{"product_id":"the-u-s-healthcare-system-isbn-9780470631522","title":"The U.S. Healthcare System","description":"\u003cp\u003e\u003cb\u003eProvides a diverse, multi-faceted approach to health care evaluation and management\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003ci\u003eThe U.S. Health Care System: Origins, Organization and Opportunities\u003c\/i\u003e provides a comprehensive introduction and resource for understanding healthcare management in the United States. It brings together the many \"moving parts\" of this large and varied system to provide both a bird's-eye view as well as relevant details of the complex mechanisms at work. By focusing on stakeholders and their interests, this book analyzes the value propositions of the buyers and sellers of healthcare products and services along with the interests of patients.\u003c\/p\u003e \u003cp\u003eThe book begins with a presentation of frameworks for understanding the structure of the healthcare system and its dynamic stakeholder inter-relationships. The chapters that follow each begin with their social and historical origins, so the reader can fully appreciate how that area evolved. The next sections on each topic describe the current environment and opportunities for improvement.\u003c\/p\u003e \u003cp\u003eThroughout, the learning objectives focus on three areas: frameworks for understanding issues, essential factual knowledge, and resources to keep the reader keep up to date.\u003c\/p\u003e \u003cp\u003eHealthcare is a rapidly evolving field, due to the regulatory and business environments as well as the advance of science. To keep the content current, online updates are provided at: \u003cb\u003ehealthcareinsights.md.\u003c\/b\u003e This website also offers a weekday blog of important\/interesting news and teaching notes\/class discussion suggestions for instructors who use the book as a text.\u003c\/p\u003e \u003cp\u003e\u003ci\u003eThe U.S. Health Care System: Origins, Organization and Opportunities\u003c\/i\u003e is an ideal textbook for healthcare courses in MBA, MPH, MHA, and public policy\/administration programs. In piloting the content, over the past several years the author has successfully used drafts of chapters in his Healthcare Systems course for MBA and MPH students at Northwestern University. The book is also useful for novice or seasoned suppliers, payers and providers who work across the healthcare field and want a wider or deeper understanding of the entire system.\u003c\/p\u003e \u003cp\u003eList of Exhibits xiii\u003c\/p\u003e \u003cp\u003eForeword xxi\u003c\/p\u003e \u003cp\u003eAcknowledgments xxiii\u003c\/p\u003e \u003cp\u003e\u003cb\u003eOne: \u003c\/b\u003e\u003cb\u003eUnderstanding and Managing Complex Healthcare Systems 1\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eDefinitions 2\u003c\/p\u003e \u003cp\u003eHealth System Structure and Features 7\u003c\/p\u003e \u003cp\u003eWho Pays? 8\u003c\/p\u003e \u003cp\u003eHow Much Is Paid? 11\u003c\/p\u003e \u003cp\u003eWho and What Is Covered? 12\u003c\/p\u003e \u003cp\u003eWhere Is Care Provided? 13\u003c\/p\u003e \u003cp\u003eWho Provides the Services and Products? 14\u003c\/p\u003e \u003cp\u003eStrategic Planning 17\u003c\/p\u003e \u003cp\u003eStakeholders 17\u003c\/p\u003e \u003cp\u003eHealth System Trade-offs and Value Propositions 20\u003c\/p\u003e \u003cp\u003ePutting It All Together 30\u003c\/p\u003e \u003cp\u003eSummary 32\u003c\/p\u003e \u003cp\u003e\u003cb\u003eTwo: \u003c\/b\u003e\u003cb\u003eDeterminants of Utilization of Healthcare Services 33\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eReasons Stakeholders Seek Healthcare 34\u003c\/p\u003e \u003cp\u003ePatient Characteristics That Influence Care-Seeking 36\u003c\/p\u003e \u003cp\u003eAge 37\u003c\/p\u003e \u003cp\u003eGender\/Sex 37\u003c\/p\u003e \u003cp\u003eRace 39\u003c\/p\u003e \u003cp\u003eIncome 41\u003c\/p\u003e \u003cp\u003eSocial Status 42\u003c\/p\u003e \u003cp\u003eEducation 43\u003c\/p\u003e \u003cp\u003eCulture and Beliefs 44\u003c\/p\u003e \u003cp\u003eMultifactorial Causes 