Health Insurance and Quality of Healthcare
Every country has various kinds of health insurance, this is done to maintain and provide health services for the community so that health services can be felt by all levels of society. In the United States, there is a health insurance program managed by the government which was established in 1965. This health insurance program is mandatory health insurance for the elderly or elderly, disabled, and people with kidney failure known as Medicare and Medicaid, namely the central government assistance program and areas in health insurance for the poor.
In 2000, the health care financing manager (center for Medicare & Medicaid) reported 24 indicators of the quality of care received by participants. This report provides data on the quality of care provided for 2000-2001 and comparisons with baseline data for 1998-1999. The indicators were selected specifically to measure service delivery in preventing or treating breast cancer, diabetes, myocardial infarction, heart failure, pneumonia, and stroke.
The results of the analysis showed that 21% of AMI patients were not given beta-blockers even though there were no contraindications. 13% of patients with pneumonia still wait for more than 8 hours to receive antibiotics. In contrast, patients receiving sublingual Nifedipen decreased from 77% to 1%. This necessitates the need for system improvements.
Medicare and Medicaid together with the accreditation commission have modified their performance indicators so that hospitals in the United States cannot compete with the changes and demands of society so that quality health care can be achieved more quickly and accurately.
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