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Essentials of the U.S. Health Care System - Leiyu Shi

Essentials of the U.S. Health Care System

By: Leiyu Shi

Paperback

Published: 1st October 2004
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In a clear, cohesive format, this book provides a concise survey of the basic structures and operations of the U.S. health system from ists historical origins and resources, to its individual services, cost, and quality.

Prefacep. ix
List of Exhibitsp. xi
List of Tablesp. xii
List of Figuresp. xii
List of Abbreviationsp. xiii
Major Characteristics of US Health Care Deliveryp. 1
Introductionp. 1
Subsystems of US Health Care Deliveryp. 3
Characteristics of the US Health Care Systemp. 8
Health Care Systems of Other Developed Countriesp. 15
Systems Frameworkp. 17
Conclusionp. 20
Foundation of US Health Care Deliveryp. 23
Introductionp. 23
What Is Health?p. 24
Determinants of Healthp. 27
Cultural Beliefs and Valuesp. 30
Strategies to Improve Healthp. 30
Conclusionp. 42
Historical Overview of US Health Care Deliveryp. 45
Introductionp. 45
Medical Services in Preindustrial Americap. 47
Medical Services in Postindustrial Americap. 51
History of Health Insurancep. 56
Year 1970 into the 21st Centuryp. 63
Conclusionp. 68
Health Care Providers and Professionalsp. 71
Introductionp. 71
Physiciansp. 74
Dentistsp. 80
Pharmacistsp. 82
Other Doctoral-Level Health Professionalsp. 83
Nursesp. 84
Nonphysician Practitionersp. 86
Allied Health Professionalsp. 88
Health Services Administratorsp. 90
Conclusionp. 92
Technology and Its Effectsp. 97
Introductionp. 97
What Is Medical Technology?p. 99
Information Technologyp. 100
Use of Medical Technologyp. 102
Role of the Government in Technology Diffusionp. 105
Impact of Medical Technologyp. 109
Assessment of Medical Technologyp. 115
Benefits of Technology Assessmentp. 117
Conclusionp. 118
Financing and Reimbursement Methodsp. 121
Introductionp. 121
Effects of Health Care Financing and Insurancep. 122
Insurance: Its Nature and Purposep. 125
Private Insurancep. 127
Public Insurancep. 129
Reimbursement Methodsp. 139
National Health Expendituresp. 143
Conclusionp. 146
Outpatient Services and Primary Carep. 149
Introductionp. 149
What Is Outpatient Care?p. 150
Scope of Outpatient Servicesp. 151
Outpatient Care Settings and Methods of Deliveryp. 153
Primary Carep. 158
Conclusionp. 168
Hospitalsp. 173
Introductionp. 173
Evolution of the Hospital in the United Statesp. 174
Expansion and Downsizing of Hospitals in the United Statesp. 176
Access and Utilization by the US Populationp. 179
Utilization of Hospital Capacityp. 180
Hospital Employmentp. 181
Types of Hospitalsp. 182
Licensure, Certification, and Accreditationp. 189
Hospital Organizationp. 190
Ethics and Public Trustp. 192
Conclusionp. 194
Managed Care and Integrated Organizationsp. 197
Introductionp. 197
What Is Managed Care?p. 198
Evolution and Growth of Managed Carep. 200
Utilization Control Methods in Managed Carep. 204
Types of Managed Care Organizationsp. 206
Impact of Cost, Access, and Qualityp. 211
Health Networksp. 212
Types of Integrationp. 214
Conclusionp. 217
Long-Term Care Servicesp. 221
Introductionp. 221
What Is LTC?p. 223
Community-Based LTC Servicesp. 229
Institutional LTCp. 233
Licensing and Certification of Nursing Homesp. 238
Other LTC Servicesp. 240
State of the Nursing Home Industryp. 241
Conclusionp. 243
Underserved Populationsp. 247
Introductionp. 247
Framework to Study Vulnerable Populationsp. 248
Enabling Characteristicsp. 255
Need Characteristicsp. 257
Conclusionp. 260
Cost, Access, and Qualityp. 263
Introductionp. 263
Cost of Health Carep. 264
High in Costp. 265
Reasons for High Costp. 266
Cost Containmentp. 272
Unequal in Accessp. 275
Average in Qualityp. 282
Developments in Process Improvementp. 286
Conclusionp. 287
Health Policyp. 291
Introductionp. 291
What Is Health Policy?p. 292
Principal Features of US Health Policyp. 294
Development of Legislative Health Policyp. 302
Critical Policy Issuesp. 305
Conclusionp. 310
The Future of Health Services Deliveryp. 313
Introductionp. 313
Future of Managed Care, Health Care Costs, and System Reformp. 316
Trends in Health Insurancep. 319
Options for Comprehensive Reformp. 322
National and Global Challengesp. 323
Bioterrorism and the Transformation of Public Healthp. 326
Future of Health Care Workforcep. 327
New Frontiers in Technologyp. 330
Conclusionp. 332
Indexp. 337
Table of Contents provided by Rittenhouse. All Rights Reserved.

ISBN: 9780763731519
ISBN-10: 076373151X
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 351
Published: 1st October 2004
Publisher: Jones and Bartlett Publishers, Inc
Country of Publication: US
Dimensions (cm): 22.6 x 15.2  x 1.8
Weight (kg): 0.49