Comparison Between Health Funding in the United States and Australia
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This essay provides a comparison between health funding in the United States and Australia. It discusses the similarities and differences in healthcare funding systems, key health issues, and how both countries are addressing them. The essay also highlights the importance of funding in delivering quality healthcare services.
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Title: Comparison Between Health Funding in the United States and Australia 22 October 2021 Contents Page Comparison Between Health Funding in the United States and Australia3 Introduction3 Health Funding in the USA3 Shan Stephen2030897522 October 2021 1
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Health Issues between USA and Australia4 How USA and Australia is addressing the key health issues.5 Health Funding in Australia5 Health Funding in Australia Compared to the USA6 Figure 17 Contrasts of Healthcare Funding in Australia and the USA7 Conclusion8 References9 Appendix A (Concept Grid)12 Appendix B (Search Strategy)13 Appendix C (Student Checklist)15 Shan Stephen2030897522 October 2021 2
Comparison Between Health Funding In The United States And Australia Health is an important aspect of the lifetime of every person and every country. Health systems can effectively meet all the health needs of their citizens by utilising some of the available financial resources through health funding(Shrank et al., 2021).However, a lack of facilitation of the health sectors in any social setup can lead to the downfall of other sectors, such as the political and economic sectors(Shrank et al., 2021).Therefore, the financing factor is fundamental in impacting health system effectiveness to improve accessibility and delivery of primary care(Robertson et al., 2016).This funding provides the opportunity to improve the delivery of quality care(Corvino et al., 2020).According toShrank et al. (2021), health funding also helps purchase, pool, and resource mobilisation in a healthcare facility. In Australia, health financing is primarily through medicare, which permanent residents and all other citizens have access to this program. In the USA, the program is through medicaid and medicare(AIHW, 2020).Therefore, governments should take the capability of funding their health systems. From the research, this essay addresses the comparisons and the key health issues between the USA and Australian healthcare funding systems that have many similarities in the health funding process. Health Funding in the USA In the USA, the healthcare system is through self-provision(Papanicolas et al., 2018). The organisation of this system allows citizens of the USA to become responsible for healthcare costs when in need of healthcare services(Papanicolas et al., 2018).There is no universal healthcare in the USA that can provide healthcare benefits at a lower cost or free of cost(Al Dalbhi et al., 2019).However,Johnson and Walston (2020)argue that health insurance is complex,surpassing$1,000everymonth,non-affordabletomostAmericans.Therefore, Shan Stephen2030897522 October 2021 3
improving equity, affordability, and accessibility to health services within the healthcare system should focus. According toShrank et al. (2021),the maximum utilisation of the medicaid program provides the ultimate opportunity to boost health equity and improve coverage. Besides, the healthcare coverage by the private third-party sectors is forty percent of resource funds for the healthcareservices,the publiccoversforty-eightpercent,and thecitizenscover the remaining twelve percent(Behdarvand et al., 2019).It is also important to note that private organisations cover USA citizens more than public financing when receiving healthcare-related services(Johnson & Walston, 2020).USA spends about eighteen percent of their GDP in the healthcare sector to provide better and effective healthcare facilities to its citizens(Johnson & Walston, 2020).It spends about $9,403 healthcare per capita which was in the year 2014. Therefore, it is essential to provide better healthcare to a citizen of the USA(Johnson & Walston, 2020).In this, funding for the healthcare system should be smooth and increasing to improve quality and efficiency in delivering care and services(Clark et al., 2020).In recent, it has also been analysed that due to the impact of the coronavirus, there is a need to increase