Tag: Science

  • [Solved] Discussion Post response

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    Please see attached document. I will need at least two responses to any of the discussion posts. 100-150 words per response will work. Please provide Ai report as well as plagiarism report. Thank you – [\ \ DiscussionPost2.pdf](https://www.sweetstudy.com/files/discussionpost2-pdf-10261839 "Discuss…

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    Assignment Prompt & Instructions

    Please see attached document. I will need at least two responses to any of the discussion posts.

    100-150 words per response will work.

    Please provide Ai report as well as plagiarism report.

    Thank you

    – [\
    \
    DiscussionPost2.pdf](https://www.sweetstudy.com/files/discussionpost2-pdf-10261839 "DiscussionPost2.pdf")

    – 2 years ago

  • [Solved] Unit III HCS

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    Executive Solution Overview

    see attachment – 2 years ago **files (2)** – ## UnitIIICHS.docx – ## UnitIIISG.pdf **## UnitIIICHS.docx** In this assignment, you are asked to prepare a [matrix](https://online.columbiasouthern.edu/bbcswebdav/pid-17227640-dt-asiobject-rid-167915239_1/xid-167915239_1). You will need to work a bit to …

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    see attachment

    – 2 years ago

    **files (2)**

    – ## UnitIIICHS.docx

    – ## UnitIIISG.pdf

    **## UnitIIICHS.docx**

    In this assignment, you are asked to prepare a
    [matrix](https://online.columbiasouthern.edu/bbcswebdav/pid-17227640-dt-asiobject-rid-167915239_1/xid-167915239_1). You will need to work a bit to mine the data from the textbook chapters and outside sources.

    The purpose of this assignment is to allow students to use the foundational skills they have learned so far in the course and to mine for information in printed material, compare countries, learn about mental health practices, analyze data based on outcomes, and develop an action plan. These are basic skills used by health care administrators in a variety of settings and especially apropos to global or international health care.

    **For this assignment**:

    ·
    **Complete each box of the** [**matrix**](https://online.columbiasouthern.edu/bbcswebdav/pid-17227640-dt-asiobject-rid-167915239_1/xid-167915239_1) **below with a detailed description.**

    ·
    **Once the matrix is complete, pick two countries from the matrix and write a two-page essay comparing the countries health systems.**

    ·
    **Make sure to expand on each of the categories from the matrix and do not just copy what is in the matrix.**

    **Your essay must be at least two pages in length, not counting the title and reference pages. You must have an introduction, a conclusion, and a minimum of three sources (one of which must be academic in nature). All sources used must have proper citations. Adhere to APA Style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed**.

    **## UnitIIISG.pdf**

    HCA 4303, Comparative Health Systems 1

    Course Learning Outcomes for Unit III

    Upon completion of this unit, students should be able to:

    1. Examine factors that influence health care in specified countries.
    1.1 Compare health care systems and the factors that affect them.

    4. Compare global health care services and systems.
    4.1 Plan a comparative matrix on the Americas region.

    5. Assess health care models used in other countries.
    5.1 Identify specific health care systems in the Americas region.

    Required Unit Resources

    Chapter 5: United States – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evaluation of the Healthcare System

    • Conclusion

    Chapter 6: Canada – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evaluation of the Healthcare System

    • Current and Emerging Issues and Challenges

    • Conclusion

    Chapter 7: Mexico – Read the following sections.

    • Brief History of the Healthcare System

    Chapter 8: Peru – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    Chapter 9: Brazil – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evolution of the Healthcare System in Brazil

    • Current and Emerging Issues and Challenges

    UNIT III STUDY GUIDE

    The Americas Region

    HCA 4303, Comparative Health Systems 2

    UNIT x STUDY GUIDE

    Title

    Unit Lesson

    In Units I and II, we laid the foundation for global health and policymaking. Throughout the remainder of this
    course, we will review the world and its health care systems by region. In this unit, we will begin with countries
    in the Americas.

    The United States of America

    The United States of America has been called a land of plenty, and the residents of the United States enjoy
    one of the highest standards of living in the world. It also has the largest and most technologically advanced
    economy in the world.

    The United States has a unique health system for its approximately 331 million residents, which comprises
    about 4.23 percent of the world’s population (WorldAtlas, n.d.). In the United States, health care is the largest
    industry, and it has a highly developed infrastructure for delivery of medical services (Johnson et al., 2018).
    Globally, on health care, the United States outspends all other nations. The facilities in the United States are
    ultramodern with high-caliber schooling. The infrastructure is owned mainly by the private sector; however,
    the government is a major financier of medical education health service research, and it operates the military
    and veterans’ health systems (Johnson et al., 2018). The life expectancy in the United States is 78.9 years
    (Organisation for Economic Co-operation and Development, 2021).

    The United States has several types of facilities that are listed in the chart below. The inpatient institutions
    care for patients who require overnight stays in places like general acute care or specialty hospitals and long-
    term care facilities. Outpatient services are delivered via an ambulatory care setting and vary on factors, such
    as type of care needed, insurance, and location (Johnson et al., 2018). Home health and walk-in clinics also
    fall into the outpatient category. The United States also has public health services that are provided by local
    health departments.
    Walk-in Clinic (Urgent Care)

    The managed care system is the most dominant delivery system in the United States. According to Johnson
    et al. (2018, p. 87), “Managed care is a system of health care delivery that (1) seeks to achieve efficiencies by
    integrating the basic functions of health care delivery, (2) employs mechanisms to control (manage) utilization
    of medical services, and (3) determines the price at which the services are purchased and consequently how
    much the providers get paid.” Employers and the government are the primary financiers of the system. There
    are two types of managed care organizations: HMOs (health maintenance organization) and PPOs (preferred
    provider organization). HMOs typically require in-network access while PPOs allow out-of-network access.

    HCA 4303, Comparative Health Systems 3

    UNIT x STUDY GUIDE

    Title
    The U.S. health care system is influenced by many external factors such as the economy, climate,
    technology, cultural and social values, the physical environment, and the population characteristics. The main
    characteristics of the United States health care system include:

    • “No central governing agency and little integration and coordination

    • A technology-driven delivery system focusing on acute care

    • High cost, unequal access, and mixed outcomes

    • Delivery of health care under imperfect market conditions

    • Government as subsidiary to private sector

    • Market justice versus social justice pervasive throughout health care

    • Multiple players and balance of power

    • Quest for integration and accountability” (Johnson et al., 2018, p. 90)

    Canada

    Canada is the second largest nation in the world and largest on the North American continent. Its environment
    is varied, ranging from its coastal regions, arid plains of the interior, to the polar cap. Canada’s population has
    exceeded 36 million people and it is aging (Johnson et al., 2018). The population density is about 4 people
    per square kilometer and about two-thirds of the population resides along the southern border (World
    Population Review, 2022).

    The Canadian government is a constitutional monarchy that is led by the prime minister and has a parliament
    with a set number of appointed members. It was originally comprised of the liberal and conservative parties,
    but over the years, three to five substantial political parties have existed.

    The economy has evolved from resource-driven origins to diverse market sectors, and it is heavily
    concentrated along the southern border. It has highly developed infrastructures and public school is provided
    at no direct cost to the students.

    Cancer is the leading cause of death in Canada and diabetes has been steadily rising in the population. The
    prevalence of illness and chronic conditions is considerably higher in certain subpopulations. Canada has a
    contemporary health care system characterized by a system of mixed sources of funding, administrative, and
    delivery services. The residents of Canada are covered under Medicare, which is a jointly funded
    federal/provincial health insurance system and it represents the majority of health care spending. Residential
    care facilities and physicians are mostly nongovernmental entities, while hospital sectors are operated by
    local and provincial governments (Johnson et al., 2018). There are also not-for-profit private sector hospitals.

    Mexico

    Mexico is the largest Spanish-speaking country in the world, and it covers 1.9 million square miles of land
    (Johnson et al., 2018). It has a multiparty electoral system and is a federation with a presidential
    representative and a democratic republic. The government consists of three branches: the executive,
    legislative, and judicial.

    Like many other countries, Mexico’s economy is experiencing major changes in economic and social
    variables. There are also many challenges regarding raising the quality of education, reducing government
    corruption, assuring public safety, controlling drug crimes, catching up on infrastructure backlogs, relieving
    poverty, and achieving well-being for the majority of Mexicans (Johnson et al., 2018).

