Delivery of Health Care Services

A COMPARATIVE PUBLIC POLICY ANALYSIS

This research compares the delivery of health care services in the United Kingdom and the United States. The delivery of health care services to elderly persons in the two countries is compared as a part of this policy analysis.

Health care services are delivered in the United Kingdom largely through the National Health Service (NHS) which was established in 1948 through implementation of the provisions of the National Health Service Act of 1946 (Ham, 1985, pp. 1516). The creation of the NHS was the culmination of studies of health care delivery in Britain than began in the 1920s and continued through the 1930s, when they were interrupted by the Second World War. With the election of a Labour government led by Clement Atlee in the Summer of 1945 (almost immediately following the defeat of Germany), the health care studies were renewed and intensified.

In the mid1940s, health care providers, social welfare activists, and the Labour government all agreed that the state of British health care was abominable (Ham, 1985, p. 15). All of these parties also agreed that effective correction of the problem required greater governmental participation. The disagreements concerned the character of governmental participation in the delivery of health care services. The British Medical Association favored an ins

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eader, however, has taken the steam out of this effort. Health Care in the United Kingdom In the United States, public health is a responsibility of all three levels of government, with the federal level exercising a major policymaking role, and local governments involved primarily in the implementation of action programs, while state governments are active in each of these aspects of public health services delivery. The development of health care policy in the United States is a cumbersome an ineffective process. A political structure at the national level that divides governing powers between the executive and legislative branches and which permits these branches to be controlled at any given time by opposing political factions all but assures that all policy development will be held hostage by the demands of a political minority. The contemporary morass of health care reform is an example of this dreadful phenomenon. As costs associated with the delivery of health care services soared in the United States in the 1980s, third party funders, health care providers, and users of health care services sought to develop and implement procedures and programs that would either stabilize costs or reduce the rate of increase. Heal
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Approximate Word count = 3818
Approximate Pages = 15 (250 words per page)

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