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| Tables and Figures | |
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| Foreword | |
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| Organization of This Book | |
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| Contributors | |
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| Perspectives | |
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| Overview: The State of Health Care Delivery in the United States | |
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| Defining Characteristics of the U.S. Health Care System | |
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| Major Issues and Concerns | |
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| Prospects for Change and Improvement | |
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| The Importance of Engagement at the Ground Level | |
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| Supplement: Key Charts | |
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| Good News About the U.S. Health Care System | |
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| Influences on Health | |
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| Getting the Preventive Care We Need | |
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| The Changing U.S. Population | |
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| Quality Versus Costs of Care | |
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| Oral Health Care | |
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| The Impact of Mental Disorders | |
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| Costly Medical Conditions | |
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| Dissatisfaction With the U.S. Health Care System | |
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| Measuring Health Status | |
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| Quantitative Perspectives | |
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| Understanding Numbers and Rates | |
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| Census Data | |
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| Vital Statistics | |
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| Morbidity | |
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| Health Status and Health-Related Behavior | |
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| Utilization and Cost of Health Care Services | |
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| Conclusion | |
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| Financing Health Care | |
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| What the Money Buys | |
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| How We Pay for Health Care | |
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| Reimbursement Approaches | |
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| Current Policy Issues | |
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| Conclusion | |
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| Public Health: Policy, Practice, and Perceptions | |
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| Public Health Every Day | |
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| Who Is in Charge of Public Health? | |
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| Defining Characteristics of Public Health | |
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| Core Functions of Public Health | |
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| Governmental Authority for Public Health | |
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| Challenges and Opportunities | |
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| The Role of Government in U.S. Health Care | |
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| The Government as Payer: The Health Insurance Safety Net | |
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| The Government as Regulator | |
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| The Government as Health Care Provider | |
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| Key Issues on the Health Care Agenda | |
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| Comparative Analysis of Health Systems Among Wealthy Nations | |
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| The Evolution of Health Systems and Policy in Wealthy Nations | |
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| Overview of Health System Models | |
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| Comparative Analysis of Health Systems | |
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| Common Problems of Health Care Organization and Policy in Three Nations | |
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| The U.S. Health System in Comparative Perspective | |
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| New Approaches to Comparing Health Systems | |
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| Conclusion | |
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| Providing Health Care | |
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| Acute Care | |
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| The History of Acute Care | |
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| Kinds of Acute Care Today | |
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| Hospitals in the United States | |
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| Current Issues in Acute Care | |
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| Future Challenges | |
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| Chronic Care | |
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| Definition of and Prevalence of Chronic Conditions | |
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| Chronic Conditions and Activity Limitations | |
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| Paying for Chronic Care | |
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| Dissatisfaction With the Current System | |
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| The Evolving Health Care System | |
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| International Trends | |
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| Conclusion | |
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| Long-Term Care | |
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| Long-Term Care Needs and Demands | |
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| Costs and Financing of Long-Term Care | |
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| The Goals of Long-Term Care | |
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| Providers of Long-Term Care | |
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| Challenging Issues | |
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| Conclusion | |
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| Health-Related Behavior | |
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| Behavioral Risk Factors: Overview and National Goals | |
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| Changing Health Behavior | |
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| Changing Provider Behavior | |
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| Conclusion | |
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| Pharmaceuticals | |
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| Pharmaceuticals | |
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| Biologic Products | |
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| Medical Devices: Brief Overview | |
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| Conclusion | |
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| The Health Care Workforce | |
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| Supply and Demand Factors | |
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| Types of Health Care Workers | |
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| Medical Practice | |
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| Nursing Practice | |
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| Mid-Level Professionals | |
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| Other Health Care Workers | |
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| Allied Health Professionals | |
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| Health Care Workforce Issues | |
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| Conclusion | |
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| Information Management | |
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| Improving Clinical Quality Through Information Technology | |
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| Information Technology's Benefits for Patients | |
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| Information Technology's Role in Controlling Health Care Costs | |
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| Speeding Adoption of Health Care Information Technology | |
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| Conclusion | |
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| System Performance | |
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| Governance, Management, and Accountability | |
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| Governance as a Process for Decision Making | |
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| Measuring Organizational Performance | |
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| Ownership of Health Care Organizations | |
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| Current Governance Issues | |
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| Management | |
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| Managerial Work in Health Care Organizations | |
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| Current Management Issues | |
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| Accountability | |
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| Conclusion | |
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| The Complexity of Health Care Quality | |
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| Health Care Quality: Fundamentals | |
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| Complexity and the Health Care Quality Challenge | |
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| Defining Quality of Health Care: Patients Versus Populations | |
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| Pay for Performance (P4P): Make the Business Case for Quality | |
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| Risk-Adjusted Quality Outcomes | |
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| Trends in Quality Assessment | |
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| Strategies for Managing Quality in the Health Care Zone of Complexity | |
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| Access to Care | |
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| Economic Barriers to Care | |
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| Noneconomic and Quasi-Economic Barriers to Care | |
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| Noneconomic and Quasi-Economic Barriers: Preventable Hospitalizations | |
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| Health Care Reform: Improving Access | |
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| The Future: Continuing and Emerging Issues | |
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| Costs and Value | |
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| The Problem: Rising Costs | |
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| Why Do Costs Rise? | |
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| Cost to Whom and for What? | |
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| Potential Solutions to Rising Health Care Costs | |
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| Dilemmas: Spending Is a Political Act | |
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| Conclusion | |
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| The Future | |
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| The Future of Health Care Delivery in the United States | |
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| Forecasting: Definition and Approaches | |
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| Forecasting Methods | |
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| Drivers of Change in the New Millennium | |
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| Where Change Is Likely to Occur | |
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| Conclusion | |
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| Appendices | |
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| Glossary | |
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| A Guide to Sources of Data | |
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| Useful Health Care Web Sites | |
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| Index | |