    The quality of health care is a challenge for the Mexican health system. The life expectancy in Mexico is 75.1
    years (Organisation for Economic Co-operation and Development, 2021). Noncommunicable diseases and
    injuries are rapidly increasing in Mexico. This has increased demand for the need for changes that can meet
    the needs for cost-effective and equitable services. The Mexican health system has two sectors: public and
    private. The public sector includes the social security institutions, Segura Popular, and institutions offering
    services to the uninsured. These facilities run and own their own health care facilities and employ their own
    staff (except for Segura Popular). The private sector includes facilities and providers who offer for-profit
    services (Johnson et al., 2018). The table below explains the Mexican health care system.

    HCA 4303, Comparative Health Systems 4

    UNIT x STUDY GUIDE

    Title
    Public Sector

    • Social Security Institutions

    • Segura Popular

    • Institutions offering services to the uninsured
    o These facilities run and own their own health care facilities and employ

    their own staff (except for Segura Popular)

    Private Sector • Facilities and providers who offer for-profit services

    According to Johnson et al. (2018, p. 131), “The Mexican health system is a segmented system with three
    broad categories of beneficiaries: (1) workers of the formal sector of the economy and retired people and their
    families; (2) self-employed, workers of the informal sector of the economy, and unemployed and their families;
    and (3) the population with the ability to pay.”

    Mexico is working to increase access and availability of health care and trying to improve the quality of the
    available services. However, challenges still remain (emerging diseases, balance between investments in
    public health and personal curative health services and narrowing health gaps).

    For further information on Mexico, please consult Chapter 7 of your textbook.

    Peru

    Several different Andean civilizations have called Peru home, most notably the Incans. The Spanish invaded
    Peru and conquered the Incans in 1533, but in 1821, Peru declared its independence. Peru is in the central-
    west region of South American. Its topography lends itself to a wide variety of climates, but only 3% of the
    land is arable (Johnson et al., 2018).

    Almost 9 million people live in Lima, the capital and largest city of Peru, and more than half of the country’s
    population of 29 million live in the coastal regions (Johnson et al., 2018). The education level of the population
    is increasing and the number of women with advanced education is also increasing.

    The government is a constitutional republic with 24 departments, 188 provinces, one constitutional province,
    and 1,793 districts. Similar to the United States, it has three branches: executive, legislative, and judicial.
    Elections for the president and congress are held at the same time and decided and by popular vote.

    Peru’s geography helps its economy. Its abundant mineral resources from mountainous areas make it the
    world’s second largest producer of silver and third largest producer of copper. However, the economy is still
    fragile and vulnerable to fluctuations of the international market. There are also political and legal instabilities,
    natural disasters, and epidemics of concern in Peru. The national poverty rate in Peru has been declining.
    However, poor infrastructure hinders the spread of growth in the coastal areas (Johnson et al., 2018).

    The Peruvian health system is composed of two sectors: public and private. The public sector consists of
    MINSA and EsSalud and the armed forces and police health units and the private sector is made up of
    doctors’ offices, local companies, private clinics, and NGOs (Johnson et al., 2018). Below is a table explaining
    the Peruvian health system.

    Public Sector

    • MINSA

    • EsSalud

    • Armed forces

    • Police health units

    Private Sector

    • Doctors’ offices

    • Local companies

    • Private clinics

    • NGOs

    HCA 4303, Comparative Health Systems 5

    UNIT x STUDY GUIDE

    Title

    There are four ways to receive health insurance in Peru:

    1) Health insurance (SIS): Publicly funded health insurance with a focus on poor and vulnerable
    populations.

    2) Social health insurance (EsSalud): Provides health and social services to contract and salaried
    workers in the public and private sectors and their relatives, and a small percentage of independent
    workers.

    3) Armed Forces and Police Forces health services: Each has its own hospital. This insurance covers
    members and their families.

    4) Private insurance companies

    Brazil

    Brazil was discovered by the Portuguese in 1500 and gained its independence in 1882. It is the largest and
    most populated country in South America. It is the sixth most populated country in the world (Johnson et al.,
    2018). It continues to be the net recipient of immigrants and it does have a growing middle class. However,
    the poverty rate and unequal income levels remain high. Disparities lead to social exclusion and contribute to
    a high crime rate in Brazil.

    Brazil is a federal republic. Its powers are vested in the central government through a constitution. It contains
    26 states and the federal district, Brasilia. It has three branches of government: the executive, legislative, and
    judicial. Each state has its own governor and legislature, and the president heads up the executive branch.
    The highest court is the Supreme Federal Court which contains 11 justices. (Johnson et al., 2018). The
    federal government regulates education through the Ministry of Education and federal funding is used to
    develop state and local education programs.

    Health care is a top priority for Brazilians. The public health care (SUS) system is hierarchized, universal, and
    an integrated system. It provides a wide range of services from primary care to complex surgical procedures.
    Health care is available in Brazil to every person, citizen or not, who needs it. There are also no
    reimbursement compacts for health care among the Latin American countries and broad-scope services are
    not yet fully available in all Brazilian states. Further, there is difficulty to develop a comprehensive strategic
    plan for public health care services because of intensive internal and external immigration realities and
    funding restrictions.

    Pharmaceutical assistance in Brazil is comprised of a generic drug program. There is free medication
    distribution at public primary care units and an agreement with pharmacies throughout the country to promote
    the free distribution of subsidized medicines (Johnson et al., 2018).

    Conclusion

    This unit focused on the Americas region, specifically the United States, Canada, Mexico, Peru, and Brazil. It
    provided foundational knowledge on the countries demographics and political systems, as well as provided
    facts about their health care systems. To learn more about each country, please consult your textbook.

    References

    Johnson, J. A., Stoskopf, C. H., & Shi, L. (2018). Comparative health systems: A global perspective (2nd ed.).
    Jones & Bartlett Learning. https://bookshelf.vitalsource.com/#/books/9781284145038

    WorldAtlas. (n.d.). Countries by percentage of world population.
    https://www.worldatlas.com/articles/countries-by-percentage-of-world-population.html

    World Population Review. (2022). Canada population 2022.
    https://worldpopulationreview.com/countries/canada-population

    – Course Learning Outcomes for Unit III
    – Required Unit Resources
    – Unit Lesson
    – The United States of America
    – Canada
    – Mexico
    – Peru
    – Brazil
    – Conclusion
    – References

    **## UnitIIISG.pdf**

    HCA 4303, Comparative Health Systems 1

    Course Learning Outcomes for Unit III

    Upon completion of this unit, students should be able to:

    1. Examine factors that influence health care in specified countries.
    1.1 Compare health care systems and the factors that affect them.

    4. Compare global health care services and systems.
    4.1 Plan a comparative matrix on the Americas region.

    5. Assess health care models used in other countries.
    5.1 Identify specific health care systems in the Americas region.

    Required Unit Resources

    Chapter 5: United States – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evaluation of the Healthcare System

    • Conclusion

    Chapter 6: Canada – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evaluation of the Healthcare System

    • Current and Emerging Issues and Challenges

    • Conclusion

    Chapter 7: Mexico – Read the following sections.

    • Brief History of the Healthcare System

    Chapter 8: Peru – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    Chapter 9: Brazil – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evolution of the Healthcare System in Brazil

    • Current and Emerging Issues and Challenges

    UNIT III STUDY GUIDE

    The Americas Region

    HCA 4303, Comparative Health Systems 2

    UNIT x STUDY GUIDE

    Title

    Unit Lesson

    In Units I and II, we laid the foundation for global health and policymaking. Throughout the remainder of this
    course, we will review the world and its health care systems by region. In this unit, we will begin with countries
    in the Americas.

    The United States of America

    The United States of America has been called a land of plenty, and the residents of the United States enjoy
    one of the highest standards of living in the world. It also has the largest and most technologically advanced
    economy in the world.

    The United States has a unique health system for its approximately 331 million residents, which comprises
    about 4.23 percent of the world’s population (WorldAtlas, n.d.). In the United States, health care is the largest
    industry, and it has a highly developed infrastructure for delivery of medical services (Johnson et al., 2018).
    Globally, on health care, the United States outspends all other nations. The facilities in the United States are
    ultramodern with high-caliber schooling. The infrastructure is owned mainly by the private sector; however,
    the government is a major financier of medical education health service research, and it operates the military
    and veterans’ health systems (Johnson et al., 2018). The life expectancy in the United States is 78.9 years
    (Organisation for Economic Co-operation and Development, 2021).

