Howard P. Greenwald

Health Care in the United States

Organization, Management, and Policy

• Broschiertes Buch

Produktbeschreibung

A one-stop resource covering American health care and the challenges it faces

In the newly revised Second Edition of Health Care in the United States: Organization, Management, and Policy, distinguished health and organizational researcher Dr. Howard P. Greenwald delivers a comprehensive exploration of the US health care system and the challenges its practitioners, professionals, and consumers face.

From organization to management, financing, and evaluation, this book discusses the critical concepts, trends, and features of this sprawling set of interlocking systems. It also examines the historical origins of modern health care and how it delivers services to over 300 million Americans. Readers will discover:

_ Modern controversies in American health care that animate political debate and discussion, including the Affordable Care Act.
_ Discussions of the health care labor force, as well as its history, background, and crucial challenges.
_ Possible future directions for US health care, including preventive medicine, new policy initiatives, and proposals for reform.
Written for students and professionals working in or studying health care management, health policy, public health, medical sociology, or anthropology, social work, or political science, this latest edition of Health Care in the United States is also a fascinating read for members of the general public curious about one of the most important services they'll ever interact with.

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Produktdetails

• Verlag: Jossey-Bass / Wiley & Sons
• Artikelnr. des Verlages: 1W119812210
• 2. Aufl.
• Seitenzahl: 320
• Erscheinungstermin: 26. April 2022
• Englisch
• Abmessung: 278mm x 217mm x 30mm
• Gewicht: 725g
• ISBN-13: 9781119812210
• ISBN-10: 1119812216
• Artikelnr.: 62120123

Autorenporträt

Howard P. Greenwald, PhD, is Professor at the Sol Price School of Public Policy, University of Southern California. He received his doctorate in sociology from the University of California at Berkeley.

Inhaltsangabe

Tables and Figures x

Preface to the Second Edition xii

The Author xv

Acknowledgments xvi

About the Companion Website xvii

Part 1 The System and Its Tasks

1 Understanding Health Care 3

Health Care as a National Concern 3

Health Care Objectives and Goals 6

Essential Challenges in Health Care 7

Public Trust and Professional Ethics 10

Three Perspectives on Management and Policy 11

2 The U.S. Health Care System: Features, Development, and Controversies 16

The U.S. Health Care System's Magnitude 16

Uniqueness of the System 16

American Values and Health Care 25

Controversies in U.S. Health Care 29

3 Major Health Problems in Modern Society 35

Conceptions of Health and Disease 35

The Causes of Disease 41

Epidemiology: The Science of the Denominator 46

Health, Illness, and Demand for Services 54

Future Threats to Human Health 57

4 Human Behavior, Health, and Health Care 62

The Behavioral Dimension 62

The Concept of the Sick Role 62

Health Risk Behavior 63

Use of Health Services 71

Adverse Patient Behavior 75

Health Literacy and Cultural Competence 77

Complementary and Alternative Medicine 80

Consumer Preferences and Health Care Marketing 81

Part 2 Means of Delivery

5 Health Care Organizations 89

The Importance of Organizations in Health Care 89

Health Service Industry Sectors 90

Ambulatory Care Organizations 93

The Hospital 98

The Managed Care Organization 108

Other Health Care Organizations 109

Organizational Management in Health Care 113

6 The Health Care Labor Force 118

Health Care Labor Force Issues 118

The Concept of Professionalism 119

History, Background, and Challenges in Three Key Fields 121

Clinicians as Managers 129

The Health Care Labor Force: Facts and Figures 130

Labor Force Dynamics in the Health Professions 133

Professional Oversight and Discipline 138

7 Health Care Expenditures, Financing, and Insurance 143

Funding Sources and Expenditures 143

Health Care Costs: A Global Issue 146

Cost Accelerators in the United States 148

The Health Insurance Landscape 151

Additional Insurance Concepts and Terminology 161

Medicare Specifics and Issues 162

Affordable Care Act Coverage Expansion 164

Uninsurance: The Continuing Problem 165

Continuing Issues 167

8 Biomedical Research and Program Evaluation 172

The Importance of Research 172

Principles of Experimental Design 172

Modern Research Designs 174

Outcome Measures 179

Program Evaluation 180

Cost-Effectiveness and Cost-Benefit Analysis 182

The Social and Economic Context of Research 183

Science Gone Wrong: Error, Distortion, and Fraud 187

Part 3 Paths Forward

9 Innovations and Outcomes 195

Importance and Background 195

Innovation Assessment: Measurement and Methods 198

Selective Contracting 201

Cost Sharing 202

Managed Care 204

Diagnosis Related Groups 206

The Affordable Care Act (ACA) 207

Other Innovations 210

Total Effects and Unanticipated Consequences 212

10 Disease Prevention and Health Promotion 217

The Importance of Prevention 217

Preventable