UDTR — Radar mondial des droits de la Nature

How to Fix a Broken Health Care System: Pathways to Maximize Health and Well-being for All

Identification

Clé publique

radar:r-973a7c3f9d649dfe077c90394d3f6f30

Auteurs

Marshall H. Chin · Joseph Dov Bruch · Colleen M. Grogan · Elbert S. Huang · Namratha R. Kandula · David D. Kim · Monica E. Peek · Harold A. Pollack

Année déclarée

2025

Langue déclarée

en

Type source

review

Première détection

2026-11-13T12:45:27.750783+00:00

Dernière observation des métadonnées

2026-11-13T12:45:27.750783+00:00

Dernière vérification HTTP

Non effectuée

Institutions déclarées par la source

University of Chicago · Northwestern University

Pays d’affiliation déclarés

US

Résumé documentaire — langue originale

The U.S. health care system is broken, with particularly low performance for health outcomes, access to care, equity, and administrative efficiency in comparison with other high-income countries, despite high cost. By virtue of the many elements required for optimal care, the poor diabetes care quality and outcome metrics of the U.S. are canaries in the coal mine for the health care system. The fundamental problem with the U.S. health care system is that it does not prioritize the long-term health and well-being of all individuals and communities. Three intertwined elements are foundational for an understanding of why the U.S. health care system is built the way it is and what changes are necessary to improve it: 1) ethics and culture; 2) political economy, the underlying political and economic structures that shape our nation and thus our health system; and 3) the definition and measurement of value in health care. This article recommends that health care policies around health insurance and payment be designed to support, incentivize, and sustain effective population health models that address medical, social, psychological, and behavioral needs of all individuals and communities. Good governance is essential to assure that payer and provider market incentives are explicitly aligned to prioritize the health and well-being of individuals and communities and cost-effectiveness of care, beyond short-term financial gain for health care systems and investors. Equitable access allows for health care resource distribution according to need, enabling all individuals to have a fair and just opportunity for health.

Identifiants

OPENALEX

https://openalex.org/W4411516230

DOI

10.2337/dci25-0001

PMID

https://pubmed.ncbi.nlm.nih.gov/40542616

PMCID

https://www.ncbi.nlm.nih.gov/pmc/articles/12977014

Repères documentaires

Famille documentaire

unknown

Types déclarés par les sources

review

Éditeurs

American Diabetes Association

Les mentions d’entités ne constituent pas une preuve de reconnaissance juridique. La juridiction étudiée est distincte du pays d’affiliation des auteurs.

Sources

OpenAlex · Document 1

• Document · https://doi.org/10.2337/dci25-0001

Statut documentaire

Pertinence à examiner

Bibliothèque

Cette identité n’est pas encore intégrée à la Bibliothèque juridique.