DELIVERING HEALTH CARE IN AMERICA This title has been archived.
Author: Leiyu Shi, DrPH, MBA, MPA, Douglas Singh, PhD, MBA
Publisher: Jones & Bartlett Learning
Publication Date: 2008
Publisher: Jones & Bartlett Learning
Publication Date: 2008
ISBN 10: 076374512X
ISBN 13: 9780763745127
Edition: 4th
ISBN 13: 9780763745127
Edition: 4th
Description:
In a clear, cohesive format, Delivering Health Care in America provides a comprehensive overview of the basic structures and operations of the US health systemfrom its historical origins and resources, to its individual services, cost, and quality. Using a unique systems approach, it brings together an extraordinary breadth of information into a highly accessible, easy-to-read text that clarifies the complexities of health care organization and finance, while presenting a solid overview of how the various components fit together.
Table of Contents
Front Matter
A Distinctive System of Health Care Delivery
- Learning Objectives
- Introduction
- An Overview of the Scope and Size of the System
- A Broad Description of the System
- Basic Components of a Health Services Delivery System
- A Disenfranchised Segment
- Transition from Traditional Insurance to Managed Care
- Primary Characteristics of the US Health Care System
- Trends and Directions
- Significance for Health Care Practitioners and Policymakers
- Significance for Health Care Managers
- Health Care Systems of Other Countries
- The Systems Framework
- Summary
- Test Your Understanding
- Review Questions
- REFERENCES
PART I System Foundations
- Learning Objectives
- Introduction
- Significance for Managers and Policymakers
- Basic Concepts
- Health Promotion and Disease Prevention
- Developmental Health
- Public Health
- Health Protection
- Quality of Life
- Determinants of Health
- Overarching Factors and Implications for Health Care Delivery
- A Social Model of Health
- Equitable Distribution of Health Care
- Justice in the US Health Delivery System
- Equality in the US Health Care Delivery System
- Integration of Individual and Community Health
- Measures of Health Status
- Evaluation of Health Status
- Demographic Change
- Measures of Mental Health
- Measures of Social Health
- Measures of Spiritual Health
- Measures of Health Services Utilization
- Summary
- Test Your Understanding
- Review Questions
- REFERENCES
Beliefs, Values, and Health
The Evolution of Health Services in the United States
PART II System Resources
- Learning Objectives
- Introduction
- Physicians
- Some Key Issues in Medical Practice Involvement in the Development of Clinical Practice Guidelines
- International Medical Graduates
- Dentists
- Pharmacists
- Other Doctoral-Level Health Professionals
- Nurses
- Nonphysician Practitioners
- Allied Health Professionals
- Health Services Administrators
- Summary
- Test Your Understanding
- Review Questions
- Appendix 4–A List of Professional Associations
- REFERENCES
- Learning Objectives
- Introduction
- What Is Medical Technology?
- Information Technology and Informatics
- Innovation, Diffusion, and Utilization of Medical Technology
- Managed Care and Technology Diffusion
- The Government’s Role in Technology Diffusion
- The Impact of Medical Technology
- The Assessment of Medical Technology
- Current and Future Directions in Health Technology Assessment
- Summary
- Test Your Understanding
- Review Questions
- REFERENCES
- Learning Objectives
- Introduction
- The Role and Scope of Health Services Financing
- Financing and Cost Control
- The Insurance Function
- Private Financing
- Public Financing
- Miscellaneous Private and Public Programs
- The Payment Function
- National Health Care Expenditures
- Trends, Problems, and Issues in Insurance and Financing
- Summary
- Test Your Understanding
- Review Questions
- REFERENCES
Health Services Professionals
Medical Technology
Health Services Financing
PART III System Processes
- Learning Objectives
- Introduction
- What Is Outpatient Care?
- The Scope of Outpatient Services
- Primary Care
- Community-Oriented Primary Care
- Primary Care Providers
- Growth in Outpatient Services
- Reasons for the Growth in Outpatient Services
- Types of Outpatient Care Settings and Methods of Delivery
- Utilization of Outpatient Services
- Summary
- Test Your Understanding
- Review Questions
- REFERENCES
- Learning Objectives
- Introduction
- Transformation of the Hospital in the United States
- The Expansion Phase: Late 1800s to Mid-1980s
- The Downsizing Phase: Mid-1980s Onward
- Some Key Utilization Measures and Operational Concepts
- Hospital Employment
- Types of Hospitals
- What Makes a Hospital Nonprofit?
- Some Management Concepts
- Licensure, Certification, and Accreditation
- Ethical and Legal Issues in Patient Care
- Hospitals and Public Trust
- Summary
- Test Your Understanding
- Review Questions
- REFERENCES
- Learning Objectives
- Introduction
- What Is Managed Care?
- Evolution of Managed Care
- Growth of Managed Care
- Efficiencies and Inefficiencies in Managed Care
- Cost Control Methods in Managed Care
- Types of Managed Care Organizations
- Trends in Managed Care
- Impact on Cost, Access, and Quality
- Managed Care Backlash, Regulation, and the Aftermath
- Consolidation, Expansion, Diversification, and Integration
- Integrated Delivery Systems
- Types of Integration
- Issues Related to Integration
- Summary
- Test Your Understanding
- Review Questions
- REFERENCES
- Learning Objectives
- Introduction
- The Nature of Long-Term Care
- Long-Term Care Services
- The Clients of Long-Term Care
- Types of Community-Based Long-Term Care Services
- Institutional Long-Term Care
- Specialized Facilities
- Nursing Home Industry and Patient Demographics
- Patient Assessment and Prospective Payment for SNFs
- Requirements of Participation
- Summary
- Test Your Understanding
- Review Questions
- REFERENCES
Outpatient and Primary Care Services
Inpatient Facilities and Services
Managed Care and Integrated Organizations
Long-Term Care
Health Services for Special Populations
PART IV System Outcomes
- Learning Objectives
- Introduction
- Cost of Health Care
- Reasons for Cost Escalation
- Cost Containment— Regulatory Approaches
- Cost Containment— Competitive Approaches
- Access to Care
- Quality of Care
- Dimensions of Quality
- Quality Assurance
- Quality Assessment
- Quality Report Cards
- Summary
- Test Your Understanding
- Review Questions
- REFERENCES
Cost, Access, and Quality
Health Policy
PART V System Outlook
- Learning Objectives
- Introduction
- Trends in Private and Public Health Insurance
- Future Options in Financing and Insurance
- Future Challenges for Managed Care
- Comprehensive Reform: If and When It Occurs
- National and Global Challenges
- Bioterrorism and the Transformation of Public Health
- The Future Outlook for US Hospitals
- Future of the Health Care Workforce
- Work Organization
- Enhanced Focus on Customer Service
- New Frontiers in Clinical Technology
- The Era of Evidence-Based Health Care
- Summary
- Test Your Understanding
- Review Questions
- REFERENCES