Delivering health care in America : a systems approach /
Saved in:
Author / Creator: | Shi, Leiyu. |
---|---|
Imprint: | Gaithersburg, Md. : Aspen Publishers, 1998. |
Description: | xvii, 597 p. : ill. ; 26 cm. |
Language: | English |
Subject: | |
Format: | E-Resource Print Book |
URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/3454985 |
Table of Contents:
- Foreword
- Preface
- Acknowledgments
- Chapter 1. A Distinctive System of Health Care Delivery
- APHA Makes Its Voice Heard on Federal Issues
- Introduction
- An Overview of the Scope and Size of the System
- A Broad Description of the System
- The Mechanism for Health Services Delivery
- Transition from Traditional Approaches to Managed Care
- Primary Characteristics of the U.S. Health Care System
- Trends and Directions
- Significance for Health Care Managers
- Health Care Systems of Other Countries
- The Systems Framework
- Summary
- Test Your Understanding
- Review Questions
- Part I. System Foundations
- Chapter 2. Beliefs, Values, and Health
- Healthy People 2010
- Introduction
- Significance for Managers and Policy Makers
- Basic Concepts
- Determinants of Health
- Cultural Beliefs and Values
- A Social Model of Health
- Equitable Distribution of Health Care
- Justice in the U.S. Health Delivery System
- Limitations of Market Justice
- Integration of Individual and Community Health
- Measures of Health Status
- Measures of Health Services Utilization
- Summary
- Test Your Understanding
- Review Questions
- Chapter 3. The Evolution of Health Services in the United States
- A Bloody Evolution: Human Error in Medicine Is as Old as the Practice Itself
- Introduction
- Medical Services in Preindustrial America
- Medical Services in Postindustrial America
- Recent Evolutions and the 21st Century
- Summary
- Test Your Understanding
- Review Questions
- Part II. System Resources
- Chapter 4. Health Services Professionals
- COGME Reports to the DHHS Secretary and Congress
- Introduction
- Physicians
- 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 Organizations
- Chapter 5. Medical Technology
- Seeing the Body Electric, in 3-D
- Introduction
- What Is Medical Technology?
- Information Technology
- The 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
- The Role of the Private Sector in Technology Assessment
- Implications for Policy and Management
- Some Critical Issues
- Summary
- Test Your Understanding
- Review Questions
- Chapter 6. Health Services Financing
- Budget Act Putting Squeeze on Medicare: Cost Cutting Curbs Some Benefits
- Introduction
- The Role and Scope of Health Services Financing
- Financing and Cost Control
- The Insurance Function
- Public Financing
- Miscellaneous Private and Public Programs
- The Payment Function
- National Health Care Expenditures
- Problems and Issues in Financing
- Trends and Directions
- Summary
- Test Your Understanding
- Review Questions
- Part III. System Processes
- Chapter 7. Outpatient and Primary Care Services
- Match Continues Move toward Primary Care
- 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
- Chapter 8. Inpatient Facilities and Services
- A Two-Front Battle: Hospitals Fight Error Reporting as They Seek Higher Payments
- Introduction
- Transformation of the Hospital in the United States
- Expansion of Hospitals in the United States
- Hospital Downsizing in Recent Years
- Some Key Utilization Measures and Operational Concepts
- Hospital Employment
- Types of Hospitals
- What Makes a Hospital Non-Profit?
- Some Management Concepts
- Licensure, Certification, and Accreditation
- Ethical and Legal Issues in Patient Care
- Hospitals and Public Trust
- The Future Outlook for Hospitals
- Summary
- Test Your Understanding
- Review Questions
- Chapter 9. Managed Care and Integrated Organizations
- A Surprisingly Popular U.S. Export: Managed Care
- Introduction
- The Evolution of Managed Care
- What Is Managed Care?
- Reasons for the Growth of Managed Care
- Cost Control in Managed Care
- Types of Managed Care Organizations
- Trends in Managed Care
- Impact on Cost, Access, and Quality
- Managed Care Backlash
- Consolidation, Expansion, Diversification, and Integration
- Integrated Delivery Systems
- Types of Integration
- Issues Related to Integration
- Managed Competition
- Summary
- Test Your Understanding
- Review Questions
- Chapter 10. Long-Term Care
- What Is PACE?
- Introduction
- What Is Long-Term Care?
- The Nature of Long-Term Care
- The Clients of Long-Term Care
- Types of Community-Based Long-Term Care Services
- Institutional Long-Term Care
- Specialized Facilities
- Institutional Demographics of Long-Term Care Facilities
- Sources of Financing Nursing Home Care
- Future Financing of Long-Term Care
- Prospective Payment System for SNFs
- Requirements of Participation
- Summary
- Test Your Understanding
- Review Questions
- Chapter 11. Health Services for Special Populations
- Mental Health: A Report of the Surgeon General
- Introduction
- Racial Minorities
- The Uninsured
- Children
- Women
- Rural Health
- The Homeless
- Mental Health
- The Chronically Ill and Disabled
- HIV/AIDS
- Summary
- Test Your Understanding
- Review Questions
- Part IV. System Outcomes
- Chapter 12. Cost, Access, and Quality
- A Vision for Creating a New Model To Reach 100% Access and Zero Health Disparities
- 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
- Chapter 13. Health Policy
- Health Policy Is One of the Defining Issues in the Race for the White House
- Introduction
- What Is Health Policy?
- The Principle Features of U.S. Health Policy
- The Development of Legislative Health Policy
- Critical Policy Issues
- The Future of Health Policy
- Summary
- Test Your Understanding
- Review Questions
- Part V. System Outlook
- Chapter 14. The Future of Health Services Delivery
- Health Industry Confronting Changes: 700 Executives in Town Discuss Challenges Ahead
- Introduction
- Toward a True Health Care System
- Workforce Composition
- Financing of Care
- Managed Care
- Long-Term Care
- Caring for the Uninsured
- Technology
- Outcome, Measurement, Monitoring, and Assessment
- Enhanced Focus on Customer Service
- Work Organization
- Conclusion
- Summary
- Test Your Understanding
- Review Questions
- Appendix A. Glossary
- Appendix B. Selected Web Sites
- Index