Health Services Organization and Management

HSA 500

Health Care Professionals Williams, S. J., & Torrens, P. R. (2008). Introduction to Health Services

(7th ed.). New York: Cengage Delmar Learning.

Objectives

• Upon completion of this lesson, you will be able to:

– Explain the impact that policy, social and financial forces have on health care access and quality of care in the United States

– Explain the major components of the U.S. health care system, their functions, and the relationships among these components

Employment Trends in the Health Care Sector

• Health care employees– 624,000 in 1920 – 10 Million in 1998

• 400 different job titles

The Role of Osteopathic Medicine in the U.S.

• Emphasizes treatments that involve correction of the position of joints or tissues

• Licensed to practice medicine and perform surgery in all states

• More predominant in rural areas

The Expanding Supply of Physicians

• Number of physicians increasing rapidly• Two sources:

– U.S. Citizens Trained in U.S. Medical Schools– People trained in Foreign Medical Schools

• Specialty distribution– 37.3% of med. students go into primary care– 7.5% go into other medical specialties– 13.6% go into surgical specialties– 41.6% go into all other specialties

• More physicians = better supply in rural areas

Trends in the Dental Profession

• Gap between dentists and need for services

• Two major types of auxiliaries:– Dental hygienists– Dental assistants

Check Your Understanding

Public Health Profession

• General roles of public health

• Trends in the public health workforce

Trends in the Nursing Profession

• Many not working or inactive

• Most are women

• Three forms of training:– 3 Year (Hospital Based)– 2 Year (Associate Degree)– 4 Year (Baccalaureate Program)

Trends in the Pharmacy Profession

• Changing role

• Employed in: – Pharmacy chains– Independent pharmacies– Hospitals

Trends with Physician Assistants and Nurse

Practitioners • Perceived shortage of physicians led to

development of: – Physician Assistants

• Perform many functions usually completed by physicians

– Nurse Practitioners• Registered Nurses with expanded roles

The Impact of Managed Care on the Health

Professions • Increasing number of professionals will

deal with managed care

• May exacerbate provider surplus

• Unwillingness to finance education and training in hospitals

Check Your Understanding

Summary

• Employment trends in the Heath Care Sector

• Role of Osteopathic Medicine in the U.S.

• Expanding supply of physicians

• Professional trends

• Impact of managed care