Health care USA : understanding its organization and delivery /
| Main Author: | |
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| Other Authors: | |
| Format: | Book |
| Language: | English |
| Published: |
Gaithersburg, MD :
Aspen Publishers,
2001.
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| Edition: | Third edition. |
| Subjects: |
Table of Contents:
- Overview of health care: a population perspective
- Problems of health care
- Understanding health care
- Why patients and providers behave the way they do
- Indexes of health and disease
- Natural histories of disease and the levels of prevention
- Major stakeholders in the U.S. health care industry
- Long-term care
- Development of managed care
- Rural health networks
- Priorities of health care
- Social choices of health care
- The aging population
- Access to health care
- Quality of care
- Conflicts of interest
- Health cares ethical dilemmas
- Benchmark developments in U.S. health care
- The Great Depression and the birth of Blue Cross
- The dominant influence of government
- Health maintenance organizations
- The Reagan administration
- Biomedical advances: evolution of high-technology medicine
- Roles of medical education and specialization
- Influence of interest groups
- Public health focus on prevention
- Economic influences: rising costs
- The uninsured and problems of access to medical care
- The aging of America
- Values and assumptions that guide priorities
- Oregon Death with Dignity Act
- Provisions of the Oregon Death with Dignity Act
- The Internet and health care
- The basic issues
- Hospitals: origin, organization, and performance
- Historical perspective
- Sources that shaped the hospital industry
- Growth and decline in numbers of hospitals
- Types of hospitals
- Financial condition of hospitals
- Academic health centers, medical education, and specialization
- The Balanced Budget Act and academic medical centers
- The hospital system of the Department of Veterans Affairs
- Structure and organization of hospitals
- Types and roles of patients
- Rights and responsibilities of hospitalized patients
- Important decisions, informed consent, and second opinions
- Diagnosis-related group hospital reimbursement system
- Discharge planning
- Subacute care
- Market-driven reforms affecting hospitals
- Integrated health systems
- Market responses to managed care
- The quality of hospital care
- Variations in medical care
- Hazards of hospitalization
- Current research efforts in quality improvement
- Responsibility of governing boards for quality of care
- Incremental quality improvement
- Forces of reform: cost, quality, and access
- Ambulatory care
- Overview and trends
- Private medical office practice
- Other ambulatory care practitioners
- Ambulatory care services of hospitals: history and trends
- Hospital emergency services
- Free-standing services
- Community health centers
- Public health services
- Voluntary agencies
- Conclusion
- Medical education and the changing practice of medicine
- The Flexner Report and medical school reforms
- Academic medical centers
- Graduate medical education consortia
- Delineation and growth of medical specialties
- Specialty boards and residency performance
- Funding of graduate medical education
- Physician surplus and U.S. medical schools
- The generalist/specialist imbalance
- Primary care physicians-gatekeepers of the system
- Preventive medicine
- Changing physician/hospital relationships
- Cost containment and the restructuring of medical practice
- Hold harmless clauses
- Clinical practice guidelines
- Physician report cards
- Growing concern about ethical issues
- Physicians and the Internet
- Provider network contracting
- The future of medical practice
- Health care personnel
- Health professions
- Health care personnel and health care reforms
- Credentialing and regulating health professionals
- Health care occupations
- Alternative therapists
- Factors that influence demand for health personnel
- Health care work force issues
- Conclusion
- Financing health care
- Health care expenditures in perspective
- New diagnostic and treatment technology
- The aging of America
- The growth of specialized medicine
- The uninsured and underinsured
- A labor-intensive industry
- Economic incentives that fuel rising costs
- Components of health care expenditures
- Sources of health care payment
- Evolution of health insurance: third-party payment
- Self-funded insurance programs
- Government as a source of payment
- The future: continuing change
- Managed care
- Historical perspective
- Managed care fundamentals
- HMO Act of 1973
- The evolution of managed care
- Emerging developments in managed care
- Medicare and Medicaid managed care
- Managed care organizations and quality
- The future of managed care
- Long-term care
- Long-term care and the continuum of care
- Development of long-term care services
- Modes of long-term care service delivery
- Innovations in long-term care
- Long-term care insurance
- The future of long-term care
- Mental health services
- Susan V. McLeer, MD
- Historical perspective
- Recipients of mental health services
- Special populations
- The organization and financing of mental health services
- Health insurance coverage and managed behavioral health care
- Barriers to accessing services
- Priorities for mental health services
- Need for further research
- Public health and the role of government in health care
- Historical perspective
- Decline in influence of the public health service
- Responsibilities of the public health sector
- Relationships of public health and private medicine
- Resource priorities favor curative medicine
- Health care reform and the public health/medicine relationship
- Hospital-sponsored public health activities
- Public health services of voluntary agencies
- Changing roles of government in public health
- Public health in an era of privatization and managed care
- Federal support to address emerging health issues
- Future role of government in promoting the public's health
- Research: how health care advances
- The focus of different types of research
- Research in health and disease
- Epidemiology
- Health services research
- Agency for Healthcare Research and Quality (formerly the Agency for Health Care Policy and Research)
- Health services research and health policy
- Quality improvement
- Outcomes research
- Patient satisfaction
- Research ethics
- Future challenges
- The future of health care
- The paradox of U.S. health care
- Organizations and facilities
- Corporate growth in health care
- Corporate alliances
- Future of managed care
- Growth of home, outpatient, and ambulatory care
- Technology
- Personnel
- Physicians
- Academic health centers
- Health professions
- Nurses
- Nurse practitioners
- Physician assistants
- Future role of the federal government.