46\u003c\/p\u003e \u003cp\u003eReducing Patient Demand for Healthcare 47\u003c\/p\u003e \u003cp\u003eIncrease Out-of-Pocket Expenses 47\u003c\/p\u003e \u003cp\u003ePrevention 51\u003c\/p\u003e \u003cp\u003eEliminate\/Reduce Risky Behaviors 51\u003c\/p\u003e \u003cp\u003eEnd-of-Life Issues 52\u003c\/p\u003e \u003cp\u003eHealthy Lifestyle Promotion 54\u003c\/p\u003e \u003cp\u003eConsumer Behavior—Healthcare Market Segmentation 54\u003c\/p\u003e \u003cp\u003eProvider-Induced Demand for Healthcare 56\u003c\/p\u003e \u003cp\u003eLocal (Small Area) Variations 61\u003c\/p\u003e \u003cp\u003eSummary 63\u003c\/p\u003e \u003cp\u003e\u003cb\u003eThree: \u003c\/b\u003e\u003cb\u003eManagerial Epidemiology 65\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 66\u003c\/p\u003e \u003cp\u003eWhat Is Epidemiology? 66\u003c\/p\u003e \u003cp\u003eWhy Is It Important to Learn about Epidemiology? 66\u003c\/p\u003e \u003cp\u003eDefinitions and Uses of Principles 67\u003c\/p\u003e \u003cp\u003eMorbidity and Mortality 67\u003c\/p\u003e \u003cp\u003eIncidence and Prevalence 67\u003c\/p\u003e \u003cp\u003eValidity 67\u003c\/p\u003e \u003cp\u003eReliability 68\u003c\/p\u003e \u003cp\u003eSensitivity, Specificity, Positive Predictive Value, and Negative Predictive Value 68\u003c\/p\u003e \u003cp\u003eClinical Study Designs 70\u003c\/p\u003e \u003cp\u003eCase Control Studies 70\u003c\/p\u003e \u003cp\u003eProblems with Observational Research 72\u003c\/p\u003e \u003cp\u003eBenefits to Employing Observational Research 73\u003c\/p\u003e \u003cp\u003eCohort Study 74\u003c\/p\u003e \u003cp\u003eRandomized Controlled Trial 78\u003c\/p\u003e \u003cp\u003eSummary 80\u003c\/p\u003e \u003cp\u003e\u003cb\u003eFour: \u003c\/b\u003e\u003cb\u003eHospitals and Healthcare Systems 81\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eA Brief History of Western Hospitals 82\u003c\/p\u003e \u003cp\u003eAmerican Hospital Expansion in the 20th Century 88\u003c\/p\u003e \u003cp\u003eHospital Definition and Classifications 94\u003c\/p\u003e \u003cp\u003eDefinition 94\u003c\/p\u003e \u003cp\u003eWays Hospitals May Be Classified and Special Related Issues 96\u003c\/p\u003e \u003cp\u003eHospital Inpatient Payment Methods 137\u003c\/p\u003e \u003cp\u003eOrganized (Integrated) Delivery Systems\/Accountable Care Organizations 139\u003c\/p\u003e \u003cp\u003eOrigins and Definition 139\u003c\/p\u003e \u003cp\u003eEligibility 143\u003c\/p\u003e \u003cp\u003eFinancial Arrangements 143\u003c\/p\u003e \u003cp\u003eHospital Governance 153\u003c\/p\u003e \u003cp\u003eDefinition and Purpose 153\u003c\/p\u003e \u003cp\u003eLegal Requirements 154\u003c\/p\u003e \u003cp\u003eResponsibilities 156\u003c\/p\u003e \u003cp\u003eBoard Structure and Activities 159\u003c\/p\u003e \u003cp\u003eSummary 161\u003c\/p\u003e \u003cp\u003e\u003cb\u003eFive: \u003c\/b\u003e\u003cb\u003eHealthcare Professionals 163\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003ePhysicians 164\u003c\/p\u003e \u003cp\u003eHistory of Western Medical Care 164\u003c\/p\u003e \u003cp\u003eHistory of American Medical Care 177\u003c\/p\u003e \u003cp\u003eCurrent Status of Medical Training 190\u003c\/p\u003e \u003cp\u003eLicensure 197\u003c\/p\u003e \u003cp\u003eShortage of Physicians 199\u003c\/p\u003e \u003cp\u003eEmployment Status 204\u003c\/p\u003e \u003cp\u003eSummary 206\u003c\/p\u003e \u003cp\u003eNurses 206\u003c\/p\u003e \u003cp\u003eRegistered Nurses 206\u003c\/p\u003e \u003cp\u003eNurse Practitioners 208\u003c\/p\u003e \u003cp\u003eNurse Anesthetists 209\u003c\/p\u003e \u003cp\u003eMidwives 210\u003c\/p\u003e \u003cp\u003eEducation and Certification 212\u003c\/p\u003e \u003cp\u003ePhysician Assistants 213\u003c\/p\u003e \u003cp\u003eEducation and Certification 214\u003c\/p\u003e \u003cp\u003ePhysician versus NP\/PA Care 215\u003c\/p\u003e \u003cp\u003eSummary 216\u003c\/p\u003e \u003cp\u003e\u003cb\u003eSix: \u003c\/b\u003e\u003cb\u003ePayers 219\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003ePrinciples of Health Insurance 220\u003c\/p\u003e \u003cp\u003eThe Loss Must Have Some Nontrivial