Health Care USA,9780834219120

Health Care USA

by ;
ISBN13: 9780834219120
ISBN10: 0834219123
Format: Paperback
Pub. Date: 2001-03-01
Publisher(s): Wolters Kluwer Law & Business
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Summary

State Univ. of New York at Buffalo. Brandon/Hill Medical List selection (#267). Describes changes in the nature of health care in the United States, with revised coverage of ethics in public health, trends in health care costs, and the effect of the Balanced Budget Act of 1997, as well as new information on nursing and allied health functions. Previous edition: c1999. Softcover.

Table of Contents

Foreword xi
Acknowledgments xiii
Introduction xv
Overview of Health Care: A Population Perspective
1(30)
Problems of Health Care
2(1)
Understanding Health Care
3(1)
Why Patients and Providers Behave the Way They Do
4(1)
Indexes of Health and Disease
5(1)
Natural Histories of Disease and the Levels of Prevention
6(3)
Major Stakeholders in the U.S. Health Care Industry
9(6)
Long-Term Care
15(2)
Development of Managed Care
17(2)
Rural Health Networks
19(1)
Priorities of Health Care
20(3)
Social Choices of Health Care
23(1)
The Aging Population
23(3)
Access to Health Care
26(2)
Quality of Care
28(1)
Conflicts of Interest
28(1)
Health Care's Ethical Dilemmas
29(2)
Benchmark Developments in U.S. Health Care
31(29)
The Great Depression and the Birth of Blue Cross
33(1)
The Dominant Influence of Government
34(4)
Health Maintenance Organizations
38(1)
The Reagan Administration
39(1)
Biomedical Advances: Evolution of High-Technology Medicine
40(2)
Roles of Medical Education and Specialization
42(2)
Influence of Interest Groups
44(5)
Public Health Focus on Prevention
49(1)
Economic Influences: Rising Costs
50(1)
The Uninsured and Problems of Access to Medical Care
50(1)
The Aging of America
51(1)
Values and Assumptions That Guide Priorities
52(2)
Oregon Death with Dignity Act
54(1)
Provisions of the Oregon Death with Dignity Act
55(1)
The Internet and Health Care
55(1)
The Basic Issues
56(4)
Hospitals: Origin, Organization, and Performance
60(50)
Historical Perspective
60(3)
Sources That Shaped the Hospital Industry
63(2)
Growth and Decline in Numbers of Hospitals
65(1)
Types of Hospitals
65(2)
Financial Condition of Hospitals
67(1)
Academic Health Centers, Medical Education, and Specialization
68(1)
The Balanced Budget Act and Academic Medical Centers
69(1)
The Hospital System of the Department of Veterans Affairs
69(1)
Structure and Organization of Hospitals
70(7)
Types and Roles of Patients
77(1)
Rights and Responsibilities of Hospitalized Patients
78(3)
Important Decisions, Informed Consent, and Second Opinions
81(2)
Diagnosis-Related Group Hospital Reimbursement System
83(1)
Discharge Planning
84(1)
Subacute Care
85(1)
Market-Driven Reforms Affecting Hospitals
86(5)
Integrated Health Systems
91(4)
Market Responses to Managed Care
95(2)
The Quality of Hospital Care
97(2)
Variations in Medical Care
99(1)
Hazards of Hospitalization
100(2)
Current Research Efforts in Quality Improvement
102(1)
Responsibility of Governing Boards for Quality of Care
103(2)
Incremental Quality Improvement
105(1)
Forces of Reform: Cost, Quality, and Access
106(4)
Ambulatory Care
110(27)
Overview and Trends
110(3)
Private Medical Office Practice
113(3)
Other Ambulatory Care Practitioners
116(1)
Ambulatory Care Services of Hospitals: History and Trends
116(5)
Hospital Emergency Services
121(2)
Free-Standing Services
123(6)
Community Health Centers
129(2)
Public Health Services
131(2)
Voluntary Agencies
133(1)
Conclusion
134(3)
Medical Education and the Changing Practice of Medicine
137(32)
The Flexner Report and Medical School Reforms
139(1)
Academic Medical Centers
140(3)
Graduate Medical Education Consortia
143(2)
Delineation and Growth of Medical Specialities
145(1)
Specialty Boards and Residency Performance
146(3)
Funding of Graduate Medical Education
149(1)
Physician Surplus and U.S. Medical Schools
149(2)
The Generalist/Specialist Imbalance
151(1)
Primary Care Physicians---Gatekeepers of the System
152(1)
Preventive Medicine
153(1)
