9780826120960

Jonas and Kovner's Health Care Delivery in the United States

by ; ;
  • ISBN13:

    9780826120960

  • ISBN10:

    0826120962

  • Edition: 9th
  • Format: Hardcover
  • Copyright: 3/25/2008
  • Publisher: Springer Pub Co
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Summary

The 9th edition of this authoritative textbook-the first and still the best in the field-provides the most up-to-date and comprehensive answers available to these and other core questions. Anthony R. Kovner and James R. Knickman have commissioned leading thinkers and practitioners to examine how medical knowledge creates new health care services. They also discuss emerging and recurrent issues from wide perspectives of health policy and public health.

Table of Contents

Tables and Figuresp. xi
Forewordp. xv
Organization of This Bookp. xix
Contributorsp. xxi
Perspectives
Overview: The State of Health Care Delivery in the United Statesp. 2
Defining Characteristics of the U.S. Health Care Systemp. 4
Major Issues and Concernsp. 7
Prospects for Change and Improvementp. 9
The Importance of Engagement at the Ground Levelp. 10
Supplement: Key Chartsp. 13
Good News About the U.S. Health Care Systemp. 14
Influences on Healthp. 16
Getting the Preventive Care We Needp. 18
The Changing U.S. Populationp. 22
Quality Versus Costs of Carep. 24
Oral Health Carep. 26
The Impact of Mental Disordersp. 28
Costly Medical Conditionsp. 30
Dissatisfaction With the U.S. Health Care Systemp. 32
Measuring Health Statusp. 34
Quantitative Perspectivesp. 37
Understanding Numbers and Ratesp. 40
Census Datap. 41
Vital Statisticsp. 42
Morbidityp. 46
Health Status and Health-Related Behaviorp. 49
Utilization and Cost of Health Care Servicesp. 50
Conclusionp. 53
Financing Health Carep. 56
What the Money Buysp. 59
How We Pay for Health Carep. 61
Reimbursement Approachesp. 73
Current Policy Issuesp. 76
Conclusionp. 79
Public Health: Policy, Practice, and Perceptionsp. 84
Public Health Every Dayp. 86
Who Is in Charge of Public Health?p. 90
Defining Characteristics of Public Healthp. 91
Core Functions of Public Healthp. 99
Governmental Authority for Public Healthp. 103
Challenges and Opportunitiesp. 113
The Role of Government in U.S. Health Carep. 126
The Government as Payer: The Health Insurance Safety Netp. 129
The Government as Regulatorp. 140
The Government as Health Care Providerp. 144
Key Issues on the Health Care Agendap. 148
Comparative Analysis of Health Systems Among Wealthy Nationsp. 152
The Evolution of Health Systems and Policy in Wealthy Nationsp. 154
Overview of Health System Modelsp. 156
Comparative Analysis of Health Systemsp. 159
Common Problems of Health Care Organization and Policy in Three Nationsp. 164
The U.S. Health System in Comparative Perspectivep. 174
New Approaches to Comparing Health Systemsp. 179
Conclusionp. 183
Providing Health Care
Acute Carep. 190
The History of Acute Carep. 192
Kinds of Acute Care Todayp. 194
Hospitals in the United Statesp. 200
Current Issues in Acute Carep. 212
Future Challengesp. 217
Chronic Carep. 220
Definition of and Prevalence of Chronic Conditionsp. 223
Chronic Conditions and Activity Limitationsp. 225
Paying for Chronic Carep. 226
Dissatisfaction With the Current Systemp. 227
The Evolving Health Care Systemp. 230
International Trendsp. 236
Conclusionp. 237
Long-Term Carep. 238
Long-Term Care Needs and Demandsp. 241
Costs and Financing of Long-Term Carep. 242
The Goals of Long-Term Carep. 246
Providers of Long-Term Carep. 246
Challenging Issuesp. 255
Conclusionp. 263
Health-Related Behaviorp. 266
Behavioral Risk Factors: Overview and National Goalsp. 269
Changing Health Behaviorp. 274
Changing Provider Behaviorp. 287
Conclusionp. 294
Pharmaceuticalsp. 298
Pharmaceuticalsp. 300
Biologic Productsp. 313
Medical Devices: Brief Overviewp. 313
Conclusionp. 317
The Health Care Workforcep. 320
Supply and Demand Factorsp. 324
Types of Health Care Workersp. 335
Medical Practicep. 336
Nursing Practicep. 339
Mid-Level Professionalsp. 342
Other Health Care Workersp. 344
Allied Health Professionalsp. 346
Health Care Workforce Issuesp. 348
Conclusionp. 351
Information Managementp. 356
Improving Clinical Quality Through Information Technologyp. 361
Information Technology's Benefits for Patientsp. 368
Information Technology's Role in Controlling Health Care Costsp. 370
Speeding Adoption of Health Care Information Technologyp. 373
Conclusionp. 379
System Performance
Governance, Management, and Accountabilityp. 382
Governance as a Process for Decision Makingp. 384
Measuring Organizational Performancep. 386
Ownership of Health Care Organizationsp. 387
Current Governance Issuesp. 392
Managementp. 394
Managerial Work in Health Care Organizationsp. 397
Current Management Issuesp. 399
Accountabilityp. 402
Conclusionp. 405
The Complexity of Health Care Qualityp. 408
Health Care Quality: Fundamentalsp. 411
Complexity and the Health Care Quality Challengep. 412
Defining Quality of Health Care: Patients Versus Populationsp. 414
Pay for Performance (P4P): Make the Business Case for Qualityp. 423
Risk-Adjusted Quality Outcomesp. 427
Trends in Quality Assessmentp. 429
Strategies for Managing Quality in the Health Care Zone of Complexityp. 433
Access to Carep. 444
Economic Barriers to Carep. 448
Noneconomic and Quasi-Economic Barriers to Carep. 454
Noneconomic and Quasi-Economic Barriers: Preventable Hospitalizationsp. 460
Health Care Reform: Improving Accessp. 464
The Future: Continuing and Emerging Issuesp. 470
Costs and Valuep. 478
The Problem: Rising Costsp. 480
Why Do Costs Rise?p. 483
Cost to Whom and for What?p. 488
Potential Solutions to Rising Health Care Costsp. 491
Dilemmas: Spending Is a Political Actp. 502
Conclusionp. 504
The Future
The Future of Health Care Delivery in the United Statesp. 508
Forecasting: Definition and Approachesp. 510
Forecasting Methodsp. 513
Drivers of Change in the New Millenniump. 513
Where Change Is Likely to Occurp. 517
Conclusionp. 522
Appendices
Glossaryp. 527
A Guide to Sources of Datap. 541
Useful Health Care Web Sitesp. 557
Indexp. 571
Table of Contents provided by Ingram. All Rights Reserved.

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