the funding sources, which requires a considerable burden on the healthcare system (Suter et al., 2017).Due to the impact of coronavirus, a larger population suffers from various mental diseases and requires extra care and support (Suter et al., 2017).To fight the healthcare burden, there is a need to deliver quality care and support services to the healthcare professionals to deal with this situation and provides positive outcomes (Suter et al., 2017). Health Issues between USA and Australia Some critical health issues like mental illness, overweight, and obesity are critical health issues in the USA. It is due to less physical work, working in an intimate environment, and using technology for longer(Panchal et al., 2020).These are significant illnesses that need to be Shan Stephen2030897522 October 2021 4
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reduced and require a large number of funds to deliver healthcare services for improvement (Panchal et al., 2020).On the other hand, in Australia, there is hypertension, anxiety, and depression is critical health issues. These are the critical health issues that impact the healthcare setting within the country, along with reducing its impact through delivering good healthcare services and promotion to be aware and take intervention to avoid such types of diseases (Panchal et al., 2020).These are the critical health issues that should reduce to improve the country's health(Panchal et al., 2020). How USA and Australia is addressing the key health issues The USA is effectively fighting against mental health and overweight and obesity. They have organised many campaigns and healthcare treatment to make them aware and support getting over through it(Seo et al., 2018).They have hired many healthcare professionals and psychologists to provide support for better well-being(Sea et al., 2018).There is also much intervention that has been applied to get over through such types of diseases(Seo et al., 2018). Oppositely Australia has taken many initiatives to reduce the cases of hypertension, anxiety and depression(Marrouche et al., 2018).They have also implemented some healthcare programs that aim to aware Australians of the negative impact of these health issues and help reduce the number of cases(Seo et al., 2018). Health Funding in Australia Mostprivateorganisationsareengagedtodeterminetheoverallgoodhealthof Australians(AIHW, 2020).According toKerr and Hendrie (2018),the goal of the Australian government is to ensure that equitable access to healthcare services is patient-based. The government partners with the public and private sectors to get health funding(Kerr and Hendrie, 2018).About seventy-five percent of the total cost cover Medicare within private hospitals. In Shan Stephen2030897522 October 2021 5
this case, theAIHW (2020)states that "the Australian health system is a hybrid system where health care can be funded through either taxation or privately, with a regulated voluntary health insurance system being a key aspect" (p.162). Taxation is essential because the government can secure health products and services for its population(Behdarvand et al., 2019).In addition it regulates the funding sources that require to get the goods and services within healthcare. There is also a need to care about public providers and private providers. Health Funding in Australia Compared to the USA Despite the difference in the funding of the healthcare systems in both countries, they tend to focus on similar governmental programs. According toRobertson et al. (2016),every citizen in Australia can access healthcare services through the medicare program. In addition, both countries have a short process of drug approval which increases the accessibility to treatment(Shrank et al., 2021).Moreover, Financing of health care in the USA and Australia is done through public health insurance methods; All citizens can access most health services (Papanicols & Behdarvand, 2019).Australia needs fewer funds in comparison to the USA, which has a significant difference. In this, there are many differences in the healthcare system that can offer extra care and services to the people of their country(Shrank et al., 2021).There is about ten percent of GDP which costs in the healthcare of Australia. At the same time, about seventeen percent of GDP are needed to support the healthcare system in the USA(Papanicolas et al., 2018).Therefore, it is essential to offer better and effective healthcare service delivery based on the size of funding(Behdarvand et al., 2019). Shan Stephen2030897522 October 2021 6
