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Index
Foreword Acknowledgments Introduction Chapter 1: Health Care Systems and Delivery Hospitals Ownership Services Organization Non-Hospital Inpatient Facilities Outpatient Care Delivery Formats for Outpatient Medicine Issues in Health Care Delivery Primary Care Crisis Changing Models of Care Shortages Hospital-Specific Concerns The Concerns of Hospital CEOs Readmissions under Reform Uncompensated or Undercompensated Care The Hospital–Physician Relationship References Chapter 2: Insurance and Economics Health Economics 101 What Is Insurance and Why Have It? Economic Terms Health Insurance Basics Insurance Coverage and Organization Formats Ways to Get Insurance Reimbursement Types Payment Models How Fees Are Determined How Much Does U.S. Health Care Cost? An Important Disclaimer: Cost Does Not Equal Price Distribution of Spending Health Spending Slowdown Why Does U.S. Health Care Cost So Much? The System Itself Insurance as Insulation Lack of Transparency Lack of Standardization Overtreatment Loose Governmental Regulations High Physician Wages Iterative Reimbursements Emergency Department Overuse Disease and Society Consequences of High Costs Rationing Being Uninsured Health Care Is Not a Normal Market References Chapter 3: Quality, Technology, and Medical Malpractice Quality Patient Safety Medication Errors Transitions of Care Residency Work Hours Checklists Never Events Health Care-Associated Infections Importance of Nursing Health Information Technology Electronic Health Records in Context Computerized Physician Order Entry Clinical Decision Support Meaningful Use Health Information Exchange Health IT and Outcomes Culture Change Medical Malpractice Problems Potential Reforms References Chapter 4: Research, Pharmaceuticals, and Medical Devices Research Types of Research Institutions and Funding The Research and Development Process Research Is Important for Health Pharmaceuticals The Industry Government Regulation Intellectual Property Generics and Biosimilars Payments and PBMs Medical Devices The Industry Government Regulation Issues Utility of Research Findings Government Regulation Why Are Drug Prices So High? Intersections and Conflicts of Interest References Chapter 5: Policy and Reform Health Policy Major Health Policy and Regulatory Bodies Policy Research Politics and Lobbying Health Care Reform National Reform Efforts State-Based Reforms Other Potential Reform Options The Affordable Care Act Quick Summary—How the ACA Affects Seven Major Groups Q&A About the Affordable Care Act Financial Impact Impact of Health Care Reform Issues with Implementation Criticisms of the Affordable Care Act Challenges to the ACA Public Opinion of the Affordable Care Act References Chapter 6: Health Care Providers Training Scope of Practice Interprofessional Health Care Teams Mid-Level Providers Scope-of-Practice Reform Health Care Provider Reference Guide References Suggested Reading Index About the Authors
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