Health Policymaking in the United States

by Longest, Beaufort B.

• ISBN13: 9781567931730
• ISBN10: 1567931731
• Edition: 3rd
• Format: Hardcover
• Copyright: 2002-02-01
• Publisher: Health Administration Pr

Author Biography

Beaufort B. Longest, Jr., is the M. Allen Pond Professor of Health Policy & Management in the Graduate School of Public Health and the founding director of the Health Policy Institute at the University of Pittsburgh

Table of Contents

List of Acronyms and Initials	x
List of Web Sites in Text	xv
Preface	xx
Acknowledgments	xxiii
Health and Health Policy	1	(48)
Health Defined	1	(9)
Health Policy Defined	10	(25)
The Connection Between Health Policies and Health	35	(4)
The Objective of Health Policy	39	(2)
The Role and Importance of Political Competence in the Pursuit of Health	41	(3)
Summary	44	(2)
Discussion Questions	46	(1)
References	46	(3)
Impact of Health Policy	49	(34)
Health Policy and Health Determinants	49	(16)
Health Policy and Individuals, Organizations and Systems, and Interest Groups	65	(15)
Summary	80	(1)
Discussion Questions	81	(1)
References	81	(2)
The Context and Process of Health Policymaking	83	(46)
The Context of Health Policymaking: The Political Marketplace	84	(5)
Demanders and Suppliers of Health Policies	89	(14)
Interplay Among Demanders and Suppliers in the Political Marketplace	103	(11)
A Conceptual Model of the Public Policymaking Process	114	(12)
Summary	126	(1)
Discussion Questions	126	(1)
References	127	(2)
Policy Formulation: Agenda Setting	129	(46)
Overview of the Policy Formulation Phase	129	(3)
Agenda Setting	132	(33)
The Influential Role of Chief Executives in Agenda Setting	165	(5)
The Nature of the Health Policy Agenda	170	(2)
Summary	172	(1)
Discussion Questions	173	(1)
References	173	(2)
Policy Formulation: Development of Legislation	175	(40)
The Choreography of Legislation Development	176	(35)
From Formulation to Implementation	211	(1)
Summary	211	(1)
Discussion Questions	212	(1)
References	212	(3)
Policy Implementation	215	(48)
The Cyclical Relationship Between Rulemaking and Operation	217	(1)
Responsibility for Policy Implementation	218	(10)
The Beginning of Implementation: Rulemaking	228	(9)
Operation	237	(20)
The Managerial Challenges of Policy Implementation	257	(3)
Summary	260	(1)
Discussion Questions	261	(1)
References	261	(2)
Policy Modification	263	(44)
Distinguishing Policy Modification from Policy Initiation	264	(2)
Policymaking Is a Cyclical Process	266	(3)
Incrementalism in Policymaking	269	(1)
The Mechanics of the Modification Phase	270	(7)
Policy Modification in Practice	277	(13)
Key Structural Features of Policy Modification	290	(12)
Summary	302	(1)
Discussion Questions	303	(1)
References	304	(3)
Political Competence	307	(48)
Political Competence and the Advantage of Lead Time	314	(1)
Analyzing Public Policy Environments	315	(13)
Influencing Public Policy Environments	328	(12)
The Concept of Good Corporate Citizenship	340	(11)
Summary	351	(1)
Discussion Questions	352	(1)
References	353	(2)
Appendix: Briefly Annotated Chronological List of Selected U.S. Federal Laws Pertaining to Health	355	(38)
Index	393	(14)
About the Author	407