Management in Health and social care Essay Example | Topics and Well Written Essays - 2000 words

Management in Health and social care - Essay ExampleBy contrast, the new reform models contain purchasers-government-appointed authorities, private insurers, or risk-bearing groups of wellness providers-to proactively manage and allocate resources amongst different health care needs. Purchasers are expected to manage treatment decision-making by physicians and other health providers. Managed competition and traditional single structured management combine elements of both government planning and commercialize approaches. Managed care, another concept that is often referred to in the mise en scene of health care reform, is the mechanism through which managed competition proposals seek to obtain cost savings, but as described further below, can be occupied in any health care system. The internal market programme has been surprisingly successful. The large majority of the measures of which the programme was made up have been adopted in time. Admittedly, there are areas which lag be hind (such as free movement of persons). Moreover, it has not always been possible to maintain the rigorous approach sooner and a lot remains to be done with regard to implementing the adopted measures at national level. Nevertheless, the essence of the internal market is in place, which finds perhaps its approximately spectacular expression in the complete abolition of controls on the movement of goods. From an economic point of view, the question whether there is an external dimension to the internal market sounds almost ridiculous. How could, an economist would argue, a policy of economic integration that is as encompassing as the internal market programme and that applies to twelve developed countries which look an important role in international trade not affect trade and economic relations with the outside world However, from the point of view of law-and policy-making the question could be raised in the early stages, as indeed it has been. One can safely say that until 1988 the attitude of the Communitys institutions towards both the external do of the internal market programme and the relationship between the programme and the Communitys external policies was one of benign neglect. Before describing the competition-oriented reform models, a preliminary question moldiness be addressed why is health care reform needed A number of factors have converged creating strong pressures for health care reform in developed countries. These factors include concerns over increases in total outlay on health care services concerns over rapidly increasing government spending access and rationing concerns and concerns over the cost-effectiveness and, indeed, effectiveness of many services supplied.Let us look more closely at the forces contributing to reform passim the 1980s and 1990s, beginning first with the concern over growth in total health care spending. Throughout the 1970s there were significant increases in the proportion of gross domestic product (GDP) (t he total value of all goods and services produced by a country) absorbed by health care spending. in the midst of 1972 and 1982 there was a 36-percent, 30-percent, 26-percent and 25-percent increase, respectively, in the percentage of GDP spent on