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Essentials of the U. S. Health Care System,9780763731519

Essentials of the U. S. Health Care System

by
ISBN13:

9780763731519

ISBN10:
076373151X
Format:
Paperback
Pub. Date:
10/15/2004
Publisher(s):
Jones & Bartlett
List Price: $53.95
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  • Essentials of the U. S. Health Care System
    Essentials of the U. S. Health Care System




Summary

Written by the authors of the widely used textbook Delivering Health Care in America: A Systems Approach, this engaging new book gives students the most accessible and concise introduction to U.S. health care available. Essentials of the U.S. Health Care System utilizes a unique "systems" approach that clarifies the complexities of health care organization and finance and presents a solid overview of how the various components fit together. This condensed and simplified version covers basic structures and operations of the U.S. health system -- from its historical origins and resources, to its individual services, cost, and quality.

Author Biography

Leiyu Shi. Dr PH. MBA. MPA Johns Hopkins University Douglas A. Singh. PhD. MBA Indiana University. South Bend

Table of Contents

Preface ix
List of Exhibits xi
List of Tables xii
List of Figures xii
List of Abbreviations xiii
CHAPTER 1 MAJOR CHARACTERISTICS OF US HEALTH CARE DELIVERY 1(22)
Introduction
1(2)
Subsystems of US Health Care Delivery
3(5)
Characteristics of the US Health Care System
8(7)
Health Care Systems of Other Developed Countries
15(2)
Systems Framework
17(3)
Conclusion
20(3)
CHAPTER 2 FOUNDATION OF US HEALTH CARE DELIVERY 23(22)
Introduction
23(1)
What Is Health?
24(3)
Determinants of Health
27(3)
Cultural Beliefs and Values
30(1)
Strategies to Improve Health
30(12)
Conclusion
42(3)
CHAPTER 3 HISTORICAL OVERVIEW OF US HEALTH CARE DELIVERY 45(26)
Introduction
45(2)
Medical Services in Preindustrial America
47(4)
Medical Services in Postindustrial America
51(5)
History of Health Insurance
56(7)
Year 1970 into the 21st Century
63(5)
Conclusion
68(3)
CHAPTER 4 HEALTH CARE PROVIDERS AND PROFESSIONALS 71(26)
Introduction
71(3)
Physicians
74(6)
Dentists
80(2)
Pharmacists
82(1)
Other Doctoral-Level Health Professionals
83(1)
Nurses
84(2)
Nonphysician Practitioners
86(2)
Allied Health Professionals
88(2)
Health Services Administrators
90(2)
Conclusion
92(5)
CHAPTER 5 TECHNOLOGY AND ITS EFFECTS 97(24)
Introduction
97(2)
What Is Medical Technology?
99(1)
Information Technology
100(2)
Use of Medical Technology
102(3)
Role of the Government in Technology Diffusion
105(4)
Impact of Medical Technology
109(6)
Assessment of Medical Technology
115(2)
Benefits of Technology Assessment
117(1)
Conclusion
118(3)
CHAPTER 6 FINANCING AND REIMBURSEMENT METHODS 121(28)
Introduction
121(1)
Effects of Health Care Financing and Insurance
122(3)
Insurance: Its Nature and Purpose
125(2)
Private Insurance
127(2)
Public Insurance
129(10)
Reimbursement Methods
139(4)
National Health Expenditures
143(3)
Conclusion
146(3)
CHAPTER 7 OUTPATIENT SERVICES AND PRIMARY CARE 149(24)
Introduction
149(1)
What Is Outpatient Care?
150(1)
Scope of Outpatient Services
151(2)
Outpatient Care Settings and Methods of Delivery
153(5)
Primary Care
158(10)
Conclusion
168(5)
CHAPTER 8 HOSPITALS 173(24)
Introduction
173(1)
Evolution of the Hospital in the United States
174(2)
Expansion and Downsizing of Hospitals in the United States
176(3)
Access and Utilization by the US Population
179(1)
Utilization of Hospital Capacity
180(1)
Hospital Employment
181(1)
Types of Hospitals
182(7)
Licensure, Certification, and Accreditation
189(1)
Hospital Organization
190(2)
Ethics and Public Trust
192(2)
Conclusion
194(3)
CHAPTER 9 MANAGED CARE AND INTEGRATED ORGANIZATIONS 197(24)
Introduction
197(1)
What Is Managed Care?
198(2)
Evolution and Growth of Managed Care
200(4)
Utilization Control Methods in Managed Care
204(2)
Types of Managed Care Organizations
206(5)
Impact of Cost, Access, and Quality
211(1)
Health Networks
212(2)
Types of Integration
214(3)
Conclusion
217(4)
CHAPTER 10 LONG-TERM CARE SERVICES 221(26)
Introduction
221(2)
What Is LTC?
223(6)
Community-Based LTC Services
229(4)
Institutional LTC
233(5)
Licensing and Certification of Nursing Homes
238(2)
Other LTC Services
240(1)
State of the Nursing Home Industry
241(2)
Conclusion
243(4)
CHAPTER 11 UNDERSERVED POPULATIONS 247(16)
Introduction
247(1)
Framework to Study Vulnerable Populations
248(7)
Enabling Characteristics
255(2)
Need Characteristics
257(3)
Conclusion
260(3)
CHAPTER 12 COST, ACCESS, AND QUALITY 263(28)
Introduction
263(1)
Cost of Health Care
264(1)
High in Cost
265(1)
Reasons for High Cost
266(6)
Cost Containment
272(3)
Unequal in Access
275(7)
Average in Quality
282(4)
Developments in Process Improvement
286(1)
Conclusion
287(4)
CHAPTER 13 HEALTH POLICY 291(22)
Introduction
291(1)
What Is Health Policy?
292(2)
Principal Features of US Health Policy
294(8)
Development of Legislative Health Policy
302(3)
Critical Policy Issues
305(5)
Conclusion
310(3)
CHAPTER 14 THE FUTURE OF HEALTH SERVICES DELIVERY 313(24)
Introduction
313(3)
Future of Managed Care, Health Care Costs, and System Reform
316(3)
Trends in Health Insurance
319(3)
Options for Comprehensive Reform
322(1)
National and Global Challenges
323(3)
Bioterrorism and the Transformation of Public Health
326(1)
Future of Health Care Workforce
327(3)
New Frontiers in Technology
330(2)
Conclusion
332(5)
INDEX 337


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