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Index
List of Features Foreword Acknowledgments Organization of This Book Contributors Share Jonas & Kovner’s Health Care Delivery in the United States, 12th Edition PART I       HEALTH POLICY Chapter 1     The Challenge of Health Care Delivery and Health Policy Introduction The Importance of Good Health to American Life Defining Characteristics of the U.S. Health System Major Issues and Concerns Key Stakeholders Influencing the Health System Organization of This Book Conclusion Case Exercise—Health Care Delivery Plan Discussion Questions Reference Chapter 2     Organization of Care Introduction Description of the Current Care Delivery System The Future of the Delivery System Best Practices Conclusion Case Exercise—Innovative Ideas Discussion Questions References Chapter 3     The Politics of Health Care in the United States Introduction Health Care Infrastructure and Spending: Many Dollars, to What Effect? Who Pays? The Politics of Medicare, Medicaid, and Much More The Politics of Providing Equitable Health Services How Personal Health Decisions Become Public: The Case of Obesity Conclusion: Better National Health Ahead? Case Exercise—Insurance Plans Discussion Questions References Chapter 4     Comparative Health Systems Introduction Health System Models NHS and NHI Systems Compared With the United States The Health Systems in England, Canada, France, and China Lessons Case Exercise—European Lessons Learned Discussion Questions References PART II      KEEPING AMERICANS HEALTHY Chapter 5     Population Health Introduction The Population Health Model The Medical Model Comparing the Medical and Population Health Models The Influence of Social Determinants on Health Behavior and Outcomes Leading Determinants of Health: Weighting the Different Domains Health Policy and Returns on Investment Conclusion Case Exercise—Sodium and its Effects on Our Health Discussion Questions References Chapter 6     Public Health: A Transformation in the 21st Century Overview of a Complex Infrastructure Public Health Requires a Collective Response from Society Public Health is Different from Individual Health Care The Core Functions of Public Health Define Essential Public Health Activities Governmental Agencies Have Legal Authority for the Core Functions Social, Economic, and Political Forces are Transforming Public Health Conclusion Case Exercise—Cure For Birth Defects Policy Options Discussion Questions References Chapter 7     Health and Behavior Introduction Behavioral Risk Factors: Overview and National Goals Changing Health Behavior: Closing the Gap Between Recommended and Actual Health Lifestyle Practices The Role and Impact of Primary Care Interventions Multilevel Models For Population-Based Health Behavior Change Changing Provider Behavior: Closing the Gap Between Best Practice and Usual Care Conclusion Case Exercise—Comprehensive Plan for Addressing Risk Factors Discussion Questions References Chapter 8     Vulnerable Populations: Meeting the Health Needs of Populations Facing Health Inequities Introduction Understanding Factors and Systems that Impact People Disproportionately Affected by Health Inequities The Growing Number of Health Inequities Uneven Footing After the Great Recession and a Strained Social Service Sector Organization and Financing of Health Care, Population/Public Health/Prevention, and Other Services for Populations Experiencing Health Inequities Rural Health Clinics and Rural Health Networks Social Service Needs Federal and State Financing of Care for Vulnerable Populations Challenges for Service Delivery and Payment Emerging and Tested Ideas for Better Health Delivery Case Exercise 8.1—Patient Engagement: Bronx-Lebanon Hospital Department of Family Medicine’s Patient-Centered Medical Home Case Exercise 8.2—Integrated Care: Camden Coalition of Health Care Providers Opportunities in the ACA to Meet Health Care Needs of Vulnerable Populations Conclusion Case Exercise 8.3—Plan for Refugees Discussion Questions References PART III     MEDICAL CARE: TREATING AMERICANS’ MEDICAL PROBLEMS Chapter 9     The Health Workforce Introduction Who Is Part of the Health Workforce? Traditional Approaches to Health Workforce Planning Health Workforce Education Critical Issues for the Health Workforce Conclusion: Building the Future Health Care Workforce Case Exercise—Workforce Recruitment Plan Discussion Questions References Chapter 10   Health Care Financing Introduction General Overview of Health Care Financing What the Money Buys and Where It Comes From How Health Insurance Works How Providers are Paid for the Health Services They Deliver Specialized Payment Approaches Used by Payers Conclusion Case Exercise—Becoming an Accountable Care Organization Versus Not Becoming an Accountable Care Organization Discussion Questions References Chapter 11   Health Care Costs and Value Introduction Spending Levels and Cost Growth Defining and Measuring Value in Health Care Cost Drivers and Barriers to Value Initiatives to Address Expenditure/Value Tradeoffs Delivery System Reform State-Driven Value-Based Initiatives Conclusion Case Exercise—Monitoring of Value Discussion Questions References Chapter 12   High-Quality Health Care Introduction Defining Quality How are We Doing? How Do We Improve Quality? How Do We Incentivize Quality Care? What are Major Recent Developments Affecting Quality? Core Competencies for Health Administrators Conclusion Case Exercise—Using Data to Support Sustainability Discussion Questions References Chapter 13   Health Care Management Introduction Governance, Performance and Accountability The Complex Tasks of Leadership and Management Evidence-Based Management Challenges Managers Face Conclusion Case Exercise—Strategic Plan Report Discussion Questions References Chapter 14   Health Information Technology Introduction Health Data Needs and IT Use Cases Case Exercise 14.1— NYC Macroscope HIT Interoperability Standards Driving Forces Shaping the Use of Data and HIT Case Exercise 14.2—Avera Health Challenges to More Effective Use of Information and Data Privacy and Security Current Marketplace and Emerging Opportunities Conclusion Case Exercise 14.3—Electronic Health Records Discussion Questions References PART IV   FUTURE OF U.S. HEALTH CARE Chapter 15   The Future of Health Care Delivery and Health Policy Introduction Forces Shaping Change in the Health System Key Challenges that Will Receive Attention in Upcoming Years Future Prospects for Different Stakeholders in the Health Enterprise Conclusion Case Exercise—Payments and Budget Caps in Medicare Discussion Questions References Appendix     U.S. Government Public Health Agencies Glossary Index
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