Delivering Health Care in America A Systems Approach

ISBN-10: 076374512X
ISBN-13: 9780763745127
Edition: 4th 2008 (Revised)
List price: $389.85 Buy it from $3.00 Rent it from $20.90
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Description: In a clear, cohesive format, Delivering Health Care in America provides a comprehensive overview of the basic structures and operations of the US health system???from its historical origins and resources, to its individual services, cost, and  More...

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Book details

List price: $389.85
Edition: 4th
Copyright year: 2008
Publisher: Jones & Bartlett Learning, LLC
Publication date: 9/5/2007
Binding: Paperback
Pages: 650
Size: 7.00" wide x 10.00" long x 1.50" tall
Weight: 2.904
Language: English

In a clear, cohesive format, Delivering Health Care in America provides a comprehensive overview of the basic structures and operations of the US health system???from its historical origins and resources, to its individual services, cost, and quality. Using a unique "systems" approach, it brings together an extraordinary breadth of information into a highly accessible, easy-to-read text that clarifies the complexities of health care organization and finance, while presenting a solid overview of how the various components fit together.

Dept. of Health Administration, School of Public Health at University of South Carolina

Foreword
Preface
List of Exhibits
List of Figures
List of Tables
List of Abbreviations/Acronyms
A Distinctive System of Health Care Delivery
Introduction
An Overview of the Scope and Size of the System
A Broad Description of the System
Basic Components of a Health Services Delivery System
A Disenfranchised Segment
Transition from Traditional Insurance to Managed Care
Primary Characteristics of the US Health Care System
Trends and Directions
Significance for Health Care Practitioners and Policymakers
Significance for Health Care Managers
Health Care Systems of Other Countries
The Systems Framework
Summary
Test Your Understanding
Review Questions
System Foundations
Beliefs, Values, and Health
Introduction
Significance for Managers and Policymakers
Basic Concepts
Health Promotion and Disease Prevention
Developmental Health
Public Health
Health Protection
Quality of Life
Determinants of Health
Overarching Factors and Implications for Health Care Delivery
A Social Model of Health
Equitable Distribution of Health Care
Justice in the US Health Delivery System
Equality in the US Health Care Delivery System
Integration of Individual and Community Health
Measures of Health Status
Evaluation of Health Status
Demographic Change
Measures of Mental Health
Measures of Social Health
Measures of Spiritual Health
Measures of Health Services Utilization
Summary
Test Your Understanding
Review Questions
The Evolution of Health Services in the United States
Introduction
Medical Services in Preindustrial America
Medical Services in Postindustrial America
Medical Care in the Corporate Era
Summary
Test Your Understanding
Review Questions
System Resources
Health Services Professionals
Introduction
Physicians
Some Key Issues in Medical Practice Involvement in the Development of Clinical Practice Guidelines
International Medical Graduates
Dentists
Pharmacists
Other Doctoral-Level Health Professionals
Nurses
Nonphysician Practitioners
Allied Health Professionals
Health Services Administrators
Summary
Test Your Understanding
Review Questions
List of Professional Associations
Medical Technology
Introduction
What Is Medical Technology?
Information Technology and Informatics
Innovation, Diffusion, and Utilization of Medical Technology
Managed Care and Technology Diffusion
The Government's Role in Technology Diffusion
The Impact of Medical Technology
The Assessment of Medical Technology
Current and Future Directions in Health Technology Assessment
Summary
Test Your Understanding
Review Questions
Health Services Financing
Introduction
The Role and Scope of Health Services Financing
Financing and Cost Control
The Insurance Function
Private Financing
Public Financing
Miscellaneous Private and Public Programs
The Payment Function
National Health Care Expenditures
Trends, Problems, and Issues in Insurance and Financing
Summary
Test Your Understanding
Review Questions
System Processes
Outpatient and Primary Care Services
Introduction
What Is Outpatient Care?
The Scope of Outpatient Services
Primary Care
Community-Oriented Primary Care
Primary Care Providers
Growth in Outpatient Services
Reasons for the Growth in Outpatient Services
Types of Outpatient Care Settings and Methods of Delivery
Utilization of Outpatient Services
Summary
Test Your Understanding
Review Questions
Inpatient Facilities and Services
Introduction
Transformation of the Hospital in the United States
The Expansion Phase: Late 1800s to Mid-1980s
The Downsizing Phase: Mid-1980s Onward
Some Key Utilization Measures and Operational Concepts
Hospital Employment
Types of Hospitals
What Makes a Hospital Nonprofit?
Some Management Concepts
Licensure, Certification, and Accreditation
Ethical and Legal Issues in Patient Care
Hospitals and Public Trust
Summary
Test Your Understanding
Review Questions
Managed Care and Integrated Organizations
Introduction
What Is Managed Care?
Evolution of Managed Care
Growth of Managed Care
Efficiencies and Inefficiencies in Managed Care
Cost Control Methods in Managed Care
Types of Managed Care Organizations
Trends in Managed Care
Impact on Cost, Access, and Quality
Managed Care Backlash, Regulation, and the Aftermath
Consolidation, Expansion, Diversification, and Integration
Integrated Delivery Systems
Types of Integration
Issues Related to Integration
Summary
Test Your Understanding
Review Questions
Long-Term Care
Introduction
The Nature of Long-Term Care
Long-Term Care Services
The Clients of Long-Term Care
Types of Community-Based Long-Term Care Services
Institutional Long-Term Care
Specialized Facilities
Nursing Home Industry and Patient Demographics
Patient Assessment and Prospective Payment for SNFs
Requirements of Participation
Summary
Test Your Understanding
Review Questions
Health Services for Special Populations
Introduction
Racial/Ethnic Minorities
The Uninsured
Children
Women
Rural Health
The Homeless
Mental Health
The Chronically Ill and Disabled
HIV/AIDS
Summary
Test Your Understanding
Review Questions
System Outcomes
Cost, Access, and Quality
Introduction
Cost of Health Care
Reasons for Cost Escalation
Cost Containment-Regulatory Approaches
Cost Containment-Competitive Approaches
Access to Care
Quality of Care
Dimensions of Quality
Quality Assurance
Quality Assessment
Quality Report Cards
Summary
Test Your Understanding
Review Questions
Health Policy
Introduction
What Is Health Policy?
The Principal Features of US Health Policy
The Development of Legislative Health Policy
Critical Policy Issues
The Future of Health Policy
Summary
Test Your Understanding
Review Questions
System Outlook
The Future of Health Services Delivery
Introduction
Trends in Private and Public Health Insurance
Future Options in Financing and Insurance
Future Challenges for Managed Care
Comprehensive Reform: If and When It Occurs
National and Global Challenges
Bioterrorism and the Transformation of Public Health
The Future Outlook for US Hospitals
Future of the Health Care Workforce
Work Organization
Enhanced Focus on Customer Service
New Frontiers in Clinical Technology
The Era of Evidence-Based Health Care
Summary
Test Your Understanding
Review Questions
Glossary
Selected Web Sites
Index

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