Value Upon Which Both Insured and Insurer Agree 222\u003c\/p\u003e \u003cp\u003eThe Peril Must Occur Randomly and Be Out of the Control of the Insured 222\u003c\/p\u003e \u003cp\u003eThe Event Must Occur Neither Too Frequently Nor Too Rarely 225\u003c\/p\u003e \u003cp\u003eThe Insurer Must Be Able to Write Large Numbers of Contracts to Indemnify Similar Risks 226\u003c\/p\u003e \u003cp\u003eBackground and Current Status of Health Insurance in the United States 229\u003c\/p\u003e \u003cp\u003ePrivate Health Insurance 229\u003c\/p\u003e \u003cp\u003eMedicare 264\u003c\/p\u003e \u003cp\u003eMedicaid 318\u003c\/p\u003e \u003cp\u003eChildren’s Health Insurance Program: Social Security Title XXI 335\u003c\/p\u003e \u003cp\u003eOther Federally Sponsored Programs 337\u003c\/p\u003e \u003cp\u003eManaged Care 357\u003c\/p\u003e \u003cp\u003ePrinciples 361\u003c\/p\u003e \u003cp\u003eQuality and Safety 361\u003c\/p\u003e \u003cp\u003eSummary 381\u003c\/p\u003e \u003cp\u003e\u003cb\u003eSeven: \u003c\/b\u003e\u003cb\u003eHealthcare Technology 385\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eDefinition and Frameworks for Study 386\u003c\/p\u003e \u003cp\u003eMajor Trends in Healthcare Technology 388\u003c\/p\u003e \u003cp\u003eSafety 388\u003c\/p\u003e \u003cp\u003eHistory of Safety Problems and Corrective Legislation 390\u003c\/p\u003e \u003cp\u003eWhat Is Substantial Equivalence 404\u003c\/p\u003e \u003cp\u003eWhen a 510(k) Is Required 404\u003c\/p\u003e \u003cp\u003eBringing Healthcare Technology to Market 435\u003c\/p\u003e \u003cp\u003eEvolving Industry Structure 438\u003c\/p\u003e \u003cp\u003eGlobalization 444\u003c\/p\u003e \u003cp\u003eGenerics 444\u003c\/p\u003e \u003cp\u003eSpecialty Pharmaceuticals 446\u003c\/p\u003e \u003cp\u003ePatents 453\u003c\/p\u003e \u003cp\u003eGenomics and Precision Medicine 453\u003c\/p\u003e \u003cp\u003eDisruptive Innovation 458\u003c\/p\u003e \u003cp\u003eHealthcare Technology’s Contribution to Costs by Stage of Care 460\u003c\/p\u003e \u003cp\u003eOverview 460\u003c\/p\u003e \u003cp\u003eQuality-Adjusted Life Years 460\u003c\/p\u003e \u003cp\u003eCore Cost Issues 462\u003c\/p\u003e \u003cp\u003ePrevention 463\u003c\/p\u003e \u003cp\u003eScreening 464\u003c\/p\u003e \u003cp\u003eDiagnosis 464\u003c\/p\u003e \u003cp\u003eTreatment 466\u003c\/p\u003e \u003cp\u003eOther Considerations 470\u003c\/p\u003e \u003cp\u003eReligious Issues 470\u003c\/p\u003e \u003cp\u003eEthical Issues 470\u003c\/p\u003e \u003cp\u003eEnd-of-Life Costs 471\u003c\/p\u003e \u003cp\u003eMedia’s Role in Increasing Technology Costs 472\u003c\/p\u003e \u003cp\u003eMalpractice and Defensive Medicine 473\u003c\/p\u003e \u003cp\u003eSummary 474\u003c\/p\u003e \u003cp\u003e\u003cb\u003eEight: \u003c\/b\u003e\u003cb\u003eInformation Technology 475\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 476\u003c\/p\u003e \u003cp\u003eDefinitions 477\u003c\/p\u003e \u003cp\u003eBackground and Key Issues in Health Information Technology 479\u003c\/p\u003e \u003cp\u003eCollection, Classification, and Ordering of Data 479\u003c\/p\u003e \u003cp\u003eTerminology\/Coding 486\u003c\/p\u003e \u003cp\u003eInteroperability 492\u003c\/p\u003e \u003cp\u003eLessons Learned 529\u003c\/p\u003e \u003cp\u003eChallenges 529\u003c\/p\u003e \u003cp\u003eSustainability 529\u003c\/p\u003e \u003cp\u003eCertification 534\u003c\/p\u003e \u003cp\u003ePrivacy and Security of Information 537\u003c\/p\u003e \u003cp\u003eManagement Considerations 547\u003c\/p\u003e \u003cp\u003eOther Issues and Trends 549\u003c\/p\u003e \u003cp\u003eSummary 563\u003c\/p\u003e \u003cp\u003e\u003cb\u003eNine: \u003c\/b\u003e\u003cb\u003eQuality 565\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 566\u003c\/p\u003e \u003cp\u003eHistory of Healthcare Quality and Development of Key Concepts and Institutions 567\u003c\/p\u003e \u003cp\u003eAncient Origins 567\u003c\/p\u003e \u003cp\u003e1900–1950 568\u003c\/p\u003e \u003cp\u003e1950–1970s 574\u003c\/p\u003e \u003cp\u003e1980s and Total Quality Management 580\u003c\/p\u003e \u003cp\u003e1990s 589\u003c\/p\u003e \u003cp\u003e2000–2010 592\u003c\/p\u003e \u003cp\u003e2010–Present 605\u003c\/p\u003e \u003cp\u003eQuality of Care and the Public’s Health 623\u003c\/p\u003e \u003cp\u003eThe Centers for Disease Control and Prevention 623\u003c\/p\u003e \u003cp\u003eHealthy People 626\u003c\/p\u003e \u003cp\u003eDefinition of Quality 630\u003c\/p\u003e \u003cp\u003eKey Questions for Successful Evaluation and Implementation of Quality Measures 632\u003c\/p\u003e \u003cp\u003eChoosing Standards 633\u003c\/p\u003e \u003cp\u003eMonitoring Standards 637\u003c\/p\u003e \u003cp\u003eEvaluating Results 639\u003c\/p\u003e \u003cp\u003eVolume\/Quality Relationship 644\u003c\/p\u003e \u003cp\u003eManaging Quality Improvement 646\u003c\/p\u003e \u003cp\u003eValue Propositions 646\u003c\/p\u003e \u003cp\u003eCost–Quality Trade-off 648\u003c\/p\u003e \u003cp\u003eCost–Access Trade-off 648\u003c\/p\u003e \u003cp\u003eQuality–Access Trade-off 649\u003c\/p\u003e \u003cp\u003eSummary 649\u003c\/p\u003e \u003cp\u003eIndex 651\u003c\/p\u003e \u003cp\u003eStudents of American health care’s history, structure, organization, management, regulation, and financing face a daunting challenge, confounded by the complexity and scale of that industry.  Until now, a modern comprehensive source book covering all of that terrain and more has been missing. \u003c\/p\u003e \u003cp\u003eThe wait is over.  In The U.S. Healthcare System: Origins, Organization, and Opportunities, Professor Joel Shalowitz has provided a stunningly ambitious compendium with an unequaled combination of both scope and detail.  It covers both the current shape and the historical background of payment, classical and emerging organizational forms, professional roles, regulation, technology, efforts to measure, control, and improve the quality of care, and more.  It takes deep dives into the epidemiology of both disease and the utilization of care – important scientific foundations for proper health care policy and management.  Throughout it makes generous use of helpful figures and tables, as well as copious citations that mark this as a work of authentic scholarship.\u003c\/p\u003e \u003cp\u003eProfessor Shalowitz’s book is a must-have resource for the library of any health care scholar who wants to have ready and efficient access to the fundamental facts that shape American health care today.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eDonald M. Berwick, MD, MPP\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eFormer CMS Administrator\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eProfessor of Health Policy and Management, Harvard School of Public Health \u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePresident Emeritus and Senior Fellow, Institute for Healthcare Improvement, Boston, Massachusetts\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e \u003c\/p\u003e \u003cp\u003eFor anyone who picks up Joel Shalowitz’s book, The U.S. Healthcare System: Origins, Organization, and Opportunities, do NOT make the common mistake of skipping the prefatory material. The first two paragraphs of the “Foreword” (p. xxi) are worth the price of admission. As far as I am concerned, anyone teaching or taking an introductory survey course on our healthcare system needs to embrace and internalize the nuggets of wisdom here, obviously gleaned over thirty years of laboring on this topic.\u003c\/p\u003e \u003cp\u003eWhat are some these nuggets? First, we do not have a healthcare system. Rather, we have a series of inter-related parts that are not aligned in their goals and incentives. That means the parts don’t work together and are not meant to work together. What that means is abandon efforts to try to “align the incentives” of all the parties using payment changes and structural models; the divides go deeper than this. The lack of a system also means that the parts impact one another in sometimes opaque ways. This means that efforts to change this monster with simplistic, top-down programs that only address one part are likely to fail. Trying to get all parties to participate in some reform might resemble the idealistic scene depicted in Edward Hicks’ painting, “The Peaceable Kingdom” (with William Penn in the background!).