Essentials Of The U.S. Health Care System / Edition 3

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1449683746 ***BRAND-NEW BOOK + ACCESS CODE + ePDF UPDATE*** FAST FEDEX shipping, so you'll receive your order FAST! (r'cd within 1-5 business days after shipping in most cases) ... We've been in business for over 19 years. We provide EXCEPTIONAL customer service. We're open 24-7 to serve you best. ****PLEASE NOTE: Fedex does not deliver to PO Boxes or APO addresses, so please be sure to give us a physical street address for delivery. Also, unfortunately, we cannot ship this item to Alaska or Hawaii. Thanks! Read more Show Less

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Written By Best-Selling Authors Leiyu Shi And Douglas Singh, Essentials Of The U.S. Health Care System Is The Most Concise Examination Of The Basic Structures And Operations Of The U.S. Health System. An Ideal Resource For Courses In Health Policy, Allied Health, Health Administration And More, The Text Clarifies The Complexities Of Health Care Organization And Finance And Presents A Solid Overview Of How The Various Components Fit Together.

The Third Edition Is A Comprehensive Update That Offers New Data, Charts, And Tables Throughout The Book, As Well As Updated Ancillary Materials.

New To The Third Edition:
• Data Updated Throughout The Book Reflected In Tables And Text
• Information On Healthy People 2020 Initiative
• New Material On U.S. Health Reform Throughout The Book
• New Materials On Disparities Initiatives
• Updated Conceptual Framework On Determinants Of Health
• Mental Health Services In Their Historical Context
• Patient Centered Care
• The Magnet Recognition Program Of The American Nurses Credentialing Center
• Critical Access Hospitals
• Accountable Care Organizations
• Updates On Vulnerable Populations
• New Information On Health Centers And Safety-Net Providers
• Revised Perspectives On The Future Of Health Care In America

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Editorial Reviews

From The Critics
Reviewer: Carole A. Kenner, PhD, RN, FAAN (Council of International Neonatal Nurses)
Description: This abbreviated version of the authors' standardized text on healthcare delivery in the U.S. (Delivering Health Care in America: A Systems Approach, 4th edition (Jones and Bartlett, 2008)) covers the basics of the U.S. system to outcomes and health policy implications.
Purpose: The purpose is to provide a basic understanding of the U.S. healthcare delivery system.
Audience: The audience is junior college students taking a basic course in U.S. healthcare and other undergraduate or graduate students who need supplemental material for an advanced course in health policy.
Features: The book starts with a brief overview of the U.S. healthcare delivery system and comparisons with other countries such as Canada, the U.K., and Germany. The central chapters focus on the transdisciplinary providers, the impact of technology, financial considerations including reimbursement issues, differences between primary, chronic, community, and acute care needs. The next set of chapters explores the evolution of managed care and integrated health systems. Two chapters address vulnerable populations — those in long term care and those who are considered underserved. The book ends with the growing issues of today — cost, access, quality, policy implications, and the future as projected by the new Obama administration. The topics are old, but the book helps students to visually see the information with the many exhibits such as health indicators and examples of cost-saving technology. Since many readers may not be health professionals, these exhibits enhance understanding.
Assessment: There are many books on healthcare delivery systems, but this is the only one that condenses the material in an understandable manner. This second edition has added up-to-date information on the VA system, Centers for Medicare Medicaid Systems, state children's health insurance, the movement to corporate health models, and technology including the electronic medical record and use of telemedicine. Health care reform is presented within the context of the Obama administration's campaign for reform — a good rationale for a new edition.
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Product Details

  • ISBN-13: 9781449683740
  • Publisher: Jones & Bartlett Learning
  • Publication date: 7/6/2012
  • Edition number: 3
  • Pages: 382
  • Product dimensions: 6.00 (w) x 8.90 (h) x 1.00 (d)

