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Preface | |
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List of Exhibits | |
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List of Tables | |
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List of Figures | |
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List of Abbreviations | |
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Major Characteristics of US Health Care Delivery | |
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Introduction | |
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Subsystems of US Health Care Delivery | |
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Characteristics of the US Health Care System | |
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Health Care Systems of Other Developed Countries | |
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Systems Framework | |
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Conclusion | |
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Foundation of US Health Care Delivery | |
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Introduction | |
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What Is Health? | |
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Determinants of Health | |
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Cultural Beliefs and Values | |
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Strategies to Improve Health | |
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Conclusion | |
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Historical Overview of US Health Care Delivery | |
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Introduction | |
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Medical Services in Preindustrial America | |
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Medical Services in Postindustrial America | |
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History of Health Insurance | |
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Year 1970 into the 21st Century | |
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Conclusion | |
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Health Care Providers and Professionals | |
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Introduction | |
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Physicians | |
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Dentists | |
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Pharmacists | |
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Other Doctoral-Level Health Professionals | |
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Nurses | |
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Nonphysician Practitioners | |
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Allied Health Professionals | |
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Health Services Administrators | |
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Conclusion | |
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Technology and Its Effects | |
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Introduction | |
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What Is Medical Technology? | |
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Information Technology | |
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Use of Medical Technology | |
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Role of the Government in Technology Diffusion | |
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Impact of Medical Technology | |
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Assessment of Medical Technology | |
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Benefits of Technology Assessment | |
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Conclusion | |
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Financing and Reimbursement Methods | |
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Introduction | |
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Effects of Health Care Financing and Insurance | |
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Insurance: Its Nature and Purpose | |
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Private Insurance | |
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Public Insurance | |
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Reimbursement Methods | |
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National Health Expenditures | |
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Conclusion | |
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Outpatient Services and Primary Care | |
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Introduction | |
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What Is Outpatient Care? | |
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Scope of Outpatient Services | |
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Outpatient Care Settings and Methods of Delivery | |
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Primary Care | |
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Conclusion | |
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Hospitals | |
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Introduction | |
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Evolution of the Hospital in the United States | |
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Expansion and Downsizing of Hospitals in the United States | |
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Access and Utilization by the US Population | |
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Utilization of Hospital Capacity | |
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Hospital Employment | |
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Types of Hospitals | |
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Licensure, Certification, and Accreditation | |
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Hospital Organization | |
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Ethics and Public Trust | |
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Conclusion | |
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Managed Care and Integrated Organizations | |
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Introduction | |
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What Is Managed Care? | |
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Evolution and Growth of Managed Care | |
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Utilization Control Methods in Managed Care | |
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Types of Managed Care Organizations | |
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Impact of Cost, Access, and Quality | |
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Health Networks | |
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Types of Integration | |
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Conclusion | |
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Long-Term Care Services | |
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Introduction | |
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What Is LTC? | |
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Community-Based LTC Services | |
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Institutional LTC | |
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Licensing and Certification of Nursing Homes | |
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Other LTC Services | |
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State of the Nursing Home Industry | |
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Conclusion | |
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Underserved Populations | |
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Introduction | |
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Framework to Study Vulnerable Populations | |
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Enabling Characteristics | |
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Need Characteristics | |
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Conclusion | |
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Cost, Access, and Quality | |
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Introduction | |
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Cost of Health Care | |
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High in Cost | |
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Reasons for High Cost | |
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Cost Containment | |
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Unequal in Access | |
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Average in Quality | |
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Developments in Process Improvement | |
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Conclusion | |
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Health Policy | |
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Introduction | |
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What Is Health Policy? | |
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Principal Features of US Health Policy | |
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Development of Legislative Health Policy | |
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Critical Policy Issues | |
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Conclusion | |
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The Future of Health Services Delivery | |
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Introduction | |
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Future of Managed Care, Health Care Costs, and System Reform | |
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Trends in Health Insurance | |
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Options for Comprehensive Reform | |
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National and Global Challenges | |
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Bioterrorism and the Transformation of Public Health | |
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Future of Health Care Workforce | |
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New Frontiers in Technology | |
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Conclusion | |
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Index | |