\u003c\/p\u003e \u003cp\u003eSecond, there is nothing new in our healthcare system. As Yogi Berra reputedly said, “it is déjà vu all over again”. Many of the problems we are trying to tackle today (improving quality, increasing access, controlling cost increases) are similar to problems we have tried to tackle in the past. The fact that we are still tackling them - - without realizing that we have been down this road before, unsuccessfully - - should send out warning signs to everyone. These problems are intractable. The only problem is that managers, policy-makers, and students of U.S. healthcare don’t know the history and the lessons learned from the last time we tried to tackle these issues, and thus don’t know (to quote an old management text) “the ropes to skip and the ropes to know”.\u003c\/p\u003e \u003cp\u003eThese words are meant as praise for what Joel Shalowitz has achieved in this hefty tome. He takes nearly 700 pages to (a) present several important frameworks for understanding the U.S. healthcare system, (b) trace the history of this system, and (c) present the relevant fact base on its major sectors - - but with an emphasis on “understanding” how this system really works (or doesn’t work). Unlike other introductory texts, Joel has avoided the mindless presentation of statistics and charts. I do not think those help anyone; moreover, it is boring. Instead, his book is designed to be thoughtful and thought-provoking - - i.e., to help improve your critical thinking about our healthcare system through some important lessons.\u003c\/p\u003e \u003cp\u003eThe lessons come quickly in this book. Chapter 1 introduces the reader to the three main policy goals pursued by the U.S. (and every other country) for decades: higher quality, improved access, and restrained rate of growth in healthcare costs. This framework needs to be on everyone’s learning agenda, since every country endorses it as their strategic aim (but have not yet solved it). Joel immediately gets to the task of explaining what each of these complex goals consists of - - not an easy task, since they are multi-dimensional in nature. More importantly, he correctly (I think) characterizes this tripartite set of goals as inherently contradictory and involving tradeoffs in their accomplishment. This will come as unwelcome news to many people who want to have it all and\/or do not want to make tough choices. This is critical thinking that challenges many widely-held beliefs.\u003c\/p\u003e \u003cp\u003eChapter 1 also introduces you to the many stakeholders in the U.S. healthcare system. This analysis should sober readers that “alignment” - - one of the most overused words in our field - - is going to be difficult given the plurality of interests involved. Anyone one who has studied plural societies (those with many, different ethnic or religious groups) should understand the difficulties of bringing all parties together for a common goal. Indeed, one of the strengths of this book is to emphasize the presence of stakeholders and their plurality in our healthcare system. Their mere existence tells the reader that, as far as “alignment” goes, “we have trouble in River City”. Efforts to cut costs in one area of healthcare are likely to “gore someone else’s ox” (e.g., income) and therefore be opposed and perhaps thwarted.\u003c\/p\u003e \u003cp\u003eAnd this is just the Foreword and Chapter 1! I could go on further about why this book makes an enormous contribution. Chapters 2 and 3 deal with epidemiology - - a topic worthy of a physician author, but also important for an MBA business school audience that is interested in marketing (the managerial version of epidemiology). This should come as no surprise since Joel has co-authored another major text with Phil Kotler. Subsequent chapters (4 and 5) deal ably with the two biggest sources of spending in our healthcare system: hospitals (and hospital systems) and healthcare professionals. Chapters 6-8 then cover the multitude of payers, the multitude of technologies that need to be paid for, and (in particular) the advances in information technology. The final chapter does a deep-dive into the whole issue of quality - - how to measure it, how to manage it, and the tradeoffs necessitated in doing so.