Health Care USA: Understanding Its
Organization and Delivery, 6th Edition Harry Sultz, DDS, MPH, Kristina Young, MS
Sixth Edition Softbound: 550+ pages
ISBN 0763749745
9780763749743
Jones & Bartlett
April 2008 (click the button below for the very best available price)
During the last
few years, components of the health care system in the United States
have changed more rapidly than ever before. New industry
developments, health insurance changes, and major cost increases
have significant implications for both providers and consumers.
Health Care USA, Sixth Edition
is an ideal text for introductory courses on the organization and
delivery of U.S. health care for students in schools of public
health, medicine, nursing, dentistry, health administration, and
other health professions. It provides an introduction to the health
care system and an overview of the professional, political, social,
and economic forces that have shaped it and will continue to do so.
This edition has been thoroughly revised to reflect the most recent
changes of this growing and dynamic industry. Revisions include:
Updated data on the size and cost of
the U.S. health care system.
New information on Managed Care
Organizations, PPOs, and HMOs.
New information on the variety of
efforts of hospitals to reduce medical errors.
Developments from the “Freedom
Commission on Mental Health” initiative.
A new discussion on the hospital
competition with privately owned outpatient facilities.
Updated Department of Labor
estimates on health care personnel and the factors that
influence demand and utilization.
New data on the number of un- or
under-insured Americans.
A new discussion of government and
private insurer cost savings initiatives through education and
case management.
A new discussion of the effect of
the influx of Iraq War causalities on VA services.
Updates on federal, state, and local
public health initiatives in emergency preparedness.
and much more!
This book fully covers these topics:
Overview of Health Care: A
Population Perspective
Problems of Health Care;
Understanding Health Care;
Why Patients and Providers
Behave the Way They Do;
Indexes of Health and Disease;
Natural Histories of Disease and
the Levels of Prevention;
Major Stakeholders in the U.S.
Health Care Industry;
Development of Managed Care;
Rural Health Networks;
Priorities of Health Care;
The Tyranny of Technology;
Social Choices of Health Care;
The Aging Population;
Access to Health Care;
Quality of Care;
Conflicts of Interest;
Health Care’s Ethical Dilemmas
Benchmark Developments in U.S.
Health Care
The Great Depression and the
Birth of Blue Cross;
The Dominant Influence of
Government;
Efforts at Planning and Quality
Control;
Managed Care Organizations;
The Reagan Administration;
Biomedical Advances: Evolution
of High-Technology Medicine;
Roles of Medical Education and
Specialization;
Influence of Interest Groups;
The American Medical Association
(AMA);
Other Physician Groups; Other
Hospital Groups;
The American Nurses Association
(ANA);
Insurance Companies
Consumer;
Groups Business and Labor;
The Pharmaceutical Industry;
Public Health Focus on
Prevention;
Economic Influences: Rising
Costs;
The Uninsured and Problems of
Access to Medical Care;
The Health Insurance Portability
and Accountability Act (HIPAA);
The Aging of America;
Values and Assumptions that
Guide Priorities;
Public Health’s Lack of
Preparedness;
Oregon Death with Dignity Act;
The Internet and Health Care;
The Basic Issues
Hospitals: Origin, Organization,
and Performance
Historical Perspective;
Sources That Shaped the Hospital
Industry;
Growth and Decline in Numbers of
Hospitals;
Types of Hospitals;
Financial Condition of
Hospitals;
Academic Health Centers, Medical
Education, and Specialization;
The Hospital System of the
Department of Veterans Affairs;
Structure and Organization of
Hospitals;
Complexity of the System;
Types and Roles of Patients;
Rights and Responsibilities of
Hospitalized Patients;
Important Decisions, Informed
Consent, and Second Opinions;
Diagnosis-Related Group Hospital
Reimbursement System;
Discharge Planning; Subacute
Care;
Market-Driven Reforms Affecting
Hospitals;
New Insurer Pressures;
Patient-Focused Care; Integrated
Health Systems;
Hazards of Hospitalization;
Shortage of Nurses Creating
Staffing Crisis;
Current Research Efforts in
Quality Improvement;
Hospitals That Join Newest
Quality Initiative Save Lives;
Responsibility of Governing
Boards for Quality of Care;
Hospitalists: A Rapidly Growing
Innovation;
Forces of Reform: Cost, Quality,
and Access
Ambulatory Care
Overview and Trends;
Private Medical Office Practice;
Other Ambulatory Care
Practitioners;
Ambulatory Care Services of
Hospitals: History and Trends;
Hospital Emergency Services;
Freestanding Services;
Primary Care Centers;
Urgent Care Centers;
Retail Clinics;
Ambulatory Surgery Centers;
Community Health Centers;
Public Health Ambulatory
Services;
Voluntary Agencies;
Continued Future Expansion
Medical Education and the
Changing Practice of Medicine
The Flexner Report and Medical
School Reforms;
Academic Medical Centers;
Graduate Medical Education
Consortia;
Delineation and Growth of
Medical Specialties;
Specialty Boards and Residency
Performance;
The Physician Workforce and U.S.
