Health care USA: understanding its organization and delivery
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Sudbury, Mass. [u.a.]
Jones and Bartlett
2009
|
| Ausgabe: | 6. ed. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index Overview of health care: a population perspective -- Benchmark developments in U.S. health care -- Hospitals: origin, organization, and performance -- Ambulatory care -- Medical education and the changing practice of medicine -- Health care personnel -- Financing health care/managed care -- Long-term care -- Mental health services -- Public health and the role of government in health care -- Research: how health care advances -- The future of health care |
| Beschreibung: | XXIII, 492 S. graph. Darst. |
| ISBN: | 9780763749743 0763749745 |
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| 100 | 1 | |a Sultz, Harry A. |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Health care USA |b understanding its organization and delivery |c Harry A. Sultz ; Kristina M. Young |
| 250 | |a 6. ed. | ||
| 264 | 1 | |a Sudbury, Mass. [u.a.] |b Jones and Bartlett |c 2009 | |
| 300 | |a XXIII, 492 S. |b graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
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| 500 | |a Includes bibliographical references and index | ||
| 500 | |a Overview of health care: a population perspective -- Benchmark developments in U.S. health care -- Hospitals: origin, organization, and performance -- Ambulatory care -- Medical education and the changing practice of medicine -- Health care personnel -- Financing health care/managed care -- Long-term care -- Mental health services -- Public health and the role of government in health care -- Research: how health care advances -- The future of health care | ||
| 650 | 0 | |a Medical care / United States | |
| 650 | 0 | |a Medical policy / United States | |
| 651 | 4 | |a USA | |
| 700 | 1 | |a Young, Kristina M. |e Verfasser |4 aut | |
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Datensatz im Suchindex
| _version_ | 1804142949194268672 |
|---|---|
| adam_text | Titel: Health care USA
Autor: Sultz, Harry A.
Jahr: 2009
Contents
Foreword xiii
Acknowledgments xv
About the Authors xvii
Introduction xix
Chapter 1: Overview of Health Care:
A Population Perspective 1
Problems of Health Care 2
Understanding Health Care 3
Why Patients and Providers Behave the
Way They Do 5
Indexes of Health and Disease 6
Natural Histories of Disease and
the Levels of Prevention 7
Major Stakeholders in the U.S. Health Care
Industry 14
Development of Managed Care 19
Rural Health Networks 20
Priorities of Health Care 22
The Tyranny of Technology 23
Social Choices of Health Care 24
The Aging Population 25
Access to Health Care 28
Quality of Care 30
Conflicts of Interest 31
Health Care s Ethical Dilemmas 31
^^^^| Contents
Chapter 2: Benchmark Developments in U.S. Health Care... 35
The Great Depression and the Birth of
Blue Cross 37
The Dominant Influence of Government 39
Efforts at Planning and Quality Control 41
Managed Care Organizations 43
The Reagan Administration 44
Biomedical Advances: Evolution of
High-Technology Medicine 45
Roles of Medical Education and Specialization.... 47
Influence of Interest Groups 50
The American Medical Association (AMA) 50
Other Physician Groups 51
Other Hospital Groups 51
The American Nurses Association (ANA) 52
Insurance Companies 52
Consumer Groups 53
Business and Labor 54
The Pharmaceutical Industry 55
Public Health Focus on Prevention %
Economic Influences: Rising Costs 57
The Uninsured and Problems of Access to
Medical Care 58
The Health Insurance Portability and
Accountability Act (HIPAA) 58
The Aging of America 59
Values and Assumptions that Guide Priorities 60
Public Health s Lack of Preparedness 61
Oregon Death with Dignity Act 63
The Internet and Health Care 64
The Basic Issues 65
Chapter 3: Hospitals: Origin, Organization, and
Performance 69
Historical Perspective 70
Sources That Shaped the Hospital Industry 72
Growth and Decline in Numbers of Hospitals 74
Types of Hospitals 75
Financial Condition of Hospitals 77
Academic Health Centers, Medical Education,
and Specialization 78
Contents ^^^H
The Hospital System of the Department of
Veterans Affairs 80
Structure and Organization of Hospitals 81
Complexity of the System 88
Types and Roles of Patients 89
Rights and Responsibilities of Hospitalized
Patients 90
Important Decisions, Informed Consent, and
