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Figures | |
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Tables | |
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Sidebars | |
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Abbreviations and Acronyms | |
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Introduction | |
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Health and Health Care Forecast: Executive Summary | |
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Legislation | |
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Demographics: Patients, Populations, and New Consumers | |
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Payers and Health Care Costs | |
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Health Plans and Insurers | |
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Hospitals and Physicians | |
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Medical and Information Technologies | |
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Care Processes and Medical Management | |
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Public Health | |
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Three Scenarios | |
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Demographic Trends and the Burden of Disease: Increasing Diversity | |
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The United States Population Is Growing Older and Living Longer | |
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The Face of America Continues to Change-Diversity Is Increasing | |
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Household Income Is Increasing, but the Gap Between the Extremes Is Widening | |
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The Shifting Burden of Disease: Chronic Diseases, Mental Illness, and Lifestyle Behaviors | |
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Health Care's Demand Side: Changing Trends in Growth Rates 1960-2010 | |
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Historical Trends | |
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The Issues: What Drives Cost Increases? | |
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Market Dynamics | |
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The Forecast: Real Cost Growth at 1 Percent | |
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The Significance of Our Cost Forecast for the Rest of Our 10-Year Outlook | |
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Wild Cards | |
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Health Insurance: The Three-Tiered Model | |
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Scope of Employment-Based Coverage | |
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The Issues: How Will People Receive Health Insurance? | |
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The Forecast: Source of Insurance--Where Are the People? ... | |
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... and What Type of Insurance Will They Have? | |
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Tiering Will Increase | |
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Wild Cards | |
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Managed Care: Experiments in Reinvention | |
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The Issues: Managed Care is out of Balance | |
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Drivers | |
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Regulation May Have Cost Consequences | |
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Potential Barriers to IT Implementation | |
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The Forecast: Experiments in Reinvention | |
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Managed Care 2010: Patterns of Power | |
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Wild Cards | |
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Health Care Providers: Themes of the Future Delivery System | |
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Intermediaries | |
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Reimbursement Models: Between Finance and Delivery | |
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Care Delivery Organizations for the Next Decade | |
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Medical Management: The New Arena of Activity | |
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What Happens to Hospitals? | |
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Wild Cards | |
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Health Care Workforce: Future Supply and Demand | |
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Physicians | |
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Nurses | |
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Physicians' Assistants | |
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Future Employment | |
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Pharmacists | |
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Wild Cards | |
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Medical Technologies: Effects on Care | |
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Rational Drug Design | |
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Advances in Imaging | |
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Minimally Invasive Surgery | |
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Genetic Mapping and Testing | |
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Gene Therapy | |
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Vaccines | |
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Artificial Blood | |
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Xenotransplantation | |
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Stem Cell Technologies | |
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Wild Cards | |
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Information Technologies: Will Health Care Join in the Information Age? | |
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Base Technologies | |
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The Forecast: Four Big Effects in Health Care | |
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Progression of Information Technology into Health Care | |
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Wild Cards | |
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Health Care Consumers: The Haves and the Have-Nots | |
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Three Tiers of Health Care Consumers | |
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Forecast and Assumptions | |
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Wild Cards | |
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Public Health Services: A Challenging Future | |
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The History of Public Health in the United States | |
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Key Factors Affecting Public Health in America Today | |
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Technology | |
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Public Health Frameworks and Strategies: Problems of Perception | |
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Reconciling Public Health and Private Medicine | |
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The Future: Scenarios and Forecasts | |
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Forecast of the Future: Organizational Issues | |
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Mental Health: The Hope of Science and Services | |
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Facing the Problem and the Facts | |
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Determining Priorities for Public Spending | |
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Change Agents in Research | |
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Mental Health Services Changes in the Next Decade | |
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Policy and Legislation | |
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Children's Health: A Good Investment | |
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What Keeps Kids Healthy? Access and Environment | |
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Access to Health Services: Enough Providers? | |
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The Impact of Environment | |
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Physical Environment and Increasing Chronic Illness | |
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How Are We Doing? | |
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What's in Store? | |
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Wild Cards | |
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Health and Health Care of America's Seniors: The Future Awaits Us | |
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The Demographics of an Aging Population | |
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The Economic Status of Seniors | |
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Health Status of Seniors | |
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Long-Term Care | |
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Elder Health Care Financing Through Medicare | |
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Implications | |
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Chronic Care in America: An Evolving Crisis | |
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Chronically Misunderstood: The Who, When, and What of Chronic Illness | |
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Chronic Care Today: How We Got Here | |
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Forecast | |
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Implications | |
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Disease Management: Weaving Disease Management into the Fabric of Patient Care | |
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Diseases Being Managed | |
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A Disease Management Primer | |
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Drivers and Barriers on the Path Ahead | |
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Forecast | |
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The Pace of Change | |
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Health Behaviors: Small Steps in the Right Direction | |
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Alcohol and Drug Abuse in America | |
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Injury Prevention: A Focus on Guns | |
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Tobacco Use and Health | |
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Wild Cards | |
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Expanded Perspective on Health: Beyond the Curative Model | |
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Definition of Health | |
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Stress | |
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Socioeconomic Status as a Determinant of Health | |
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What's New? Why Now? | |
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Consumer Expectations | |
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Deteriorating Health Conditions | |
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Global Health Perspective | |
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The Future: Shifting Paradigms | |
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The Paradigm Shift: Evolution or Revolution? | |
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Wild Cards | |
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The Reactions | |
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Glossary | |
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Index | |