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Introduction to Health Care Services: Foundations and Challenges

Book Description

A comprehensive guide to the structure, synergy, and challenges in U.S. health care delivery

Introduction to Health Care Services: Foundations and Challenges offers new insights into the most important sectors of the United States' health care industry and the many challenges the future holds. Designed to provide a comprehensive and up-to-date understanding of the system, this textbook covers the many facets of health care delivery and details the interaction of health, environments, organizations, populations, and the health professions. Written by authors with decades of experience teaching and working in health care administration and management, the book examines the current state and changing face of health care delivery in the United States. Each chapter includes learning objectives and discussion questions that help guide and engage deeper consideration of the issues at hand, providing a comprehensive approach for students. Cases studies demonstrating innovations in the delivery of health care services are also presented.

Health care administration requires a thorough understanding of the multiple systems that define and shape the delivery of health care in the United States. At the same time, it is important for students to gain an appreciation of the dilemma confronting policy makers, providers, and patients in the struggle to balance cost, quality, and access. Introduction to Health Care Services: Foundations and Challenges is an in-depth examination of the major health care issues and policy changes that have had an impact on the U.S. health care delivery system.

  • Includes information on U.S. health care delivery, from care to cost, and the forces of change

  • Focuses on major industry players, including providers, insurers, and facilities

  • Highlights challenges facing health care delivery in the future, including physician shortages, quality care, and the chronic disease epidemic

  • The U.S. health care system is undergoing major reform, and the effects will ripple across every sector of the industry. Introduction to Health Care Services: Foundations and Challenges gives students a complete introduction to understanding the issues and ramifications.

