Summary: 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 s
implified version covers basic structures and operations of the US health system - from its historical origins and resources, to its individual services, cost, and quality.
Summary: 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. ...show less
Edition/Copyright:2ND 10 Cover: Paperback Publisher:Jones & Bartlett Publishers Year Published: 2010 International: No
View 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.
View 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
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