Changing Physician/Hospital Relationships
154(1)
Cost Containment and the Restructuring of Medical Practice
155(2)
Hold Harmless Clauses
157(1)
Clinical Practice Guidelines
157(2)
Physician Report Cards
159(1)
Growing Concern about Ethical Issues
160(1)
Physicians and the Internet
161(1)
Provider Network Contracting
162(1)
The Future of Medical Practice
163(6)
Health Care Personnel
169(38)
Health Professions
170(1)
Health Care Personnel and Health Care Reforms
171(1)
Credentialing and Regulating Health Professionals
171(2)
Health Care Occupations
173(21)
Alternative Therapists
194(3)
Factors That Influence Demand for Health Personnel
197(3)
Health Care Work Force Issues
200(1)
Conclusion
200(7)
Financing Health Care
207(50)
Health Care Expenditures in Perspective
207(2)
New Diagnostic and Treatment Technology
209(1)
The Aging of America
210(2)
The Growth of Specialized Medicine
212(1)
The Uninsured and Underinsured
212(2)
A Labor-Intensive Industry
214(1)
Economic Incentives That Fuel Rising Costs
214(1)
Components of Health Care Expenditures
214(1)
Sources of Health Care Payment
215(2)
Evolution of Health Insurance: Third-Party Payment
217(4)
Self-Funded Insurance Programs
221(1)
Government as a Source of Payment
222(28)
The Future: Continuing Change
250(7)
Managed Care
257(22)
Historical Perspective
257(3)
Managed Care Fundamentals
260(2)
HMO Act of 1973
262(2)
The Evolution of Managed Care
264(4)
Emerging Developments in Managed Care
268(2)
Medicare and Medicaid Managed Care
270(2)
Managed Care Organizations and Quality
272(3)
The Future of Managed Care
275(4)
Long-Term Care
279(37)
Long-Term Care and the Continuum of Care
279(2)
Development of Long-Term Care Services
281(3)
Modes of Long-Term Care Service Delivery
284(21)
Innovations in Long-Term Care
305(3)
Long-Term Care Insurance
308(1)
The Future of Long-Term Care
309(7)
Mental Health Services
316(32)
Susan V. McLeer
Historical Perspective
316(4)
Recipients of Mental Health Services
320(6)
Special Populations
326(2)
The Organization and Financing of Mental Health Services
328(3)
Health Insurance Coverage and Managed Behavioral Health Care
331(7)
Barriers to Accessing Services
338(1)
Priorities for Mental Health Services
339(2)
Need for Further Research
341(7)
Public Health and the Role of Government in Health Care
348(28)
Historical Perspective
348(10)
Decline in Influence of the Public Health Service
358(1)
Responsibilities of the Public Health Sector
359(3)
Relationships of Public Health and Private Medicine
362(2)
Resource Priorities Favor Curative Medicine
364(1)
Health Care Reform and the Public Health/Medicine Relationship
365(1)
Hospital-Sponsored Public Health Activities
366(1)
Public Health Services of Voluntary Agencies
367(1)
Changing Roles of Government in Public Health
368(1)
Public Health in an Era of Privatization and Managed Care
369(2)
Federal Support To Address Emerging Health Issues
371(1)
Future Role of Government in Promoting the Public's Health
372(4)
Research: How Health Care Advances
376(22)
The Focus of Different Types of Research
377(1)
Research in Health and Disease
377(1)
Epidemiology
378(2)
Health Services Research
380(1)
Agency for Healthcare Research and Quality (Formerly the Agency for Health Care Policy and Research)
380(3)
Health Services Research and Health Policy
383(1)
Quality Improvement
384(6)
Outcomes Research
390(1)
Patient Satisfaction
391(1)
Research Ethics
392(1)
Future Challenges
393(5)
The Future of Health Care
398(30)
The Paradox of U.S. Health Care
399(1)
Organizations and Facilities
400(2)
Corporate Growth in Health Care
402(2)
Corporate Alliances
404(1)
Future of Managed Care
405(2)
Growth of Home, Outpatient, and Ambulatory Care
407(1)
Technology
408(1)
Personnel
409(1)
Physicians
410(3)
Academic Health Centers
413(1)
Health Professions
414(2)
Nurses
416(1)
Nurse Practitioners
417(1)
Physician Assistants
417(1)
Future Role of the Federal Government
417(2)
Conclusion
419(9)
Appendix A---Abbreviations and Acronyms 428(11)
Appendix B---Web Sites 439(3)
Index 442(19)
About the Authors 461

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