Remaking Health Care in America: The Evolution of Organized Delivery Systems / Edition 2

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The original edition of Remaking Health Care in America transformed ideas about managed care and systems integration across the health care field and has become a standard reference for building organized delivery systems. To meet the challenge of the changing state of today's health care field this second edition includes updated information on topics such as the need for more clinically integrated cares, greater accountability, stronger links between health systems and their communities, and new ways of creating value.

This essential resource—written by a team of scholars led by Stephen Shortell, the country's foremost health services management researcher, examines the progress of nine health care delivery systems that were analyzed in the book's first edition. On the basis of this recent research, the authors reveal the successes, failures, and lessons learned and take on important and timely health care concerns such as the public backlash against managed care and the challenges of providing care to people with chronic illness. The book is filled with a wealth of illustrative cases and practical recommendations. In addition, the authors identify the key factors for implementing a new model of delivering health care services in a cost-effective way to individuals and communities.

Reviews authors' 1996 study & disc. recent accom- plishments, failures, lessons learned & future plans.

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Editorial Reviews

Examines the progress of nine health care delivery systems and discusses health care concerns such as the public backlash against managed care and the challenges of providing care to people with chronic illness. Of interest to health services executives, insurers and payers, policy makers, and researchers. This second edition contains updated information on the need for greater accountability and stronger links between health systems and their communities. Shortell teaches health policy and management and organization behavior at the University of California-Berkeley. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780787948238
  • Publisher: Wiley
  • Publication date: 7/7/2000
  • Series: Jossey-Bass Health Care Series
  • Edition description: REV
  • Edition number: 2
  • Pages: 368
  • Product dimensions: 9.00 (w) x 6.00 (h) x 0.94 (d)

Meet the Author

STEPHEN M. SHORTELL is Blue Cross of California Distinguished Professor of Health Policy and Management and professor of organization behavior, School of Public Health, University of California, Berkeley. ROBIN R. GILLIES is research specialist in the School of Public Health, University of California, Berkeley. DAVID A. ANDERSON is a founding principal of Health Care Futures L.P. in Itasca, Illinois. KAREN MORGAN ERICKSON is a principal with Hamilton HMC, the health services division of the international management consulting firm Kurt Salmon Associates. JOHN B. MITCHELL is a founding principal of Health Care Futures L.P. in Itasca, Illinois.

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Table of Contents

Preface; Acknowledgments; Chapter One: The Problem and the Challenge; Chapter Two: An Idealized Health Care System; Chapter Three: Participants, Framework, and Approach; Chapter Four: Functional Integration; Chapter Five: Physician-System Integration; Chapter Six: Clinical Integration; Chapter Seven: Managing and Governing the Organized Delivery System; Chapter Eight: Moving Forward: The Policy Issues and Implementation: Challenges: Resources; References

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