Delivering Health Care In America Download Ebook PDF Epub Online

Author : Leiyu Shi
Douglas A. Singh
Publisher : Jones & Bartlett Publishers
Release : 2014-03-05
Page : 650
Category : Business & Economics
ISBN 13 : 1284037754
Description :


Delivering Health Care in America, Sixth Edition is 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, the 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. While the book maintains its basic structure and layout, the Sixth Edition is nonetheless the most substantive revision ever of this unique text. Because of its far-reaching scope, different aspects of the Affordable Care Act (ACA) are woven throughout all 14 chapters. The reader will find a gradual unfolding of this complex and cumbersome law so it can be slowly digested. Additionally, as U.S. health care can no longer remain isolated from globalization, the authors have added new global perspectives, which the readers will encounter in several chapters. Key Features: - Comprehensive coverage of the ACA and its impact on each aspect of the U.S. health care system woven throughout the book - New “ACA Takeaway” section in each chapter as well as a new Topical Reference Guide to the ACA at the front of the book - Updated tables and figures, current research findings, data from the 2010 census, updates on Healthy People 2020, and more - Detailed coverage of the U.S. health care system in straightforward, reader-friendly language that is appropriate for graduate and undergraduate courses alike


Author : Leiyu Shi
Professor Johns Hopkins Bloomberg School of Public Health Baltimore Maryland Director Johns Hopkins Primary Care Policy Center Leiyu Shi
Publisher : Jones & Bartlett Publishers
Release : 2014-03-05
Page : 650
Category : Business & Economics
ISBN 13 : 1284037762
Description :


Delivering Health Care in America, Sixth Edition is 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, the 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. While the book maintains its basic structure and layout, the Sixth Edition is nonetheless the most substantive revision ever of this unique text. Because of its far-reaching scope, different aspects of the Affordable Care Act (ACA) are woven throughout all 14 chapters. The reader will find a gradual unfolding of this complex and cumbersome law so it can be slowly digested. Additionally, as U.S. health care can no longer remain isolated from globalization, the authors have added new global perspectives, which the readers will encounter in several chapters. Key Features: -Comprehensive coverage of the ACA and its impact on each aspect of the U.S. health care system woven throughout the book -New ACA Takeaway section in each chapter as well as a new Topical Reference Guide to the ACA at the front of the book -Updated tables and figures, current research findings, data from the 2010 census, updates on Healthy People 2020, and more -Detailed coverage of the U.S. health care system in straightforward, reader-friendly language that is appropriate for graduate and undergraduate courses alike"


Author : Leiyu Shi
Douglas A. Singh
Publisher : Jones & Bartlett Learning
Release : 2014-03-05
Page : 650
Category : Business & Economics
ISBN 13 : 1284066061
Description :


Delivering Health Care in America, Sixth Edition is 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, the 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. While the book maintains its basic structure and layout, the Sixth Edition is nonetheless the most substantive revision ever of this unique text. Because of its far-reaching scope, different aspects of the Affordable Care Act (ACA) are woven throughout all 14 chapters. The reader will find a gradual unfolding of this complex and cumbersome law so it can be slowly digested. Additionally, as U.S. health care can no longer remain isolated from globalization, the authors have added new global perspectives, which the readers will encounter in several chapters. Key Features: - Comprehensive coverage of the ACA and its impact on each aspect of the U.S. health care system woven throughout the book - New “ACA Takeaway” section in each chapter as well as a new Topical Reference Guide to the ACA at the front of the book - Updated tables and figures, current research findings, data from the 2010 census, updates on Healthy People 2020, and more - Detailed coverage of the U.S. health care system in straightforward, reader-friendly language that is appropriate for graduate and undergraduate courses alike


Author : Leiyu Shi
Douglas A. Singh
Publisher : Jones & Bartlett Learning
Release : 2021-08-04
Page : 700
Category : Business & Economics
ISBN 13 : 1284224619
Description :


Delivering Health Care in America, Eighth Edition is 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, the 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.


Author : Leiyu Shi
Douglas A. Singh
Publisher : Jones & Bartlett Learning
Release : 2008
Page : 649
Category : Business & Economics
ISBN 13 : 076374512X
Description :


This resource provides a comprehensive overview of the basic structures and operations of the US health system, fom its historical origins and resources, to its individual services, cost, and quality. Using a unique "systems" approach, it brings together information into a highly accessible, easy-to-read text that clarifies the complexities of health care organization and finance, while presenting a solid overview of how the various components fit together.


Author : Leiyu Shi
Douglas A. Singh
Publisher : Jones & Bartlett Learning
Release : 2004
Page : 652
Category : Medical
ISBN 13 : 9780763731991
Description :


Delivering Health Care in America, Third Edition provides readers with a comprehensive understanding of the basic structures and operations of one of the largest sectors of the U.S. economy. With the most current data, legislation, and overall system changes addressed, the third edition covers the conceptual basis for the system, its historical origins, the structures of ambulatory care, inpatient care, and other important services structures, the translation of these structures into health services themselves, and the manifestations of their impact on costs and quality. The text includes learning objectives, review questions, and key terminology.


Author : Institute of Medicine
Board on Health Promotion and Disease Prevention
Publisher : National Academies Press
Release : 2003-02-01
Page : 536
Category : Medical
ISBN 13 : 9780309133180
Description :


The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation’s public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public’s Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation’s health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public’s health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.


