Changing the U. S. Health Care System : Key Issues in Health Services Policy and Management.

Cover -- Title Page -- Copyright -- Contents -- Figures and Tables -- Foreword to the Third Edition -- Foreword to the Fourth Edition -- The Editor -- The Authors -- Introduction and Overview -- Acknowledgments -- Part 1 Access to Health Care -- Chapter 1 The Patient Protection and Affordable Care Act of 2010 -- Learning Objectives -- Events Leading to the Enactment of the ACA -- Major Provisions of the ACA -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 2 Improving Access to Care -- Learning Objectives -- Understanding Access to Health Care -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 3 Racial and Ethnic Disparities in Health Status -- Learning Objectives -- Epidemiology of Health Disparities -- Factors Underlying Chronic Disease-Related Disparities -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 4 Racial and Ethnic Disparities in Health Care -- Learning Objectives -- Definition of Disparity in Health Care -- Historical Overview of Disparities in Medical Care -- Scientific Evidence of Disparities in Health Care -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 5 Multilevel Social Determinants of Health -- Learning Objectives -- Policy Frameworks for Social Determinants of Health -- Mechanisms by Which Social Context Affects Health Care -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 6 Public Health Insurance -- Learning Objectives -- Medicare, Medicaid, and CHIP -- Who is Left Out of Public Coverage? -- Enactment of the Affordable Care Act of 2010: A Political Success Story -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 7 Private Health Insurance -- Learning Objectives -- Evolution of Private Health Insurance -- Concepts in Private Health Insurance.

Employment-Based Health Insurance -- Individually Purchased Health Insurance -- Significant Trends in Private Health Insurance -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Part 2 Cost of Health Care -- Chapter 8 Measuring Health Care Expenditures and Trends -- Learning Objectives -- Measuring Health Care Expenditures -- Trends in Health Care Expenditures -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 9 Containing Health Care Costs -- Learning Objectives -- Framework -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 10 Promoting Pharmaceutical Access While Controlling Prices and Expenditures -- Learning Objectives -- The Problem of Drug Expenditures -- Interpreting Pharmaceutical Price Data -- International Price Comparisons -- Determining Drug Prices -- Approaches for Containing Pharmaceutical Costs -- The Link Between Pharmaceutical Expenditures and Research -- Recent Events Surrounding Pharmaceutical Costs and Access -- Future Directions -- Summary -- Note -- Key Terms -- Discussion Questions -- Part 3 Quality of Health Care -- Chapter 11 Measuring Health-Related Quality of Life and Other Outcomes -- Learning Objectives -- Definition, Conceptualization, and Measurement of Quality of Life -- Contributions From the Literature -- Comparative Effectiveness Research -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 12 Evaluating the Quality of Care -- Learning Objectives -- The Multiple Dimensions of Quality -- Criteria for Evaluating Quality Measures -- A Conceptual Framework for Quality Assessment -- Structure -- Process -- Outcomes -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 13 Public Release of Information on Quality -- Learning Objectives -- Public Information on Quality.

Some Methodological Issues in Performance Reporting -- What is Known About the Impact of Public Reporting? -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 14 Health Care Information Systems -- Learning Objectives -- Information Systems and Informatics -- Benefits, Implementation Barriers, and Federal Policy Responses -- Applications of Information Systems by Health Care Providers -- Public Health Informatics -- Applications of Information Systems by Health Plans and Payers -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 15 Performance Measurement of Nursing Care -- Learning Objectives -- Why Measure Nursing Performance? -- The Scope of Nursing's Contribution to Inpatient Hospital Care -- Issues in Constructing Nursing-Sensitive Performance Measures -- Measuring Nursing Performance -- Measuring Nursing Performance: The State of the Science -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Part 4 Special Populations -- Chapter 16 Long-Term Services and Supports for the Elderly Population -- Learning Objectives -- Institutional Care -- Community-Based Services -- Informal Care -- Workers in the Long-Term Care System -- Future Directions -- Summary -- Note -- Key Terms -- Discussion Questions -- Chapter 17 HIV and AIDS in the Twenty-First Century -- Learning Objectives -- The Changing Epidemiology and Clinical Treatment of HIV/AIDS -- Prevention and Education -- Policy Implications and Research Needs for Management, Planning, and AIDS Policy -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 18 Children's Health -- Learning Objectives -- Special Health Needs of Children -- Health Service Delivery for U.S. Children -- Financing Children's Health Care -- Improving the Child Health System -- Future Directions -- Summary -- Key Terms.

Discussion Questions -- Chapter 19 Homeless Persons -- Learning Objectives -- A Profile of the Homeless -- Health Status -- Mental Illness and Substance Abuse -- Use of Physical Health Services -- Use of Mental Health and Substance Abuse Services -- Barriers to Health Care -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Part 5 Directions for Change -- Chapter 20 Changing the Health Care Delivery System -- Learning Objectives -- Conceptual Framework: Intervention and Innovations to Correct System Failures -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 21 Medicare Reform -- Learning Objectives -- Origin and Philosophy of Medicare -- Evolution of Medicare -- Is Medicare Facing a Crisis? -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 22 Public Health and Clinical Care -- Learning Objectives -- Public Health's Mission and Scope -- Prevention In Clinical Care Services -- Public Health and Provision of Clinical Care Services -- Direct Medical Service Delivery by Government -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 23 Strengthening the Safety Net -- Learning Objectives -- Defining the Safety Net -- Ensuring Access to Care for the Poor, Uninsured, and Underserved -- Financing the Safety Net -- Size and Scope of the Safety Net -- Reducing Costs -- Improving Quality -- Future Directions -- Summary -- Key Terms -- Discussion Questions -- Chapter 24 Ethical Issues in Public Health and Health Services -- Learning Objectives -- Overarching Public Health Principles: Our Assumptions -- Ethical Issues in the Allocation of Resources -- Ethical Issues in Research -- Ethical Issues in Economic Support -- Ethical Issues in Management of Health Services -- Ethical Issues in Delivery of Care -- Future Directions -- Summary -- Key Terms.

Discussion Questions -- Index.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.