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9780834209275

Managing Health Care Demand

by ; ;
  • ISBN13:

    9780834209275

  • ISBN10:

    0834209276

  • Format: Hardcover
  • Copyright: 1998-04-01
  • Publisher: Wolters Kluwer Law & Business

Note: Supplemental materials are not guaranteed with Rental or Used book purchases.

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Supplemental Materials

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Summary

This practical resource explores demand management and the impact that informational technology and patient empowerment has for providers who are restructuring to meet new market pressures. A systematic method for implementation of demand management strategies is included.

Table of Contents

Foreword ix(4)
Preface xiii(6)
Acknowledgments xix(2)
Introduction xxi
Demand? xxi(1)
Management? xxii(2)
How the Book is Organized xxiv(1)
A Navigator xxv
PART I FUNDAMENTALS 1(94)
Chapter 1 Improving Consumer Health & Demand
3(18)
Managing Health Care Expenditures
4(1)
Quantifying Effects
5(3)
Utilization = Demand x Supply
8(1)
Shift 1: From Reactive to Proactive
8(2)
Shift 2: From Demarketing to Remarketing
10(1)
Shift 3: From Gatekeeper to Gateway
11(1)
Shift 4: From Provider to Consumer Power
12(1)
Shift 5: From Rights to Responsibilities
13(1)
Shift 6: From Management to Marketing
13(3)
Shift 7: From Reduction to Reform
16(1)
Shift 8: From Barrier to Benefit
17(1)
How Demand Improvement Benefits Sponsors
17(4)
Chapter 2 The Four Domains of Demand Improvement
21(20)
Health Improvement
22(4)
Decision Improvement
26(5)
Disease Management
31(4)
Disability Management
35(3)
Conclusion
38(1)
Appendix 2-A Demand Improvement Strategy Vendors
39(2)
Chapter 3 Past Efforts in Utilization Management
41(19)
Resource Control
42(1)
Price Controls by Payers
43(1)
Restricting Provider Networks
44(2)
Restricting the Delivery of Care
46(2)
Guidelines and Case Management
48(1)
Results of Limiting Provision of Care
49(1)
Employers Changing Health Plans
49(1)
Limiting Health Plan Benefits
50(1)
Financial Incentives
51(1)
Information Controls
52(2)
"Owning" Providers
54(1)
New Partnership Efforts
54(1)
Conclusion
55(5)
Chapter 4 Why Improve Demand?
60(12)
Complementing Supply Management
61(2)
Contributions to Quality
63(2)
Marketing Value
65(1)
Relationship Contributions
66(2)
Results Achievable
68(4)
Chapter 5 How Well Does Demand Management Work?
72(23)
Set of Effects
73(2)
Health Improvement
75(6)
Decision Improvement
81(2)
Disease Management
83(3)
Disability Management
86(3)
Conclusion
89(6)
PART II FOUNDATIONS 95(104)
Chapter 6 Behavioral Foundations
97(22)
Rational Decision-Making Models
99(1)
Conditioning Models
99(1)
Human Value/Need Models
100(1)
Marketing Models
101(2)
Attitude/Intention Models
103(1)
Health Behavior Models
104(1)
Stages of Change Model
105(4)
Composite Model Equals Behavior Improvement
109(2)
Motivation
111(1)
Capability
112(1)
Consciousness
112(7)
Chapter 7 Systems Foundations
119(12)
Impact Myopia
120(1)
Circular Effects
121(2)
The Dynamics of Self-Efficacy
123(1)
Relationship Dynamics
123(2)
Retention Dynamics
125(1)
Dynamics of Market Share
126(1)
Set of Effects Dynamics
127(4)
Chapter 8 Information Foundations
131(24)
Demographics
132(1)
Set of Effects Information
132(11)
Conducting Surveys
143(3)
Information Systems
146(1)
How To Use the Information
146(1)
Information Examples
147(2)
Health-Risk Combinations
149(1)
Limitations of Information
150(5)
Chapter 9 Communications Foundations
155(13)
Learning Styles
156(1)
Communications Targeting
156(1)
Communications Sources
157(1)
Tactical Applications
158(1)