    The United States has several types of facilities that are listed in the chart below. The inpatient institutions
    care for patients who require overnight stays in places like general acute care or specialty hospitals and long-
    term care facilities. Outpatient services are delivered via an ambulatory care setting and vary on factors, such
    as type of care needed, insurance, and location (Johnson et al., 2018). Home health and walk-in clinics also
    fall into the outpatient category. The United States also has public health services that are provided by local
    health departments.
    Walk-in Clinic (Urgent Care)

    The managed care system is the most dominant delivery system in the United States. According to Johnson
    et al. (2018, p. 87), “Managed care is a system of health care delivery that (1) seeks to achieve efficiencies by
    integrating the basic functions of health care delivery, (2) employs mechanisms to control (manage) utilization
    of medical services, and (3) determines the price at which the services are purchased and consequently how
    much the providers get paid.” Employers and the government are the primary financiers of the system. There
    are two types of managed care organizations: HMOs (health maintenance organization) and PPOs (preferred
    provider organization). HMOs typically require in-network access while PPOs allow out-of-network access.

    HCA 4303, Comparative Health Systems 3

    UNIT x STUDY GUIDE

    Title
    The U.S. health care system is influenced by many external factors such as the economy, climate,
    technology, cultural and social values, the physical environment, and the population characteristics. The main
    characteristics of the United States health care system include:

    • “No central governing agency and little integration and coordination

    • A technology-driven delivery system focusing on acute care

    • High cost, unequal access, and mixed outcomes

    • Delivery of health care under imperfect market conditions

    • Government as subsidiary to private sector

    • Market justice versus social justice pervasive throughout health care

    • Multiple players and balance of power

    • Quest for integration and accountability” (Johnson et al., 2018, p. 90)

    Canada

    Canada is the second largest nation in the world and largest on the North American continent. Its environment
    is varied, ranging from its coastal regions, arid plains of the interior, to the polar cap. Canada’s population has
    exceeded 36 million people and it is aging (Johnson et al., 2018). The population density is about 4 people
    per square kilometer and about two-thirds of the population resides along the southern border (World
    Population Review, 2022).

    The Canadian government is a constitutional monarchy that is led by the prime minister and has a parliament
    with a set number of appointed members. It was originally comprised of the liberal and conservative parties,
    but over the years, three to five substantial political parties have existed.

    The economy has evolved from resource-driven origins to diverse market sectors, and it is heavily
    concentrated along the southern border. It has highly developed infrastructures and public school is provided
    at no direct cost to the students.

    Cancer is the leading cause of death in Canada and diabetes has been steadily rising in the population. The
    prevalence of illness and chronic conditions is considerably higher in certain subpopulations. Canada has a
    contemporary health care system characterized by a system of mixed sources of funding, administrative, and
    delivery services. The residents of Canada are covered under Medicare, which is a jointly funded
    federal/provincial health insurance system and it represents the majority of health care spending. Residential
    care facilities and physicians are mostly nongovernmental entities, while hospital sectors are operated by
    local and provincial governments (Johnson et al., 2018). There are also not-for-profit private sector hospitals.

    Mexico

    Mexico is the largest Spanish-speaking country in the world, and it covers 1.9 million square miles of land
    (Johnson et al., 2018). It has a multiparty electoral system and is a federation with a presidential
    representative and a democratic republic. The government consists of three branches: the executive,
    legislative, and judicial.

    Like many other countries, Mexico’s economy is experiencing major changes in economic and social
    variables. There are also many challenges regarding raising the quality of education, reducing government
    corruption, assuring public safety, controlling drug crimes, catching up on infrastructure backlogs, relieving
    poverty, and achieving well-being for the majority of Mexicans (Johnson et al., 2018).

    The quality of health care is a challenge for the Mexican health system. The life expectancy in Mexico is 75.1
    years (Organisation for Economic Co-operation and Development, 2021). Noncommunicable diseases and
    injuries are rapidly increasing in Mexico. This has increased demand for the need for changes that can meet
    the needs for cost-effective and equitable services. The Mexican health system has two sectors: public and
    private. The public sector includes the social security institutions, Segura Popular, and institutions offering
    services to the uninsured. These facilities run and own their own health care facilities and employ their own
    staff (except for Segura Popular). The private sector includes facilities and providers who offer for-profit
    services (Johnson et al., 2018). The table below explains the Mexican health care system.

    HCA 4303, Comparative Health Systems 4

    UNIT x STUDY GUIDE

    Title
    Public Sector

    • Social Security Institutions

    • Segura Popular

    • Institutions offering services to the uninsured
    o These facilities run and own their own health care facilities and employ

    their own staff (except for Segura Popular)

    Private Sector • Facilities and providers who offer for-profit services

    According to Johnson et al. (2018, p. 131), “The Mexican health system is a segmented system with three
    broad categories of beneficiaries: (1) workers of the formal sector of the economy and retired people and their
    families; (2) self-employed, workers of the informal sector of the economy, and unemployed and their families;
    and (3) the population with the ability to pay.”

    Mexico is working to increase access and availability of health care and trying to improve the quality of the
    available services. However, challenges still remain (emerging diseases, balance between investments in
    public health and personal curative health services and narrowing health gaps).

    For further information on Mexico, please consult Chapter 7 of your textbook.

    Peru

    Several different Andean civilizations have called Peru home, most notably the Incans. The Spanish invaded
    Peru and conquered the Incans in 1533, but in 1821, Peru declared its independence. Peru is in the central-
    west region of South American. Its topography lends itself to a wide variety of climates, but only 3% of the
    land is arable (Johnson et al., 2018).

    Almost 9 million people live in Lima, the capital and largest city of Peru, and more than half of the country’s
    population of 29 million live in the coastal regions (Johnson et al., 2018). The education level of the population
    is increasing and the number of women with advanced education is also increasing.

    The government is a constitutional republic with 24 departments, 188 provinces, one constitutional province,
    and 1,793 districts. Similar to the United States, it has three branches: executive, legislative, and judicial.
    Elections for the president and congress are held at the same time and decided and by popular vote.

    Peru’s geography helps its economy. Its abundant mineral resources from mountainous areas make it the
    world’s second largest producer of silver and third largest producer of copper. However, the economy is still
    fragile and vulnerable to fluctuations of the international market. There are also political and legal instabilities,
    natural disasters, and epidemics of concern in Peru. The national poverty rate in Peru has been declining.
    However, poor infrastructure hinders the spread of growth in the coastal areas (Johnson et al., 2018).

    The Peruvian health system is composed of two sectors: public and private. The public sector consists of
    MINSA and EsSalud and the armed forces and police health units and the private sector is made up of
    doctors’ offices, local companies, private clinics, and NGOs (Johnson et al., 2018). Below is a table explaining
    the Peruvian health system.

    Public Sector

    • MINSA

    • EsSalud

    • Armed forces

    • Police health units

    Private Sector

    • Doctors’ offices

    • Local companies

    • Private clinics

    • NGOs

    HCA 4303, Comparative Health Systems 5

    UNIT x STUDY GUIDE

    Title

    There are four ways to receive health insurance in Peru:

    1) Health insurance (SIS): Publicly funded health insurance with a focus on poor and vulnerable
    populations.

    2) Social health insurance (EsSalud): Provides health and social services to contract and salaried
    workers in the public and private sectors and their relatives, and a small percentage of independent
    workers.

    3) Armed Forces and Police Forces health services: Each has its own hospital. This insurance covers
    members and their families.

    4) Private insurance companies

    Brazil

    Brazil was discovered by the Portuguese in 1500 and gained its independence in 1882. It is the largest and
    most populated country in South America. It is the sixth most populated country in the world (Johnson et al.,
    2018). It continues to be the net recipient of immigrants and it does have a growing middle class. However,
    the poverty rate and unequal income levels remain high. Disparities lead to social exclusion and contribute to
    a high crime rate in Brazil.

    Brazil is a federal republic. Its powers are vested in the central government through a constitution. It contains
    26 states and the federal district, Brasilia. It has three branches of government: the executive, legislative, and
    judicial. Each state has its own governor and legislature, and the president heads up the executive branch.
    The highest court is the Supreme Federal Court which contains 11 justices. (Johnson et al., 2018). The
    federal government regulates education through the Ministry of Education and federal funding is used to
    develop state and local education programs.

    Health care is a top priority for Brazilians. The public health care (SUS) system is hierarchized, universal, and
    an integrated system. It provides a wide range of services from primary care to complex surgical procedures.
    Health care is available in Brazil to every person, citizen or not, who needs it. There are also no
    reimbursement compacts for health care among the Latin American countries and broad-scope services are
    not yet fully available in all Brazilian states. Further, there is difficulty to develop a comprehensive strategic
    plan for public health care services because of intensive internal and external immigration realities and
    funding restrictions.

    Pharmaceutical assistance in Brazil is comprised of a generic drug program. There is free medication
    distribution at public primary care units and an agreement with pharmacies throughout the country to promote
    the free distribution of subsidized medicines (Johnson et al., 2018).

