Asunto(s)
Política de Salud , Rol del Médico , Mal Uso de Medicamentos de Venta con Receta/prevención & control , Trastornos Relacionados con Sustancias/prevención & control , Distribución por Edad , Monitoreo de Drogas , Fraude , Política de Salud/legislación & jurisprudencia , Humanos , Medicare , Educación del Paciente como Asunto , Mal Uso de Medicamentos de Venta con Receta/legislación & jurisprudencia , Sociedades Médicas , Trastornos Relacionados con Sustancias/epidemiología , Estados Unidos/epidemiologíaRESUMEN
This position paper concerns improving health care in the United States. Unlike previous highly focused policy papers by the American College of Physicians, this article takes a comprehensive approach to improving access, quality, and efficiency of care. The first part describes health care in the United States. The second compares it with health care in other countries. The concluding section proposes lessons that the United States can learn from these countries and recommendations for achieving a high-performance health care system in the United States. The articles are based on a position paper developed by the American College of Physicians' Health and Public Policy Committee. This policy paper (not included in this article) also provides a detailed analysis of health care systems in 12 other industrialized countries. Although we can learn much from other health systems, the College recognizes that our political and social culture, demographics, and form of government will shape any solution for the United States. This caution notwithstanding, we have identified several approaches that have worked well for countries like ours and could probably be adapted to the unique circumstances in the United States.
Asunto(s)
Atención a la Salud/normas , Atención a la Salud/economía , Atención a la Salud/organización & administración , Costos de la Atención en Salud , Reforma de la Atención de Salud , Política de Salud , Accesibilidad a los Servicios de Salud , Asistencia Médica/economía , Asistencia Médica/normas , Médicos/provisión & distribución , Garantía de la Calidad de Atención de Salud , Estados UnidosRESUMEN
Disparities clearly exist in the health care of racial and ethnic minorities. This position paper of the American College of Physicians (ACP) provides ample evidence illustrating that minorities do not always receive the same quality of health care, do not have the same access to health care, are less represented in the health professions, and have poorer overall health status than nonminorities. The ACP finds this to be a major problem in our nation's health system that must be addressed. The ACP is dedicated to working toward eliminating all disparities in health care. This position paper sets forth specific positions for reducing these disparities and will be the foundation for public policy advocacy by ACP for eliminating racial and ethnic disparities in health care.