Delivering health care in America : a systems approach /

Delivering health care in America : a systems approach /

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Bibliographic Details
Author / Creator:Shi, Leiyu.
Imprint:Gaithersburg, Md. : Aspen Publishers, 1998.
Description:xvii, 597 p. : ill. ; 26 cm.
Language:English
Subject:
Medical care -- United States.
Medical policy -- United States.
Medical care.
Medical policy.
United States.
Format: E-Resource Print Book
URL for this record:http://pi.lib.uchicago.edu/1001/cat/bib/3454985
Hidden Bibliographic Details
Other authors / contributors:Singh, Douglas A., 1946-
ISBN:0834210819
Notes:Includes bibliographical references and index.
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
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