HEALTH CARE REFORM IN THE USA IN THE BELARUSIANS'' OPINION: PATIENT PROTECTION AND AFFORDABLE CARE ACT. REPORT 2
In the second report major problems of the American health care (uncontrolled growth of spending, high proportion of the uninsured persons, low accessibility to specialized medical care for the uninsured persons, disintegration in the process of medical care provision, etc.) that caused the need for the national health care reform (Health Care Reform or ObamaCare) were highlighted. Main theses, objectives and mechanisms of the ObamaCare reform were presented. The term duration for realization of certain activities under ObamaCare was indicated and the opinion of various representatives of the American society, including physicians and policy-makers involved in the medical business management (including public and private) of the ongoing reforms was given. It was noted, that the following experience in rendering medical care in the United States may be useful for health care ofthe Republic of Belarus: setting up a "medical home" in rural areas, i.e., the provision of primary medical, social, psychohygienic and other types of care "under one roof"; organization of the mobile clinics to improve access to medical care in the sparsely populated rural areas; expanding the workload of the nurses; payment to health care providers depending on the outcomes and quality of care (quality indicators); optimization of the number of hospital beds and expansion of medical and social care, as well as rendering medical care at the long-stay hospitals.