Source:Kenneth & Stephen (2021) With figure, they focus on the year 2018. In this, it is analyse that the Out of pocket funding source is 18 percent in the Austrailia and in the USA. Moreover, the out of pocket is counted only 10 percent. In the USA, its is evaluated upto the 40 percent. In addition to this, the Australia public health factor and their funding was approcimate 60 percent and while taking the comparison with the USA, it is analyse that the 49 percent. In this, the half of the price which is based on USA is an public expenditure. Moreover, in Australia the 70 percent is usually paid by the governing body. With all the evaluation, it is determined that the USA spend more approx. twice as much capita when taking the comparison with Austalia. Contrasts of Healthcare Funding in Australia and the USA Australia and USA have a difference in health funding process depending on Gross Domestic Product (GDP). According toPapanicolas et al. (2018),The Australian Government spent ten percent of its GDP on healthcare purposes while the USA spent eighteen percent in 2016(AIHW, 2020).The population ratio in the USA with insured individuals is ninety percent Shan Stephen2030897522 October 2021 7
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higher than that of Australia(AIHW, 2020).In 2017, the USA government covered eighty-five percent of the health insurance(Papanicolas et al., 2018),Australia covered sixty-eight percent of the health insurance(AIHW, 2020).Besides, between the years 2011 and 2012, the USA spends nine percent and eight percent on private and public healthcare(Johnson & Walston, 2020).However, Australia's expenditures in the same year were approximately three percent and six percent, respectively, indicating that the USA has been highly funding health systems compared to Australia(Kerr and Hendrie, 2018).Funding for Australia and the USA has some familiar funding sources, including taxation, collected through getting tax from their citizens. Conclusion Health is the most fundamental factor that every country intends to improve. However, health funding can differ and also be similar from country to country. For example, USA spends much of its GDP on healthcare systems compared to Australia; Australia has a better healthcare system. Therefore, it is essential to follow the healthcare system by providing funding to deliver better citizens' healthcare. Lastly, medicare programs bring the similarity of health funding of Australia and the USA. This essay provided information about variation between key health issues and healthcare systems funding related to Australia and the USA. (Word Count: 1,649) Shan Stephen2030897522 October 2021 8
References Al Dalbhi, S., Alodhayani, A., Alghamdi, Y., Alrasheed, S., Alshehri, A., & Alotaibi, N. (2019). Difficulties in conducting clinical research among healthcare practitioners in Saudi Arabia: A cross-sectional survey.Journal of Family Medicine and Primary Care,8(6), 1877-1883.https://doi.org/10.4103/jfmpc.jfmpc_317_19 Australian Institute of Health and Welfare. (2020). Australiaβs health 2020: Data insights (Australiaβs Health Series No. 17, Cat. No. AUS 231). https://www.aihw.gov.au/getmedia/be95235d-fd4d-4824-9ade-34b7491dd66f/aihw-aus- 231.pdf.aspx?inline=true Behdarvand, B., Karanges, E. A., & Bero, L. (2019).Pharmaceutical industry funding of events for healthcare professionals on non-vitamin K oral anticoagulants in Australia: An observational study.BMJ Open, 9(8), 1-12.https://doi.org/10.1136/bmjopen-2019- 030253 Clark, J. M., Sanders, S., Carter, M., Honeyman, D., Cleo, G., Auld, Y., ... & Beller, E. (2020). Improving the translation of search strategies using the polyglot search translator: A randomized controlled trial.Journal of the Medical Library Association,108(2), 195-207. https://doi.org/10.5195/jmla.2020.834 Corvino, A. R., Monaco, M. G. L., Garzillo, E. M., Grimaldi, E., Donnarumma, G., Miraglia, N., ... & Lamberti, M. (2020). Tuberculosis infection screening in 5468 italian healthcare students: Investigation of a borderline zone value for the qft-test.International Journal of Environmental Research and Public Health,17(18), 1-9. https://doi.org/10.3390/ijerph17186773 Shan Stephen2030897522 October 2021 9
