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Introduction to the U.S. Health System: Principles and Management
Shalowitz
ISBN: 978-0-470-63152-2
Paperback
450 pages
May 2019, ©2015, Jossey-Bass
Title in production stage
  • Description
Introduction to the U.S. Health Care System: Principles and Management  provides students with a framework for understanding and evaluating the health status of the populations they will eventually serve. This understanding draws on disciplines of finance, accounting, marketing, epidemiology, organizational design, and ethics, all covered in depth within the text. Students and readers learn how to develop a framework for understanding major health care issues; develop a acquire a working knowledge of key facts about the U. S. health care system; and develop a familiarity with key concepts of health care management. Readers will be able to understand the shortcomings of current systems and the important issues which must be addressed to create value in health care systems. This book presents a framework for understanding the dynamic relationships among stakeholders, including historical background and possible remedies to problems.

Part 1 is an overview of the U.S. health care system. From a basic description of the system, the author then looks at working models for how it all works, highlighting the tradeoffs that need to be made for proper function. Following these overviews, the author explores the reasons why people seek health services and how providers of care influence demand. In order to evaluate populations, a brief primer of managerial epidemiology follows. 

Part 2 of the book focuses on the system’s stakeholders.  These discussions incorporate history of those sectors, how they operate, what their major problems are and how they relate to other stakeholders with congruent or competing interests. The outcome of the current health care reform debate will be covered in Chapter 10, in particular.

Part 3 covers evaluation of the system. The aim of any health care system is to improve the health of the population it serves.  Part 3 concludes by discussing the topic of quality, particularly what it is, how it is used and the advantages and disadvantages of different methods of evaluation.

Part 1.   Background and features of the U.S. health care system

 Chapter 1. Overview of the U.S. health care system

Chapter 2. Frameworks for understanding and analyzing health care systems

Part 2.  Factors determining the utilization of health care services

 Chapter 3. Utilization of health care services

Chapter 4. Patient-induced demand for services

Chapter 5. Provider-induced demand

Chapter 6. Managerial epidemiology

 Part 3. Stakeholders

 Section A. Providers

 Chapter 7. Institutions: Hospitals, skilled nursing facilities and surgicenters

 Chapter 8. Clinical professionals: Doctors, nurses and other professionals

Section B. Payers

 Chapter 9. Principles of Insurance

Chapter 10.  Government as payer: Medicare; Medicaid; S-CHIP

Chapter 11. Private insurance: Commercial insurance market; Managed Care (PPOs, POS Plans, HMOs); Employer sponsored plans; ERISA; Health Savings Accounts

Section C. Suppliers

Chapter 12. Pharmaceuticals/Biotechnology

Chapter 13. Medical Devices and Diagnostics

Chapter 14. Information Systems

 Part 4. Evaluating the system

 Chapter 15. Measuring and assessing the quality of care

 Glossary of health care terms

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