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9780834220041

Connecting with the New Healthcare Consumer : Defining Your Strategy

by
  • ISBN13:

    9780834220041

  • ISBN10:

    0834220040

  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2001-04-01
  • Publisher: Jones & Bartlett

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Summary

Directors of Employee Health Managed Care Medical Directors Hospital and Managed Care CEOs Pharmaceutical Senior Executives Graduate programs in healthcare

Table of Contents

Listening to the Consumer: A Historical Review
1(42)
The Doctor--Patient Relationship
3(1)
Patient Care and Physician Practice in Eighteenth and Nineteenth Century America
4(3)
From Cottage Industry to the Golden Age of Medicine: The Rise of the Professional Physician
7(1)
The Organization and Control of Medical Practice
8(3)
Physician's Autonomy over Medical Education and Training
11(3)
Collectivizing Consumers: The Purchase of Healthcare in Early Twentieth Century America
14(1)
The Rise of the Consumer Club
14(1)
The Company Doctor
15(2)
Healthcare in Post-War America
17(1)
The Development of Comprehensive Third-Party Insurance
18(1)
Governmental Fiscal Policy in the Age of Physician-Controlled Medicine: The Creation of Medicaid and Medicare
19(2)
In the Aftermath of the Great Society---Regulation and Competition in Healthcare
21(2)
Hearing the Patient: The Consumer Movement in Medicine
23(5)
Listening to the Consumer: The Role of Patient Satisfaction
28(6)
Listening to the Consumer---Integrating Patient Preference into Medical Practice
34(4)
Conclusion and Summary
38(5)
The Public View of Healthcare
43(32)
Introduction
43(2)
Methods of Obtaining Public Opinion
45(1)
The Three Themes of the Public's Views on Healthcare
46(22)
Conclusion
68(7)
The Self-Care Trend and the New Healthcare Marketplace
75(22)
Definition and Overview of Self-Care
75(4)
Evidence of the Self-Care Movement
79(6)
Impact of Self-Care Trends
85(8)
Conclusion
93(4)
Medical and Health Reporting in the News Media
97(16)
Traditional Roles of Physicians, Scientists, and the News Media
98(1)
Forces for Change
99(4)
Medical and Health Reporting Today
103(1)
Current Issues in Health Reporting
104(6)
Conclusion
110(3)
The Online Community as a Healthcare Resource
113(22)
Introduction
113(2)
Background
115(1)
Online Healthcare Formats
116(4)
Online Presentation
120(1)
Interactive versus Read-Only Sites
121(3)
Searching for Information
124(2)
Demographics of Online Health Area Participants
126(4)
Topics of Present Import
130(2)
Conclusion
132(3)
Relationship-Based Care: Strengthening the Patient--Physician Relationship
135(28)
Introduction
135(1)
A Historical Perspective
136(1)
The Human Element of Caring
137(1)
Ingredients of the Patient--Physician Encounter
138(2)
Who Is in Charge?
140(1)
The Necessity of Educational Team Continuums
141(1)
Are You My Doctor?
141(2)
Communication: The Cornerstone of Partnership
143(1)
The Medical Interview: The Key Entry Experience
143(2)
Barriers to Communication
145(2)
Access: A Two-Way Street
147(1)
Earlier Access: Prevention
148(1)
Health Insurance: Who Will Pay, Why the Reluctance to Pay, and How Access Is Affected
149(1)
The Contract: Mutual Responsibilities
150(2)
Selecting and Training Balanced Healthcare Providers
152(4)
Summary
156(7)
Dynamic of the Patient--Provider Relationship
163(24)
Introduction
163(1)
The Patient--Provider Relationship and the Culture of Medicine
164(3)
Providers and Medical Training
167(3)
Patients and the Patient--Provider Relationship
170(1)
The Patient--Provider Relationship with Regard to Patient Gender
170(2)
The Patient--Provider Relationship with Regard to Sexual Orientation
172(1)
Patients and Providers and Managed Care
173(1)
American Culture and Health Insurance
174(2)
Providers and Formularies
176(1)
Providers and Pharmaceutical Companies
177(1)
Health Insurance and Subscribers
178(2)
Health Insurance and Employers
180(1)
Health Insurance and Employees
180(2)
Conclusion
182(5)
Improving Consumer Health through Disease Management
187(20)
Introduction
187(2)
Disease Management Programs: Where the Consumer Fits in
189(5)
The Logistics: Implementing Consumer-Focused Initiatives
194(8)
Summary
202(5)
The Drug Benefit: Design and Management
207(30)
Introduction
207(1)
The Role of Modern Drug Therapy in Managing Disease
208(2)
System Failures in Drug Benefit Management
210(3)
Commodity Cost-Driven (First-Generation) Drug Benefit Management Processes and Systems
213(8)
Health Outcomes--Driven (Second-Generation) Drug Benefit Management Processes and Systems
221(7)
The Drug Benefit: Administrative and Payment Processes
228(4)
Conclusion
232(5)
The Role of Self-Care and Nonprescription Drug Therapy in Managing Illness: The Rx-to-OTC Switch Movement
237(28)
Introduction
237(2)
Self-Medication: A Historical Perspective
239(4)
Implications of the Rx-to-OTC Switch Movement for Managed Care
243(6)
Rx-to-OTC Switches: Consumer Benefits
249(3)
Healthcare Providers and the Effects of the Switch Movement on Relations with Patients
252(2)
The Pharmacist's Expanding Role
254(3)
Employers: Switches Can Benefit
257(1)
Rx-to-OTC Switches: The Future
258(7)
