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| Foreword | |
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| Acknowledgments | |
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| About the Authors | |
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| Introduction | |
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| New to the Seventh Edition | |
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| Overview of Health Care: A Population Perspective | |
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| Problems of Health Care | |
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| Understanding Health Care | |
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| Major Stakeholders in the U.S. Health Care Industry | |
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| Development of Managed Care | |
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| Rural Health Networks | |
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| Priorities of Health Care | |
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| The Tyranny of Technology | |
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| Social Choices of Health Care | |
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| The Aging Population | |
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| Access to Health Care | |
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| Quality of Care | |
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| Conflicts of Interest | |
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| Health Care's Ethical Dilemmas | |
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| Benchmark Developments in U.S. Health Care | |
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| The Great Depression and the Birth of Blue Cross | |
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| Dominant Influence of Government | |
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| Three Major Health Care Concerns | |
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| Efforts at Planning and Quality Control | |
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| Managed Care Organizations | |
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| The Reagan Administration | |
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| Biomedical Advances: Evolution of High-Technology Medicine | |
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| Technical Advances Bring New Problems | |
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| Roles of Medical Education and Specialization | |
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| Influence of Interest Groups | |
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| Public Health Focus on Prevention | |
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| Economic Influences of Rising Costs | |
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| Health Insurance Portability and Accountability Act | |
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| Aging of America | |
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| Public Health's Lack of Preparedness | |
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| Oregon Death With Dignity Act | |
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| Internet and Health Care | |
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| Basic Issues | |
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| Landmark Health Legislation: Patient Protection and Affordable Care Act of 2010 | |
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| Hospitals: Origin, Organization, and Performance | |
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| Historical Perspective | |
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| Sources That Shaped the Hospital Industry | |
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| Growth and Decline in Numbers of Hospitals | |
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| Types of Hospitals | |
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| Financial Condition of Hospitals | |
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| Academic Health Centers, Medical Education, and Specialization | |
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| Hospital System of the Department of Veterans Affairs | |
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| Structure and Organization of Hospitals | |
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| Information Technology's Impact on Hospitals | |
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| Complexity of the System | |
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| Types and Roles of Patients | |
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| Diagnosis-Related Group Hospital Reimbursement System | |
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| Discharge Planning | |
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| Subacute Care | |
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| Market-Driven Reforms Affecting Hospitals | |
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| Quality of Hospital Care | |
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| Hospitalists: A Rapidly Growing Innovation | |
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| Forces of Reform: Cost, Quality, and Access | |
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| Ambulatory Care | |
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| Overview and Trends | |
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| Private Medical Office Practice | |
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| Other Ambulatory Care Practitioners | |
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| Ambulatory Care Services of Hospitals: History and Trends | |
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| Hospital Emergency Services | |
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| Freestanding Services | |
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| Continued Future Expansion and Experimentation | |
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| Medical Education and the Changing Practice of Medicine | |
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| Medical Education: Colonial America to the 19th Century | |
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| Flexner Report and Medical School Reforms | |
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| Academic Medical Centers | |
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| Graduate Medical Education Consortia | |
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| Delineation and Growth of Medical Specialties | |
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| Specialty Boards and Residency Performance | |
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| Physician Workforce and U.S. Medical Schools | |
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| Preventive Medicine | |
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| Changing Physician-Hospital Relationships | |
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| Cost Containment and the Restructuring of Medical Practice | |
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| Physician Report Cards | |
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| Introduction of Health Information Technology | |
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| A New Medical Practice Concept: The �Medical Home� | |
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| Escalating Costs of Malpractice Insurance | |
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| Growing Concern About Ethical Issues | |
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| Physicians and the Internet | |
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| Future of Medical Practice | |
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| Health Care Personnel | |
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| Health Professions | |
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| Health Care Occupations | |
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| Factors That Influence Demand for Health Personnel | |
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| Health Care Workforce Issues | |
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| The Health Workforce in a Chaotic System | |
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| Financing Health Care | |
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| Overview | |
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| Health Care Expenditures in Perspective | |
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| Drivers of Health Care Expenditures | |
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| Evolution of Private Health Insurance | |
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| Government as a Source of Payment: A System in Name Only | |
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| Future Prospects | |
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| Long-Term Care | |
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| Development of Long-Term Care Services | |
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| Modes of Long-Term Care Service Delivery | |
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| Innovations in Long-Term Care | |
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| Long-Term Care Insurance | |
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| Future of Long-Term Care | |
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| Mental Health Services | |
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| Historical Overview | |
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| Recipients of Mental Health Services | |
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| Organization and Financing of Mental Health Services | |
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| Health Insurance Coverage and Managed Behavioral Health Care | |
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| Barriers to Accessing Services | |
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| Priorities for Mental Health Services | |
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| Need for Further Research | |
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| Public Health and the Role of Government in Health Care | |
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| Public Health in England | |
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| Public Health and Government-Supported Services | |
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| Veterans Health Administration System | |
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| Decline in Influence of the Public Health Service | |
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| Responsibilities of the Public Health Sector | |
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| Relationships of Public Health and Private Medicine | |
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| Opposition to Public Health Services | |
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| Resource Priorities Favor Curative Medicine | |
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| Absence of Preventive Care | |
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| Challenge of an Aging America | |
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| Hospital-Sponsored Public Health Activities | |
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| Public Health Services of Voluntary Agencies | |
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| Changing Roles of Government in Public Health | |
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| Public Health in an Era of Privatization and Managed Care | |
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| Future Role of Government in Promoting the Publics Health | |
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| Health Care Reform and the Public Health-Medicine Relationship | |
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| Research: How Health Care Advances | |
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| Focus of Different Types of Research | |
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| Types of Research | |
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| Patient Satisfaction | |
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| Research Ethics | |
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| Conflicts of Interest in Research | |
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| Future Challenges | |
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| Future of Health Care | |
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| Paradox of U.S. Health Care | |
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| Major Challenges Facing Health Care | |
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| Demand for Greater Accountability, Fiscal and Clinical | |
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| Health Care Costs | |
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| Growth of Home, Outpatient, and Ambulatory Care | |
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| Technology | |
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| Changing Population Composition | |
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| Changing Professional Labor Supply | |
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| Future of America's Health Insurance Systems | |
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| Changing Composition of the Delivery System | |
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| Information Management | |
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| Government's New Role in Public Health | |
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| Conclusion | |
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| Abbreviations and Acronyms | |
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| Web Sites | |
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| U.S. Government | |
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| Other Organizations | |
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| Index | |