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Synopsis

Completely expanded and updated to account for the latest changes in the U.S. health care system, this best-selling text remains the most concise and balanced introduction to the domestic health care system. Like its predecessors, it provides an accessible overview of the basic components of the system: healthcare personnel, hospitals and other institutions, the federal government, financing and payment mechanisms, and managed care. Finally, it provides an insightful look at the prospects for health care reform.

Steven Jonas, a revered expert in public health, has enlisted his colleagues, Drs. Raymond and Karen Goldsteen, to add their expertise in public health and health policy and management to this outstanding volume. All students of health care administration and policy, as well as practicing healthcare professionals who simply want a relatively brief overview of the system, will find it useful.

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Completely expanded and updated to account for the latest changes in the U.S. health care system, this best-selling text remains the most concise and balanced introduction to the domestic health care system. Like its predecessors, it provides an accessible overview of the basic components of the system: healthcare personnel, hospitals and other institutions, the federal government, financing and payment mechanisms, and managed care. Finally, it provides an insightful look at the prospects for health care reform.

Steven Jonas, a revered expert in public health, has enlisted his colleagues, Drs. Raymond and Karen Goldsteen, to add their expertise in public health and health policy and management to this outstanding volume. All students of health care administration and policy, as well as practicing healthcare professionals who simply want a relatively brief overview of the system, will find it useful.

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    Foreword to the Sixth Edition
    Preface to the Sixth Edition
    Abbreviations
  1. Introduction

  2. Health and Health Care
    Health Care Systems
    U.S. Health Care System
    Future of the U.S. Health Care System
    References
  3. Health Care Workforce

  4. Overview
    Physicians
    Nursing
    Physicians Assistants
    Health Care Workforce Outside the Hospital and Physician Office
    Conclusion
    References
  5. Hospitals and Other Health Care Institutions

  6. Introduction
    SOME NUMBERS
    Hospital Structure
    Public General Hospitals
    The Hospital in the Present Era
    Long-Term Care: The Example of Nursing Homes
    References
  7. Primary and Ambulatory Care

  8. Primary Care
    Ambulatory Care
    Conclusions
    References
  9. Government and the Health Care System

  10. Introduction
    Some History
    The Constitutional Basis of Government Authority in Health Care
    The Health Care Functions of Government
    The Federal Government and the Provision of Health Services
    State Governments' Role in Health Services
    Local Governments' Role in Health Services
    Problems in Public Health
    Conclusions
    References
  11. Financing and Payment of Health Care

  12. Introduction
    How Much is Spent
    Where the Money Comes From, Within the System
    Where the Money Goes
    How the Money is Paid Out: Providers, Payers, and Payments
    Conclusions
    References
  13. Health Care System Performance

  14. Introduction
    Quality of Health Care
    Equity of Health Care
    Efficiency of Health Care
    A National Scorecard
    Data and Information Technology
    Conclusion
    References
  15. From Prepaid Group Medical Practice to Managed Care

  16. Introduction
    Medical Group Practice
    Health Maintenance Organizations
    Managed Care
    Integrated Delivery Systems
    Managed Care Today
    Some Policy Issues in Managed Care
    References
  17. Health Care Reform

  18. Introduction
    History of Change
    National Health Insurance (NHI)
    Some Contemporary Approaches to NHI
    Looking Ahead
    References
    Epilogue
    Appendix I List of Critical Reports
    Appendix II Sources of Data
    Appendix III Glossary of Terms
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