Medical Schools;
Ratios of Generalist to
Specialist Physicians and the Changing Demand;
Primary Care Physicians;
Preventive Medicine;
Changing Physician/Hospital
Relationships;
Cost Containment and the
Restructuring of Medical Practice;
Hold Harmless Clauses;
Clinical Practice Guidelines;
Physician Report Cards;
The Escalating Costs of
Malpractice Insurance; Growing Concern About Ethical Issues;
Physicians and the Internet;
The Future of Medical Practice
Health Care Personnel
Health Professions;
Credentialing and Regulating
Health Professionals;
Health Care Occupations;
Factors That Influence Demand
for Health Personnel;
Health Care Workforce Issues;
The Health Workforce in a
Chaotic System
Financing Health Care
Health Care Expenditures in
Perspective;
Aging Population;
The Growth of Specialized
Medicine;
The Uninsured and Underinsured;
A Labor-Intensive Industry;
Economic Incentives That Fuel
Rising Costs;
Components of Health Care
Expenditures;
Sources of Health Care Payment;
Evolution of Health Insurance
and Managed Care;
The Development of Blue Cross
and Blue Shield;
The Costs of Expanding
Technology;
Health Maintenance Organizations
and Managed Care;
Developments in Managed Care;
The Managed Care Backlash;
MCOs and Quality;
Self-Funded Insurance Programs;
Government as a Source of
Payment: System in Name Only;
Medicare;
Cost Control and Quality
Initiatives;
Diagnosis-Related Groups;
Physician Reimbursement;
The MMA of 2003;
Ongoing Cost Reduction and
Quality Improvement Initiatives;
Medicaid;
The Balanced Budget Act:
Medicaid and the State Child Health Insurance Program;
Medicaid Quality Initiatives;
On the Horizon
Long-Term Care
Development of Long-Term Care
Services;
Modes of Long-Term Care Service
Delivery;
Skilled Nursing Care;
Assisted-Living Facilities;
Home Care;
Hospice Care;
Respite Care;
Adult Day Care;
Innovations in Long-Term Care;
Aging in Place;
Continuing Care Retirement and
Life Care Communities;
Naturally Occurring Retirement
Communities;
High-Technology Home Care:
Hospitals Without Walls;
Long-Term Care Insurance;
The Future of Long-Term Care
Mental Health Services
Historical Overview;
Recipients of Mental Health
Services;
Children and Adolescents;
Older Adults;
The Organization and Financing
of Mental Health Services;
Health Insurance Coverage and
Managed Behavioral Health Care;
Barriers to Accessing Services;
Priorities for Mental Health
Services;
Need for Further Research;
Addendum by Co-Authors, Sultz
and Young
Public Health and the Role of
Government in Health Care
Public Health in England;
Public Health and
Government-Supported Services;
Decline in Influence of the
Public Health Service;
Responsibilities of the Public
Health Sector;
Relationships of Public Health
and Private Medicine;
Opposition to Public Health
Services;
Resource Priorities Favor
Curative Medicine;
Health Care Reform and the
Public Health/Medicine Relationship;
Health Activities;
Public Health Services of
Voluntary Agencies;
Changing Roles of Government in
Public Health;
Public Health in an Era of
Privatization and Managed Care;
Future Role of Government in
Promoting the Public’s Health
Research: How Health Care
Advances
The Focus of Different Types of
Research;
Research in Health and Disease;
Epidemiology;
Experimental Epidemiology;
Other Applications of
Epidemiologic Methods;
Health Services Research;
Agency for Health Care Research
and Quality;
Health Services Research and
Health Policy;
Quality Improvement;
Medical Errors;
Evidence-Based Medicine;
Outcomes Research;
Patient Satisfaction;
Research Ethics;
Future Challenges
The Future of Health Care
The Paradox of U.S. Health Care;
The Major Challenges Facing
Health Care;
The Growing Number of Uninsured;
Demand for Greater
Accountability, Fiscal and Clinical;
Health Care Cost;
Technologic Growth and
Innovation;
Technology;
Changing Population Composition;
Changing Professional Labor
Supply;
Physicians;
New Physician Roles;
Health Professions;
Nurses;
Nurse Practitioners and
Physician Assistants;
The Future of the America’s
Health Insurance Systems;
Harry A. Sultz, DDS, MPH. is
Professor Emeritus of Social and Preventive Medicine at the
University at Buffalo School of Medicine and Biomedical Sciences
and Dean Emeritus of its School of Health Related Professions.
Currently, he is an Adjunct Professor at the School of Law. He
has also served as Adjunct Professor, Health Systems Management,
School of Management and Clinical Assistant Professor,
Department of Family Medicine. An epidemiologist, health care
services planner, and researcher, he established and, for 26
years, directed the Health Services Research Program of
Buffalo’s School of Medicine. His extensive research experience
serves as background for the various editions of this book and
for the courses that he teaches about health care and health
policy.
Kristina M. Young, MS, Clinical
Assistant Professor of Social and Preventive Medicine at the
School of Medicine and Biomedical Sciences at the State
University at Buffalo. She is also an adjunct faculty member of
the University’s School of Law. She teaches graduate level
courses in the organization of health care and in health policy.
She is also president of Kristina M. Young and Associates, Inc.,
a management consultation and training group specializing in
health care and human services organizations. Previously, she
served as president of a corporate training and development
organization; as executive vice president of a not-for-profit
organization dedicated to advancing the joint interests of a
major teaching hospital and a health maintenance organization;
and as the vice president for research and development for a
teaching hospital system and executive director of its health
education and research foundation.
Sixth Edition Softbound: 550+ pages
ISBN 0763749745
9780763749743
Jones & Bartlett
April 2008 (click the button below for the very best available price)
During the last
few years, components of the health care system in the United States
have changed more rapidly than ever before. New industry
developments, health insurance changes, and major cost increases
have significant implications for both providers and consumers.