\u003c\/p\u003e \u003cp\u003eI should acknowledge my biases. Like Joel, I have been teaching an introductory survey course on the U.S. healthcare system for over 30 years. It may take us that long to really appreciate what working in this non-system means. And, like Joel, I believe an understanding of the history of the system is important for anyone trying to work within it, let along trying to change it. And, like Joel, I have labored at this task in major business schools trying to teach MBA students about the importance of this all. So, I am already predisposed to like this book. I wish I had written it.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eLawton R. Burns, PhD, MBA\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eJames Joo-Jin Kim Professor; Director, Wharton Center for Health Management and Economics; and \u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChairperson, Health Care Systems Department, Wharton School, University of Pennsylvania\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e \u003c\/p\u003e \u003cp\u003eThe U.S. Healthcare System: Origins, Organization and Opportunities is a tour de force— a must use textbook for those seeking to solve the problems of the U.S. health care system.\u003c\/p\u003e \u003cp\u003eIt discusses each of the major stakeholders in an accessible, detailed, and authoritative voice and presents a compelling framework for understanding how they function.\u003c\/p\u003e \u003cp\u003eCoupled with Professor Shalowitz’s daily blog, https:\/\/www.healthcareinsights.md, which discussed current healthcare issues, this book will make for the lively, informed discussions that students of U.S. healthcare have been looking for.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eRegina E. Herzlinger, PhD\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eNancy R. McPherson Professor of Business Administration, Harvard Business School\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e \u003c\/p\u003e \u003cp\u003eThis remarkably well-documented text provides important information and knowledge about the U.S. healthcare system within the context of historical developments and interpretative frameworks. The chapter on Managerial Epidemiology distinguishes [the book] from many other texts in the field, and there are particularly strong chapters on Payers, Technology, and Information Technology. The text will help readers understand and navigate the complexity of the U.S. healthcare system, why it has developed the way that it has, and some of the implications for its future evolution.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eStephen M. Shortell, PhD, MBA, MPH\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eDistinguished Professor of Health Policy and Management Emeritus\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eDean Emeritus School of Public Health\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eUniversity of California, Berkeley\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e \u003c\/p\u003e \u003cp\u003eNo matter if you’re a seasoned executive or just entering the health care workforce, this book provides critical context about the history of care delivery and payment methodologies. This understanding is essential as we consider our health care future as a country, and the author has some fascinating ideas about possible paths forward for our industry. \u003c\/p\u003e \u003cp\u003e\u003cb\u003eSusan Turney, MD, MS, FACP, FACPME\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eCEO of Marshfield Clinic Health System\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e \u003c\/p\u003e \u003cp\u003eTo anyone who wants to really  understand the U.S. healthcare system, Dr.  