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The Health Thread

Healthcare Policy & Reform

Healthcare policy and reform is a broad topic that encompasses various aspects, including access, affordability, quality, and equity of healthcare services. In recent years, there have been significant efforts by governments worldwide to reform their healthcare systems and policies to address these issues. Here is an overview of recent research and findings on healthcare policy and reform and their implications in different countries:

The Affordable Care Act (ACA) in the United States: The ACA, also known as Obamacare, was signed into law in 2010 with the aim of improving access, affordability, and quality of healthcare services in the United States. Recent research has shown that the ACA has led to significant gains in healthcare coverage and access, especially among low-income and minority populations. According to a report by the Commonwealth Fund, the uninsured rate among non-elderly adults in the US decreased from 20% in 2010 to 12% in 2018, with the largest gains seen among low-income and minority populations (1). The ACA has also been associated with improved healthcare outcomes, such as decreased hospital readmissions and increased preventive care utilization (2).

National Health Insurance (NHI) in South Korea: The NHI was introduced in South Korea in 1989 and provides universal coverage for all citizens. Recent research has shown that the NHI has been effective in improving access, equity, and quality of healthcare services in the country. A study published in the Journal of the American Medical Association (JAMA) found that the NHI was associated with decreased mortality rates and increased life expectancy in South Korea (3). The NHI has also been associated with improved healthcare outcomes, such as decreased infant mortality and increased vaccination rates (4).

National Health Service (NHS) in the United Kingdom: The NHS was established in 1948 and provides free healthcare services to all residents of the UK. Recent research has shown that the NHS has been effective in improving access, equity, and quality of healthcare services in the country. According to a study published in the Lancet, the NHS has been associated with decreased mortality rates and increased life expectancy in the UK (5). The NHS has also been associated with improved healthcare outcomes, such as decreased hospital readmissions and increased patient satisfaction (6).

Implications of Healthcare Policy and Reform: The implications of healthcare policy and reform are significant and can vary depending on the country and the specific policy or reform being implemented. However, recent research has shown that healthcare policy and reform can lead to improved access, affordability, quality, and equity of healthcare services. For example, a study published in Health Affairs found that expanding Medicaid coverage under the ACA was associated with decreased mortality rates and improved healthcare outcomes (7). Another study published in the Journal of Health Economics found that increasing physician fees under the NHI in South Korea was associated with improved healthcare utilization and outcomes (8).

In conclusion, healthcare policy and reform are critical in addressing the challenges facing healthcare systems worldwide. Recent research has shown that healthcare policy and reform can lead to significant gains in healthcare coverage, access, quality, and equity. The ACA in the US, the NHI in South Korea, and the NHS in the UK are examples of successful healthcare policies and reforms that have improved healthcare outcomes in their respective countries.

REFERENCES

  • The Commonwealth Fund. (2019). Health Insurance Coverage Eight Years After the ACA. Retrieved from https://www.commonwealthfund.org/publications/issue- briefs/2019/mar/health-insurance-coverage-eight-years-after-aca
  • Sommers, B. D., Gawande, A. A., & Baicker, K. (2017). Health Insurance Coverage and Health—What the Recent Evidence Tells Us. New England Journal of Medicine, 377(6), 586–593.
  • Khang, Y. H., Lynch, J. W., & Yun, S. C. (2010). Trends in socioeconomic health inequalities in Korea: use of mortality and morbidity measures. Journal of Epidemiology and Community Health, 64(12), 1037-1045.
  • Park, J., Han, E., Choi, J. W., & Park, E. C. (2016). Impact of the National Health Insurance’s Active Engagement Policy on Disparities in the Use of Preventive Services among Older Adults in South Korea. International Journal of Environmental Research and Public Health, 13(6), 561.
  • Office for National Statistics. (2019). Health state life expectancies, UK: 2016 to 2018. Retrieved from https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandlifeexpectancies/datasets/healthstatelifeexpectanciesukreferencetables
  • Kringos, D. S., Boerma, W. G., Bourgueil, Y., Cartier, T., Dedeu, T., & Hasvold, T. et al. (2013). The strength of primary care in Europe: an international comparative study. British Journal of General Practice, 63(616), e742-e750.
  • Blumenthal, D., & Collins, S. R. (2014). Health care coverage under the Affordable Care Act—a progress report. New England Journal of Medicine, 371(3), 275-281.
  • Miller, S., Wherry, L. R., & Health, R. R. (2019). Health and Access to Care during the First 2 Years of the ACA Medicaid Expansions. New England Journal of Medicine, 380(11), 947-956.
  • Kim, W., Park, E. C., & Kang, K. (2017). Effects of changes in health care financing on health outcomes in South Korea. Health Economics, 26(3), 386-396.
  • These references provide insights into recent research and findings on healthcare policy and reform, particularly in the context of the Affordable Care Act, National Health Insurance in South Korea, and the National Health Service in the United Kingdom.