    Conclusion

    This unit focused on the Americas region, specifically the United States, Canada, Mexico, Peru, and Brazil. It
    provided foundational knowledge on the countries demographics and political systems, as well as provided
    facts about their health care systems. To learn more about each country, please consult your textbook.

    References

    Johnson, J. A., Stoskopf, C. H., & Shi, L. (2018). Comparative health systems: A global perspective (2nd ed.).
    Jones & Bartlett Learning. https://bookshelf.vitalsource.com/#/books/9781284145038

    WorldAtlas. (n.d.). Countries by percentage of world population.
    https://www.worldatlas.com/articles/countries-by-percentage-of-world-population.html

    World Population Review. (2022). Canada population 2022.
    https://worldpopulationreview.com/countries/canada-population

    – Course Learning Outcomes for Unit III
    – Required Unit Resources
    – Unit Lesson
    – The United States of America
    – Canada
    – Mexico
    – Peru
    – Brazil
    – Conclusion
    – References

    **## UnitIIICHS.docx**

    In this assignment, you are asked to prepare a
    [matrix](https://online.columbiasouthern.edu/bbcswebdav/pid-17227640-dt-asiobject-rid-167915239_1/xid-167915239_1). You will need to work a bit to mine the data from the textbook chapters and outside sources.

    The purpose of this assignment is to allow students to use the foundational skills they have learned so far in the course and to mine for information in printed material, compare countries, learn about mental health practices, analyze data based on outcomes, and develop an action plan. These are basic skills used by health care administrators in a variety of settings and especially apropos to global or international health care.

    **For this assignment**:

    ·
    **Complete each box of the** [**matrix**](https://online.columbiasouthern.edu/bbcswebdav/pid-17227640-dt-asiobject-rid-167915239_1/xid-167915239_1) **below with a detailed description.**

    ·
    **Once the matrix is complete, pick two countries from the matrix and write a two-page essay comparing the countries health systems.**

    ·
    **Make sure to expand on each of the categories from the matrix and do not just copy what is in the matrix.**

    **Your essay must be at least two pages in length, not counting the title and reference pages. You must have an introduction, a conclusion, and a minimum of three sources (one of which must be academic in nature). All sources used must have proper citations. Adhere to APA Style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed**.

    **## UnitIIISG.pdf**

    HCA 4303, Comparative Health Systems 1

    Course Learning Outcomes for Unit III

    Upon completion of this unit, students should be able to:

    1. Examine factors that influence health care in specified countries.
    1.1 Compare health care systems and the factors that affect them.

    4. Compare global health care services and systems.
    4.1 Plan a comparative matrix on the Americas region.

    5. Assess health care models used in other countries.
    5.1 Identify specific health care systems in the Americas region.

    Required Unit Resources

    Chapter 5: United States – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evaluation of the Healthcare System

    • Conclusion

    Chapter 6: Canada – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evaluation of the Healthcare System

    • Current and Emerging Issues and Challenges

    • Conclusion

    Chapter 7: Mexico – Read the following sections.

    • Brief History of the Healthcare System

    Chapter 8: Peru – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    Chapter 9: Brazil – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evolution of the Healthcare System in Brazil

    • Current and Emerging Issues and Challenges

    UNIT III STUDY GUIDE

    The Americas Region

    HCA 4303, Comparative Health Systems 2

    UNIT x STUDY GUIDE

    Title

    Unit Lesson

    In Units I and II, we laid the foundation for global health and policymaking. Throughout the remainder of this
    course, we will review the world and its health care systems by region. In this unit, we will begin with countries
    in the Americas.

    The United States of America

    The United States of America has been called a land of plenty, and the residents of the United States enjoy
    one of the highest standards of living in the world. It also has the largest and most technologically advanced
    economy in the world.

    The United States has a unique health system for its approximately 331 million residents, which comprises
    about 4.23 percent of the world’s population (WorldAtlas, n.d.). In the United States, health care is the largest
    industry, and it has a highly developed infrastructure for delivery of medical services (Johnson et al., 2018).
    Globally, on health care, the United States outspends all other nations. The facilities in the United States are
    ultramodern with high-caliber schooling. The infrastructure is owned mainly by the private sector; however,
    the government is a major financier of medical education health service research, and it operates the military
    and veterans’ health systems (Johnson et al., 2018). The life expectancy in the United States is 78.9 years
    (Organisation for Economic Co-operation and Development, 2021).

    The United States has several types of facilities that are listed in the chart below. The inpatient institutions
    care for patients who require overnight stays in places like general acute care or specialty hospitals and long-
    term care facilities. Outpatient services are delivered via an ambulatory care setting and vary on factors, such
    as type of care needed, insurance, and location (Johnson et al., 2018). Home health and walk-in clinics also
    fall into the outpatient category. The United States also has public health services that are provided by local
    health departments.
    Walk-in Clinic (Urgent Care)

    The managed care system is the most dominant delivery system in the United States. According to Johnson
    et al. (2018, p. 87), “Managed care is a system of health care delivery that (1) seeks to achieve efficiencies by
    integrating the basic functions of health care delivery, (2) employs mechanisms to control (manage) utilization
    of medical services, and (3) determines the price at which the services are purchased and consequently how
    much the providers get paid.” Employers and the government are the primary financiers of the system. There
    are two types of managed care organizations: HMOs (health maintenance organization) and PPOs (preferred
    provider organization). HMOs typically require in-network access while PPOs allow out-of-network access.

    HCA 4303, Comparative Health Systems 3

    UNIT x STUDY GUIDE

    Title
    The U.S. health care system is influenced by many external factors such as the economy, climate,
    technology, cultural and social values, the physical environment, and the population characteristics. The main
    characteristics of the United States health care system include:

    • “No central governing agency and little integration and coordination

    • A technology-driven delivery system focusing on acute care

    • High cost, unequal access, and mixed outcomes

    • Delivery of health care under imperfect market conditions

    • Government as subsidiary to private sector

    • Market justice versus social justice pervasive throughout health care

    • Multiple players and balance of power

    • Quest for integration and accountability” (Johnson et al., 2018, p. 90)

    Canada

    Canada is the second largest nation in the world and largest on the North American continent. Its environment
    is varied, ranging from its coastal regions, arid plains of the interior, to the polar cap. Canada’s population has
    exceeded 36 million people and it is aging (Johnson et al., 2018). The population density is about 4 people
    per square kilometer and about two-thirds of the population resides along the southern border (World
    Population Review, 2022).

    The Canadian government is a constitutional monarchy that is led by the prime minister and has a parliament
    with a set number of appointed members. It was originally comprised of the liberal and conservative parties,
    but over the years, three to five substantial political parties have existed.

    The economy has evolved from resource-driven origins to diverse market sectors, and it is heavily
    concentrated along the southern border. It has highly developed infrastructures and public school is provided
    at no direct cost to the students.

    Cancer is the leading cause of death in Canada and diabetes has been steadily rising in the population. The
    prevalence of illness and chronic conditions is considerably higher in certain subpopulations. Canada has a
    contemporary health care system characterized by a system of mixed sources of funding, administrative, and
    delivery services. The residents of Canada are covered under Medicare, which is a jointly funded
    federal/provincial health insurance system and it represents the majority of health care spending. Residential
    care facilities and physicians are mostly nongovernmental entities, while hospital sectors are operated by
    local and provincial governments (Johnson et al., 2018). There are also not-for-profit private sector hospitals.

    Mexico

    Mexico is the largest Spanish-speaking country in the world, and it covers 1.9 million square miles of land
    (Johnson et al., 2018). It has a multiparty electoral system and is a federation with a presidential
    representative and a democratic republic. The government consists of three branches: the executive,
    legislative, and judicial.

    Like many other countries, Mexico’s economy is experiencing major changes in economic and social
    variables. There are also many challenges regarding raising the quality of education, reducing government
    corruption, assuring public safety, controlling drug crimes, catching up on infrastructure backlogs, relieving
    poverty, and achieving well-being for the majority of Mexicans (Johnson et al., 2018).

    The quality of health care is a challenge for the Mexican health system. The life expectancy in Mexico is 75.1
    years (Organisation for Economic Co-operation and Development, 2021). Noncommunicable diseases and
    injuries are rapidly increasing in Mexico. This has increased demand for the need for changes that can meet
    the needs for cost-effective and equitable services. The Mexican health system has two sectors: public and
    private. The public sector includes the social security institutions, Segura Popular, and institutions offering
    services to the uninsured. These facilities run and own their own health care facilities and employ their own
    staff (except for Segura Popular). The private sector includes facilities and providers who offer for-profit
    services (Johnson et al., 2018). The table below explains the Mexican health care system.

