Does anyone know when and how medical outsourcing started?
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If no one answer. \nCan you please give me a best answer?
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What would you like to do.  Do we need to turn ALL medical services over to the government?  Set everything at standardized prices, just like an oil change on your car, and take away the options of which doctor you go to, and what therapies you want used on your illnesses?  Medicine BECAME expensive with the advent of Medicare and health insurance. My mother in law was a nurse for 30 years, and she can tell you exactly when medical services went up.  It came about with the proliferation of medical insurance companies, and the liberal minded society that rewards people (and their attorneys) for being victims of "medical malpractice".  Oh, and if we centralize medical and health care within the government, you will not be able to go back if you do get stuck with a shitty doctor who completely fucks you up and sue them.
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Try searching for the American Medical Association's website Should be info there. \n\nhttp://www.ama-assn.org/ama/pub/category/5105.html
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This is probably an oversimplification, but to me the problem was caused by too much doctor training capacity being utilised on the training of overseas students, the majority of whom don't stay in Australia. This was done so that uni's could make a fast buck at a time of funding cutbacks. The thinking seems to be, we can make lots of money by doing this, and we can import some cheaply-trained doctors from India and like countries to make up the shortfall. As with many such neo-liberal schemes, the full implications were never thought through, and the costs never properly calculated.\n\nSolutions? Not my area of expertise, but recognising what caused the problem is a start. It's easy to say spend more money, but then you have to decide where it's coming from.
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Start by reading the book "Business Planing For Healthcare Management" by  Carolyn Semple Piggot\n\nYou may also want to check out the resources in Healthcare Intelligence Network http://www.hin.com/ - it's a members only site but it seems to have excellent resources on the topic. It may be worth while to subscribe
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Outsourcing is nothing new... the term might be but it's been going on forever. \n\nIn colonial America, Cotton producers sent their raw cotton to the UK to make the clothes that were then shipped back to the US since it was much cheaper to manufacture it in the UK.  \n\n... and I guess slavery could be called INsourcing!  instead of sending the production to the poor country, they went and brought the cheap labour in the country!
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Check out this website:\n\nhttp://www.outsourcing-law.com/battle_of_the_forms.htm
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check out this website:\n\nhttp://vetmedicine.about.com/gi/dynamic/offsite.htm?zi=1/XJ&sdn=vetmedicine&zu=http%3A%2F%2Fhealth.ratzrus.co.uk%2Fanatomy.htm
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The healthcare industry is nothing but interfaced systems.  The patient care system interfaces with the lab system, the pharmacy system, and the medical record system, just to name a few.\n\nGoof Luck!
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A good example of outsourcing is:\n\n A large company that occupies a large block of offices and outsources its cleaning services.  This means that they don't have to employ cleaners, deal with staff issues such as sickness and holidays and their offices are cleaned to an agreed standard by an agreed time every day.  The logistics of how that is achieved are then down to the cleaning company and not the large company in the office block.  In a case such as this, it would probably cost more for this service than if they employed their own cleaners but they have the service without the headaches of employing the staff.\n\nIt is not always about saving money, sometimes it is just about getting a better, more reliable and efficient service.\n\nA lot of companies who outsource services take the view that they should stick to what they know and let others do what they do best.  That way everyone wins and everyone does their job to the best of their ability.\n\nOf course, like everything it can be abused and sometimes it is just a cheaper way and not necessarily the best way of getting a job done......but if it is done properly then it can work really well.
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No.  It started in Africa.  I mean, anything is possible, but why the government would want to play around with diseases is beyond me.  Realistically, no.
