{"product_id":"wiley-pathways-introduction-to-u-s-health-care-isbn-9780471790754","title":"Wiley Pathways Introduction to U.S. Health Care","description":"You can get there\u003cbr\u003e \u003cbr\u003e Where do you want to go? You might already be working in a health care or business setting. You may be looking to expand your skills. Or, you might be setting out on a new career path.\u003cbr\u003e \u003cbr\u003e Wherever you want to go, Introduction to U.S. Health Care will help you get there. Easy-to-read, practical, and up-to-date, this text not only helps you learn fundamental concepts of the American health care system; it also helps you master the core competencies and skills you need to succeed in the classroom and beyond. The book's brief, modular format and variety of built-in learning resources enable you to learn at your own pace and focus your studies.\u003cbr\u003e \u003cbr\u003e With this book, you will be able to:\u003cbr\u003e * Understand the role of governing boards and the challenges they face.\u003cbr\u003e * Compare and contrast the primary-care and specialty-care models.\u003cbr\u003e * Explore recent health care reforms that affect the primary-care model.\u003cbr\u003e * Examine how we pay for health care.\u003cbr\u003e * Learn about the many different roles played by the health care workforce.\u003cbr\u003e * Discover how medical miracles are financed.\u003cbr\u003e * Trace the evolution of hospitals throughout the nation's history and through their current state.\u003cbr\u003e * Assess the reasons behind the growing reliance on ambulatory care.\u003cbr\u003e * Understand who needs long-term care, why, and what the choices are.\u003cbr\u003e * Explore the challenges of providing health services for society's most vulnerable groups.\u003cbr\u003e * Identify obstacles in caring for the uninsured.\u003cbr\u003e * Examine the types of managed care organizations, such as HMOs, PPOs, and POS plans.\u003cbr\u003e * Explore current and future challenges for the health care industry.\u003cbr\u003e * Understand the impact of new and emerging laws, regulations, and initiatives.\u003cbr\u003e \u003cbr\u003e Wiley Pathways helps you achieve your goals\u003cbr\u003e \u003cbr\u003e When it comes to learning about health care, not everyone is on the same path. But everyone wants to succeed. The new Wiley Pathways series in Health Care Management helps you achieve your goals with its brief, inviting format, clear language, and focus on core competencies and skills.\u003cbr\u003e \u003cbr\u003e The books in this series--Introduction to U.S. Health Care, Health Care Economics, Health Care Management, and Health Care Law and Ethics--offer a coordinated curriculum for learning health care management. Learn more at www.wiley.com\/go\/pathways. \u003cp\u003e\u003cb\u003ePart I: Foundations 1\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e1 The U.S Health Care System 1\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 2\u003c\/p\u003e \u003cp\u003e1.1 Gauging the Size of the Health Care Industry 2\u003c\/p\u003e \u003cp\u003eSelf-Check 4\u003c\/p\u003e \u003cp\u003e1.2 Balancing Public and Private Health: Health Care Organizations 4\u003c\/p\u003e \u003cp\u003e1.2.1 Protecting Populations: Public Health Care Organizations 5\u003c\/p\u003e \u003cp\u003e1.2.2 Serving Individuals: Private Health Care Organizations 5\u003c\/p\u003e \u003cp\u003eSelf-Check 8\u003c\/p\u003e \u003cp\u003e1.3 Identifying Health Systems 9\u003c\/p\u003e \u003cp\u003e1.3.1 Types of Health Systems 9\u003c\/p\u003e \u003cp\u003e1.3.2 Forming Health Systems 10\u003c\/p\u003e \u003cp\u003eSelf-Check 