Health Policy Analysis: An
Interdisciplinary Approach Curtis P. McLaughlin, DBA, Professor Emeritus,
Kenan-Flagler Business School and School of Public Health,
University of North Carolina, Chapel Hill, Craig D. McLaughlin, MJ,
Executive Director, Washington State Board of Health
Softcover: 438 pages
ISBN 0763744425
9780763744427
Jones & Bartlett
September 2007 (click the button below for the very best available price)
Drawing from the perspectives of a variety of
disciplines, this innovative text is unlike any others of its kind.
Health
Policy Analysis: An Interdisciplinary Approach analyzes current
U.S. health policy and proposes various alternatives for developing
future health policy without pushing a single solution set — rather,
it considers the viewpoints of economics, political science,
management, communications, technology, and public health. Organized
into three sections, Health Policy Analysis:
Explores the current and historical issues with the U.S.
healthcare system and considers the alternatives for future
policy that have strong support.
Reviews the political processes that influence planning in
various healthcare settings; presents the accepted methods of
economic and financial analysis; and addresses the ethical and
other value considerations that must enter into the health
policy process.
Looks
at the roles, skills, and leadership that health professionals
can bring to the policy making process in their local and
national communities.
Featuring
ten short cases studies dealing with issues such as folic acid
fortification; national standards on culturally and linguistically
appropriate services; evidence-based medicine in mental health;
electronic health information networks; voluntary standards for
regulation; medical tourism; community vs. specialty hospitals;
international health system comparisons; small area variations in
practices; and the experience with the Clinton health plan, this is
an ideal resource for students in public health, health
administration, or executive MBA programs. You may view these
excerpts here:
Contending Visions of a System for Delivering Health Care
A
Chronology
The Current “Era” Emerges
Employers Want Out: Backing for Consumer-Driven Health Care
Case 3-1 International Comparisons: Where Else Might
We Have Gone?
Where Do We Want to Go?
Alignment with the Rest of Society
Who is the We in “Where Do We Want to Go”?
Case 4 -1 National Standards on Culturally and
Linguistically
Appropriate Services (CLAS)
What Are the Governmental Alternatives?
Federal Level Alternatives
Access to Care – Administer System
Alternatives
Access to Care – Oligopolistic
Competition Alternatives
Access to Care – Free-market Competition
Alternatives
Quality of Care – Administer System
Alternatives
Quality of Care – Oligopolistic
Competition Alternatives
Quality of Care – Free-market Competition
Alternatives
Cost of Care – Administer System
Alternatives
Cost of Care – Oligopolistic Competition
Alternatives
Cost of Care – Free-market Competition
Alternatives
State and Local Government Options
Access to Care – Administer System
Alternatives
Access to Care – Oligopolistic
Competition Alternatives
Access to Care – Free-market Competition
Alternatives
Quality of Care – Administer System
Alternatives
Quality of Care – Oligopolistic
Competition Alternatives
Quality of Care – Free-market Competition
Alternatives
Cost of Care – Administer System
Alternatives
Cost of Care – Oligopolistic Competition
Alternatives
Cost of Care – Free-market Competition
Alternatives
Other Interventions
Case 5 -1 Specialty vs. Community Hospitals
Alternative Responses and Initiatives of Institutions and
Professions
Common Responses
Payers
Providers
Institutions
Professions
Consumers
Not-for-Profit vs. For-Profit
The Value-Driven Care Initiative
Case 6-1 Global Health Coverage
The
Policy Analysis Process - Identification and Definition
Getting the Scenario Right
Hidden Assumptions
Defining What is Medical Problem
Case 7 -1 Small Area Variations
The
Policy Analysis Process - Evaluation – Technology Assessment
Terminology
Technological Forecasting
Levels of Technological Forecasting
Not Just What, But Also When
Forecasting Methods
Changing Business Models
Organizations Devoted to Health Care Technology
Assessment
Case 8-1 Health Information Networks
The
Policy Analysis Process -Evaluation – Political Feasibility
Terminology
Authorizing Environments
Key Government Actors
Political Inputs
Non-Governmental Actors
Methods for Analyzing Political Feasibility
Case 9-1 Politics of The Clinton Health Plan
The
Policy Analysis Process - Evaluation – Economic Viability
Defining the Health Care Process Involved
Agreeing in Detail on the Delivery System Involved
Selecting the Analytical Approach
Agreeing on the Outcomes Produced
Determining Relevant Costs
Basic Tools
Supply and Demand Concepts
Benefit/Cost Concepts
Valuing the Outcomes Produced
Determining the Present Values of Costs and Outcomes
Inflation Adjusting
Discounting
Dealing With Important Uncertainties
Identifying Financing Methods
Considering Distributional Effects
Comparing Competing Alternatives
Financial Feasibility
Case 10-1 Folic Acid Fortification
The
Policy Analysis Process - Analysis of Values – Last But Not
Least
Influence on Society – A Broader Question
Ethical Review
Case 11-1 Voluntary Codes
Implementation Strategy and Planning
Levels of Implementation Failure
Implementation Planning
Setting Up to Succeed
That All-Important Start
The Post-Mortem
Case 12-1 Evidence-Based Medicine in Mental Health
What is Likely to Work
Working Out Your Own Scenarios
Why Not an Unraveling?
Professional Leadership
To
Influence Locally, Start Locally
Health Policy Analysis: A Relevant School for Leadership
Enhancing the Professional’s Role
Conclusion – All Those Levers and No Fulcrum
Where to Stand
The Physician’s Dilemma
The ERISA Problem
Tradeoffs
Curtis P.
McLaughlin, D.B.A., is professor emeritus and adjunct professor at
the Kenan-Flagler Business School of the University of North
Carolina at Chapel Hill. At the time of his retirement he was also
Professor of Health Policy and Administration in the School of
Public Health and Senior Research Fellow of the Cecil B. Sheps
Center for Health Services Research. Prior to coming to North
Carolina, he was Assistant Professor at the Harvard Business School
and also taught in the Harvard School of Public Health. He is the
author or coauthor of approximately 275 publications, including
Continuous Quality Improvement in Health Care with A.D. Kaluzny, now
in its third edition with Jones & Bartlett. He received his BA in
Chemistry from Wesleyan University and his MBA and his DBA from
Harvard Business School. While there, he studied and then taught in
the initial Harvard interdisciplinary program in health care
economics and management.
Craig McLaughlin, M.J., joined the Washington State Board of Health
as senior health policy manager in 2001. He began serving as
executive director in 2004. Immediately prior, he served as director
of college relations for The Evergreen State College. As a newspaper
editor and freelance journalist for more than a decade, Mr.
McLaughlin wrote and edited articles on a broad range of health
issues. He has served as a communications consultant to foundations
and as a management consultant to media organizations. Mr.
McLaughlin earned his Bachelor of Arts in biology from Wesleyan
University and his Masters in Journalism from the University of
California at Berkeley. He also completed all coursework toward a
Masters in Public Administration with a concentration in Health
Administration at the University of New Mexico.
Softcover: 438 pages
ISBN 0763744425
9780763744427
Jones & Bartlett
September 2007 (click the button below for the very best available price)
Drawing from the perspectives of a variety of
disciplines, this innovative text is unlike any others of its kind.
Health
Policy Analysis: An Interdisciplinary Approach analyzes current
U.S. health policy and proposes various alternatives for developing
future health policy without pushing a single solution set — rather,
it considers the viewpoints of economics, political science,
management, communications, technology, and public health.
