Ship-Ship-Hooray! FREE 2-Day Air* on $25+ Details >
Essentials of the U. S. Health Care System - Text Only

Essentials of the U. S. Health Care System - Text Only - 2nd edition

ISBN13: 978-0763763800

Cover of Essentials of the U. S. Health Care System - Text Only 2ND 10 (ISBN 978-0763763800)
ISBN13: 978-0763763800
ISBN10: 0763763802

Cover type: Paperback
Edition: 2ND 10
Copyright: 2010
Publisher: Jones & Bartlett Publishers
Published: 2010
International: No

List price: $119.75

Essentials of the U. S. Health Care System - Text Only - 2ND 10 edition

ISBN13: 978-0763763800

Leiyu Shi

ISBN13: 978-0763763800
ISBN10: 0763763802

Cover type: Paperback
Edition: 2ND 10
Copyright: 2010
Publisher: Jones & Bartlett Publishers
Published: 2010
International: No

Written by the authors of the widely used textbook Delivering Health Care in America: A Systems Approach, this engaging new book gives students the most accessible and concise introduction to US health care available. Essentials of the US Health Care System utilizes a unique "systems" approach that clarifies the complexities of health care organization and finance and presents a solid overview of how the various components fit together. This condensed and simplified version covers basic structures and operations of the US health system - from its historical origins and resources, to its individual services, cost, and quality.

Author Bio

Leiyu Shi, DrPH, MBA, MPA-Professor, Johns Hopkins Bloomberg School of Public Health, Co-Director, Johns Hopkins Primary Care Policy Center for the Underserved

Dr. Leiyu Shi is an Associate Professor in the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, and Co-Director of Johns Hopkins Primary Care Policy Center for the Underserved Populations. Dr. Shi's research focuses on primary care, health disparities, and vulnerable populations. He has conducted extensive studies about the association between primary care and health outcomes, particularly on the role of primary care in mediating the adverse impact of income inequality on health outcomes. Dr. Shi is also well known for his extensive research on the nation's vulnerable populations, in particular community health centers that serve vulnerable populations, including their sustainability, provider recruitment and retention experiences, financial performance, experience under managed care, and quality of care. Dr. Shi is the author of three textbooks and nearly 100 journal articles.

Table of Contents

Preface ix
List of Exhibits xi
List of Tables xii
List of Figures xii
List of Abbreviations xiii
Chapter 1 Major Characteristics of US Health Care Delivery 1
Introduction 1
Subsystems of US Health Care Delivery 3
Characteristics of the US Health Care System 8
Health Care Systems of Other Developed Countries 15
Systems Framework 17
Conclusion 20
Chapter 2 Foundation of US Health Care Delivery 23
Introduction 23
What Is Health? 24
Determinants of Health 27
Cultural Beliefs and Values 30
Strategies to Improve Health 30
Conclusion 42
Chapter 3 Historical Overview of US Health Care Delivery 45
Introduction 45
Medical Services in Preindustrial America 47
Medical Services in Postindustrial America 51
History of Health Insurance 56
Year 1970 into the 21st Century 63
Conclusion 68
Chapter 4 Health Care Providers and Professionals 71
Introduction 71
Physicians 74
Dentists 80
Pharmacists 82
Other Doctoral-Level Health Professionals 83
Nurses 84
Nonphysician Practitioners 86
Allied Health Professionals 88
Health Services Administrators 90
Conclusion 92
Chapter 5 Technology and Its Effects 97
Introduction 97
What Is Medical Technology? 99
Information Technology 100
Use of Medical Technology 102
Role of the Government in Technology Diffusion 105
Impact of Medical Technology 109
Assessment of Medical Technology 115
Benefits of Technology Assessment 117
Conclusion 118
Chapter 6 Financing and Reimbursement Methods 121
Introduction 121
Effects of Health Care Financing and Insurance 122
Insurance: Its Nature and Purpose 125
Private Insurance 127
Public Insurance 129
Reimbursement Methods 139
National Health Expenditures 143
Conclusion 146
Chapter 7 Outpatient Services and Primary Care 149
Introduction 149
What Is Outpatient Care? 150
Scope of Outpatient Services 151
Outpatient Care Settings and Methods of Delivery 153
Primary Care 158
Conclusion 168
Chapter 8 Hospitals 173
Introduction 173
Evolution of the Hospital in the United States 174
Expansion and Downsizing of Hospitals in the United States 176
Access and Utilization by the US Population 179
Utilization of Hospital Capacity 180
Hospital Employment 181
Types of Hospitals 182
Licensure, Certification, and Accreditation 189
Hospital Organization 190
Ethics and Public Trust 192
Conclusion 194
Chapter 9 Managed Care and Integrated Organizations 197
Introduction 197
What Is Managed Care? 198
Evolution and Growth of Managed Care 200
Utilization Control Methods in Managed Care 204
Types of Managed Care Organizations 206
Impact of Cost, Access, and Quality 211
Health Networks 212
Types of Integration 214
Conclusion 217
Chapter 10 Long-Term Care Services 221
Introduction 221
What Is LTC? 223
Community-Based LTC Services 229
Institutional LTC 233
Licensing and Certification of Nursing Homes 238
Other LTC Services 240
State of the Nursing Home Industry 241
Conclusion 243
Chapter 11 Underserved Populations 247
Introduction 247
Framework to Study Vulnerable Populations 248
Enabling Characteristics 255
Need Characteristics 257
Conclusion 260
Chapter 12 Cost, Access, and Quality 263
Introduction 263
Cost of Health Care 264
High in Cost 265
Reasons for High Cost 266
Cost Containment 272
Unequal in Access 275
Average in Quality 282
Developments in Process Improvement 286
Conclusion 287
Chapter 13 Health Policy 291
Introduction 291
What Is Health Policy? 292
Principal Features of US Health Policy 294
Development of Legislative Health Policy 302
Critical Policy Issues 305
Conclusion 310
Chapter 14 The Future of Health Services Delivery 313
Introduction 313
Future of Managed Care, Health Care Costs, and System Reform 316
Trends in Health Insurance 319
Options for Comprehensive Reform 322
National and Global Challenges 323
Bioterrorism and the Transformation of Public Health 326
Future of Health Care Workforce 327
New Frontiers in Technology 330
Conclusion 332
Index 337