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Tables and Figures | |
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Preface | |
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The Author | |
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Acknowledgments | |
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The System and its Tasks | |
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Understanding Health Care | |
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Health Care as a National Concern | |
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Health Care Objectives and Goals | |
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Essential Challenges in Health Care | |
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Public Trust and Professional Ethics | |
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Three Perspectives on Management and Policy | |
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The U.S. Health Care System: Features, Development, and Controversies | |
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The U.S. Health Care System's Magnitude | |
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Uniqueness of the System | |
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American Values and Health Care | |
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Controversies In U.S. Health Care | |
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Major Health Problems in Modern Society | |
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Conceptions Of Health and Disease | |
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The Causes Of Disease | |
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Nondisease Threats to Health, Function, and Survival | |
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Epidemiology: The Science of the Denominator | |
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Health and Illness in the Twenty-First Century | |
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Future Threats to Health | |
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Human Behavior, Health, and Health Care | |
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The Behavioral Dimension | |
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The Concept of the Sick Role | |
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Health Risk Behavior | |
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Use of Health Services | |
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Adverse Patient Behavior | |
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Health Literacy and Cultural Competence | |
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Complementary and Alternative Medicine | |
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Consumer Preferences and Health Care Marketing | |
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Means of Delivery | |
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Health Care Organizations | |
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The Importance of Organizations in Health Care | |
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Health Service Industry Sectors | |
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Ambulatory Care Organizations | |
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The Hospital | |
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The Managed Care Organization | |
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Other Health Care Organizations | |
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Organizational Management in Health Care | |
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The Health Care Labor Force | |
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Health Care Labor Force Issues | |
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The Concept of Professionalism | |
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History, Background, and Challenges in Three Key Fields | |
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Clinicians as Managers | |
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The Health Care Labor Force: Facts and Figures | |
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Labor Force Dynamics in the Health Professions | |
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Professional Ethics, Oversight, and Discipline | |
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Health Care Expenditures, Financing, and Insurance | |
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Health Service Funding and Expenditures | |
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Health Care Costs: A Global Issue | |
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Cost Accelerators in the United States | |
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Health Insurance | |
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Additional Insurance Concepts and Terminology | |
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Medicare Specifics and Issues | |
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The Problem of Uninsurance | |
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Continuing Issues | |
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Biomedical Research and Program Evaluation | |
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The Importance of Research | |
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Principles of Experimental Design | |
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Modern Research Designs | |
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Program Evaluation | |
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Cost-Effectiveness and Cost-Benefit Analysis | |
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The Social and Economic Context of Research | |
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Science Gone Wrong: Error, Distortion, and Fraud | |
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Paths Forward | |
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Impact of Innovation: Utilization, Cost, and Quality of Care | |
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Health Service Innovations: Strategic and Tactical | |
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Innovations and Health Service Objectives | |
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Outcomes of Strategic Innovation I: Selective Contracting | |
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Outcomes of Strategic Innovation II: Cost Sharing | |
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Outcomes of Strategic Innovation III: Managed Care | |
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Outcomes of Tactical Innovations | |
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Health Promotion and Disease Prevention | |
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The Appeal of Prevention | |
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The Scientific Rationale for Prevention | |
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Prevention in Practice | |
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Challenges to Prevention | |
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Does Prevention Save Money? | |
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The Future: Prevention and U.S. Health Care | |
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Government, Policy, and Politics in Health Care | |
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Government and Health Care in the United States | |
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Government Participation in Health Care | |
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The Public Environment | |
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The Meaning of Public Policy | |
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Politics: The Driver of Public Policy | |
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Winning and Losing in Health Care Politics: Three Case Studies | |
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Lessons Learned | |
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The Case Against Government in Health Care | |
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Choices for the Future | |
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Opportunities and Barriers to Change | |
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Non-U.S. Health Care Systems: Challenges and Lessons Learned | |
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A System to be Emulated? Concerns about Canada | |
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State-Level Initiatives in the United States | |
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Recent Health Care Reform Efforts | |
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Future Controversies and Options | |
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Glossary | |
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Notes | |
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Index | |