In the newly revised Second Edition of Health Care in the United States: Organization, Management, and Policy, distinguished health and organizational researcher Dr. Howard P. Greenwald delivers a comprehensive exploration of the US health care system and the challenges its practitioners, professionals, and consumers face.
From organization to management, financing, and evaluation, this book discusses the critical concepts, trends, and features of this sprawling set of interlocking systems. It also examines the historical origins of modern health care and how it delivers services to over 300 million Americans. Readers will discover:
Written for students and professionals working in or studying health care management, health policy, public health, medical sociology, or anthropology, social work, or political science, this latest edition of Health Care in the United States is also a fascinating read for members of the general public curious about one of the most important services they`ll ever interact with.
Tables and Figures
Preface to Second Edition
The Author
Acknowledgements
Part One: The System and Its Tasks
1- Understanding Health Care
Health Care as a National Concern
Health Care Objectives and Goals
Essential Challenges in Health Care
Public Trust and Professional Ethics
Three Perspectives on Management and Policy
2- The U.S Health Care System: Features, Development, and Controversies
The U.S Health Care System`s Magnitude
Uniqueness of the System
The Impact of American Values
Controversies in U.S. Health Care
3- Major Health Problems in Modern Society
Conceptions of Health and Disease
The Causes of Disease
Epidemiology: The Science of the Denominator
Health, Illness, and Demand for Services
Future Threats to Human Health
4- Human Behavior, Health, and Health Care
The Behavioral Dimension
The Concept of the Sick Role
Health Risk Behavior
Use of Health Services
Adverse Patient Behavior
Health Literacy and Cultural Competence
Complementary and Alternative Medicine
Consumer Preferences and Health Care Marketing
Part Two: Means of Delivery
5- Health Care Organizations
The Importance of Organization in Health Care
Health Service Industry Sectors
Ambulatory Care Organizations
The Hospital
The Managed Care Organization
Other Health Care Organization
Organizational Management in Health Care
6- The Health Care Labor Force
Health Care Labor Force Issues
The Concept of Professionalism
History, Background, and Challenges in Three Key Fields
Clinicans as Managers
The Health Care Labor Force: Facts and Figures
Labor Force Dynamics in the Health Professions
Professional Oversight and Discipline
7- Health Care Expenditures, Financing, and Insurance
Funding Sources and Expenditures
Health Care Costs: A Global Issue
Cost Accelerators in the United States
The Health Insurance Landscape
Additional Insurance Concepts and Terminology
Medicare Specifics and Issues
Affordable Care Act Coverage Expansion
Uninsurance: The Continuing Problem
Continuing Issues
8- Biomedical Research and Program Evaluation
The Importance of Research
Principles of Experimental Design
Modern Research Designs
Outcome Measures
Program Evaluation
Cost-Effectiveness and Cost-Benefit Analysis
The Social and Economic Context of Research
Science Gone Wrong: Error, Distortion, and Fraud
Part Three: Paths Forward
9- Innovations and Outcomes
Importance and Background
Innovation Assessment: Measurement and Methods
Selective Contracting
Cost Sharing
Managed Care
Diagnosis Related Groups
The Affordable Care Act
Other Innovations
Total Effects and Unanticipated Consequences
10- Disease Prevention and Health Promotion
The Importance of Prevention
Preventable Morbidity and Mortality
Prevention Dimensions
Prevention in Practice
Evidence-Based Prevention
Health Promotion
Challenges to Prevention
Does Prevention Save Money?
The Future: Prevention and U.S. Health Care
11- Government, Policy, and Politics In Health Care
Government and Health Care in the U.S.
The Need for Government Participation
How Government Shapes Health Care
Politics: The Driver of Policy
Political Money
Effective Health Care Politics: Case Studies in Legislation
The Case Against Government in Health Care
12- Opportunities for Change
Challenges to Reform
Non-U.S. Health Care Systems
Canada as a Model?
Options for Furture Reform
Glossary
References
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