Essentials of the U. S. Health Care System / Edition 1

Essentials of the U. S. Health Care System / Edition 1

by Leiyu Shi, Douglas A. Singh, Douglas A. Singh, Douglas A. Singh
     
 

Written by the authors of the widely used textbook Delivering Health Care in America: A Systems Approach, this engaging new book gives students the most accessible and concise introduction to US health care available. Essentials of the US Health Care System utilizes a unique "systems" approach that clarifies the complexities of health care organization and finance and… See more details below

Overview

Written by the authors of the widely used textbook Delivering Health Care in America: A Systems Approach, this engaging new book gives students the most accessible and concise introduction to US health care available. Essentials of the US Health Care System utilizes a unique "systems" approach that clarifies the complexities of health care organization and finance and presents a solid overview of how the various components fit together. This condensed and simplified version covers basic structures and operations of the US health system - from its historical origins and resources, to its individual services, cost, and quality.

Product Details

ISBN-13:
9780763731519
Publisher:
Jones & Bartlett Learning, LLC
Publication date:
10/14/2004
Edition description:
1E
Pages:
368
Product dimensions:
6.00(w) x 9.00(h) x 0.72(d)

Table of Contents

Prefaceix
List of Exhibitsxi
List of Tablesxii
List of Figuresxii
List of Abbreviationsxiii
Chapter 1Major Characteristics of US Health Care Delivery1
Introduction1
Subsystems of US Health Care Delivery3
Characteristics of the US Health Care System8
Health Care Systems of Other Developed Countries15
Systems Framework17
Conclusion20
Chapter 2Foundation of US Health Care Delivery23
Introduction23
What Is Health?24
Determinants of Health27
Cultural Beliefs and Values30
Strategies to Improve Health30
Conclusion42
Chapter 3Historical Overview of US Health Care Delivery45
Introduction45
Medical Services in Preindustrial America47
Medical Services in Postindustrial America51
History of Health Insurance56
Year 1970 into the 21st Century63
Conclusion68
Chapter 4Health Care Providers and Professionals71
Introduction71
Physicians74
Dentists80
Pharmacists82
Other Doctoral-Level Health Professionals83
Nurses84
Nonphysician Practitioners86
Allied Health Professionals88
Health Services Administrators90
Conclusion92
Chapter 5Technology and Its Effects97
Introduction97
What Is Medical Technology?99
Information Technology100
Use of Medical Technology102
Role of the Government in Technology Diffusion105
Impact of Medical Technology109
Assessment of Medical Technology115
Benefits of Technology Assessment117
Conclusion118
Chapter 6Financing and Reimbursement Methods121
Introduction121
Effects of Health Care Financing and Insurance122
Insurance: Its Nature and Purpose125
Private Insurance127
Public Insurance129
Reimbursement Methods139
National Health Expenditures143
Conclusion146
Chapter 7Outpatient Services and Primary Care149
Introduction149
What Is Outpatient Care?150
Scope of Outpatient Services151
Outpatient Care Settings and Methods of Delivery153
Primary Care158
Conclusion168
Chapter 8Hospitals173
Introduction173
Evolution of the Hospital in the United States174
Expansion and Downsizing of Hospitals in the United States176
Access and Utilization by the US Population179
Utilization of Hospital Capacity180
Hospital Employment181
Types of Hospitals182
Licensure, Certification, and Accreditation189
Hospital Organization190
Ethics and Public Trust192
Conclusion194
Chapter 9Managed Care and Integrated Organizations197
Introduction197
What Is Managed Care?198
Evolution and Growth of Managed Care200
Utilization Control Methods in Managed Care204
Types of Managed Care Organizations206
Impact of Cost, Access, and Quality211
Health Networks212
Types of Integration214
Conclusion217
Chapter 10Long-Term Care Services221
Introduction221
What Is LTC?223
Community-Based LTC Services229
Institutional LTC233
Licensing and Certification of Nursing Homes238
Other LTC Services240
State of the Nursing Home Industry241
Conclusion243
Chapter 11Underserved Populations247
Introduction247
Framework to Study Vulnerable Populations248
Enabling Characteristics255
Need Characteristics257
Conclusion260
Chapter 12Cost, Access, and Quality263
Introduction263
Cost of Health Care264
High in Cost265
Reasons for High Cost266
Cost Containment272
Unequal in Access275
Average in Quality282
Developments in Process Improvement286
Conclusion287
Chapter 13Health Policy291
Introduction291
What Is Health Policy?292
Principal Features of US Health Policy294
Development of Legislative Health Policy302
Critical Policy Issues305
Conclusion310
Chapter 14The Future of Health Services Delivery313
Introduction313
Future of Managed Care, Health Care Costs, and System Reform316
Trends in Health Insurance319
Options for Comprehensive Reform322
National and Global Challenges323
Bioterrorism and the Transformation of Public Health326
Future of Health Care Workforce327
New Frontiers in Technology330
Conclusion332
Index337

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