Table of Contents

Preface ix

About the Authors xiii

Acknowledgments xv

List of Exhibits xvii

List of Tables xix

List of Figures xxi

List of Abbreviations xxiii

Chapter 1 Major Characteristics of U.S. Health Care Delivery 1

Introduction 1

Subsystems of U.S. Health Care Delivery 3

Characteristics of the U.S. Health Care System 10

Health Care Systems of Other Developed Countries 20

Systems Framework 24

Conclusion 26

Chapter 2 Foundation of U.S. Health Care Delivery 29

Introduction 29

What Is Health? 30

Determinants of Health 34

Cultural Beliefs and Values 36

Strategies to Improve Health 37

Conclusion 49

Chapter 3 Historical Overview of U.S. Health Care Delivery 53

Introduction 53

Medical Services in Preindustrial America 55

Medical Services in Postindustrial America 59

History of Health Insurance 64

Medical Services in the Corporate Era 73

Conclusion 76

Chapter 4 Health Care Providers and Professionals 79

Introduction 79

Physicians 82

Dentists 89

Pharmacists 91

Other Doctoral-Level Health Professionals 92

Nurses 93

Nonphysician Practitioners 95

Allied Health Professionals 98

Public Health Professionals 100

Health Services Administrators 100

Conclusion 101

Chapter 5 Technology and its Effects 105

Introduction 105

What Is Medical Technology? 107

Information Technology 107

Utilization of Medical Technology 111

Role of the Government in Technology Diffusion 114

Impact of Medical Technology 118

Assessment of Medical Technology 123

Benefits of Technology Assessment 125

Conclusion 126

Chapter 6 Financing and Reimbursement Methods 129

Introduction 129

Effects of Health Care Financing and Insurance 131

Insurance: Its Nature and Purpose 133

Private Insurance 135

Public Insurance 138

The Patient Protection and Affordable Care Act 147

Reimbursement Methods 148

National Health Expenditures 153

Conclusion 155

Chapter 7 Outpatient Services and Primary Care 159

Introduction 159

What Is Outpatient Care? 160

Scope of Outpatient Services 161

Outpatient Care Settings and Methods of Delivery 164

Primary Care 170

Conclusion 181

Chapter 8 Hospitals 185

Introduction 185

Evolution of the Hospital in the United States 186

Expansion and Downsizing of Hospitals in the United States 188

Access and Utilization Measures 192

Hospital Employment 194

Types of Hospitals 194

Licensure, Certification, and Accreditation 202

The Magnet Recognition Program 203

Hospital Organization 204

Ethics and Public Trust 205

Conclusion 207

Chapter 9 Managed Care and Integrated Systems 211

Introduction 211

What Is Managed Care? 212

Evolution and Growth of Managed Care 215

Managed Care Today 218

Utilization Control Methods in Managed Care 219

Types of Managed Care Plans 222

Impact on Cost, Access, and Quality 227

Integrated Systems 229

Types of Integration 230

Conclusion 233

Chapter 10 Long-Term Care Services 237

Introduction 237

What Is LTC? 239

Community-Based Long-term Care Services 245

Institutional Long-term Care 249

Licensing and Certification of Nursing Homes 254

Other Long-term Care Services 256

Nursing Home Industry and Expenditures 257

Conclusion 259

Chapter 11 Population with Special Health Needs 261

Introduction 261

Framework to Study Vulnerable Populations 262

Predisposing Characteristics 264

Enabling Characteristics 271

Need Characteristics 274

Conclusion 277

Chapter 12 Cost, Access, and Quality 281

Introduction 281

Cost of Health Care 282

The High Cost of U.S. Health Care 283

Reasons for High Health Care Costs 284

Cost Containment 291

Unequal in Access 294

Average in Quality 301

Developments in Process Improvement 305

Conclusion 307

Chapter 13 Health Policy 311

Introduction 311

What Is Health Policy? 312

Principal Features of U.S. Health Policy 314

Development of Legislative Health Policy 323

Critical Policy Issues 325

International Health Policy: Comparisons 333

Conclusion 334

Chapter 14 The Future of Health Services Delivery 337

Introduction 337

Conflicting Realities of Cost and Access 339

The Future of Health Care Reform 341

Future Model of Care Delivery 345

Future Workforce Challenges 346

Global Threats and International Cooperation 347

Bioterrorism and the Transformation of Public Health 349

New Frontiers in Clinical Technology 350

Evidence-Based Health Care 351

Conclusion 353

Index 357

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