b********3
发帖数: 67 | 1 在准备面试的时候，大家是怎么准备关于health care delivery system的相关问题的
？能介绍一下吗？谢谢！ | k**e
发帖数: 2728 | 2 i saw some articles with related topics on NEJM, new england journal of
medicine. Check out the website?
【在 b********3 的大作中提到】
: 在准备面试的时候，大家是怎么准备关于health care delivery system的相关问题的
: ？能介绍一下吗？谢谢！
| b*********r
发帖数: 38 | 3 Here are my answers. Hope it helps.
**************************************************************
How do you see the delivery of health care evolving in the 21st century？
Answer：
a. Numerous changes are inevitable, not only on how it is practice, but also
the way it is funded and managed. Newer discoveries, newer drugs, and
radical changes in treatment protocol as a result of new emerging evidences
are inevitable. Immunopharmacology including monoclonal antibodies are the
hot topics of the new era of medicine. Gene Therapy might be the next hot
topic as a solution for many diseases.
b. In US, with President Obama pushing forward the universal healthcare,
healthcare will become more affordable. We might see major changes in the
role players in the commercial healthcare market, with more autonomy to
individuals as to which healthcare plan to endorse. I hope the no of
uninsured population will go down, and everybody realizes that health is a
basic human right. But this will put a lot of strain on the existing
hospitals and physicians in the country. Publicly mandated health insurance
for all will be developed, and this will increase the workload on the
existing healthcare infrastructure. We are going to need more primary care
physicians.
c. We will probably see More focus on preventive medicine; in view of the
rising healthcare costs.
**************************************************************
What is the biggest challenge facing health care delivery?
Answer:
a. The steeply increasing cost is the biggest challenge facing the health
care delivery system. Health care has become more and more profit oriented.
b. Physicians are practicing more and more defensive medicine, sending
unnecessary investigations. This has made health care in the US 4 times as
costly as in other developed nations of the world.
c. Plus the gargantuan overhead/administrative cost related to the hundreds
of insurance companies and HMOs is causing less money to actually go into
the health care of the people. US spends almost 15% of its GDP on health
care, highest among all developed nation, and 30% of that goes to overhead
cost. Due to this, the health outcome of the population is far worse
compared to other countries, with IMR, Quality of life index and DALY
comparable to middle eastern and African countries.
d. Pharmaceutical companies are gaining a huge and ugly profit by selling
medicines invented 50 years ago, on the name of patent rights.
e. To control this, govt should set a limit on the profit margin that
pharmaceutical and insurance companies can achieve.
f. Single payer health system, like the universal health care talked of so
often by President Obama, and like NHS of the Great Britain, might decrease
the overhead costs associated with management.
g. Tort reform to curb litigation on physicians would also decrease the
unnecessary investigations that doctors do to defend themselves against any
lawsuit. | b********3
发帖数: 67 | 4 谢谢大家的热心帮助。去了２个ＩＶ，没有被问起这个问题。祝大家都面试顺利。 |
|
