Health Care in the United States: Organization, Management, and Policy

ISBN-13: 9781119812210 / Angielski / Miękka / 2022 / 320 str.

Howard P. Greenwald

Spis treści

Tables and Figures xPreface to the Second Edition xiiThe Author xvAcknowledgments xviAbout the Companion Website xviiPart 1 The System and Its Tasks1 Understanding Health Care 3Health Care as a National Concern 3Health Care Objectives and Goals 6Essential Challenges in Health Care 7Public Trust and Professional Ethics 10Three Perspectives on Management and Policy 112 The U.S. Health Care System: Features, Development, and Controversies 16The U.S. Health Care System's Magnitude 16Uniqueness of the System 16American Values and Health Care 25Controversies in U.S. Health Care 293 Major Health Problems in Modern Society 35Conceptions of Health and Disease 35The Causes of Disease 41Epidemiology: The Science of the Denominator 46Health, Illness, and Demand for Services 54Future Threats to Human Health 574 Human Behavior, Health, and Health Care 62The Behavioral Dimension 62The Concept of the Sick Role 62Health Risk Behavior 63Use of Health Services 71Adverse Patient Behavior 75Health Literacy and Cultural Competence 77Complementary and Alternative Medicine 80Consumer Preferences and Health Care Marketing 81Part 2 Means of Delivery5 Health Care Organizations 89The Importance of Organizations in Health Care 89Health Service Industry Sectors 90Ambulatory Care Organizations 93The Hospital 98The Managed Care Organization 108Other Health Care Organizations 109Organizational Management in Health Care 1136 The Health Care Labor Force 118Health Care Labor Force Issues 118The Concept of Professionalism 119History, Background, and Challenges in Three Key Fields 121Clinicians as Managers 129The Health Care Labor Force: Facts and Figures 130Labor Force Dynamics in the Health Professions 133Professional Oversight and Discipline 1387 Health Care Expenditures, Financing, and Insurance 143Funding Sources and Expenditures 143Health Care Costs: A Global Issue 146Cost Accelerators in the United States 148The Health Insurance Landscape 151Additional Insurance Concepts and Terminology 161Medicare Specifics and Issues 162Affordable Care Act Coverage Expansion 164Uninsurance: The Continuing Problem 165Continuing Issues 1678 Biomedical Research and Program Evaluation 172The Importance of Research 172Principles of Experimental Design 172Modern Research Designs 174Outcome Measures 179Program Evaluation 180Cost-Effectiveness and Cost-Benefit Analysis 182The Social and Economic Context of Research 183Science Gone Wrong: Error, Distortion, and Fraud 187Part 3 Paths Forward9 Innovations and Outcomes 195Importance and Background 195Innovation Assessment: Measurement and Methods 198Selective Contracting 201Cost Sharing 202Managed Care 204Diagnosis Related Groups 206The Affordable Care Act (ACA) 207Other Innovations 210Total Effects and Unanticipated Consequences 21210 Disease Prevention and Health Promotion 217The Importance of Prevention 217Preventable Morbidity and Mortality 218Prevention Dimensions 220Prevention in Practice 221Evidence-Based Prevention 224Health Promotion 225Challenges to Prevention 229Does Prevention Save Money? 236The Future: Prevention and U.S. Health Care 23811 Government, Policy, and Politics in Health Care 243Government and Health Care in the United States 243The Need for Government Participation 244How Government Shapes Health Care 246Politics: The Driver of Policy 254Political Money 258Effective Health Care Politics: Case Studies in Legislation 259The Case Against Government in Health Care 26512 Looking into the Future 269Challenges to Reform 269Non-U.S. Health Care Systems 272A System to Emulate? A Closer Look at Canada 276Future Reform in the United States 279Glossary 284Abbreviations 290Index 291

O autorze

Howard P. Greenwald, PhD, is Professor at the Sol Price School of Public Policy, University of Southern California. He received his doctorate in sociology from the University of California at Berkeley.