Understanding Health Policy : A Clinical Approach

by Bodenheimer, Thomas S., M.D.; Grumbach, Kevin, M.D.

• ISBN13: 9780838590751
• ISBN10: 0838590756
• Edition: 2nd
• Format: Paperback
• Copyright: 1998-05-01
• Publisher: McGraw-Hill

Summary

Numerous case examples illustrate fundamental topics such as cost containment, health insurance, primary care, and physician and hospital payment. In addition, this book does a superior job linking policy issues to the practice of medicine. The second edition features a brand new chapter on payment in managed care.

Table of Contents

Preface	vii
1. Introduction: The Changing US Health Care System	1	(6)
2. Paying for Health Care	7	(14)
3. Access to Health Care	21	(26)
4. Reimbursing Health Care Providers	47	(16)
5. Capitation Payment in Managed Care	63	(14)
6. How Health Care Is Organized-I	77	(20)
7. How Health Care Is Organized-II	97	(18)
8. Painful Versus Painless Cost Control	115	(16)
9. Mechanisms for Controlling Costs	131	(22)
10. Long-Term Care	153	(14)
11. The Prevention of Illness	167	(24)
12. The Quality of Health Care	191	(24)
13. Medical Ethics & the Rationing of Health Care	215	(26)
14. Health Care in Three Nations	241	(18)
15. National Health Insurance	259	(14)
16. The Ascendance of Managed Care	273	(18)
17. Conclusion: Tensions & Challenges	291	(6)
18. Questions & Discussion Topics	297	(12)
Index	309