Introduction The United States likes to be special: using Fahrenheit instead of Celsius, miles instead of kilometers, driving on the right side of the road, and nearly all other aspects of life. When it comes to patient flow in the healthcare system, the idea holds true. In contrast to their British counterpart, the United States embraces a dispersed model of the care levels. Key points of the dispersed model include the scrambling of patients and hybridization of the levels of care.Scrambled Patients The first aspect of the dispersed model is the patients’ ability to be scrambled and free flowing. The United Kingdom’s healthcare system is an organized chain. Primary care physicians (PCPs) are a gatekeeper for patients to be referred to a secondary level of care (Bodenheimer & Grumbach, 2016). In the United States, patients can directly report to a tertiary level care center without any referrals (Bodenheimer & Grumbach, 2016) The free flowing of patients allows them to receive extensive care quicker.Hybridization of the United States Health Care Levels In the United Kingdom, there are three levels of care: primary, secondary, and tertiary. The higher the level, the more focused that type care is. For example, a primary care service is a PCP, secondary care is a gastroenterologist, and tertiary care is a bariatric surgeon. The United States has the same levels of care; however, the medical doctors are not restricted to what type of care they can deliver. Specialists in the secondary and tertiary care levels also act as PCPs for their clients. (Bodenheimer & Grumbach, 2016). This due to the imbalance of generalists and specialists in the United States. This imbalance is caused by medical professionals wanting to become specialists for its prestige, better pay, and personalized work schedules. Specialists, physician assistants, and nurse practitioners hybridize their work in order to help fill this gap (Bodenheimer & Grumbach, 2016). Conclusion The United States’ free flowing way of delivering healthcare does have its benefits of quicker diagnoses and a great diversity of available healthcare. However, its consequences include the shortage of primary care physicians. In order to alleviate that imbalance, specialists and other qualified health care professionals should continue to work together and provide primary care services to their clients.
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