Communications Relationships
159(2)
New Technologies-Examples
161(4)
Caveats
165(3)
Chapter 10 Developing a Strategic Foundation
168(31)
What is a Strategy?
168(1)
Strategic Decisions
169(1)
Should a Given Sponsor Do It?
170(4)
What Outcomes Should Be Pursued?
174(8)
Which Consumers and Behaviors?
182(4)
Who Participates in What Roles?
186(3)
Choosing Partners
189(1)
What Resources?
190(4)
How To Make Strategic Decisions
194(5)
PART III CHANGING BEHAVIOR 199(80)
Chapter 11 Prompting & Persuading
203(16)
Prompting
204(3)
Persuading, or "Selling"
207(12)
Chapter 12 Education
219(16)
Who Can Educate?
223(3)
Who Are the Best Targets?
226(1)
Timing
226(1)
How Best To Educate
227(1)
Content Suggestions
228(1)
Verification
229(1)
Methods
229(6)
Chapter 13 Social Advocacy
235(10)
Who Can Use It?
238(2)
Targets for Social Advocacy
240(1)
Timing
241(1)
Message Content
241(4)
Chapter 14 Incentives
245(13)
What Should Be Rewarded or Punished?
247(5)
What Kinds of Incentives To Use
252(1)
Who Should Use Incentives?
253(1)
Timing of Incentives
254(4)
Chapter 15 Marketing, Negotations & Empowerment
258(21)
Marketing
259(10)
Negotiation
269(2)
Empowerment
271(8)
PART IV PLANNING PROGRAMS 279(116)
Chapter 16 Planning Demand Improvement Initiatives
281(29)
Outcomes Challenge
283(1)
Specify Intention
284(6)
Conversion of Consumer Behavior
290(5)
Communication
295(8)
Evaluation Plan
303(7)
Chapter 17 Choosing Tactics
310(13)
Basic Approach
311(1)
Stages of Change
312(4)
I = MC(2) Changes Desired
316(3)
How Quickly Change Is Desired
319(1)
What Proportion of Response Is Desired
320(1)
Value of the Behavior Change
321(1)
Costs of Tactics
321(1)
Effects on Relationships
321(2)
Chapter 18 Deciding Who Does What
323(34)
Employers
324(5)
Physicians
329(5)
Hospitals
334(5)
Health Plans
339(4)
Other Stakeholders
343(8)
Partnerships
351(6)
Chapter 19 Community-Based Initiatives
357(13)
Problems and Potential
358(1)
Advantages to Sponsors
359(2)
Concerns, Limitations and Issues
361(1)
Recommendations
362(2)
Community Health Examples
364(6)
Chapter 20 Evaluating Demand Improvement Initiatives
370(25)
Results
371(1)
What Results?
371(1)
Evaluation Time Frames
372(1)
Comparisons
373(1)
Using Statistics
374(3)
Success: Reaching Objectives?
377(1)
Attribution
378(2)
Return
380(3)
Costs
383(1)
ROI
384(2)
Evaluation Barriers
386(1)
Relationships
387(1)
Learning
388(2)
Predicted Effects
390(2)
Appendix 20-A Technical Addendum
392(3)
PART V DEMAND IMPROVEMENT APPLICATIONS 395(146)
Chapter 21 Health Improvement
397(38)
Health Promotion
398(10)
Primary Prevention
408(7)
Risk Reduction
415(5)
Early Detection
420(12)
Appendix 21-A Health Improvement Vendors
432(3)
Chapter 22 Decision Improvement
435(43)
Triage
436(6)
Self-Care
442(5)
Shared Decision Making
447(4)
Health Plan Choice
451(6)
Provider Choice
457(5)
End-Of-Life Planning
462(14)
Appendix 22-A Decision Improvement Vendors
476(2)
Chapter 23 Disease Management
478(30)
Acute and Chronic Conditions
481(10)
Mental/Behavioral Health Conditions
491(3)
Maternity
494(11)
Appendix 23-A Disease Management Vendors
505(3)
Chapter 24 Disability Management
508(15)
Problem and Potential
508(3)
Control Programs
511(2)
Detective Work
513(1)
Getting Help
513(1)
Provider Selection
514(2)
Case Management
516(3)
Recommendations
519(3)
Appendix 24-A Disability Management Vendors
522(1)
Chapter 25 Final Comments
523(18)
Planning Recommendations
524(2)
Action Recommendations
526(13)
Concerns and Limitations
539(2)
Index 541(15)
About the Authors 556

Supplemental Materials

What is included with this book?

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.

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