Roemer's Model

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Roemer's Model of theUS Health Services System

Gesundheit & Medizin

Management

Planning: No centralized national level
authority (public & private)
Administration: Applied at project or
program level
Legislation: Legislative, executive, &
judicial – all authority to enact law (also
budgeting, restrictions/limitations, new
programs, etc)
HEALTH NEEDS

Regulation: Implement laws, licensure,
certification, accreditation
Resource Production

Workforce: Physicians, NP, PA, Organization of Programs
Nurses, Pharmacists, RT, PT, Dentists, Dept of Health & Human Services
Public Health: national level
Administrators, etc.
Agencies: CDC, FDA, NIH, Agency for
Healthcare Research & Quality
Facilities: Hospitals, Physician offices, Medicare & Medicaid
Treatment facilities, etc. Voluntary Agencies: ACS, AHA, AARP,
etc
Commodities: Pharmaceuticals Private Market: (pharmaceuticals &
supplies), insurance
Knowledge: Biomedical research & -health professional training
technology (privately & publicly
funded – NIH, etc)
Economic Support

Private Health Insurance (voluntary &
employment supplied) – largest source of
funds
Social Security
Governmental Aid
Other Revenues
Foreign Aid

HEALTH RESULTS
Delivery of Systems

Primary Care: Health prevention &
promotion (private & public)

Secondary Care: treatment via
hospitals & referrals (short term/disease
oriented)

Tertiary Care: Specialized long term
care

Long Term Care (Medicaid largest for
funding)

Palliative Care: Hospice (Medicare
largest for funding)

Special Disorders & Populations (i.e.
chronic mental health)

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