Understanding Health Policy: A Clinical Approach / Edition 2

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Overview

This important new text provides a clear, even-handed guide to a complicated and often confusing subject - the US health care system. Fundamental topics such as cost containment, health insurance, primary care, and physician and hospital payment are discussed, and problems in the current system and alternative ways of managing them are highlighted. The authors bring to life important policy issues by providing extensive case histories that pinpoint individual encounters within the health care system.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: James D. Bramble, PhD (Creighton University)
Description: This book is an easy-to-understand and concise overview of the healthcare system from a clinician's perspective. This second edition focuses more on the influence of managed care on healthcare delivery and provides updated data where appropriate.
Purpose: The purpose is to provide an overview of the U.S. healthcare system and the health policies that have influenced the financing and delivery of healthcare services. In very understandable language, pertinent issues are discussed and explained in a straightforward manner that is useful to not only healthcare professionals but other interested groups too.
Audience: Written primarily for medical students and physicians, it should also be useful to many other healthcare professionals working in the field (e.g., nursing and allied health professionals).
Features: Access, cost, and quality issues, and the basics for understanding the U.S. healthcare system are all covered. Examples are provided throughout each chapter to illustrate and explain important points, many of which are from a clinician's perspective. The use of figures is beneficial to depict how healthcare is financed (e.g., capitation payments). Discussion topics and questions for each chapter are provided at the conclusion.
Assessment: This book is a good overview of the U.S. healthcare system. An added chapter and emphasis on the influence of managed care as well as updated data all give the second edition added value. All the necessary issues for a general understanding of the healthcare system are provided. The topics discussed are both general and thorough enough to provide a comprehensive overview of the subject. It should be useful to both clinicians and other students of the U.S. healthcare system and its policies.
Judith A. Cooksey
This new book provides a well-written and practical survey of current health policy issues. The authors are primary care physicians who provide relevant background information in a readily understandable format. The purpose is to explain how the current healthcare system works, describing its organization and financing and covering issues such as prevention, quality, access, and cost containment. The authors try to show how health policy decisions have affected daily healthcare practice. They successfully interpret and explain the complexities of the healthcare system in a language that is understandable to students and practitioners. Although targeted to medical students, residents, and practicing physicians, it will be useful to any interested student or health professional. It can also be a guide to those in health care administration and the lay public. The coverage of each topic is timely, includes all of the basics, and provides the reader with a clinician's practical perspective on problems. Each chapter has 10 to 30 brief clinical vignettes that describe how problems with the healthcare systems affect individuals. There are study questions for each chapter that can be used for student-directed discussions. This book fills a need for a primer on health policy and the healthcare system. Although its focus is on the medical aspects of health care, it will be useful to any health professional or student interested in an explanation of how and why the healthcare system works the way it does. It also illustrates how weaknesses in the system affect individuals. The book provides a rich context to consider and better understand current health policy issues.
James D. Bramble
This book is an easy-to-understand and concise overview of the healthcare system from a clinician's perspective. This second edition focuses more on the influence of managed care on healthcare delivery and provides updated data where appropriate. The purpose is to provide an overview of the U.S. healthcare system and the health policies that have influenced the financing and delivery of healthcare services. In very understandable language, pertinent issues are discussed and explained in a straightforward manner that is useful to not only healthcare professionals but other interested groups too. Written primarily for medical students and physicians, it should also be useful to many other healthcare professionals working in the field (e.g., nursing and allied health professionals). Access, cost, and quality issues, and the basics for understanding the U.S. healthcare system are all covered. Examples are provided throughout each chapter to illustrate and explain important points, many of which are from a clinician's perspective. The use of figures is beneficial to depict how healthcare is financed (e.g., capitation payments). Discussion topics and questions for each chapter are provided at the conclusion. This book is a good overview of the U.S. healthcare system. An added chapter and emphasis on the influence of managed care as well as updated data all give the second edition added value. All the necessary issues for a general understanding of the healthcare system are provided. The topics discussed are both general and thorough enough to provide a comprehensive overview of the subject. It should be useful to both clinicians and other students of the U.S. healthcare system and itspolicies.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780838590751
  • Publisher: McGraw-Hill Professional
  • Publication date: 4/6/1998
  • Edition description: Older Edition
  • Edition number: 2
  • Pages: 322
  • Product dimensions: 7.26 (w) x 9.98 (h) x 0.55 (d)

Table of Contents

Preface
1 Introduction: The Paradox of Excess & Deprivation 1
2 Paying for Health Care 6
3 Access to Health Care 19
4 Reimbursing Health Care Providers 41
5 How Health Care Is Organized - I 57
6 How Health Care Is Organized - II 74
7 Painful Versus Painless Cost Control 89
8 Mechanisms for Controlling Costs 103
9 Long-term Care 122
10 The Prevention of Illness 134
11 The Quality of Health Care 153
12 Medical Ethics & the Rationing of Health Care 173
13 Health Care in Three Nations 195
14 National Health insurance 211
15 From the Past to the Future - The Evolution of Health Care in the United States 223
16 Conclusion: Tensions & Challenges 241
17 Questions and Discussion Topics 245
Index 255
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