Second Opinions 93
Diagnosis-Related Group Hospital Reimbursement
System 95
Discharge Planning 97
Subacute Care 98
Market-Driven Reforms Affecting Hospitals 99
New Insurer Pressures 99
Patient-Focused Care 100
Integrated Health Systems 102
Hazards of Hospitalization 108
Shortage of Nurses Creating Staffing Crisis 110
Current Research Efforts in Quality
Improvement Ill
Hospitals That Join Newest Quality Initiative
Save Lives 112
Responsibility of Governing Boards for
Quality of Care 113
Hospitalists: A Rapidly Growing Innovation 114
Forces of Reform: Cost, Quality, and Access 115
Chapter 4: Ambulatory Care 121
Overview and Trends 121
Private Medical Office Practice 124
Other Ambulatory Care Practitioners 129
Ambulatory Care Services of Hospitals:
History and Trends 129
Hospital Emergency Services 133
Freestanding Services 138
Primary Care Centers 139
Urgent Care Centers 140
Retail Clinics 141
Ambulatory Surgery Centers 143
Community Health Centers 145
^^^^| CONENTS
Public Health Ambulatory Services 147
Voluntary Agencies 149
Continued Future Expansion 151
Chapter 5: Medical Education and the Changing Practice
of Medicine 155
The Flexner Report and Medical School
Reforms 157
Academic Medical Centers 159
Graduate Medical Education Consortia 161
Delineation and Growth of Medical Specialties... 162
Specialty Boards and Residency Performance 164
The Physician Workforce and U.S. Medical
Schools 168
Ratios of Generalist to Specialist Physicians and
the Changing Demand 169
Primary Care Physicians 171
Preventive Medicine 172
Changing Physician/Hospital Relationships 173
Cost Containment and the Restructuring of
Medical Practice 176
Hold Harmless Clauses 177
Clinical Practice Guidelines 178
Physician Report Cards 179
The Escalating Costs of Malpractice Insurance.... 181
Growing Concern About Ethical Issues 182
Physicians and the Internet 183
The Future of Medical Practice 184
Chapter 6: Health Care Personnel 189
Health Professions 189
Credentialing and Regulating Health
Professionals 190
Health Care Occupations 192
Factors That Influence Demand for Health
Personnel 218
Health Care Workforce Issues 220
The Health Workforce in a Chaotic System 221
Chapter 7: Financing Health Care 227
Health Care Expenditures in Perspective 228
Aging Population 230
Contents ^^^^|
The Growth of Specialized Medicine 231
The Uninsured and Underinsured 231
A Labor-intensive Industry 233
Economic Incentives That Fuel Rising Costs 233
Components of Health Care Expenditures 234
Sources of Health Care Payment 234
Evolution of Health Insurance and
Managed Care 235
The Development of Blue Cross and
Blue Shield 236
The Costs of Expanding Technology 238
Health Maintenance Organizations and
Managed Care 239
Developments in Managed Care 245
The Managed Care Backlash 246
Managed Care Organizations and Quality 249
Self-Funded Insurance Programs 251
Government as a Source of Payment: System in
Name Only 252
Medicare 254
Cost Control and Quality Initiatives 256
Diagnosis-Related Groups 257
Physician Reimbursement 260
The Medicare Prescription Drug, Improvement,
and Modernization Act of 2003 265
Ongoing Cost Reduction and Quality
Improvement Initiatives 267
Medicaid 268
The Balanced Budget Act: Medicaid and
the State Child Health Insurance Program 270
Medicaid Quality Initiatives 273
On the Horizon 274
Chapter 8: Long-Term Care 285
Development of Long-Term Care Services 287
Modes of Long-Term Care Service Delivery 291
Skilled Nursing Care 292
Assisted-Living Facilities 294
Home Care 296
Hospice Care 303
Respite Care 309
^^^H CONENTS
Adult Day Care 312
Innovations in Long-Term Care 314
Aging in Place 314
Continuing Care Retirement and
Life Care Communities 316
Naturally Occurring Retirement Communities ... 317
High-Technology Home Care: Hospitals
Without Walls 318
Long-Term Care Insurance 319
The Future of Long-Term Care 320
Chapter 9: Mental Health Services 327
Historical Overview 327
Recipients of Mental Health Services 331
Children and Adolescents 334
Older Adults 334
The Organization and Financing of
Mental Health Services 335
Health Insurance Coverage and Managed
Behavioral Health Care 337
Barriers to Accessing Services 343
Priorities for Mental Health Services 344
Need for Further Research 346
Addendum by Co-Authors, Sultz and Young 348
Chapter 10: Public Health and the Role of Government in
HealthCare 357
Public Health in England 359
Public Health and Government-Supported
Services 360
