ESSENTIALS OF THE U.S. HEALTH CARE SYSTEM This title has been archived.

Author: Leiyu Shi, DrPH, MBA, MPA, Douglas Singh, PhD, MBA
Affiliation: Professor, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, Director, Johns Hopkins Primary Care Policy Center
Publisher: Jones & Bartlett Learning
Publication Date: 2010
ISBN 10: 0763763802
ISBN 13: 9780763763800
Edition: 2nd

Description:

Covering the basic structures and operations of the U.S. health system, Essentials of the U.S. Health Care System is a clear and concise distillation of the important topics covered in Delivering Health Care in America by the same authors. Ideal for courses in health policy, allied health, health administration and more, this comprehensive revision clarifies the complexities of health care organization and finance and presents a solid overview of how the various components fit together. The Second Edition has been thoroughly updated with all new data, charts, and tables throughout. New content includes: * Medicare, Medicaid and SCHIP. * Ongoing evolution in U.S. health care as a result of corporatization and globalization. * The role of hospitalists. * Updated content on Parts C and D of Medicare. including information on high-deductible health plans/health savings accounts as an insurance option. * Updated content on primary care and community oriented health care development * Current development on hospital extensions to the community. * Current development on nano technology. * Current health policy issues. * Current discussion on healthcare reforms, including future challenges posed by the increased need for long-term care.

Table of Contents

Front Matter

  • ABOUT
  • Preface
  • About the Authors
  • List of Abbreviations

Major Characteristics of U.S. Health Care Delivery

  • INTRODUCTION
  • SUBSYSTEMS OF U.S. HEALTH CARE DELIVERY
  • CHARACTERISTICS OF THE U.S. HEALTH CARE SYSTEM
  • HEALTH CARE SYSTEMS OF OTHER DEVELOPED COUNTRIES
  • SYSTEMS FRAMEWORK
  • CONCLUSION
  • REFERENCES

Foundation of U.S. Health Care Delivery

  • INTRODUCTION
  • WHAT IS HEALTH?
  • DETERMINANTS OF HEALTH
  • CULTURAL BELIEFS AND VALUES
  • STRATEGIES TO IMPROVE HEALTH
  • CONCLUSION
  • REFERENCES

Historical Overview of U.S. Health Care Delivery

  • INTRODUCTION
  • MEDICAL SERVICES IN PREINDUSTRIAL AMERICA
  • MEDICAL SERVICES IN POSTINDUSTRIAL AMERICA
  • HISTORY OF HEALTH INSURANCE
  • MEDICAL SERVICES IN THE CORPORATE ERA
  • CONCLUSION
  • REFERENCES

Health Care Providers and Professionals

  • INTRODUCTION
  • PHYSICIANS
  • DENTISTS
  • PHARMACISTS
  • OTHER DOCTORAL-LEVEL HEALTH PROFESSIONALS
  • NURSES
  • NONPHYSICIAN PRACTITIONERS
  • ALLIED HEALTH PROFESSIONALS
  • HEALTH SERVICES ADMINISTRATORS
  • CONCLUSION
  • REFERENCES

Technology and Its Effects

  • INTRODUCTION
  • WHAT IS MEDICAL TECHNOLOGY?
  • INFORMATION TECHNOLOGY
  • USE OF MEDICAL TECHNOLOGY
  • ROLE OF THE GOVERNMENT IN TECHNOLOGY DIFFUSION
  • IMPACT OF MEDICAL TECHNOLOGY
  • ASSESSMENT OF MEDICAL TECHNOLOGY
  • BENEFITS OF TECHNOLOGY ASSESSMENT
  • CONCLUSION
  • REFERENCES

Financing and Reimbursement Methods

  • INTRODUCTION
  • EFFECTS OF HEALTH CARE FINANCING AND INSURANCE
  • INSURANCE: ITS NATURE AND PURPOSE
  • PRIVATE INSURANCE
  • PUBLIC INSURANCE
  • REIMBURSEMENT METHODS
  • NATIONAL HEALTH EXPENDITURES
  • CONCLUSION
  • REFERENCES

