Describe alternative options for patients (if any), and various approaches used in other countries to assure and maintain healthcare service delivery.

The acute scarcity of doctors and long-dated appointments from specialists are forcing patients to look for Alternative options in the USA, some options are as follows:
1. Online help from qualified physicians: many websites are offering online support where 24/7 you can contact physicians and healthcare specialists. These specialists provide support on mobile phones and tablets. To name a few Teladoc, ask a doctor etc. They charge a fee of about USD 50 to register. You can get a membership through your employer. On some sites, you position your question and the specialist will revert in a few minutes. The quality of health care you get is questionable as accuracy in diagnosis is not assured.
2. Urgent care centers: These certain are basically to address the emergency needs of the patients; these centers almost 9000 in number provide minimum testing and x-ray facilities to patients. These centers are manned by physicians, corporations etc. The service of these centers is satisfactory.
3. Retail Clinics: Manned by physician assistants and nurse practitioners. These are owned by pharmacies and retailers. There are 1800 retail clinics. They are easy to access and get appointments. The patient age groups aged 18-44 years are attended. It is a walk in and get help model. Now many are providing facilities like vaccination, prenatal care, and critical care.
Most other countries like India rely on the following:
1. The government runs hospitals which also have critical care and high level of research for new methods in medical care. There are supporting many government employees and free of cost. The waiting period is long but the quality of service is good.
2. Private clinics and physicians running small clinics to allow patients with minor ailments to visit. They also refer patients to senior specialists.
3. Privately owned and managed hospitals with all facilities and doctors of all specializations. These are covered by medical insurance which the individuals would have taken for themselves
4. Medical colleges plus hospitals which train the doctors at the same time also take care of patients. They normally support patients with any minor or major illness in any area like cardiologist, orthopedics, dermatologist, ophthalmologist etc.
5. There are specialty hospitals managed by charitable trusts provided specialty treatment almost free of cost, the specialist provides support as a charitable cause. Even surgeries are supported in some of these hospitals, most charitable trusts are managed by a business group, religious organization or a philanthropist.
 
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