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:
Modern controversies in American health care that animate political debate and discussion, including the Affordable Care Act.
Discussions of the health care labor force, as well as its history, background, and crucial challenges.
Possible future directions for US health care, including preventive medicine, new policy initiatives, and proposals for reform.
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