Health Care USA Understanding Its Organization and Delivery

by Sultz, Harry A.; Young, Kristina M.

• ISBN13: 9780763784584
• ISBN10: 0763784583
• Edition: 7th
• Format: Paperback
• Copyright: 2010-07-22
• Publisher: Jones & Bartlett Learning

Summary

Health Care USA, Seventh Edition, offers students of health administration, public health, medicine, and related fields a wide-ranging overview of America's healthcare system.

Table of Contents

Foreword	p. xi
Acknowledgments	p. xiii
About the Authors	p. xv
Introduction	p. xvii
New to the Seventh Edition	p. xxi
Overview of Health Care: A Population Perspective	p. 1
Problems of Health Care	p. 2
Understanding Health Care	p. 3
Major Stakeholders in the U.S. Health Care Industry	p. 12
Development of Managed Care	p. 17
Rural Health Networks	p. 18
Priorities of Health Care	p. 20
The Tyranny of Technology	p. 21
Social Choices of Health Care	p. 22
The Aging Population	p. 23
Access to Health Care	p. 26
Quality of Care	p. 27
Conflicts of Interest	p. 28
Health Care's Ethical Dilemmas	p. 29
Benchmark Developments in U.S. Health Care	p. 33
The Great Depression and the Birth of Blue Cross	p. 35
Dominant Influence of Government	p. 37
Three Major Health Care Concerns	p. 39
Efforts at Planning and Quality Control	p. 39
Managed Care Organizations	p. 41
The Reagan Administration	p. 42
Biomedical Advances: Evolution of High-Technology Medicine	p. 43
Technical Advances Bring New Problems	p. 45
Roles of Medical Education and Specialization	p. 46
Influence of Interest Groups	p. 48
Public Health Focus on Prevention	p. 53
Economic Influences of Rising Costs	p. 53
Health Insurance Portability and Accountability Act	p. 54
Aging of America	p. 55
Public Health's Lack of Preparedness	p. 56
Oregon Death With Dignity Act	p. 57
Internet and Health Care	p. 58
Basic Issues	p. 59
Landmark Health Legislation: Patient Protection and Affordable Care Act of 2010	p. 60
Hospitals: Origin, Organization, and Performance	p. 65
Historical Perspective	p. 66
Sources That Shaped the Hospital Industry	p. 68
Growth and Decline in Numbers of Hospitals	p. 70
Types of Hospitals	p. 71
Financial Condition of Hospitals	p. 73
Academic Health Centers, Medical Education, and Specialization	p. 74
Hospital System of the Department of Veterans Affairs	p. 75
Structure and Organization of Hospitals	p. 76
Information Technology's Impact on Hospitals	p. 83
Complexity of the System	p. 84
Types and Roles of Patients	p. 85
Diagnosis-Related Group Hospital Reimbursement System	p. 91
Discharge Planning	p. 93
Subacute Care	p. 94
Market-Driven Reforms Affecting Hospitals	p. 95
Quality of Hospital Care	p. 99
Hospitalists: A Rapidly Growing Innovation	p. 107
Forces of Reform: Cost, Quality, and Access	p. 108
Ambulatory Care	p. 113
Overview and Trends	p. 113
Private Medical Office Practice	p. 117
Other Ambulatory Care Practitioners	p. 124
Ambulatory Care Services of Hospitals: History and Trends	p. 124
Hospital Emergency Services	p. 128
Freestanding Services	p. 132
Continued Future Expansion and Experimentation	p. 146
Medical Education and the Changing Practice of Medicine	p. 151
Medical Education: Colonial America to the 19th Century	p. 151
Flexner Report and Medical School Reforms	p. 153
Academic Medical Centers	p. 154
Graduate Medical Education Consortia	p. 156
Delineation and Growth of Medical Specialties	p. 157
Specialty Boards and Residency Performance	p. 159
Physician Workforce and U.S. Medical Schools	p. 164
Preventive Medicine	p. 167
Changing Physician-Hospital Relationships	p. 168
Cost Containment and the Restructuring of Medical Practice	p. 170
Physician Report Cards	p. 173
Introduction of Health Information Technology	p. 174
A New Medical Practice Concept: The ôMedical Homeö	p. 176
Escalating Costs of Malpractice Insurance	p. 176
Growing Concern About Ethical Issues	p. 176
Physicians and the Internet	p. 178
Future of Medical Practice	p. 178
Health Care Personnel	p. 185
Health Professions	p. 185
Health Care Occupations	p. 188
Factors That Influence Demand for Health Personnel	p. 212
Health Care Workforce Issues	p. 214
The Health Workforce in a Chaotic System	p. 214
Financing Health Care	p. 221
Overview	p. 221
Health Care Expenditures in Perspective	p. 222
Drivers of Health Care Expenditures	p. 227
Evolution of Private Health Insurance	p. 230
Government as a Source of Payment: A System in Name Only	p. 243
Future Prospects	p. 259
Long-Term Care	p. 267
Development of Long-Term Care Services	p. 269
Modes of Long-Term Care Service Delivery	p. 273
Innovations in Long-Term Care	p. 292
Long-Term Care Insurance	p. 296
Future of Long-Term Care	p. 297
Mental Health Services	p. 305
Historical Overview	p. 305
Recipients of Mental Health Services	p. 310
Organization and Financing of Mental Health Services	p. 315
Health Insurance Coverage and Managed Behavioral Health Care	p. 320
Barriers to Accessing Services	p. 327
Priorities for Mental Health Services	p. 328
Need for Further Research	p. 329
Public Health and the Role of Government in Health Care	p. 339
Public Health in England	p. 341
Public Health and Government-Supported Services	p. 342
Veterans Health Administration System	p. 348
Decline in Influence of the Public Health Service	p. 350
Responsibilities of the Public Health Sector	p. 351
Relationships of Public Health and Private Medicine	p. 355
Opposition to Public Health Services	p. 356
Resource Priorities Favor Curative Medicine	p. 357
Absence of Preventive Care	p. 358
Challenge of an Aging America	p. 359
Hospital-Sponsored Public Health Activities	p. 360
Public Health Services of Voluntary Agencies	p. 360
Changing Roles of Government in Public Health	p. 361
Public Health in an Era of Privatization and Managed Care	p. 362
Future Role of Government in Promoting the Publics Health	p. 363
Health Care Reform and the Public Health-Medicine Relationship	p. 365
Research: How Health Care Advances	p. 369
Focus of Different Types of Research	p. 370
Types of Research	p. 370
Patient Satisfaction	p. 383
Research Ethics	p. 384
Conflicts of Interest in Research	p. 385
Future Challenges	p. 386
Future of Health Care	p. 393
Paradox of U.S. Health Care	p. 394
Major Challenges Facing Health Care	p. 395
Demand for Greater Accountability, Fiscal and Clinical	p. 396
Health Care Costs	p. 399
Growth of Home, Outpatient, and Ambulatory Care	p. 400
Technology	p. 401
Changing Population Composition	p. 402
Changing Professional Labor Supply	p. 403
Future of America's Health Insurance Systems	p. 407
Changing Composition of the Delivery System	p. 408
Information Management	p. 409
Government's New Role in Public Health	p. 410
Conclusion	p. 411
Abbreviations and Acronyms	p. 419
Web Sites	p. 431
U.S. Government	p. 431
Other Organizations	p. 432
Index	p. 435
Table of Contents provided by Ingram. All Rights Reserved.