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1.You are 63 years old and you begin to experience chest pain when walking. You

ID: 455483 • Letter: 1

Question

1.You are 63 years old and you begin to experience chest pain when walking. You do not have a physician. A friend suggests that you need a coronary artery bypass and recommends a cardiac surgeon at medical school what would u do?(a) under a dispersed model of health care delivery? (b) under a regionalized model?

2. Give some examples of the statement, “Common disorders commonly occur and rare ones rarely happen.” What are the implications of this statement for the ratio of to specialist physicians in the United States?

3. In Great Britain, 65% of physicians are general practitioners. In Canada, 50% of physicians are generalists. In the United States, approximately one-third of physicians are generalists (general and family practitioners, general internists, and general pediatricians). Assume you are Chair of the Health Subcommittee of the US House of Representatives Ways and Means Committee. What legislation might you propose to increase the proportion of generalist physicians?

4. Discuss the pros and cons of requiring everyone to enter the health care system through a “gatekeeper” health care provider (generalist physician, nurse practitioner, or physician assistant).

5. What are some advantages of a primary-care-based health system

Explanation / Answer

The dispersed model is best in this situation. Dispersed model is variable and have different category of insurance for different disease. Dispersed model do not have any limits of referral. The physician can go any level of treatment. So under the dispersed model the 63 years old get the any treatment suggested by the physician with the help of insurance. The regionalized health care model is a part of large and dynamic health care system. It includes reforms of financing, aging populations, physical training and future care taking of patients. It is also too much beneficial for 63 years old.