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Index
Cover
Title Page
Copyright
Brief Contents
Detailed Contents
Preface
Chapter 1: The History of US Healthcare and the Demographics of Disease
The History of the US Healthcare System
The “Iron Triangle” of Healthcare
Aging and Chronic Disease
Diversity and Healthcare
Healthcare Cost Variations
Life Expectancy, Lifestyle, and Chronic Disease
New Diseases
Summary
Questions
Assignments
Cases
References
Chapter 2: Healthcare Professions
Clinical Care Positions
Administrative Positions
Summary
Questions
Assignments
Cases
References
Chapter 3: Hospitals and Healthcare Systems
Levels of Care
Types of Care
Types of Hospitals
Hospital Competition
Organization and Leadership of Hospitals
Outpatient Versus Inpatient Care
The Future of Hospitals
Summary
Questions
Assignments
Cases
References
Chapter 4: The Pharmaceutical and Medical Device Industries
Pharmaceutical Industry
Clinical Trials
Over-the-Counter Drugs
Medical Device Industry
Summary
Questions
Assignments
Cases
References
Chapter 5: Long-Term Care
A Historical Look at Long-Term Care
Long-Term Care Today
Long-Term Care Settings
Unpaid Caregivers
The Formal Long-Term Care Workforce
Paying for Long-Term Care
Quality of Long-Term Care
Elder Abuse
The Future of Long-Term Care
Summary
Questions
Assignments
Cases
References
Chapter 6: Mental Health
The History of Mental Health Care
Types of Mental Health Providers
Ownership of Mental Health Facilities
Mental Health Treatment Settings
Substance Abuse and Mental Illness
Challenges in Mental Health Care
Summary
Questions
Assignments
Cases
References
Chapter 7: Government Involvement in US Healthcare
Regulation
Licensure
Government as a Purchaser of Healthcare
Government as a Provider of Healthcare
Government-Sponsored Health Services Research and Training
Major Legislation
The Contested Role of Government in Healthcare
Summary
Questions
Assignments
Cases
References
Chapter 8: The Economics of Healthcare
The Healthcare Production Process
Supply and Demand
Unique Qualities of the Healthcare Market
Macroeconomics of Healthcare
Summary
Questions
Assignments
Cases
References
Chapter 9: Health Insurance
The Concept of Health Insurance
Healthcare Actuaries
The History of Health Insurance in the United States
Community Rating Versus Experience Rating
Indemnity Versus Managed Care Model
Healthcare Costs Beyond Insurance Premiums
Reasons for Higher Premiums
Medical Loss Ratios
Challenges of Third-Party Payment
How Health Insurance Premiums Are Spent
Why Have Health Insurance?
Essential Health Benefits
Who Provides Health Insurance?
Major Private Insurance Companies
The Financial Burden of Healthcare Costs
Paying for Deductibles and Coinsurance
Fully Insured and Self-Insured Companies
How Companies Can Lower Healthcare Costs
How Patients Can Lower Healthcare Costs
Balance Billing
Common Types of Health Insurance Networks
The Future of Health Insurance
Summary
Questions
Assignments
Cases
References
Chapter 10: The Quality of US Healthcare
Defining Quality
The Iron Triangle
Initiatives to Improve Healthcare Quality
Medical and Surgical Errors
Accrediting Organizations
Sentinel Events
Quality Improvement Tools
Value-Based Care
Inequalities and Quality
Summary
Questions
Assignments
Cases
References
Chapter 11: Health Information Technology
Electronic Health Records
HIPAA and Interoperability
Cloud Computing and Big Data
Telemedicine
mHealth
Mobile App Technology
Secondary Uses of Health Information
The Future of Health Information Technology
Summary
Questions
Assignments
Cases
References
Chapter 12: Population Health
What Is Population Health?
Determinants of Health
Health Disparities
Population Health Management
Healthcare’s Role in Population Health
Summary
Questions
Assignments
Cases
References
Chapter 13: The US Healthcare System in Comparison with Other Countries
Types of Healthcare Systems
Comparison of Healthcare Systems
Innovative Approaches to Lower Costs and Improve Care
Efficiency of Healthcare Systems
Common Problems in All Healthcare Systems
Summary
Questions
Assignments
Cases
References
Chapter 14: The Future of Healthcare in the United States
Focus on Prevention Versus Treatment
Is Healthcare a Right or a Privilege?
The Impact of Healthcare Costs
Waste in Healthcare
Healthcare Costs and Outcomes Compared with Other Countries
The Challenge of Substance Abuse
Fragmented Delivery of Healthcare
Expansion of Healthcare Competition to Tech Companies
Integrating Social Determinants of Health
Health Disparities
Aging and Chronic Conditions
Lack of Transparency and Variation of Prices
New Technology
Summary
Questions
Assignments
Cases
References
Glossary
Index
About the Authors
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