Focus Points: Cost:• Comparison of national expenditure (proportion of budget) assigned to healthcare for each nation state over the last 3 or 5 years. Absolute figure (millions of dollars) and as percentage of total budget.• How is the healthcare system funded? Private or public. Describe the models of each country, what percentage of the total system is private (market) as opposed to public (welfare).• Advantages and disadvantages of public vs. private system• (If possible) obtain prices (in each country and compare) of doctor visits (GP) and some major operations (heart surgery, chemo therapy, others that are important and for which a total lump sum price can be obtained) Access:• How accessible is each system? (Address this question separately for each)• What are the difficulties involved in seeing a specialist?• How long are waiting lists? (select some important conditions or operations e.g. heart surgery, chemo therapy, and focus on those)• How does a lack of doctors, nurses and hospital beds affect availability (Australia specific, may also be applied to America)• Do costs affect the accessibility to health care? Is it harder for poorer people to visit specialists, get surgeries/treatment than for richer people?• Do people on the public system wait longer than people on the private system? If so how much longer? (again, select a couple serious things like heart surgery and focus on that)• Other barriers to access apart from financial ones e.g. How do people living in rural towns go about seeing a specialist or receiving treatment that is based in large cities? Does the distance hinder them and put them at increased risk?• Lack of healthcare in rural areas Choice:• Is there a wide range of treatment options available to the patient (focus again on specific serious conditions)• Are patients free to choose specific treatment method? Do patients on the private system have more choice than those on the public system?• Choice between systems: How free are patients to choose between private/public system? (This will especially be good in regards to America and the whole instigation of Obamacare and the reforms to it made under Trump) Quality:• How is quality of the total healthcare system measured? Are they measured differently between the USA, UK and Australia?• What are some major issues around quality in each country?• How can the quality of treatment be improved?• How can the quality of the health care system for either USA, UK or Australia be improved?
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