmark change in the health care system in

the United states. This major reform stems from a new concept,

"Managed care"". Managed care has developed new interactions

between American patients, insurance companies, and health

care workers.

Traditionally, employers for their employees to pay the medical

insurance premium to the insurance company, the insurance

company (the insurer) payment for medical service providers

(including physicians, hospitals, home - care, nursing, home

institutions or pharmacy). Under the system, the doctor decides

what kind of treatment, treatment, and who should provide

medical care. Medical costs are usually decided unilaterally

by providers of medical services, and insurance companies

simply pay medical bills. If the cost is too high, the insurance

company will increase the premium for the following year

(premium). Under the Managed care system, institutions that

settle patient health costs will play the role of managing

patient care. Employers and insurance companies don't just pay

medical bills. They also decide how much medical care they

should give to patients, what medical services, and who should

provide them with treatment. In other words, employers and

insurance companies will determine the way health care

providers receive income and how they pay. Therefore, managed

care can be said to be a major change in the American Medical

system. In the past, medical professionals, especially

physicians, decided that the rights of medical behavior were

no longer. Doctors and employers, as well as insurance

companies, share their decisions. This profoundly changed the

doctor's role in the medical system.

Payment system for medical care

There are four kinds of payment system in American Medical care: