Health Policy and Nursing: Crisis and Reform in the U. S. Health Care Delivery System / Edition 2

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Editorial Reviews

Doody's Review Service
Reviewer: Eleanor V. Howell, PhD, RN (Creighton University School of Nursing)
Description: In this new edition of a 1994 text, the editors bring together selected readings on U.S. healthcare policy issues. Abridged and unabridged articles published between 1989 and 1996, along with three chapters prepared exclusively for this edition, are arranged into four sections addressing issues in health status of the population and access to care, the organization of care delivery systems, the financing and economics of healthcare, and healthcare reform.
Purpose: The purpose is to introduce novices in the policy arena to significant areas, problems, issues, and trends in the field of health policy and to the values and perspectives of selected contributors to policy discussions.
Audience: This book was written for nurses and others interested in economics and issues of health policy.
Features: Contributors represent a variety of disciplines, including political science, medicine, public health, sociology, and nursing. The editors introduce each section with a summary of salient points in the section readings. A glossary of commonly used healthcare delivery and financing terms is included.
Assessment: This collection of well-written articles provides an introduction to interdisciplinary methods used in examining policy needs and effectiveness and critiques the adequacy of healthcare financing and delivery in primary, home, and long-term care settings, for population groups such as children, women, and the aged, and in comparison to Canadian and European delivery systems. For the second edition, the majority of the 47 articles represent new contributions, and two of the chapters prepared for this edition on the political process and policy advocacy are especially relevant to the nursing audience. The editors acknowledge that readings favor their personal biases, primarily favoring mandated universal access and federally regulated delivery systems. Students will need to supplement the text with other resources to obtain a balanced perspective on the issues and policy solutions.
Eleanor V. Howell
In this new edition of a 1994 text, the editors bring together selected readings on U.S. healthcare policy issues. Abridged and unabridged articles published between 1989 and 1996, along with three chapters prepared exclusively for this edition, are arranged into four sections addressing issues in health status of the population and access to care, the organization of care delivery systems, the financing and economics of healthcare, and healthcare reform. The purpose is to introduce novices in the policy arena to significant areas, problems, issues, and trends in the field of health policy and to the values and perspectives of selected contributors to policy discussions. This book was written for nurses and others interested in economics and issues of health policy. Contributors represent a variety of disciplines, including political science, medicine, public health, sociology, and nursing. The editors introduce each section with a summary of salient points in the section readings. A glossary of commonly used healthcare delivery and financing terms is included. This collection of well-written articles provides an introduction to interdisciplinary methods used in examining policy needs and effectiveness and critiques the adequacy of healthcare financing and delivery in primary, home, and long-term care settings, for population groups such as children, women, and the aged, and in comparison to Canadian and European delivery systems. For the second edition, the majority of the 47 articles represent new contributions, and two of the chapters prepared for this edition on the political process and policy advocacy are especially relevant to the nursing audience. The editors acknowledge thatreadings favor their personal biases, primarily favoring mandated universal access and federally regulated delivery systems. Students will need to supplement the text with other resources to obtain a balanced perspective on the issues and policy solutions.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780763704049
  • Publisher: Jones & Barlett Learning
  • Publication date: 6/28/1997
  • Series: Nursing Series
  • Edition description: Older Edition
  • Edition number: 2
  • Pages: 526
  • Product dimensions: 6.40 (w) x 9.20 (h) x 1.19 (d)

Table of Contents

Foreword
Introduction
1 Health Status of the Population and Vulnerable Groups 5
Actual Causes of Death in the United States 6
US Childhood Mortality, 1950 through 1993: Trends and Socioeconomic Differentials 19
The Role of Race/Ethnicity and Social Class in Minority Health Status 31
Health and Longevity 41
Health Status, Medical Care Use, and Number of Disabling Conditions in the United States 48
2 Access to Care 53
Care Denied: US Resident Who Are Unable to Obtain Needed Medical Services 54
Prenatal Care and Public Policy: Lessons for Promoting Women's Health 61
Issues in Rural Health: Access, Hospitals, and Reform 71
A Policy of Inclusion for the Mentally Ill 79
3 Aging, Disability, and LTC 89
The Aging Enterprise Revisited 90
The Nursing Home Industry: Public Policy in the 1990s 99
Home Health Care Outcomes Under Capitated and Fee-for-Service Payment 110
A Political Economy Perspective on Frontline Workers in Long-Term Care 121
4 Organizational Change 135
Health Care Paper Chase, 1993: The Cost to the Nation the States, and the District of Columbia 136
Nursing Staff in Hospitals and Nursing Homes: Is It Adequate? 142
Mergers and Acquisitions - Who Benefits? Who Loses? 157
5 Labor Issues 163
Nursing in the Political and Economic Marketplace: Challenges for the 21st Century 164
Health Care Workforce Priorities: What Nursing Should Do Now 173
A Report Card on the Physician Work Force in the United States 186
Critical Challenges: Revitalizing the Health Professions for the 21st Century 196
6 Quality of Care 209
Error in Medicine 210
Toward a 21st Century Quality-Measurement System for Managed-Care Organizations 221
Time for a Checkup: HMOs Must Now Prove That They Are Providing Quality Care 232
Performance Reports on Quality - Prototypes, Problems, and Prospects 243
7 Financing Health Care 257
National Health Expenditure Projections, 1994-2005 258
Extreme Risk - The New Corporate Proposition for Physicians 271
Annual Report on American Industry 277
Economic Analysis in Health Care 283
8 Public Financing 297
Medicaid and Managed Care 298
Medicaid Managed Care: Can It Work for Children? 310
Medicare at 30: Preparing for the Future 319
On Behalf of Older Women: Another Reason to Protect Medicare and Medicaid 327
9 Private Insurance and Managed Care 333
The Medically Uninsured - Will They Always Be with Us? 334
The Practice and Ethics of Risk-Related Health Insurance 342
Managed Care Plan Performance Since 1980: A Literature Analysis 351
Choice Matters: Enrolees' Views of Their Health Plans 365
10 International Health Systems: Comparison of the UK Canada, and Germany 379
Re-minding Our Ps and Qs: Medical Cost Controls in Canada 380
The Politics of Destruction: Rationing in the UK Health Care Market 391
Who Has the Best Health Care System? A Second Look 403
11 Health Politics and Political Action 415
Can Meaningful Health Policy Be Developed in a Political System? 416
Advocating for Nursing 429
Why Congress Did Not Enact Health Care Reform 435
What Happened to Americans' Support for the Clinton Health Plan? 442
Politics, Power, and Vested Interests: Washington at Work 453
12 Health Reform for the Future 463
A National Health Program for the United States: A Physicians' Proposal 464
A National Long-Term Care Program for the United States: A Caring Vision 478
Politics and Public Health 492
Glossary 505
Index 515
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