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Modules in Nursing.pptx
1. The Bismarck
model
The Bismarck model
was created near the end
of the 19th century by Otto
von Bismarck as a more
decentralized form of
healthcare. Within the
Bismarck model, employers
and employees are
responsible for funding their
health insurance system
through "sickness funds"
created by payroll
deductions
2. Who is Otto won
Bismarck
• Otto, Prince of Bismarck, Count of Bismarck-
Schönhausen, Duke of Lauenburg, born Otto
Eduard Leopold von Bismarck, was a conservative
German statesman and diplomat. Wikipedia
• Born: April 1, 1815, Schönhausen, Germany
• Died: July 30, 1898, Friedrichsruh, Aumühle,
Germany
• Buried: March 16, 1899, Bismarck Mausoleum,
Aumühle, Germany
• Height: 1.93 m
• Nationality: German, Prussian
3. The Beveridge
Model
• In this system, healthcare
provision is funded by direct
income tax deductions.
• Most hospitals are owned and
operated by the government
• Most healthcare staff including
doctors and nurses are employed by
the state.
• The UK's National Health Service
operates on this model.
4. National health
insurance model
• The National Health Insurance
model has elements of both the
Beveridge and Bismarck models.
• It uses private-sector providers,
but payment comes from a
government-run insurance
program that all citizens fund
through a premium or tax.
5. The out-of-pocket
model
• The out-of-pocket model is the most common
model in less-developed areas and countries
where there aren't enough financial resources to
create a medical system like the three models
above.
• In this model, patients must pay for their
procedures out of pocket. The reality is that the
wealthy get professional medical care, and the
poor don't unless they can somehow come up
with enough money to pay for it. Healthcare is
still driven by income.
• Used by rural areas in India, China, Africa, South
America, and uninsured or underinsured
populations in the U.S. and Sri Lanka