Decline in Influence of the Public Health Service 368
Responsibilities of the Public Health Sector 370
Relationships of Public Health and Private
Medicine 373
Opposition to Public Health Services 374
Resource Priorities Favor Curative Medicine 375
Health Care Reform and the Public Health/
Medicine Relationship 377
Hospital-Sponsored Public Health Activities 379
Public Health Services of Voluntary Agencies 379
Contents ^^^^|
Changing Roles of Government in
Public Health 380
Public Health in an Era of Privatization and
Managed Care 381
Future Role of Government in Promoting the
Public s Health 382
Chapter 11: Research: How Health Care Advances 389
The Focus of Different Types of Research 390
Research in Health and Disease 390
Epidemiology 392
Experimental Epidemiology 392
Other Applications of Epidemiologic Methods.... 393
Health Services Research 393
Agency for Health Care Research and Quality 394
Health Services Research and Health Policy 397
Quality Improvement 398
Medical Errors 403
Evidence-Based Medicine 403
Outcomes Research 405
Patient Satisfaction 406
Research Ethics 407
Future Challenges 408
Chapter 12: The Future of Health Care 415
The Paradox of U.S. Health Care 416
The Major Challenges Facing Health Care 417
The Growing Number of Uninsured 418
Demand for Greater Accountability, Fiscal and
Clinical 419
Health Care Costs 422
Technologic Growth and Innovation 424
Technology 425
Changing Population Composition 426
Changing Professional Labor Supply 427
Physicians 428
New Physician Roles 429
Health Professions 430
Nurses 432
Nurse Practitioners and Physician Assistants 433
^^^H CONENTS
The Future of the America s Health Insurance
Systems 433
Patients Rights Legislation 434
New Health Insurance Plans 435
Changing Composition of the Delivery System... 436
Corporate Growth in Health Care 437
Information Management 438
Government s New Role in Public Health 439
Conclusion 441
Appendix A Abbreviations and Acronyms 451
Appendix B Websites 467
Index 471
|
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| illustrated | Illustrated |
| indexdate | 2024-07-09T22:39:53Z |
| institution | BVB |
| isbn | 9780763749743 0763749745 |
| language | English |
| lccn | 2007044092 |
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| publishDate | 2009 |
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| spelling | Sultz, Harry A. Verfasser aut Health care USA understanding its organization and delivery Harry A. Sultz ; Kristina M. Young 6. ed. Sudbury, Mass. [u.a.] Jones and Bartlett 2009 XXIII, 492 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Overview of health care: a population perspective -- Benchmark developments in U.S. health care -- Hospitals: origin, organization, and performance -- Ambulatory care -- Medical education and the changing practice of medicine -- Health care personnel -- Financing health care/managed care -- Long-term care -- Mental health services -- Public health and the role of government in health care -- Research: how health care advances -- The future of health care Medical care / United States Medical policy / United States USA Young, Kristina M. Verfasser aut http://www.gbv.de/dms/zbw/548335869.pdf lizenzfrei Inhaltsverzeichnis HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020330746&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Sultz, Harry A. Young, Kristina M. Health care USA understanding its organization and delivery Medical care / United States Medical policy / United States |
| title | Health care USA understanding its organization and delivery |
| title_auth | Health care USA understanding its organization and delivery |
| title_exact_search | Health care USA understanding its organization and delivery |
| title_full | Health care USA understanding its organization and delivery Harry A. Sultz ; Kristina M. Young |
| title_fullStr | Health care USA understanding its organization and delivery Harry A. Sultz ; Kristina M. Young |
| title_full_unstemmed | Health care USA understanding its organization and delivery Harry A. Sultz ; Kristina M. Young |
| title_short | Health care USA |
| title_sort | health care usa understanding its organization and delivery |
| title_sub | understanding its organization and delivery |
| topic | Medical care / United States Medical policy / United States |
| topic_facet | Medical care / United States Medical policy / United States USA |
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