Empowering Consumers to Make Informed Choices
265(22)
Introduction
265(1)
Rationale
266(2)
Need for Paradigm Shift
268(1)
Parameters of Change
269(1)
A Framework for Communicating with the Public about Quality Healthcare
270(12)
How Can Quality Information Be Integrated with Other Important Factors?
282(1)
How Can Consumer Decision Making Shape Successful National Policy?
283(4)
The Ascendancy of the Employer as Consumer Advocate in Healthcare
287(22)
Introduction
287(1)
Historical Perspective: Back to the Future
287(10)
How Are Employers Measuring Value, and What Are They Doing to Promote It for Their Employees?
297(8)
Conclusion
305(4)
Employer Groups (Purchasers) and the New Healthcare Consumer
309(24)
Tuning into the ``Consumer Headset''
309(1)
The Intersection between Manufacturing and Healthcare: Where the Consumer Fits in
310(3)
Listening to the Patient Headset: The Quest for Patient-Centered Care
313(1)
Auto Workers: Prototypes of the New Healthcare Consumer
314(1)
Informing Consumers and the Bottom Line
315(1)
The Synergism of Joint Stakeholder Collaboration
315(4)
Ford's Healthcare Initiatives
319(10)
The Challenge Continues
329(4)
Government Connections to the New Healthcare Consumer
333(26)
Introduction
333(3)
The Critical Link: Government Information for the Consumer
336(5)
Government Support for the New Healthcare Consumer: Examples of Health Information Services Offered by Federal and State Agencies
341(13)
How Will the States and Federal Government Support Future Healthcare Consumers?
354(5)
Health System Initiatives: Responding to the New Healthcare Consumer
359(16)
Introduction
359(1)
Background
360(4)
Health Systems Moving Forward
364(6)
``We Will Come to You''
370(1)
Information in All the Right Places
371(2)
Conclusion
373(2)
The Healthwise Communities Project: Where Health Care Is Practiced by All
375(22)
Introduction
375(1)
The Rise of the New Medical Consumer
376(2)
Consumer Participation in Healthcare Decision Making: A Brief History
378(1)
The Rise of the New Science of Evidence-Based Medicine
379(1)
Making the Most of Information Technology
380(1)
Healthwise Communities: From Patient to Partner
381(2)
A Book in Every Home
383(1)
The Healthwise Knowledgebase: Putting Consumer Health Information at the Community's Fingertips
384(2)
Project Evaluation
386(2)
Physician Involvement and Response
388(3)
What's the Pay-Off?
391(1)
Lessons Learned
392(2)
The Best Medicine
394(3)
Nursing: Linking Today's Consumer to a Changing System
397(16)
Historical Background
398(1)
Current Market Trends Shaping Nursing
399(3)
The Impact for Nursing
402(2)
A Dearth of Education and Training Opportunities for Nurses
404(3)
New Roles for Nurses
407(3)
Conclusion
410(3)
The Elderly as the New Consumer of Healthcare
413(26)
Introduction
413(1)
Key Demographics
414(2)
Disability Patterns in the Elderly
416(2)
Implications for Long-Term Care Services
418(1)
Implications of Resource Allocation/Rationing for the Elderly
419(1)
The Face of Diversity in the Elderly and Implications for Their Healthcare
420(3)
The Older Consumer of Healthcare
423(1)
Use of Formal Medical Services
424(1)
Use of Lay Care
425(2)
The Media, Health Information, and Telemedicine
427(3)
Aging, Diversity, and Health Information
430(2)
Conclusion
432(7)
Women's Health: Women as the (Not-so-New) Healthcare Consumer
439(24)
Introduction
439(2)
Organized Women's Health Consumerism
441(5)
Women as Individual Healthcare Consumers
446(12)
Conclusion
458(5)
Consumer Advocacy and Mental Health: Public Attitudes and Private Battles
463(30)
Introduction
463(1)
Background
464(2)
Early Efforts toward Mental Health Advocacy
466(3)
The Biology of Mental Disorders and the New Mental Health Revolution (Late 1980s to Present)
469(3)
The Media
472(3)
The Mental Healthcare Marketplace
475(3)
Recent Public and Private Campaigns to Improve Access, Treatment, and Outcomes
478(1)
The Ongoing Plague: Issues of Confidentiality, Consent, and Special Populations
478(8)
The Demand for Quality Outcomes and Patient Satisfaction
486(2)
Conclusions: What Have We Learned and What Opportunities Still Exist?
488(5)
Examining Alternative Medicine: What Consumers Want from Physicians and What Physicians Should Tell Them
493(24)
Introduction
493(1)
What Drives the Popularity of Alternative Medicine?
494(2)
What Do Consumers Really Want to Know about Alternative Medicine?
496(1)
What Is It for? What Are the Specific Indications for This Therapy?
497(2)
What Is the Evidence? What Valid, Reliable Data Exist to Support Its Use?
499(2)
What Are the Risks? What Side Effects, Adverse Effects, and Interactions Might Be Engendered?
501(1)
Does It Contain What It Is Supposed to? What Assurances of Product Quality, Formulation, Purity, and Composition Are Extant?
502(1)
``What's in a Label?''
503(2)
What Do Doctors Think of Alternative Medicine?
505(2)
Ethical Issues: Helping Providers and Practitioners Balance Allopathic and Alternative Therapies
507(2)
Will Payors and Employers Step in? And What about Multilevel Marketing?
509(1)
Credentialing and Licensure Hurdles
510(1)
What Are the Take-Home Messages?
510(2)
Conclusion
512(5)
About the Authors 517(2)
Index 519

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