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| Foreword | p. xi |
| Acknowledgments | p. xiii |
| About the Authors | p. xv |
| Introduction | p. xvii |
| New to the Seventh Edition | p. xxi |
| Overview of Health Care: A Population Perspective | p. 1 |
| Problems of Health Care | p. 2 |
| Understanding Health Care | p. 3 |
| Major Stakeholders in the U.S. Health Care Industry | p. 12 |
| Development of Mana... MORE | p. 17 |
| Rural Health Networks | p. 18 |
| Priorities of Health Care | p. 20 |
| The Tyranny of Technology | p. 21 |
| Social Choices of Health Care | p. 22 |
| The Aging Population | p. 23 |
| Access to Health Care | p. 26 |
| Quality of Care | p. 27 |
| Conflicts of Interest | p. 28 |
| Health Care's Ethical Dilemmas | p. 29 |
| Benchmark Developments in U.S. Health Care | p. 33 |
| The Great Depression and the Birth of Blue Cross | p. 35 |
| Dominant Influence of Government | p. 37 |
| Three Major Health Care Concerns | p. 39 |
| Efforts at Planning and Quality Control | p. 39 |
| Managed Care Organizations | p. 41 |
| The Reagan Administration | p. 42 |
| Biomedical Advances: Evolution of High-Technology Medicine | p. 43 |
| Technical Advances Bring New Problems | p. 45 |
| Roles of Medical Education and Specialization | p. 46 |
| Influence of Interest Groups | p. 48 |
| Public Health Focus on Prevention | p. 53 |
| Economic Influences of Rising Costs | p. 53 |
| Health Insurance Portability and Accountability Act | p. 54 |
| Aging of America | p. 55 |
| Public Health's Lack of Preparedness | p. 56 |
| Oregon Death With Dignity Act | p. 57 |
| Internet and Health Care | p. 58 |
| Basic Issues | p. 59 |
| Landmark Health Legislation: Patient Protection and Affordable Care Act of 2010 | p. 60 |
| Hospitals: Origin, Organization, and Performance | p. 65 |
| Historical Perspective | p. 66 |
| Sources That Shaped the Hospital Industry | p. 68 |
| Growth and Decline in Numbers of Hospitals | p. 70 |
| Types of Hospitals | p. 71 |
| Financial Condition of Hospitals | p. 73 |
| Academic Health Centers, Medical Education, and Specialization | p. 74 |
| Hospital System of the Department of Veterans Affairs | p. 75 |
| Structure and Organization of Hospitals | p. 76 |
| Information Technology's Impact on Hospitals | p. 83 |
| Complexity of the System | p. 84 |
| Types and Roles of Patients | p. 85 |
| Diagnosis-Related Group Hospital Reimbursement System | p. 91 |
| Discharge Planning | p. 93 |
| Subacute Care | p. 94 |
| Market-Driven Reforms Affecting Hospitals | p. 95 |
| Quality of Hospital Care | p. 99 |
| Hospitalists: A Rapidly Growing Innovation | p. 107 |
| Forces of Reform: Cost, Quality, and Access | p. 108 |
| Ambulatory Care | p. 113 |
| Overview and Trends | p. 113 |
| Private Medical Office Practice | p. 117 |
| Other Ambulatory Care Practitioners | p. 124 |
| Ambulatory Care Services of Hospitals: History and Trends | p. 124 |
| Hospital Emergency Services | p. 128 |
| Freestanding Services | p. 132 |
| Continued Future Expansion and Experimentation | p. 146 |
| Medical Education and the Changing Practice of Medicine | p. 151 |
| Medical Education: Colonial America to the 19th Century | p. 151 |
| Flexner Report and Medical School Reforms | p. 153 |
| Academic Medical Centers | p. 154 |
| Graduate Medical Education Consortia | p. 156 |
| Delineation and Growth of Medical Specialties | p. 157 |
| Specialty Boards and Residency Performance | p. 159 |
| Physician Workforce and U.S. Medical Schools | p. 164 |
| Preventive Medicine | p. 167 |
| Changing Physician-Hospital Relationships | p. 168 |
| Cost Containment and the Restructuring of Medical Practice | p. 170 |
