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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.
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