Health Policy and Nursing : Crisis and Reform in the U. S. Health Care Delivery System

by Harrington, Charlene; Estes, Carroll L.; Harrington, Charlene

• ISBN13: 9780867208139
• ISBN10: 0867208139
• Format: Paperback
• Copyright: 1994-01-01
• Publisher: Jones & Bartlett Pub

Table of Contents

Foreword
Introduction
Economics of the U.S. Health Care Delivery System	p. 1
Financing Health Care	p. 5
Why Health Economics?	p. 6
National Health Expenditures	p. 14
U.S. Health Expenditure Performance: An International Comparison and Data Update	p. 28
Health Spending Through 2030: Three Scenarios	p. 40
Health Care Market	p. 53
The Medical-Industrial Complex	p. 54
What Market Values Are Doing to Medicine	p. 70
The Deteriorating Administrative Efficiency of the U.S. Health Care System	p. 80
Private Insurance and Managed Care	p. 91
Halfway Competitive Markets and Ineffective Regulation: The American Health Care System	p. 92
The Practice and Ethics of Risk-Rated Health Insurance	p. 104
Health Maintenance Organization Environments in the 1980s and Beyond	p. 113
HMOs and Managed Care	p. 125
Structure of the U.S. Health Care Delivery System	p. 145
Hospitals	p. 149
Hospital Trends	p. 150
Medicare and the American Health Care System	p. 169
The Performance of For-Profit and Nonprofit Health Care Organizations	p. 179
Nursing Homes	p. 191
The Nursing Home Industry: A Structural Analysis	p. 192
Factors Contributing to the Hospitalization of Nursing Home Residents	p. 205
Nursing Home Costs, Medicaid Rates, and Profits Under Alternative Medicaid Payment Systems	p. 220
Home Health Care and Community-based Care	p. 235
Quality, Access, and Costs: Public Policy and Home Health Care	p. 236
The Impact of DRGs on Community-based Service Providers: Implications for the Elderly	p. 244
Home Care: Measuring Success	p. 254
Physician Labor Market	p. 267
The Changing Character of the Medical Profession	p. 268
Professional Dominance or Proletarianization?: Neither	p. 273
How Many Physicians Can We Afford?	p. 284
Medicare Physicians Payment	p. 294
Nurse Labor Market	p. 299
The Hospital Nursing Shortage: A Paradox of Increasing Supply and Increasing Vacancy Rates	p. 300
Cost-effectiveness of Nursing Care Revisited: 1981-1990	p. 313
Uncovering the Hidden Work of Nursing	p. 331
Federal Reimbursement of Advanced Practice Nurses' Services Empowers the Profession	p. 341
Outcomes of the U.S. Health Care Delivery	p. 349
Health Status and Access to Care	p. 351
A Revised Look at the Number of Uninsured Americans	p. 352
Inequality and Access to Health Care	p. 359
Access to Medical Care for Black and White Americans: A Matter of Continuing Concern	p. 376
Women's Health	p. 383
Towards a Women's Health Research Agenda	p. 384
The Home as Workshop: Women as Amateur Nurses and Medical Care Providers	p. 400
Older Women in the Post-Reagan Era	p. 413
Quality of Care	p. 431
Quality and Cost of Nursing Care: Is Anybody Out There Listening?	p. 432
Quality of Care Before and After Implementation of the DRG-based Prospective Payment System: A Summary of Effects	p. 440
Unnecessary Surgery	p. 448
Reforming the U.S. Health Care Delivery System	p. 461
National Health Care	p. 463
Nursing's Agenda for Health Care Reform	p. 464
A National Health Program for the United States: A Physicians' Proposal	p. 476
A National Long-term Care Program for the United States: A Caring Vision	p. 490
The Clinton Health Care Plan	p. 508
Conclusion	p. 515
Index	p. 519
Table of Contents provided by Blackwell. All Rights Reserved.