| Physician Report Cards | p. 173 |
| Introduction of Health Information Technology | p. 174 |
| A New Medical Practice Concept: The ôMedical Homeö | p. 176 |
| Escalating Costs of Malpractice Insurance | p. 176 |
| Growing Concern About Ethical Issues | p. 176 |
| Physicians and the Internet | p. 178 |
| Future of Medical Practice | p. 178 |
| Health Care Personnel | p. 185 |
| Health Professions | p. 185 |
| Health Care Occupations | p. 188 |
| Factors That Influence Demand for Health Personnel | p. 212 |
| Health Care Workforce Issues | p. 214 |
| The Health Workforce in a Chaotic System | p. 214 |
| Financing Health Care | p. 221 |
| Overview | p. 221 |
| Health Care Expenditures in Perspective | p. 222 |
| Drivers of Health Care Expenditures | p. 227 |
| Evolution of Private Health Insurance | p. 230 |
| Government as a Source of Payment: A System in Name Only | p. 243 |
| Future Prospects | p. 259 |
| Long-Term Care | p. 267 |
| Development of Long-Term Care Services | p. 269 |
| Modes of Long-Term Care Service Delivery | p. 273 |
| Innovations in Long-Term Care | p. 292 |
| Long-Term Care Insurance | p. 296 |
| Future of Long-Term Care | p. 297 |
| Mental Health Services | p. 305 |
| Historical Overview | p. 305 |
| Recipients of Mental Health Services | p. 310 |
| Organization and Financing of Mental Health Services | p. 315 |
| Health Insurance Coverage and Managed Behavioral Health Care | p. 320 |
| Barriers to Accessing Services | p. 327 |
| Priorities for Mental Health Services | p. 328 |
| Need for Further Research | p. 329 |
| Public Health and the Role of Government in Health Care | p. 339 |
| Public Health in England | p. 341 |
| Public Health and Government-Supported Services | p. 342 |
| Veterans Health Administration System | p. 348 |
| Decline in Influence of the Public Health Service | p. 350 |
| Responsibilities of the Public Health Sector | p. 351 |
| Relationships of Public Health and Private Medicine | p. 355 |
| Opposition to Public Health Services | p. 356 |
| Resource Priorities Favor Curative Medicine | p. 357 |
| Absence of Preventive Care | p. 358 |
| Challenge of an Aging America | p. 359 |
| Hospital-Sponsored Public Health Activities | p. 360 |
| Public Health Services of Voluntary Agencies | p. 360 |
| Changing Roles of Government in Public Health | p. 361 |
| Public Health in an Era of Privatization and Managed Care | p. 362 |
| Future Role of Government in Promoting the Publics Health | p. 363 |
| Health Care Reform and the Public Health-Medicine Relationship | p. 365 |
| Research: How Health Care Advances | p. 369 |
| Focus of Different Types of Research | p. 370 |
| Types of Research | p. 370 |
| Patient Satisfaction | p. 383 |
| Research Ethics | p. 384 |
| Conflicts of Interest in Research | p. 385 |
| Future Challenges | p. 386 |
| Future of Health Care | p. 393 |
| Paradox of U.S. Health Care | p. 394 |
| Major Challenges Facing Health Care | p. 395 |
| Demand for Greater Accountability, Fiscal and Clinical | p. 396 |
| Health Care Costs | p. 399 |
| Growth of Home, Outpatient, and Ambulatory Care | p. 400 |
| Technology | p. 401 |
| Changing Population Composition | p. 402 |
| Changing Professional Labor Supply | p. 403 |
| Future of America's Health Insurance Systems | p. 407 |
| Changing Composition of the Delivery System | p. 408 |
| Information Management | p. 409 |
| Government's New Role in Public Health | p. 410 |
| Conclusion | p. 411 |
| Abbreviations and Acronyms | p. 419 |
| Web Sites | p. 431 |
| U.S. Government | p. 431 |
| Other Organizations | p. 432 |
| Index | p. 435 |
| Table of Contents provided by Ingram. All Rights Reserved. |