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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…mehr
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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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