    HCA 4303, Comparative Health Systems 4

    UNIT x STUDY GUIDE

    Title
    Public Sector

    • Social Security Institutions

    • Segura Popular

    • Institutions offering services to the uninsured
    o These facilities run and own their own health care facilities and employ

    their own staff (except for Segura Popular)

    Private Sector • Facilities and providers who offer for-profit services

    According to Johnson et al. (2018, p. 131), “The Mexican health system is a segmented system with three
    broad categories of beneficiaries: (1) workers of the formal sector of the economy and retired people and their
    families; (2) self-employed, workers of the informal sector of the economy, and unemployed and their families;
    and (3) the population with the ability to pay.”

    Mexico is working to increase access and availability of health care and trying to improve the quality of the
    available services. However, challenges still remain (emerging diseases, balance between investments in
    public health and personal curative health services and narrowing health gaps).

    For further information on Mexico, please consult Chapter 7 of your textbook.

    Peru

    Several different Andean civilizations have called Peru home, most notably the Incans. The Spanish invaded
    Peru and conquered the Incans in 1533, but in 1821, Peru declared its independence. Peru is in the central-
    west region of South American. Its topography lends itself to a wide variety of climates, but only 3% of the
    land is arable (Johnson et al., 2018).

    Almost 9 million people live in Lima, the capital and largest city of Peru, and more than half of the country’s
    population of 29 million live in the coastal regions (Johnson et al., 2018). The education level of the population
    is increasing and the number of women with advanced education is also increasing.

    The government is a constitutional republic with 24 departments, 188 provinces, one constitutional province,
    and 1,793 districts. Similar to the United States, it has three branches: executive, legislative, and judicial.
    Elections for the president and congress are held at the same time and decided and by popular vote.

    Peru’s geography helps its economy. Its abundant mineral resources from mountainous areas make it the
    world’s second largest producer of silver and third largest producer of copper. However, the economy is still
    fragile and vulnerable to fluctuations of the international market. There are also political and legal instabilities,
    natural disasters, and epidemics of concern in Peru. The national poverty rate in Peru has been declining.
    However, poor infrastructure hinders the spread of growth in the coastal areas (Johnson et al., 2018).

    The Peruvian health system is composed of two sectors: public and private. The public sector consists of
    MINSA and EsSalud and the armed forces and police health units and the private sector is made up of
    doctors’ offices, local companies, private clinics, and NGOs (Johnson et al., 2018). Below is a table explaining
    the Peruvian health system.

    Public Sector

    • MINSA

    • EsSalud

    • Armed forces

    • Police health units

    Private Sector

    • Doctors’ offices

    • Local companies

    • Private clinics

    • NGOs

    HCA 4303, Comparative Health Systems 5

    UNIT x STUDY GUIDE

    Title

    There are four ways to receive health insurance in Peru:

    1) Health insurance (SIS): Publicly funded health insurance with a focus on poor and vulnerable
    populations.

    2) Social health insurance (EsSalud): Provides health and social services to contract and salaried
    workers in the public and private sectors and their relatives, and a small percentage of independent
    workers.

    3) Armed Forces and Police Forces health services: Each has its own hospital. This insurance covers
    members and their families.

    4) Private insurance companies

    Brazil

    Brazil was discovered by the Portuguese in 1500 and gained its independence in 1882. It is the largest and
    most populated country in South America. It is the sixth most populated country in the world (Johnson et al.,
    2018). It continues to be the net recipient of immigrants and it does have a growing middle class. However,
    the poverty rate and unequal income levels remain high. Disparities lead to social exclusion and contribute to
    a high crime rate in Brazil.

    Brazil is a federal republic. Its powers are vested in the central government through a constitution. It contains
    26 states and the federal district, Brasilia. It has three branches of government: the executive, legislative, and
    judicial. Each state has its own governor and legislature, and the president heads up the executive branch.
    The highest court is the Supreme Federal Court which contains 11 justices. (Johnson et al., 2018). The
    federal government regulates education through the Ministry of Education and federal funding is used to
    develop state and local education programs.

    Health care is a top priority for Brazilians. The public health care (SUS) system is hierarchized, universal, and
    an integrated system. It provides a wide range of services from primary care to complex surgical procedures.
    Health care is available in Brazil to every person, citizen or not, who needs it. There are also no
    reimbursement compacts for health care among the Latin American countries and broad-scope services are
    not yet fully available in all Brazilian states. Further, there is difficulty to develop a comprehensive strategic
    plan for public health care services because of intensive internal and external immigration realities and
    funding restrictions.

    Pharmaceutical assistance in Brazil is comprised of a generic drug program. There is free medication
    distribution at public primary care units and an agreement with pharmacies throughout the country to promote
    the free distribution of subsidized medicines (Johnson et al., 2018).

    Conclusion

    This unit focused on the Americas region, specifically the United States, Canada, Mexico, Peru, and Brazil. It
    provided foundational knowledge on the countries demographics and political systems, as well as provided
    facts about their health care systems. To learn more about each country, please consult your textbook.

    References

    Johnson, J. A., Stoskopf, C. H., & Shi, L. (2018). Comparative health systems: A global perspective (2nd ed.).
    Jones & Bartlett Learning. https://bookshelf.vitalsource.com/#/books/9781284145038

    WorldAtlas. (n.d.). Countries by percentage of world population.
    https://www.worldatlas.com/articles/countries-by-percentage-of-world-population.html

    World Population Review. (2022). Canada population 2022.
    https://worldpopulationreview.com/countries/canada-population

    – Course Learning Outcomes for Unit III
    – Required Unit Resources
    – Unit Lesson
    – The United States of America
    – Canada
    – Mexico
    – Peru
    – Brazil
    – Conclusion
    – References

    **## UnitIIICHS.docx**

    In this assignment, you are asked to prepare a
    [matrix](https://online.columbiasouthern.edu/bbcswebdav/pid-17227640-dt-asiobject-rid-167915239_1/xid-167915239_1). You will need to work a bit to mine the data from the textbook chapters and outside sources.

    The purpose of this assignment is to allow students to use the foundational skills they have learned so far in the course and to mine for information in printed material, compare countries, learn about mental health practices, analyze data based on outcomes, and develop an action plan. These are basic skills used by health care administrators in a variety of settings and especially apropos to global or international health care.

    **For this assignment**:

    ·
    **Complete each box of the** [**matrix**](https://online.columbiasouthern.edu/bbcswebdav/pid-17227640-dt-asiobject-rid-167915239_1/xid-167915239_1) **below with a detailed description.**

    ·
    **Once the matrix is complete, pick two countries from the matrix and write a two-page essay comparing the countries health systems.**

    ·
    **Make sure to expand on each of the categories from the matrix and do not just copy what is in the matrix.**

    **Your essay must be at least two pages in length, not counting the title and reference pages. You must have an introduction, a conclusion, and a minimum of three sources (one of which must be academic in nature). All sources used must have proper citations. Adhere to APA Style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed**.

    **## UnitIIISG.pdf**

    HCA 4303, Comparative Health Systems 1

    Course Learning Outcomes for Unit III

    Upon completion of this unit, students should be able to:

    1. Examine factors that influence health care in specified countries.
    1.1 Compare health care systems and the factors that affect them.

    4. Compare global health care services and systems.
    4.1 Plan a comparative matrix on the Americas region.

    5. Assess health care models used in other countries.
    5.1 Identify specific health care systems in the Americas region.

    Required Unit Resources

    Chapter 5: United States – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evaluation of the Healthcare System

    • Conclusion

    Chapter 6: Canada – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evaluation of the Healthcare System

    • Current and Emerging Issues and Challenges

    • Conclusion

    Chapter 7: Mexico – Read the following sections.

    • Brief History of the Healthcare System

    Chapter 8: Peru – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    Chapter 9: Brazil – Read the following sections.

    • Brief History of the Healthcare System

    • Description of the Current Healthcare System

    • Evolution of the Healthcare System in Brazil

    • Current and Emerging Issues and Challenges

    UNIT III STUDY GUIDE

    The Americas Region

    HCA 4303, Comparative Health Systems 2

    UNIT x STUDY GUIDE

    Title

    Unit Lesson

    In Units I and II, we laid the foundation for global health and policymaking. Throughout the remainder of this
    course, we will review the world and its health care systems by region. In this unit, we will begin with countries
    in the Americas.

    The United States of America

    The United States of America has been called a land of plenty, and the residents of the United States enjoy
    one of the highest standards of living in the world. It also has the largest and most technologically advanced
    economy in the world.

