Delivering Health Care in America: A Systems Approach

Delivering Health Care in America: A Systems Approach

Leiyu Shi

Language: English

Pages: 638

ISBN: 1449626505

Format: PDF / Kindle (mobi) / ePub

Given the recent and rapid developments in the delivery of health care in the United States, never has it been more important to have the most up-to-date resources for teaching students about this complex and dynamic industry. Now in its Fifth Edition, Delivering Health Care in America offers the most current and comprehensive overview of the basic structures and operations of the U.S. health system--from its historical origins and resources, to its individual services, cost, and quality. Using a unique “systems” approach, this bestselling text brings together an extraordinary breadth of information into a highly accessible, easy-to-read resource that clarifies the complexities of health care organization and finance, while presenting a solid overview of how the various components fit together. New to this Edition: New material on U.S. health reform New material on health reform in other countries New material on Healthy People 2020 New information on CMS’s innovative healthcare delivery New information on community health centers Introduction of the medical home concept Data update throughout the book Latest research findings as applicable Enhanced content on The Patient Protection and Affordability Act of 2010 Enhanced content on clinical guidelines Enhanced content on public health system and services Enhanced content on vulnerable populations Enhanced content on primary care from the Global Perspective Revised perspectives on the future of health care in America Instructor Resources: Transition Guide, Instructor's Manual, PowerPoint Presentations, TestBank Student Resources: Glossary, Flash Cards, Crosswords, Matching Questions, Web Links


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Dental schools Nursing programs Multipurpose Blue Cross/ Blue Shield plans Physician assistant suppliers Biotechnology Commercial programs insurers companies Nurse practitioner Self-insured programs employers Physical therapy, Medicare occupational Medicaid therapy, speech therapy programs VA Research Tricare organizations Private foundations US Public Health Service (AHRQ, ATSDR, CDC, FDA, HRSA, IHS, NIH, SAMHSA) Professional associations Trade associations Providers Payers Government

of health care managers, often depends on how the managers react to the system dynamics. Timeliness of action is often a critical factor that can make the difference between failure and success. Following are some more specific reasons why an understanding of the health care delivery system is indispensable for health care managers. Positioning the Organization Health services administrators need to understand their own organizational position within the macro environment of the system. Senior

standards, physicians obtained a clear monopoly on the practice of medicine (Anderson 1990, 60). Rothstein (1972, 120) suggested that the “irregular” practitioners at the time probably did more good—or less harm—to their patients than did the orthodox ones, because during this period, medical practices such as bloodletting and the use of potent emetics and lethal cathartics, such as mercury, were common. Hence, it can be concluded that the early licensing laws did not so much protect consumers as

for some kind of insurance to spread the financial risks over a large number of people. In 1911, insurance companies began to offer blanket policies for large industrial populations, usually covering life insurance, accidents and sickness, and nursing services. A few industrial and railroad companies set up their own medical plans covering specified medical benefits, as did several unions and fraternal orders; however, the total amount of voluntary health insurance was minute (Stevens 1971, 137).

medicine. Cambridge, MA: Basic Books. Stevens, R. 1971. American medicine and the public interest. New Haven, CT: Yale University Press. Stevens, R. 1989. In sickness and in wealth. New York: Basic Books. Sultz, H.A. and K.M. Young. 1997. Health care USA: Understanding its organization and delivery. Gaithersburg, MD: Aspen Publishers, Inc. Sydenstricker, E. 1933. Recent trends in the United States. New York: McGraw-Hill Co. Tomes, N. 2000. The making of a germ panic, then and now. American

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