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The first ambulance service in the United States was created in Cincinnati in 1865 at Cincinnati General Hospital. This service still operated in the fire department. Other services followed at Grady Hospital in Atlanta, Charity Hospital in New Orleans, and several hospitals in New York City and other major cities. In December of 1869 the first month of operation of the ambulance service of the Free Hospital of New York (Bellevue) ran 74 calls. A total of 1466 calls were run in 1870. The dispatch system was different from that used today. The hospital ran a bess, which triggered a weight to fall, lighting the gas lamp to wake the physician and the driver. It also caused the harness, saddle, and collar to drop on the horse and opened the stable doors. However, this improved care was mostly limited to the larger cities.\n\nDuring World War I and especially during World War II, the military medical corps proved their worth in field assessment and early management of injured personnel. Although the military system of emergency care became well developed, the development of a civilian system lagged far behind.\n\nIn the mid-1950s, J.D. "Deke" Farrington, MD, FACS (the Father of modern EMS), and others, questioned why the lessons learned by the military medical corps during World War II and the Korean War could not be brought into the civilian community to improve the standard of civilian care. At that time, emergency medicine and EMS were not what we know today. In San Francisco, New York, New Orleans, and other American cities, interns were assigned to ambulances to provide care for the victims of trauma and other conditions outside of the hospital. Most hospitals did not have a place to manage emergencies. Some hospitals had set up an unstaffed "emergency room" at the back of the hospital. The "ambulance driver" had to ring the doorbell beside the emergency room door so that the nurse could come down from the ward to unlock the door. The nurse then checked the patient and called a physician from home if she thought that the patient was really sick. (Did you ever wonder why modern emergency departments are in the rear of the hospital and not out front? Tradition.) All the physicians on staff had to take turns "covering the emergency room." A patient involved in a major wreck with multiple fractures, and perhaps a ruptured spleen or a head injury, might be seen by an ophthalmologist or a dermatologist. Many physicians knew that they were ill prepared to handle trauma or a major myocardial infarction, but there was no alternative.\n\nUntil the concept arose that nonphysicians could be trained to provide this kind of emergency care, the majority of the prehospital care was merely transportation provided by the local mortuary. The victim was driven to the hospital in a hearse with no one in the "patient compartment" except the patient and perhaps a family member.\n\nMany people began to question the efficacy and even ethics of this transportation. When the paper titled "Accidental Death and Disability: The Neglected Disease of Modern Society" was written by the National Academy of Sciences and the National Research Council in 1966, it became apparent that much improvement could be made by changing the emergency vehicles themselves and improving the training of EMTs, communications, record keeping, and the care provided upon arrival to the facility.\n\nAt the Airlie House conference (May 1969) sponsored by the Committee on Trauma, American College of Surgeons and Committee on Injuries, American Academy of Orthopaedic Surgeons, "Recommendations for an Approach to an Urgent National Problem" was written. This conference indicated that immediate attention and control were needed in the areas of transportation and communication. Developing standards for ambulance design and equipment was recognized as "painfully slow."\n\nDr. Farrington and Dr. Sam Banks develo
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The company I work for has offices in Canada - 80% of Canadians working for us pay for US health care out of their own pockets and come to doctors in the US.  There is a 6-9 month waiting period for MRIs up there!!!  Including for those who are in accidents/have severe problems.   Socialized medicine has failed the middle and lower classes in every country it's in.
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This link is to the big company in that field that merged with the other early robotics for surgery company Computer Motion a few years ago. \nhttp://www.intuitivesurgical.com/index.aspx
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You can read the free article "Starting a Medical Billing Business"  http://www.powerhomebiz.com/vol71/medical.htm as the article gives you starter information on:\n\nKnowledge and Skills Needed to Start the Business\nStarting a Medical Billing Business\nStart-Up Costs\nMarketing the Business\nWord of Advice: Avoid Scams\n\nYou may also want to read the following books:\n\n- Setting Up Your Medical Billing Business : Step-by-Step Procedures  \n- Making Money in a Health Service Business on Your Home-Based PC \n- Medical Billing : The Bottom Line \n- A Basic Guide to Starting Your Own Medical Billing Business \n- Understanding Health Insurance: A Guide to Professional Billing
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The quality of service would go way down. A lot of good doctors in Canada left because they can make more money in the US. \n\nAnd because the government would be controlling it, the bureaucracy would cause you to wait for months or even years just for needed basic procedures.\n\nIt's just bad, bad, bad, bad, bad, bad.
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Knowledge Process Outsourcing\n\nhttp://en.wikipedia.org/wiki/Knowledge_process_outsourcing