    The United States has a unique health system for its approximately 331 million residents, which comprises
    about 4.23 percent of the world’s population (WorldAtlas, n.d.). In the United States, health care is the largest
    industry, and it has a highly developed infrastructure for delivery of medical services (Johnson et al., 2018).
    Globally, on health care, the United States outspends all other nations. The facilities in the United States are
    ultramodern with high-caliber schooling. The infrastructure is owned mainly by the private sector; however,
    the government is a major financier of medical education health service research, and it operates the military
    and veterans’ health systems (Johnson et al., 2018). The life expectancy in the United States is 78.9 years
    (Organisation for Economic Co-operation and Development, 2021).

    The United States has several types of facilities that are listed in the chart below. The inpatient institutions
    care for patients who require overnight stays in places like general acute care or specialty hospitals and long-
    term care facilities. Outpatient services are delivered via an ambulatory care setting and vary on factors, such
    as type of care needed, insurance, and location (Johnson et al., 2018). Home health and walk-in clinics also
    fall into the outpatient category. The United States also has public health services that are provided by local
    health departments.
    Walk-in Clinic (Urgent Care)

    The managed care system is the most dominant delivery system in the United States. According to Johnson
    et al. (2018, p. 87), “Managed care is a system of health care delivery that (1) seeks to achieve efficiencies by
    integrating the basic functions of health care delivery, (2) employs mechanisms to control (manage) utilization
    of medical services, and (3) determines the price at which the services are purchased and consequently how
    much the providers get paid.” Employers and the government are the primary financiers of the system. There
    are two types of managed care organizations: HMOs (health maintenance organization) and PPOs (preferred
    provider organization). HMOs typically require in-network access while PPOs allow out-of-network access.

    HCA 4303, Comparative Health Systems 3

    UNIT x STUDY GUIDE

    Title
    The U.S. health care system is influenced by many external factors such as the economy, climate,
    technology, cultural and social values, the physical environment, and the population characteristics. The main
    characteristics of the United States health care system include:

    • “No central governing agency and little integration and coordination

    • A technology-driven delivery system focusing on acute care

    • High cost, unequal access, and mixed outcomes

    • Delivery of health care under imperfect market conditions

    • Government as subsidiary to private sector

    • Market justice versus social justice pervasive throughout health care

    • Multiple players and balance of power

    • Quest for integration and accountability” (Johnson et al., 2018, p. 90)

    Canada

    Canada is the second largest nation in the world and largest on the North American continent. Its environment
    is varied, ranging from its coastal regions, arid plains of the interior, to the polar cap. Canada’s population has
    exceeded 36 million people and it is aging (Johnson et al., 2018). The population density is about 4 people
    per square kilometer and about two-thirds of the population resides along the southern border (World
    Population Review, 2022).

    The Canadian government is a constitutional monarchy that is led by the prime minister and has a parliament
    with a set number of appointed members. It was originally comprised of the liberal and conservative parties,
    but over the years, three to five substantial political parties have existed.

    The economy has evolved from resource-driven origins to diverse market sectors, and it is heavily
    concentrated along the southern border. It has highly developed infrastructures and public school is provided
    at no direct cost to the students.

    Cancer is the leading cause of death in Canada and diabetes has been steadily rising in the population. The
    prevalence of illness and chronic conditions is considerably higher in certain subpopulations. Canada has a
    contemporary health care system characterized by a system of mixed sources of funding, administrative, and
    delivery services. The residents of Canada are covered under Medicare, which is a jointly funded
    federal/provincial health insurance system and it represents the majority of health care spending. Residential
    care facilities and physicians are mostly nongovernmental entities, while hospital sectors are operated by
    local and provincial governments (Johnson et al., 2018). There are also not-for-profit private sector hospitals.

    Mexico

    Mexico is the largest Spanish-speaking country in the world, and it covers 1.9 million square miles of land
    (Johnson et al., 2018). It has a multiparty electoral system and is a federation with a presidential
    representative and a democratic republic. The government consists of three branches: the executive,
    legislative, and judicial.

    Like many other countries, Mexico’s economy is experiencing major changes in economic and social
    variables. There are also many challenges regarding raising the quality of education, reducing government
    corruption, assuring public safety, controlling drug crimes, catching up on infrastructure backlogs, relieving
    poverty, and achieving well-being for the majority of Mexicans (Johnson et al., 2018).

    The quality of health care is a challenge for the Mexican health system. The life expectancy in Mexico is 75.1
    years (Organisation for Economic Co-operation and Development, 2021). Noncommunicable diseases and
    injuries are rapidly increasing in Mexico. This has increased demand for the need for changes that can meet
    the needs for cost-effective and equitable services. The Mexican health system has two sectors: public and
    private. The public sector includes the social security institutions, Segura Popular, and institutions offering
    services to the uninsured. These facilities run and own their own health care facilities and employ their own
    staff (except for Segura Popular). The private sector includes facilities and providers who offer for-profit
    services (Johnson et al., 2018). The table below explains the Mexican health care system.

    HCA 4303, Comparative Health Systems 4

    UNIT x STUDY GUIDE

    Title
    Public Sector

    • Social Security Institutions

    • Segura Popular

    • Institutions offering services to the uninsured
    o These facilities run and own their own health care facilities and employ

    their own staff (except for Segura Popular)

    Private Sector • Facilities and providers who offer for-profit services

    According to Johnson et al. (2018, p. 131), “The Mexican health system is a segmented system with three
    broad categories of beneficiaries: (1) workers of the formal sector of the economy and retired people and their
    families; (2) self-employed, workers of the informal sector of the economy, and unemployed and their families;
    and (3) the population with the ability to pay.”

    Mexico is working to increase access and availability of health care and trying to improve the quality of the
    available services. However, challenges still remain (emerging diseases, balance between investments in
    public health and personal curative health services and narrowing health gaps).

    For further information on Mexico, please consult Chapter 7 of your textbook.

    Peru

    Several different Andean civilizations have called Peru home, most notably the Incans. The Spanish invaded
    Peru and conquered the Incans in 1533, but in 1821, Peru declared its independence. Peru is in the central-
    west region of South American. Its topography lends itself to a wide variety of climates, but only 3% of the
    land is arable (Johnson et al., 2018).

    Almost 9 million people live in Lima, the capital and largest city of Peru, and more than half of the country’s
    population of 29 million live in the coastal regions (Johnson et al., 2018). The education level of the population
    is increasing and the number of women with advanced education is also increasing.

    The government is a constitutional republic with 24 departments, 188 provinces, one constitutional province,
    and 1,793 districts. Similar to the United States, it has three branches: executive, legislative, and judicial.
    Elections for the president and congress are held at the same time and decided and by popular vote.

    Peru’s geography helps its economy. Its abundant mineral resources from mountainous areas make it the
    world’s second largest producer of silver and third largest producer of copper. However, the economy is still
    fragile and vulnerable to fluctuations of the international market. There are also political and legal instabilities,
    natural disasters, and epidemics of concern in Peru. The national poverty rate in Peru has been declining.
    However, poor infrastructure hinders the spread of growth in the coastal areas (Johnson et al., 2018).

    The Peruvian health system is composed of two sectors: public and private. The public sector consists of
    MINSA and EsSalud and the armed forces and police health units and the private sector is made up of
    doctors’ offices, local companies, private clinics, and NGOs (Johnson et al., 2018). Below is a table explaining
    the Peruvian health system.

    Public Sector

    • MINSA

    • EsSalud

    • Armed forces

    • Police health units

    Private Sector

    • Doctors’ offices

    • Local companies

    • Private clinics

    • NGOs

    HCA 4303, Comparative Health Systems 5

    UNIT x STUDY GUIDE

    Title

    There are four ways to receive health insurance in Peru:

    1) Health insurance (SIS): Publicly funded health insurance with a focus on poor and vulnerable
    populations.

    2) Social health insurance (EsSalud): Provides health and social services to contract and salaried
    workers in the public and private sectors and their relatives, and a small percentage of independent
    workers.

    3) Armed Forces and Police Forces health services: Each has its own hospital. This insurance covers
    members and their families.

    4) Private insurance companies

    Brazil

    Brazil was discovered by the Portuguese in 1500 and gained its independence in 1882. It is the largest and
    most populated country in South America. It is the sixth most populated country in the world (Johnson et al.,
    2018). It continues to be the net recipient of immigrants and it does have a growing middle class. However,
    the poverty rate and unequal income levels remain high. Disparities lead to social exclusion and contribute to
    a high crime rate in Brazil.

