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Cover -- Title -- Copyright -- Contents -- List of Tables and Figures -- Foreword -- Acknowledgments -- Organization of This Book -- Contributors -- Share Jonas & Kovner's Health Care Delivery in the United States: 11th Edition -- Part I: Health Policy -- Chapter 1: The Challenge of Health Care Delivery and Health Policy -- Context -- The Importance of Good Health to American Life -- Defining Characteristics of the U.S. Health System -- Major Issues and Concerns -- Key Stakeholders Influencing the Health System -- Organization of This Book -- Discussion Questions -- Case Study -- Bibliography -- Chapter 2: A Visual Overview of Health Care Delivery in the United States -- The U.S. Health Care System: A Period of Change -- The Shared Responsibility for Health Care -- Where the Money Comes From, and How It Is Used -- A Comparative Perspective -- Population Health: Beyond Health Care -- Access to Care and Variation in Health Outcomes -- Health and Behavior -- The Health Care Workforce -- Variations in Health Care Delivery -- Health Care Quality -- Health Care Cost and Value -- The Future of Health Care Delivery -- References -- Chapter 3: Government and Health Insurance: The Policy Process -- Context -- The Government as Payer: The Health Insurance Safety Net -- Government and Health Insurance: The Policy Process -- Conclusion -- Discussion Questions -- Case Study -- References -- Chapter 4: Comparative Health Systems -- Overview -- Health System Models -- NHS and NHI Systems Compared With the United States -- The Health Systems in England, Canada, France, and China -- Lessons -- Discussion Questions -- Case Study -- References -- Part II: Keeping Americans Healthy -- Chapter 5: Population Health -- Context -- The Population Health Model -- The Medical Model -- Comparing the Medical and Population Health Models.
The Influence of Social Determinants on Health Behavior and Outcomes -- Leading Determinants of Health: Weighting the Different Domains -- Health Policy and Returns on Investment -- Conclusion -- Discussion Questions -- Case Study -- References -- Chapter 6: Public Health: A Transformation for the 21st Century -- Who's in Charge of Public Health? -- A Healthy Population Is in the Public Interest -- Core Functions of Public Health -- Governmental Authority and Services -- Rethinking Public Health for the 21st Century -- Discussion Questions -- Case Study -- References -- Chapter 7: Health and Behavior -- Behavioral Risk Factors: Overview and National Goals -- Changing Health Behavior: Closing the Gap Between Recommended and Actual Health Lifestyle Practices -- Changing Provider Behavior: Closing the Gap Between Best Practice and Usual Care -- Conclusion -- Discussion Questions -- Case Study -- References -- Chapter 8: Vulnerable Populations: A Tale of Two Nations -- Understanding Vulnerable Populations and Their Context -- The Growing Number of Vulnerable Populations -- Organization and Financing of Health Care and Other Services for Vulnerable Populations -- Social Service Needs -- Federal and State Financing of Care for Vulnerable Populations -- Challenges for Service Delivery and Payment -- Emerging and Tested Ideas for Better Health Delivery -- Conclusion -- Discussion Questions -- Case Study -- References -- Part III: Medical Care: Treating Americans' Medical Problems -- Chapter 9: Organization of Care -- Description of the Current Care Delivery System -- The Future of the Delivery System -- Best Practices -- Looking Forward -- Discussion Questions -- Case Study -- References -- Chapter 10: The Health Workforce -- Who Is Part of the Health Workforce? -- Traditional Approaches to Health Workforce Planning -- Health Workforce Education.