    Table of Contents

    1. Title Page
    2. Copyright
    3. Dedication
    4. Figures, Tables, and Exhibits
      1. Figures
      2. Tables
      3. Exhibits
    5. Introduction
    6. Acknowledgments
    7. About the Authors
    8. About the Contributors
    9. PART ONE: OVERVIEW OF HEALTH CARE SERVICE DELIVERY
      1. Chapter 1: An Overview of Health Care Delivery in the United States
        1. Health Care Costs
        2. Health Care Access
        3. Health Levels and Outcomes
        4. Health Care Quality
        5. Summary
        6. Key Terms
        7. Discussion Questions
        8. References
      2. Chapter 2: The Forces of Change in Health Care
        1. Consequences of Forty Years of Health Care Cost Escalation
        2. Health Care Reform
        3. Summary
        4. Key Terms
        5. Discussion Questions
        6. References
    10. PART TWO: THE MAJOR PLAYERS IN HEALTH CARE SERVICES
      1. Chapter 3: Providers of Health Care Services
        1. Primary Care Physicians and Primary Care Assistants
        2. Specialty Care Providers
        3. Dentists, Dental Hygienists, and Dental Assistants
        4. Mental Health Care Providers
        5. Nurses
        6. Radiologic and Imaging Professionals
        7. Allied Health Rehabilitation Professionals
        8. Collaboration in Health Care
        9. Employment Trends in the Health Care Sector
        10. Summary
        11. Key Terms
        12. Discussion Questions
        13. References
      2. Chapter 4: Hospitals
        1. History of Hospitals
        2. Management of Hospitals
        3. Quality and Safety in Hospitals
        4. Magnet Recognition Program
        5. Challenges and the Future
        6. Summary
        7. Key Terms
        8. Discussion Questions
        9. References
      3. Chapter 5: Ambulatory Care Services
        1. History of Ambulatory Care Services
        2. Reasons for the Expansion of Ambulatory Care
        3. Hospital-Based Ambulatory Care
        4. Non-Hospital-Based Ambulatory Care
        5. Primary Care Management
        6. Home Health Care Services
        7. Hospice Services
        8. Quality Assurance in Ambulatory Care
        9. Summary
        10. Key Terms
        11. Discussion Questions
        12. References
      4. Chapter 6: Health Insurance and Payment for Health Care Services
        1. Basics of U.S. Health Insurance
        2. History of Health Insurance
        3. How Health Insurance Markets Work
        4. Health Insurance Providers
        5. Reimbursement for Health Care Providers
        6. Why Health Insurance Is Such a Huge Problem in the United States
        7. Creative Destruction of Health Insurance
        8. Summary
        9. Key Terms
        10. Discussion Questions
        11. References
      5. Chapter 7: Managed Care
        1. Concepts of Managed Health Care
        2. History of Managed Health Care
        3. Types of Managed Care Plans
        4. Managed Care Utilization Control
        5. Managed Care Quality Issues
        6. Managed Care and Prevention of Disease
        7. Comparative Effectiveness Research
        8. Future of Managed Health Care
        9. Summary
        10. Key Terms
        11. Discussion Questions
        12. References
      6. Chapter 8: Long-Term Care
        1. The Aging of Americans
        2. History of Long-Term Care
        3. Organization of Long-Term Care
        4. Payment for Long-Term Care Services
        5. Chronic Diseases and Their Complications
        6. Challenges for Long-Term Care in the Future
        7. Summary
        8. Key Terms
        9. Discussion Questions
        10. References
      7. Chapter 9: Mental Health Care
        1. History of Mental Health
        2. The Role of Stress
        3. Types of Mental Illnesses
        4. Mental Health Care Providers
        5. Mental Health Parity
        6. Summary
        7. Key Terms
        8. Discussion Questions
        9. References
      8. Chapter 10: Public Health Services
        1. History of Public Health
        2. Structure of Public Health Departments
        3. Determinants of Health
        4. Core Functions of Public Health
        5. Epidemiology and Public Health
        6. Population-Based Health
        7. Public Health Leadership
        8. Future of Public Health
        9. Summary
        10. Key Terms
        11. Discussion Questions
        12. References
    11. PART THREE: CHALLENGES IN HEALTH CARE DELIVERY
      1. Chapter 11: The Pursuit of Quality Care
        1. Origins of the Quality Movement
        2. IOM Report on Medical Errors
        3. IOM Report on the Quality Chasm
        4. Quality Improvement Strategies
        5. Medical Errors
        6. Health Care‚ÄďAssociated Infections
        7. Summary
        8. Key Terms
        9. Discussion Questions
        10. References
      2. Chapter 12: The Chronic Disease Epidemic
        1. Chronic Diseases and Their Complications
        2. Costs of Chronic Diseases
        3. Chronic Disease Prevention and Behavioral Changes
        4. Applying Business and Other Models to Chronic Disease Prevention
        5. Summary
        6. Key Terms
        7. Discussion Questions
        8. References
      3. Chapter 13: Leadership Solutions to Health Care Problems
        1. Health Care Reform Beyond the ACA
        2. Reengineering the Health Care Sector
        3. Understanding Power in the Health Care Sector
        4. Changing the Health Care Environment
        5. How Leaders Can Meet These Challenges
        6. Summary
        7. Key Terms
        8. Discussion Questions
        9. References
      4. Chapter 14: Integrating Clinical Services and Community Prevention: The Community-Centered Health Home Model
        1. History of Clinical Services and Community Prevention Integration
        2. Elements of the Community-Centered Health Home
        3. Capacities Needed for Effective Implementation
        4. Overarching Systems Change Recommendations
        5. Summary
        6. Key Terms
        7. Discussion Questions
        8. References
      5. Chapter 15: A Look into the Future
        1. Major Challenges Facing Health Care Delivery
        2. Areas of Future Concern
        3. How to Meet These Challenges
        4. Summary
        5. Key Terms
        6. Discussion Questions
        7. References
    12. Case Study 1: Innovation in Physician Leadership Education
      1. Leadership Education at the Guthrie Clinic
      2. Conclusion
      3. Discussion Questions
    13. Case Study 2: Using Marketing Tools to Increase Early Referrals of Children with Developmental and Behavioral Disorders
      1. Using a PSA Program to Increase Awareness of Developmental Issues
      2. Conclusion
      3. Discussion Questions
      4. References
    14. Case Study 3: Fall Reduction at Geisinger Wyoming Valley Medical Center
      1. Geisinger Health System and Geisinger Wyoming Valley
      2. Types of Preventable Harm in Hospitals
      3. Geisinger Quality Institute
      4. Fall Rates and Best Practices in Fall Reduction
      5. The Journey to Uphold the Oath
      6. Conclusion
      7. Discussion Questions
      8. References
    15. Case Study 4: The VA Reinvents Itself
      1. The Dark Years
      2. The Beginning of Change
      3. Putting Veterans' Health First
      4. The VA Answer for Everyone
      5. Conclusion
      6. Discussion Questions
      7. References
        1. Index
    16. End User License Agreement