    Brazil is a federal republic. Its powers are vested in the central government through a constitution. It contains
    26 states and the federal district, Brasilia. It has three branches of government: the executive, legislative, and
    judicial. Each state has its own governor and legislature, and the president heads up the executive branch.
    The highest court is the Supreme Federal Court which contains 11 justices. (Johnson et al., 2018). The
    federal government regulates education through the Ministry of Education and federal funding is used to
    develop state and local education programs.

    Health care is a top priority for Brazilians. The public health care (SUS) system is hierarchized, universal, and
    an integrated system. It provides a wide range of services from primary care to complex surgical procedures.
    Health care is available in Brazil to every person, citizen or not, who needs it. There are also no
    reimbursement compacts for health care among the Latin American countries and broad-scope services are
    not yet fully available in all Brazilian states. Further, there is difficulty to develop a comprehensive strategic
    plan for public health care services because of intensive internal and external immigration realities and
    funding restrictions.

    Pharmaceutical assistance in Brazil is comprised of a generic drug program. There is free medication
    distribution at public primary care units and an agreement with pharmacies throughout the country to promote
    the free distribution of subsidized medicines (Johnson et al., 2018).

    Conclusion

    This unit focused on the Americas region, specifically the United States, Canada, Mexico, Peru, and Brazil. It
    provided foundational knowledge on the countries demographics and political systems, as well as provided
    facts about their health care systems. To learn more about each country, please consult your textbook.

    References

    Johnson, J. A., Stoskopf, C. H., & Shi, L. (2018). Comparative health systems: A global perspective (2nd ed.).
    Jones & Bartlett Learning. https://bookshelf.vitalsource.com/#/books/9781284145038

    WorldAtlas. (n.d.). Countries by percentage of world population.
    https://www.worldatlas.com/articles/countries-by-percentage-of-world-population.html

    World Population Review. (2022). Canada population 2022.
    https://worldpopulationreview.com/countries/canada-population

    – Course Learning Outcomes for Unit III
    – Required Unit Resources
    – Unit Lesson
    – The United States of America
    – Canada
    – Mexico
    – Peru
    – Brazil
    – Conclusion
    – References

  • [Solved] Unit III FinMgmt HC

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    see attachment – 2 years ago **files (1)** – ## UnitIIIFinMGMTCreatingaBusinessPlanProject.docx **## UnitIIIFinMGMTCreatingaBusinessPlanProject.docx** **Creating a Business Plan Project: Part 1** A business plan provides a business with a vision for the future and a clear strategy for expanding the …

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    Assignment Prompt & Instructions

    see attachment

    – 2 years ago

    **files (1)**

    – ## UnitIIIFinMGMTCreatingaBusinessPlanProject.docx

    **## UnitIIIFinMGMTCreatingaBusinessPlanProject.docx**

    **Creating a Business Plan Project: Part 1**

    A business plan provides a business with a vision for the future and a clear strategy for expanding the business. Understanding the components of a business plan can help identify the needed resources, timeline, and steps to achieve the business's goals, grow the business, track the growth, help to forecast and plan for potential risks, and help investors see the viability of a company.

    For your course project that you will finish in Unit VII, you will create a basic business plan for a fictional start-up health care company. This unit III assignment will be the first part of your business plan project.

    Complete the following for your assignment that is due in this unit:

    **Research**

    Feel free to research an organization similar to the one you would like to complete the project on as a guide for creating the business plan.

    In this assignment include:

    · the executive summary,

    · the business description,

    · a short explanation of the importance of the time value of money, and

    · the four basic financial statements.

    **Executive Summary**

    The executive summary is the first and one of the most critical parts of a business plan. It provides an overview of what the business plan will cover. You can always go back and update this section in Unit VII before posting the final course project.

    Include the following in your executive summary:

    · mission statement,

    · products or services you offer, and

    · why you started the business.

    **Business Description**

    The business description should include the following:

    · type of entity (e.g., a sole proprietorship, or an LLC) and name of the company;

    · information regarding the industry your company will serve;

    · your team experience in the industry;

    · business goals (two long-term and two short-term plans);

    · product or services;

    · target customer;

    · trends and major competitors; and

    · what will set your company apart from the competition.

    **Time Value of Money**

    Briefly explain the importance of the time value of money and how you would use it to maximize profit for your company.

    **Financial Tools**

    · Create the four key financial statements, and explain the importance of each for your company. Refer to the examples in your text, and research similar companies online. Remember this is a start-up company and may not have a lot of resources. The main consideration is adding the right information for each of the financial statements.

    · Identify three critical ratios that are important to review.

    **This Unit III Course Project should be at least two to three pages in length. As this assignment will also be part of a larger project that will be due in Unit VII, no abstract or title page is needed at this time. You must use at least two sources, including the textbook. Adhere to APA Style when creating citations and references for this assignment. APA formatting, however, is not necessary.**

    **## UnitIIIFinMGMTCreatingaBusinessPlanProject.docx**

    **Creating a Business Plan Project: Part 1**

    A business plan provides a business with a vision for the future and a clear strategy for expanding the business. Understanding the components of a business plan can help identify the needed resources, timeline, and steps to achieve the business's goals, grow the business, track the growth, help to forecast and plan for potential risks, and help investors see the viability of a company.

    For your course project that you will finish in Unit VII, you will create a basic business plan for a fictional start-up health care company. This unit III assignment will be the first part of your business plan project.

    Complete the following for your assignment that is due in this unit:

    **Research**

    Feel free to research an organization similar to the one you would like to complete the project on as a guide for creating the business plan.

    In this assignment include:

    · the executive summary,

    · the business description,

    · a short explanation of the importance of the time value of money, and

    · the four basic financial statements.

    **Executive Summary**

    The executive summary is the first and one of the most critical parts of a business plan. It provides an overview of what the business plan will cover. You can always go back and update this section in Unit VII before posting the final course project.

    Include the following in your executive summary:

    · mission statement,

    · products or services you offer, and

    · why you started the business.

    **Business Description**

    The business description should include the following:

    · type of entity (e.g., a sole proprietorship, or an LLC) and name of the company;

    · information regarding the industry your company will serve;

    · your team experience in the industry;

    · business goals (two long-term and two short-term plans);

    · product or services;

    · target customer;

    · trends and major competitors; and

    · what will set your company apart from the competition.

    **Time Value of Money**

    Briefly explain the importance of the time value of money and how you would use it to maximize profit for your company.

    **Financial Tools**

    · Create the four key financial statements, and explain the importance of each for your company. Refer to the examples in your text, and research similar companies online. Remember this is a start-up company and may not have a lot of resources. The main consideration is adding the right information for each of the financial statements.

    · Identify three critical ratios that are important to review.

    **This Unit III Course Project should be at least two to three pages in length. As this assignment will also be part of a larger project that will be due in Unit VII, no abstract or title page is needed at this time. You must use at least two sources, including the textbook. Adhere to APA Style when creating citations and references for this assignment. APA formatting, however, is not necessary.**

  • [Solved] Peer Review

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Hello, could someone help peer review my clinical research paper? – 2 years ago

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    Assignment Prompt & Instructions

    Hello, could someone help peer review my clinical research paper?

    – 2 years ago

  • [Solved] Science Please review my assignment

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Hello, need a second pair of eyes to look over my assignment. – 2 years ago

    Instant Solution Download

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    Assignment Prompt & Instructions

    Hello, need a second pair of eyes to look over my assignment.

    – 2 years ago

  • [Solved] Nutrition Paper

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    I have attached a SAMPLE assignment of what the paper should look like, as well as this paper will be based off the "2400 Calories My Plate) attachment. Some additional information you may need: Added sugars: 16.5 g total added sugars consumed. Saturated Fat: 16.9 g total sugars consumed. Sodium con…

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    Assignment Prompt & Instructions

    I have attached a SAMPLE assignment of what the paper should look like, as well as this paper will be based off the "2400 Calories My Plate) attachment.

    Some additional information you may need:

    Added sugars: 16.5 g total added sugars consumed.

    Saturated Fat: 16.9 g total sugars consumed.

    Sodium consumed: 1294.3 mgs sodium consumed.

    You will provide this analysis as a written paper. The paper should include an introduction paragraph, one paragraph for each of the 5 food groups, one paragraph on the “limits” (sodium and saturated fat), and a conclusion–Eight (8) paragraphs in total.

    Introduction: This should tell the reader what they will expect to read about in your paper. The main focus here is that you are introducing a review of your diet in terms of variety, moderation, and how well it matches up to recommendations about food groups.