Johnson, K. L., & Walston, S. L. (2020).Healthcare in the United States:Clinical, financial, and operational dimensions(1st ed.). Health Administration Press Central.https://www.proquest.com/docview/2462484667/271A0A09F10D45B0PQ/1? accountid=10382 Kerr, R., & Hendrie, D. V. (2018). Is capital investment in Australian hospitals effectively funding patient access to efficient public hospital care?Australian Health Review,42(5), 501-513.https://doi.org/https://doi.org/10.1071/AH17231 Marrouche, N. F., Brachmann, J., Andresen, D., Siebels, J., Boersma, L., Jordaens, L., Merkely, B., Pokushalov, E., Sanders, P., Proff, J., Schunkert, H., Christ, H., Vogt, J., & BΓ€nsch, D. (2018). Catheter ablation for atrial fibrillation with heart failure.New England Journal of Medicine,378(5), 417β427. https://doi.org/10.1056/nejmoa1707855 Panchal, S., Yamada, Y., Nagatani, T., Watanabe, T., Kishida, Y., Sayah, A., & Kato, Y. (2020). A practice survey to compare and identify the usefulness of neuroendoscope and exoscope in the current neurosurgery practice.Asian Journal of Neurosurgery,15(3), 601-607. https://doi.org/10.4103/ajns.ajns_339_19 Papanicolas, I., Woskie, L. R., & Jha, A. K. (2018). Health care spending in the United States and other high-income countries.The Journal of the American Medical Association, 319(10), 1024-1039.https://doi.org/10.1001/jama.2018.1150 Robertson, J., Newby, D. A., & Walkom, E. J. (2016). Health care spending: Changes in the perceptions of the Australian public. PLoS one,11(6), 1-12. https://doi.org/10.1371/journal.pone.0157312 Seo, M. H., Kim, Y. H., Han, K., Lee, W. Y., & Yoo, S. J. (2018).Prevalence of obesity and incidence of obesity-related comorbidities in Koreans based on national health insurance Shan Stephen2030897522 October 2021 10
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service health checkup data 2006β2015.Journal of Obesity & Metabolic Syndrome, 27(3), 198β199. https://doi.org/10.7570/jomes.2018.27.3.198 Shrank, W. H., DeParle, N. A., Gottlieb, S., Jain, S. H., Orszag, P., Powers, B. W., & Wilensky, G. R. (2021). Health costs and financing: Challenges and strategies for a new administration.Health Affairs,40(2), 235-242. https://doi.org/https://doi.org/10.1377/hlthaff.2020.01560 Statista. (2021).Personal health care expenditure in the United States in 1990 and 2018, by source of funds.https://www.statista.com/statistics/188103/personal-health-care- expenditures-by-source-of-funds-in-the-us/ Suter, E., Oelke, N. D., Dias da Silva Lima, M. A., Stiphout, M., Janke, R., Witt, R. R., Van Vliet-Brown, C., Schill, K., Rostami, M., Hepp, S., Birney, A., Al-Roubaiai, F., & Quintana Marques, G. (2017). Indicators and measurement tools for health systems integration: A knowledge synthesis.International Journal of Integrated Care,17(6), 4-4. https://doi.org/10.5334/ijic.3931 Kenneth, L. J., & Stephen, L. W. (2021). Healthcare in the United States: Clinical, Financial, and Operational Dimensions. Shan Stephen2030897522 October 2021 11
Appendix A Concept Grid Concept 1 Funding in Health Concept 2 Compare Concept 3 Contrast Funding to Australian Healthcare Funding of USA Financing to healthcare system Contrast in healthcare funding in Australia and USA. Health capitalisation to improve healthcare system Similarities Compare Relate Collate Compare Differentiate Contrast Variation Distinguish Contrast Shan Stephen2030897522 October 2021 12
Appendix B Search Strategy Databases searched Search strategy and search termsResults Medline (OVID) Key Word Search #1 βFunding of USAβ OR βFunding to Australian healthcareβ OR βFinancing to healthcare systemβOR βHealth capitalisation to improve healthcare systemβ MeSH Search: #2 Comparison* OR correspondence OR relate #3 Variance OR disparity OR variation OR distinguish #4 Australia OR United States #1 AND The search included all the available journal articles3,021 Limiters: ο·Scholar journals ο·Year range: 2016-2021 ο·Language: English 263 Shan Stephen2030897522 October 2021 13
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Google Scholar #1 βFunding to Australian healthcareβ OR βFunding of USAβ OR βFinancing to healthcare systemβ OR βHealth capitalisation to improve healthcare systemβ #2 Comparison* OR similarities OR relate OR collate #3 differentiate OR Contrast OR variation OR distinguish #4 Australia* OR United States* #1 AND #2 AND #3 AND #4 11,250 Limiters: ο·Scholarly Journals ο·year range: 2016-2021 ο·Language: English 4120 Shan Stephen2030897522 October 2021 14
Appendix C Student Checklist Shan Stephen2030897522 October 2021 15