Shalowitz’s book is a “must read”. Having participated in the healthcare industry for 40 years, this is the first time I have found a book that is comprehensive, factual and well-written.”\u003c\/p\u003e \u003cp\u003e\u003cb\u003eHarry Kraemer, Jr., MBA\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eFormer Chairman \u0026amp; CEO, Baxter International \u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eClinical Professor of Leadership, Kellogg School of Management, Northwestern University\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eExecutive Partner at Madison Dearborn Partners\u003c\/b\u003e\u003c\/p\u003e   \u003cp\u003e\u003cb\u003eJOEL I. SHALOWITZ, MD, MBA, FACP,\u003c\/b\u003e was Clinical Professor and Director of the Health Industry Management Program at the Kellogg School of Management for 28 years. In addition to practicing internal medicine, he has also been on Northwestern's Feinberg Medical School's faculty for more than 35 years, most recently as Professor of Preventive Medicine. He teaches and consults internationally, was the recipient of three Fulbright awards, and is currently a Senior Fellow at ETLA (the Research Institute of the Finnish Economy) and an Affiliate Professor at the Institute of Management of the Scuola Superiore Sant'Anna in Pisa.    \u003c\/p\u003e\u003cp\u003e\u003cb\u003eProvides a diverse, multi-faceted approach to health care evaluation and management\u003c\/b\u003e \u003c\/p\u003e\u003cp\u003e\u003ci\u003eThe U.S. Health Care System: Origins, Organization and Opportunities\u003c\/i\u003e provides a comprehensive introduction and resource for understanding healthcare management in the United States. It brings together the many \"moving parts\" of this large and varied system to provide both a bird's-eye view as well as relevant details of the complex mechanisms at work. By focusing on stakeholders and their interests, this book analyzes the value propositions of the buyers and sellers of healthcare products and services along with the interests of patients. \u003c\/p\u003e\u003cp\u003eThe book begins with a presentation of frameworks for understanding the structure of the healthcare system and its dynamic stakeholder inter-relationships. The chapters that follow each begin with their social and historical origins, so the reader can fully appreciate how that area evolved. The next sections on each topic describe the current environment and opportunities for improvement.\u003ci\u003e\u003c\/i\u003e \u003c\/p\u003e\u003cp\u003eThroughout, the learning objectives focus on three areas: frameworks for understanding issues, essential factual knowledge, and resources to keep the reader keep up to date. \u003c\/p\u003e\u003cp\u003eHealthcare is a rapidly evolving field, due to the regulatory and business environments as well as the advance of science. To keep the content current, online updates are provided at: www.HealthcareInsights.MD. This website also offers a weekday blog of important\/interesting news and teaching notes\/class discussion suggestions for instructors who use the book as a text. \u003c\/p\u003e\u003cp\u003e\u003ci\u003eThe U.S. Health Care System: Origins, Organization and Opportunities\u003c\/i\u003e is an ideal textbook for healthcare courses in MBA, MPH, MHA, and public policy\/administration programs. In piloting the content, over the past several years the author has successfully used drafts of chapters in his Healthcare Systems course for MBA and MPH students at Northwestern University. The book is also useful for novice or seasoned suppliers, payers and providers who work across the healthcare field and want a wider or deeper understanding of the entire system.\u003c\/p\u003e","brand":"Jossey-Bass","offers":[{"title":"Default Title","offer_id":47990358737125,"sku":"NP9780470631522","price":79.5,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9780470631522.jpg?v=1761787502","url":"https:\/\/k12savings.com\/products\/the-u-s-healthcare-system-isbn-9780470631522","provider":"K12savings","version":"1.0","type":"link"}