Outpatient Services and Primary Care

  • INTRODUCTION
  • WHAT IS OUTPATIENT CARE?
  • SCOPE OF OUTPATIENT SERVICES
  • OUTPATIENT CARE SETTINGS AND METHODS OF DELIVERY
  • PRIMARY CARE
  • CONCLUSION
  • REFERENCES

Hospitals

  • INTRODUCTION
  • EVOLUTION OF THE HOSPITAL IN THE UNITED STATES
  • EXPANSION AND DOWNSIZING OF HOSPITALS IN THE UNITED STATES
  • ACCESS AND UTILIZATION BY THE U.S. POPULATION
  • UTILIZATION OF HOSPITAL CAPACITY
  • HOSPITAL EMPLOYMENT
  • TYPES OF HOSPITALS
  • LICENSURE, CERTIFICATION, AND ACCREDITATION
  • HOSPITAL ORGANIZATION
  • ETHICS AND PUBLIC TRUST
  • CONCLUSION
  • REFERENCES

Managed Care and Integrated Systems

  • INTRODUCTION
  • WHAT IS MANAGED CARE?
  • EVOLUTION AND GROWTH OF MANAGED CARE
  • UTILIZATION CONTROL METHODS IN MANAGED CARE
  • TYPES OF MANAGED CARE ORGANIZATIONS
  • IMPACT ON COST, ACCESS, AND QUALITY
  • HEALTH NETWORKS
  • TYPES OF INTEGRATION
  • CONCLUSION
  • REFERENCES

Long-Term Care Services

  • INTRODUCTION
  • WHAT IS LTC?
  • COMMUNITY-BASED LTC SERVICES
  • INSTITUTIONAL LTC
  • LICENSING AND CERTIFICATION OF NURSING HOMES
  • OTHER LTC SERVICES
  • STATE OF THE NURSING HOME INDUSTRY
  • CONCLUSION
  • REFERENCES

Underserved Populations

  • INTRODUCTION
  • FRAMEWORK TO STUDY VULNERABLE POPULATIONS
  • ENABLING CHARACTERISTICS
  • NEED CHARACTERISTICS
  • CONCLUSION
  • REFERENCES

Cost, Access, and Quality

  • INTRODUCTION
  • COST OF HEALTH CARE
  • HIGH IN COST
  • REASONS FOR HIGH COST
  • COST CONTAINMENT
  • UNEQUAL IN ACCESS
  • AVERAGE IN QUALITY
  • DEVELOPMENTS IN PROCESS IMPROVEMENT
  • CONCLUSION
  • REFERENCES

Health Policy

  • INTRODUCTION
  • WHAT IS HEALTH POLICY?
  • PRINCIPAL FEATURES OF U.S. HEALTH POLICY
  • DEVELOPMENT OF LEGISLATIVE HEALTH POLICY
  • CRITICAL POLICY ISSUES
  • CONCLUSION
  • REFERENCES

The Future of Health Services Delivery

  • INTRODUCTION
  • CONFLICTING REALITIES OF COST AND COVERAGE
  • FUTURE OF MANAGED CARE, HEALTH CARE COSTS, AND SYSTEM REFORM
  • TRENDS IN HEALTH INSURANCE
  • OPTIONS FOR COMPREHENSIVE REFORM
  • NATIONAL AND GLOBAL CHALLENGES
  • BIOTERRORISM AND THE TRANSFORMATION OF PUBLIC HEALTH
  • FUTURE OF THE HEALTH CARE WORKFORCE
  • NEW FRONTIERS IN CLINICAL TECHNOLOGY
  • EVIDENCE-BASED HEALTH CARE
  • CONCLUSION
  • REFERENCES