Author : Institute of Medicine
Committee on the Learning Health Care System in America
Publisher : National Academies Press
Release : 2013-06-10
Page : 436
Category : Medical
ISBN 13 : 0309260736
Description :


America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009--roughly $750 billion--was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.


Author : Stephen M. Shortell
Robin R. Gillies
Publisher : Jossey-Bass
Release : 2000-07-07
Page : 338
Category : Health & Fitness
ISBN 13 :
Description :


Stephen Shortell, one the country's leading health care management authorities, and his team of experts use the most current data available to update their classic book Remaking Health Care in America. This expanded second edition includes a clear conceptual framework for health care leaders who must develop more integrative systems of care to meet the challenge of the evolving health care industry. The book also provides practical suggestions and myriad recommendations for developing cost-effective delivery systems across the United States.


Author : Institute of Medicine
Committee on Serious and Complex Medical Conditions
Publisher : National Academies Press
Release : 1999-10-19
Page : 128
Category : Medical
ISBN 13 : 0309172608
Description :


In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.


Author : Leiyu Shi
Douglas A. Singh
Publisher : Jones & Bartlett Learning
Release : 2005
Page : 351
Category : Health & Fitness
ISBN 13 : 9780763731519
Description :


This book is intended for all medical professionals including doctors, nurses, physician assistants, nurse practitioners, paramedics, and emergency medical technicians. This book will be especially useful for any physician assistant educational programs as well as for nurse practitioner programs.


Author : Leiyu Shi
Publisher : Jones & Bartlett Publishers
Release : 2013
Page : 376
Category : Law
ISBN 13 : 1449652611
Description :


This is a clear and concise distillation of the major topics covered in the best-selling Delivering Health Care in America by the same authors. It is a reader-friendly, well-organized resource for introdcutory courses or courses requiring a concise supplemenatl text that covers the major characteristics, foundations, and future of the U.S. health care system. This fully revised third edition provides updated data and case scenarios, including expanded information on health care devlivery and its implications for vulnerable populations, current trends in corporatization and globalization, health care reform, and the changing needs of the growing population.


Author : OECD
World Health Organization
Publisher : OECD Publishing
Release : 2018-07-05
Page : 96
Category :
ISBN 13 : 9264300309
Description :


This report describes the current situation with regard to universal health coverage and global quality of care, and outlines the steps governments, health services and their workers, together with citizens and patients need to urgently take.


Author : David Dranove
Lawton Robert Burns
Publisher : University of Chicago Press
Release : 2021-05-26
Page : 336
Category : Business & Economics
ISBN 13 : 022675684X
Description :


There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we’re overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet. Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med’s emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms. In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised. This is an essential read for understanding the current state of the health care system in America—and the steps urgently needed to create an environment of better care for all of us.


Author : Institute of Medicine
Committee on Enhancing Federal Healthcare Quality Programs
Publisher : National Academies Press
Release : 2003-05-21
Page : 206
Category : Medical
ISBN 13 : 9780309168885
Description :


The federal government operates six major health care programs that serve nearly 100 million Americans. Collectively, these programs significantly influence how health care is provided by the private sector. Leadership by Example explores how the federal government can leverage its unique position as regulator, purchaser, provider, and research sponsor to improve care - not only in these six programs but also throughout the nation’s health care system. The book describes the federal programs and the populations they serve: Medicare (elderly), Medicaid (low income), SCHIP (children), VHA (veterans), TRICARE (individuals in the military and their dependents), and IHS (native Americans). It then examines the steps each program takes to assure and improve safety and quality of care. The Institute of Medicine proposes a national quality enhancement strategy focused on performance measurement of clinical quality and patient perceptions of care. The discussion on which this book focuses includes recommendations for developing and pilot-testing performance measures, creating an information infrastructure for comparing performance and disseminating results, and more. Leadership by Example also includes a proposed research agenda to support quality enhancement. The third in the series of books from the Quality of Health Care in America project, this well-targeted volume will be important to all readers of To Err Is Human and Crossing the Quality Chasm - as well as new readers interested in the federal government’s role in health care.


Author : National Research Council
Division of Behavioral and Social Sciences and Education
Publisher : National Academies Press
Release : 2004-09-08
Page : 184
Category : Social Science
ISBN 13 : 9780309165860
Description :


As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.


Author : OECD
World Health Organization
Publisher : OECD Publishing
Release : 2019-06-26
Page : 298
Category :
ISBN 13 : 9264508864
Description :


The objectives of this study are to describe experiences in price setting and how pricing has been used to attain better coverage, quality, financial protection, and health outcomes. It builds on newly commissioned case studies and lessons learned in calculating prices, negotiating with providers, and monitoring changes. Recognising that no single model is applicable to all settings, the study aimed to generate best practices and identify areas for future research, particularly in low- and middle-income settings. The report and the case studies were jointly developed by the OECD and the WHO Centre for Health Development in Kobe (Japan).


Author : National Research Council
Institute of Medicine
Publisher : National Academies Press
Release : 2013-04-12
Page : 420
Category : Social Science
ISBN 13 : 0309264146
Description :


The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.


Author : Institute of Medicine
Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine
Publisher : National Academies Press
Release : 2011-02-08
Page : 700
Category : Medical
ISBN 13 : 0309208955
Description :


The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles -- including limits on nurses' scope of practice -- should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.


Author : John Holahan
Alan Weil
Publisher : The Urban Insitute
Release : 2003
Page : 432
Category : Medical
ISBN 13 : 9780877667162
Description :


The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.