Critical Issues for the Health Workforce -- Conclusion: Building the Future Health Care Workforce -- Discussion Questions -- Case Study -- References -- Chapter 11: Health Care Financing -- General Overview of Health Care Financing -- What the Money Buys and Where It Comes from -- How Health Insurance Works -- How Providers Are Paid for the Health Services They Deliver -- Specialized Payment Approaches Used by Payers -- Issues Shaping the Future of Health Care Financing -- Conclusion -- Discussion Questions -- Case Study -- References -- Chapter 12: Health Care Costs and Value -- The Issue of Health Care Spending Growth -- Conclusion -- Discussion Questions -- Case Study -- References -- Chapter 13: High-Quality Health Care -- Defining Quality -- How Are We Doing? -- How Do We Improve Quality? -- How Do We Incentivize Quality Care? -- What Are Major Recent Developments Affecting Quality? -- Core Competencies for Health Administrators -- Conclusion -- Discussion Questions -- Case Study -- References -- Chapter 14: Managing and Governing Health Care Organizations -- Governing Boards and Owners -- Management Work -- Conclusion -- Discussion Questions -- Case Study -- References -- Chapter 15: Health Information Technology -- HIT Defined -- The Backing of Government -- Transformative Powers of HIT -- HIT at the VA -- The New York Experience -- Implementing HIT -- Challenges and Shortcomings of HIT -- Toward the Future -- Discussion Questions -- Case Study -- References -- Part IV: Futures -- Chapter 16: The Future of Health Care Delivery and Health Policy -- Dynamics Influencing Change -- Aspects of the Health System That Are Set to Change by 2020 -- Future Prospects for Different Stakeholders in the Health Enterprise -- Conclusion -- Discussion Questions -- Case Study -- Bibliography.
Appendix: Major Provisions of the Patient Protection and Affordable Care Act of 2010 -- Summary of the New Health Reform Law -- Glossary -- Index.
"Health care managers, practitioners, and students must both operate as effectively as they can within the daunting and continually evolving system at hand and identify opportunities for reform advances… Health Care Delivery in the United States has been an indispensable companion to those preparing to manage this balance. The present edition demonstrates once again why this volume has come to be so prized. It takes the long view - charting recent developments in health policy, and putting them side-by-side with descriptions and analysis of existing programs in the United States and abroad." -Sherry Glied, PhD, Dean and Professor of Public Service, NYU Wagner, From the Foreword This fully updated and revised 11th edition of a highly esteemed survey and analysis of health care delivery in the United States keeps pace with the rapid changes that are reshaping our system. Fundamentally, this new edition presents the realities that impact our nation's achievement of the so-called Triple Aim: better health and better care at a lower cost. It addresses challenges and responses to the Affordable Care Act (ACA), the implementation of Obamacare, and many new models of care designed to replace outmoded systems. Leading scholars, practitioners, and educators within population health and medical care present the most up-to-date evidence-based information on health disparities, vulnerable populations, and immigrant health; nursing workforce challenges; new information technology; preventive medicine; emerging approaches to control health care costs; and much more. Designed for graduate and advanced undergraduate students of health care management and administration and public health, the text addresses all of the complex core issues surrounding our health care system in a strikingly readable and accessible format. Contributors provide an in-depth and
objective appraisal of why and how we organize health care the way we do, the enormous impact of health-related behaviors on the structure, function, and cost of the health care delivery system, and other emerging and recurrent issues in health policy, health care management, and public health. The 11th edition features the writings of such luminaries as Michael K. Gusmano, Carolyn M. Clancy, Joanne Spetz, Nirav R. Shah, Michael S. Sparer, and Christy Harris Lemak, among others. Chapters include key words, learning objectives and competencies, discussion questions, case studies, and new charts and tables with concrete health care data. Included for instructors is an Instructor's Manual, PowerPoint slides, Syllabus, Test Bank, Image Bank, Supplemental e-chapter on the ACA, and a transition guide bridging the 10th and 11th editions. Key Features: Integration of the ACA throughout the text, including a supplementary e-chapter devoted to this major health care policy innovation The implementation of Obamacare Combines acute and chronic care into organizations of medical care Nursing workforce challenges Health disparities, vulnerable populations, and immigrant health Strategies to achieve the Triple Aim (better health and better care at lower cost) New models of care including accountable care organizations (ACOs), patient homes, health exchanges, and integrated health systems Emerging societal efforts toward creating healthy environments and illness prevention Increasing incentives for efficiency and better quality of care Expanded discussion of information technology A new 5-year trend forecast.
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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2019. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.