At present, the health management service team in the United States has a large scale. Medical groups (medical institutions), health promotion centers, large and medium-sized enterprises, community service institutions, etc. Both provide various forms of health management projects and related services for the public and become an important force in the American health care system. Health management in the United States has always been at the leading level in the world, and its main applications are mainly reflected in four areas.
"Healthy people"
The government believes that health management and promotion is a major event related to national economic, political and social stability, and has formulated a national health management plan: "Healthy People".
The "Healthy People" program, led by the Federal Department of Health and Social Services of the United States, cooperates with local governments, communities, non-governmental and professional organizations, and is repeatedly planned, implemented and evaluated once every ten years, aiming at continuously improving the health level of the whole country.
The "Healthy People" program has entered its second decade, which is called "Healthy People 20 10". The program includes two main objectives, 28 key areas and 467 health indicators. The two main goals are: improving the quality of healthy life and prolonging healthy life; Eliminate the health gap.
Among 467 health indicators, 10 is the key health indicator:
Enterprise application
Mainly reflected in medical institutions and health management companies to help individuals control disease risk factors and improve their health level, thereby reducing the incidence of diseases and reducing the burden of medical expenses.
? Individuals can seek the services of health management companies through the Internet, or they can get services through their own doctors.
? Health management can also be a collective application of enterprise organizations, that is, enterprise organizations provide health management services for employees. This can not only protect the health of employees, reduce medical expenses, but also significantly improve the work efficiency of employees.
Application in the field of health insurance
Managers in the medical insurance industry are aware of the fact that a small number of people spend a disproportionate amount of medical expenses, so they spend a lot of time trying to find out those who may lead to high expenses and take measures to reduce their medical expenses. The traditional practice is to suggest a "vigilance" mechanism, that is, when a patient's expense reimbursement exceeds a certain amount, it is necessary to control this person's expenses. However, this time is often too late. Most patients have either started to get better and won't spend too much money, or their health has deteriorated, leaving little room for saving medical expenses. With the development of health management, through the application of health risk assessment and related technologies, insurance companies can identify and confirm high-risk groups at an early stage, and carry out targeted early preventive cost control.
At present, health insurance in the United States has developed to adopt medical management services, which is at an advanced level in the world. Its means of controlling service abuse and medical expenses include seven aspects:
Research, development and application of new drugs
In the United States, the research and development and application of new drugs are also at the world's leading level. According to the 20 16 research report of China Pharmaceutical Enterprises Association and other institutions, the contribution rate of the United States to global new drug research and development innovation is as high as 50%. This is not only related to the large-scale talent reserve funds and good recycling management model of American pharmaceutical companies, but also the world-leading health management level of the United States provides many reliable research directions for the development and application of new drugs.
Classic case of health management application in the United States
"Health Pass"-Health Management Plan of Hawaii Medical Insurance Service Company.
Project objective: reduce health risks; Improve long-term health; Reduce medical expenses; Encourage healthy behavior changes. Including appointments and visits:
? Appointment: send a letter to invite participants and their families to visit the "Health Link" project center one month before their birthdays every year. When the user replies to confirm, arrange a formal visit. Two to three weeks before the visit, send the health risk assessment form completed with the assistance of professional instructors, so that they can complete the physical examination items in the subsequent visit.
Outcome evaluation of health management
Planning 10 has benefited a lot:
Classic case of American health management application II
"Healthy Track" —— A project of Union Pacific Railway Company.
The "healthy track" includes:
10 health risk factors currently controlled by "health track":
Outcome evaluation of health management
The health indicators of the population have been greatly improved, and the economic indicators are also very good:
The above are some introductions about American health management. At present, China is still in the initial stage, and there are many aspects that need to learn from foreign advanced management and technology.