    Body of the paper: Aim for one complete paragraph (3-5 sentences is a good goal to aim for) addressing each food group and the limits. This means you will have six (6) paragraphs in total for the body of the paper.

    For each food group support the determination you made (Y or N) in column 3 of your worksheet. Answer the following for each food group.  Did you reach your target for this food group? Clearly state if you believe you did/did NOT meet the recommendation and how you came to this conclusion.

    Which foods did you classify in this food group and how did you come up with the total number of servings?  Once you have this for all food groups, write an analysis for the limits.  If you exceeded sodium and/or saturated fat, identify which foods in your diet for the day resulted in being over the limit(s).

    If you were under the limit for one or both, comment on how you made choices to keep those to a minimum.  In the event no decisions were made specifically with awareness of sodium and saturated fat content, that is fine, however you will want to comment on this still and not skip over a critical analysis of your intake impacting those values.

    Conclusion: This is the last paragraph (#8) of the paper. Here is where you present your final argument using the preceding evidence presented in the paper to support whether your diet for that one day was varied and exhibited moderation. The key aspects to address here are specifically variety and moderation.

    – [\
    \
    2400CaloriesMyPlate.pdf](https://www.sweetstudy.com/files/2400caloriesmyplate-pdf-10269739 "2400CaloriesMyPlate.pdf")
    – [\
    \
    SampleAssignmentAnalysisPaper.docx](https://www.sweetstudy.com/files/sampleassignmentanalysispaper-docx-10269741 "SampleAssignmentAnalysisPaper.docx")

    – 2 years ago

  • [Solved] Science Theatre Assignment

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    **Online Submission-** Defend how a current television/streaming program of your choice has the elements of one of the stylized theatre genres mentioned in Ch. 8. **Compare and contrast your chosen tv/streaming show to a play from your chosen genre** to point out specific elements that are similar t…

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    Assignment Prompt & Instructions

    **Online Submission-** Defend how a current television/streaming program of your choice has the elements of one of the stylized theatre genres mentioned in Ch. 8. **Compare and contrast your chosen tv/streaming  show to a play from your chosen genre** to point out specific elements that are similar to the genre. 5 pages double spaced. Here is an example:

    – [\
    \
    FinalPaperExample.pdf](https://www.sweetstudy.com/files/finalpaperexample-pdf "FinalPaperExample.pdf")

    – 2 years ago

  • [Solved] Unknown Project Lab Home work

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    Please help me find the unknown species for my Online microbiology lab class I have uploded pictures and a report. Here are the instructions my number is 83, ## **Unknown Lab Home work** You will be completing the Unknown Lab. All students must report Phenol red glucose and phenol red lactose result…

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    Assignment Prompt & Instructions

    Please help me find the unknown species for my Online microbiology lab class I have uploded pictures and a report.

    Here are the instructions my number is 83,

    ## **Unknown Lab Home work**

    You will be completing the Unknown  Lab. All students must report Phenol red glucose and phenol red lactose results.  When writing results for phenol red, you must write it using the proper way. For instance, you cannot write "yellow with a bubble".  Instead, you would write A/G or A/+.  For the interpretations, you will write what does it mean in terms of the biochemical tests.  For example, a phenol red glucose broth that is A/G or A/+, mean that the organism ferments glucose with the production of CO2.

    \These two tests are mandatory for everyone.  After this test, each student will choose which test to run next.  You are to write down the rationale for that. Therefore, many tables on that pdf file will be unfilled.  If you fill out every table of the document, you will lose points.  You are not allowed to report results of every single one listed in the file.   For each test that you report, you must use the proper way to record the results, the interpretations for the test, and what's next including the possible organisms that you may have and why you are running the next test.

    After you have identified your unknown organism, you will type the name of the bacterium on top of page 7 of lab report.  Then, you will do some research using reliable sources.  You will then write about your findings in an format (page 8 of lab report file).   All instructions for this part are in page 7 of lab report file.  Do not forget to include your citations in the last page of the lab report.

    – [\
    \
    Screenshot2025-04-22at4.12.58PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-12-58pm-png "Screenshot2025-04-22at4.12.58PM.png")
    – [\
    \
    Screenshot2025-04-22at4.12.44PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-12-44pm-png "Screenshot2025-04-22at4.12.44PM.png")
    – [\
    \
    Screenshot2025-04-22at4.12.49PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-12-49pm-png "Screenshot2025-04-22at4.12.49PM.png")
    – [\
    \
    Screenshot2025-04-22at4.12.32PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-12-32pm-png "Screenshot2025-04-22at4.12.32PM.png")
    – [\
    \
    Screenshot2025-04-22at4.12.20PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-12-20pm-png "Screenshot2025-04-22at4.12.20PM.png")
    – [\
    \
    Screenshot2025-04-22at4.12.16PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-12-16pm-png "Screenshot2025-04-22at4.12.16PM.png")
    – [\
    \
    Screenshot2025-04-22at4.11.51PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-11-51pm-png "Screenshot2025-04-22at4.11.51PM.png")
    – [\
    \
    Screenshot2025-04-22at4.12.03PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-12-03pm-png "Screenshot2025-04-22at4.12.03PM.png")
    – [\
    \
    Screenshot2025-04-22at4.12.08PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-12-08pm-png "Screenshot2025-04-22at4.12.08PM.png")
    – [\
    \
    Screenshot2025-04-22at4.11.58PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-11-58pm-png "Screenshot2025-04-22at4.11.58PM.png")
    – [\
    \
    Screenshot2025-04-22at4.11.06PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-11-06pm-png "Screenshot2025-04-22at4.11.06PM.png")
    – [\
    \
    Screenshot2025-04-22at4.11.40PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-11-40pm-png "Screenshot2025-04-22at4.11.40PM.png")
    – [\
    \
    Screenshot2025-04-22at4.11.19PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-11-19pm-png "Screenshot2025-04-22at4.11.19PM.png")
    – [\
    \
    Screenshot2025-04-22at4.10.57PM.png](https://www.sweetstudy.com/files/screenshot2025-04-22at4-10-57pm-png "Screenshot2025-04-22at4.10.57PM.png")
    – [\
    \
    PCtKDR-MicroLabUnknownLabReport.pdf](https://www.sweetstudy.com/files/pctkdr-microlabunknownlabreport-pdf "PCtKDR-MicroLabUnknownLabReport.pdf")

    – 2 years ago

  • [Solved] Unit IV CHS

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    see attachment – 2 years ago **files (1)** – ## UnitIVCHS.docx **## UnitIVCHS.docx** Unit IV Journal Examine and summarize the factors that influence the role of the private sector in the national health care delivery system. How do the factors differ from major issues in the national health care de…

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    Assignment Prompt & Instructions

    see attachment

    – 2 years ago

    **files (1)**

    – ## UnitIVCHS.docx

    **## UnitIVCHS.docx**

    Unit IV Journal

    Examine and summarize the factors that influence the role of the private sector in the national health care delivery system. How do the factors differ from major issues in the national health care delivery system? How does it differ from the countries in the European region?

    Your journal entry must be at least 200 words in length. No references or citations are necessary.

    **## UnitIVCHS.docx**

    Unit IV Journal

    Examine and summarize the factors that influence the role of the private sector in the national health care delivery system. How do the factors differ from major issues in the national health care delivery system? How does it differ from the countries in the European region?

    Your journal entry must be at least 200 words in length. No references or citations are necessary.

  • [Solved] Science Unit 7 Assignment Nutrition Paper

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Instructions are labeled in the "INSTRUCTIONS" document, please review. "Unit 7 Sample Assignment" attachment is an example of what the finished outcome of this paper should look like. "Data from Diet" and "Data reference" is what you can reference when doing this nutrition paper. Please let me know…

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    Assignment Prompt & Instructions

    Instructions are labeled in the "INSTRUCTIONS" document, please review.

    "Unit 7 Sample Assignment" attachment is an example of what the finished outcome of this paper should look like.

    "Data from Diet" and "Data reference" is what you can reference when doing this nutrition paper.

    Please let me know if you have any questions.

    – [\
    \
    DATAfromDIET.docx](https://www.sweetstudy.com/files/datafromdiet-docx "DATAfromDIET.docx")
    – [\
    \
    DataReference.pdf](https://www.sweetstudy.com/files/datareference-pdf "DataReference.pdf")
    – [\
    \
    INSTRUCTIONS.docx](https://www.sweetstudy.com/files/instructions-docx-10270747 "INSTRUCTIONS.docx")
    – [\
    \
    Unit7SampleAssignment.docx](https://www.sweetstudy.com/files/unit7sampleassignment-docx "Unit7SampleAssignment.docx")

    – 2 years ago