11\u003c\/p\u003e \u003cp\u003e1.4 Classifying Health Care Industry Sectors 11\u003c\/p\u003e \u003cp\u003e1.4.1 Financing 11\u003c\/p\u003e \u003cp\u003e1.4.2 Institutional Providers 12\u003c\/p\u003e \u003cp\u003e1.4.3 Individual Providers 12\u003c\/p\u003e \u003cp\u003e1.4.4 Public Health Agencies 13\u003c\/p\u003e \u003cp\u003e1.4.5 Enablers 13\u003c\/p\u003e \u003cp\u003e1.4.6 Suppliers 13\u003c\/p\u003e \u003cp\u003e1.4.7 Regulators 13\u003c\/p\u003e \u003cp\u003eSelf-Check 14\u003c\/p\u003e \u003cp\u003e1.5 Defining Health and Disease 15\u003c\/p\u003e \u003cp\u003e1.5.1 Causes of Disease 15\u003c\/p\u003e \u003cp\u003e1.5.2 Analyzing U.S Health and Disease Status 16\u003c\/p\u003e \u003cp\u003eSelf-Check 18\u003c\/p\u003e \u003cp\u003e1.6 Accessing Health Services in the United States 19\u003c\/p\u003e \u003cp\u003e1.6.1 Triggers to Utilizing the Health Care System 19\u003c\/p\u003e \u003cp\u003e1.6.2 Factors Affecting Utilization 20\u003c\/p\u003e \u003cp\u003e1.6.3 The Role of Health Services Administration Research 21\u003c\/p\u003e \u003cp\u003eSelf-Check 23\u003c\/p\u003e \u003cp\u003eSummary 23\u003c\/p\u003e \u003cp\u003eKey Terms 23\u003c\/p\u003e \u003cp\u003eSummary Questions 25\u003c\/p\u003e \u003cp\u003eReview Questions 27\u003c\/p\u003e \u003cp\u003eApplying This Chapter 28\u003c\/p\u003e \u003cp\u003eYou Try It 29\u003c\/p\u003e \u003cp\u003e\u003cb\u003e2 Boards and Governance 30\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 31\u003c\/p\u003e \u003cp\u003e2.1 Understanding the Role of Governing Boards 31\u003c\/p\u003e \u003cp\u003e2.1.1 Determining Mission, Vision, and Values 32\u003c\/p\u003e \u003cp\u003e2.1.2 Ensuring Management Performance 33\u003c\/p\u003e \u003cp\u003e2.1.3 Ensuring Quality of Care 34\u003c\/p\u003e \u003cp\u003e2.1.4 Ensuring Financial Health 34\u003c\/p\u003e \u003cp\u003eSelf-Check 35\u003c\/p\u003e \u003cp\u003e2.2 Board Composition, Structure, and Infrastructure 35\u003c\/p\u003e \u003cp\u003e2.2.1 Health Systems 36\u003c\/p\u003e \u003cp\u003e2.2.2 Hospitals 37\u003c\/p\u003e \u003cp\u003eSelf-Check 38\u003c\/p\u003e \u003cp\u003e2.3 Challenges Facing Boards 39\u003c\/p\u003e \u003cp\u003e2.3.1 Liability of Board Members 39\u003c\/p\u003e \u003cp\u003e2.3.2 Reporting and Disclosure of Accounting Information 40\u003c\/p\u003e \u003cp\u003e2.3.3 Conflict of Interest 40\u003c\/p\u003e \u003cp\u003e2.3.4 Board Performance 41\u003c\/p\u003e \u003cp\u003eSelf-Check 41\u003c\/p\u003e \u003cp\u003eSummary 41\u003c\/p\u003e \u003cp\u003eKey Terms 41\u003c\/p\u003e \u003cp\u003eSummary Questions 44\u003c\/p\u003e \u003cp\u003eReview Questions 44\u003c\/p\u003e \u003cp\u003eApplying This Chapter 45\u003c\/p\u003e \u003cp\u003eYou Try It 46\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePart II: Health Care Organization and Financing 47\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e3 Health Care Provision 47\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 48\u003c\/p\u003e \u003cp\u003e3.1 Health Provision at a Glance: Specialty-Care versus Primary-Care 48\u003c\/p\u003e \u003cp\u003e3.1.1 Primary-Care Model 49\u003c\/p\u003e \u003cp\u003e3.1.2 Specialty-Care Model 49\u003c\/p\u003e \u003cp\u003eSelf-Check 50\u003c\/p\u003e \u003cp\u003e3.2 Primary Care Reforms in the United States 50\u003c\/p\u003e \u003cp\u003e3.2.1 Benefits of the Primary Care Model 51\u003c\/p\u003e \u003cp\u003e3.2.2 Predicting Primary Care’s Future in the United States 52\u003c\/p\u003e \u003cp\u003eSelf-Check 52\u003c\/p\u003e \u003cp\u003e3.3 Performance of the Primary Care Model in the United States 52\u003c\/p\u003e \u003cp\u003e3.3.1 Accessibility 53\u003c\/p\u003e \u003cp\u003e3.3.2 Continuity 53\u003c\/p\u003e \u003cp\u003e3.3.3 Comprehensiveness 54\u003c\/p\u003e \u003cp\u003e3.3.4 Coordination 54\u003c\/p\u003e \u003cp\u003e3.3.5 Accountability to the Community 54\u003c\/p\u003e \u003cp\u003e3.3.6 Its Effect on Primary Care Providers 55\u003c\/p\u003e \u003cp\u003eSelf-Check 55\u003c\/p\u003e \u003cp\u003e3.4 Primary Care Innovations 55\u003c\/p\u003e \u003cp\u003e3.4.1 The Primary Care Team 55\u003c\/p\u003e \u003cp\u003e3.4.2 Chronic Care Model and Collaborative Care 56\u003c\/p\u003e \u003cp\u003eSelf-Check 57\u003c\/p\u003e \u003cp\u003e3.5 Identifying the PCP 57\u003c\/p\u003e \u003cp\u003e3.5.1 Permeable Boundaries Between Generalist, Specialist, and Other Functions 58\u003c\/p\u003e \u003cp\u003e3.5.2 Specialists Providing Primary Care 58\u003c\/p\u003e \u003cp\u003e3.5.3 Generalists Providing Secondary Care 58\u003c\/p\u003e \u003cp\u003e3.5.4 Hospitalists Dedicated to General Inpatient Care 59\u003c\/p\u003e \u003cp\u003e3.5.5 Nonphysician Primary Care Clinicians 60\u003c\/p\u003e \u003cp\u003eSelf-Check 60\u003c\/p\u003e \u003cp\u003e3.6 PCPs and the Populations They Serve 60\u003c\/p\u003e \u003cp\u003e3.6.1 Health Profession Shortage Areas (HPSAs) 61\u003c\/p\u003e \u003cp\u003e3.6.2 Federal and State Strategies 62\u003c\/p\u003e \u003cp\u003eSelf-Check 63\u003c\/p\u003e \u003cp\u003eSummary 63\u003c\/p\u003e \u003cp\u003eKey Terms 64\u003c\/p\u003e \u003cp\u003eSummary Questions 66\u003c\/p\u003e \u003cp\u003eReview Questions 68\u003c\/p\u003e \u003cp\u003eApplying This Chapter 72\u003c\/p\u003e \u003cp\u003eYou Try It 73\u003c\/p\u003e \u003cp\u003e\u003cb\u003e4 Financing the U.S Health Care System 74\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 75\u003c\/p\u003e \u003cp\u003e4.1 Changing Economic Dynamics 75\u003c\/p\u003e \u003cp\u003e4.1.1 Increasing Expenditures 76\u003c\/p\u003e \u003cp\u003e4.1.2 Reasons for the Increase 77\u003c\/p\u003e \u003cp\u003e4.1.3 Affecting How Health Care is Financed 79\u003c\/p\u003e \u003cp\u003eSelf-Check 80\u003c\/p\u003e \u003cp\u003e4.2 Flow of Funds through the System 80\u003c\/p\u003e \u003cp\u003e4.2.1 Where the Money Comes From 80\u003c\/p\u003e \u003cp\u003e4.2.2 Where the Money Goes 82\u003c\/p\u003e \u003cp\u003e4.2.3 How It Gets There 82\u003c\/p\u003e \u003cp\u003eSelf-Check 84\u003c\/p\u003e \u003cp\u003e4.3 Examining Who Has Health Insurance 84\u003c\/p\u003e \u003cp\u003eSelf-Check 87\u003c\/p\u003e \u003cp\u003e4.4 Categorizing Health Insurance Plans 87\u003c\/p\u003e \u003cp\u003e4.4.1 Indemnity plan 88\u003c\/p\u003e \u003cp\u003e4.4.2 Service Benefit Plan 89\u003c\/p\u003e \u003cp\u003e4.4.3 Managed Care Plan 90\u003c\/p\u003e \u003cp\u003eSelf-Check 91\u003c\/p\u003e \u003cp\u003e4.5 Private Insurance Coverage: Voluntary Health Insurance (VHI) 92\u003c\/p\u003e \u003cp\u003e4.5.1 Types of VHI Plans 92\u003c\/p\u003e \u003cp\u003e4.5.2 Coverage Variations in VHI Plans 93\u003c\/p\u003e \u003cp\u003eSelf-Check 94\u003c\/p\u003e \u003cp\u003e4.6 Government Insurance Programs: Medicare and Medicaid 94\u003c\/p\u003e \u003cp\u003e4.6.1 Social Health Insurance: Medicare 94\u003c\/p\u003e \u003cp\u003e4.6.2 Welfare Insurance: Medicaid 96\u003c\/p\u003e \u003cp\u003eSelf-Check 98\u003c\/p\u003e \u003cp\u003e4.7 Health Maintenance Organizations (HMOs) 99\u003c\/p\u003e \u003cp\u003e4.7.1 HMO Growth 99\u003c\/p\u003e \u003cp\u003e4.7.2 HMO Models 99\u003c\/p\u003e \u003cp\u003eSelf-Check 101\u003c\/p\u003e \u003cp\u003eSummary 101\u003c\/p\u003e \u003cp\u003eKey Terms 102\u003c\/p\u003e \u003cp\u003eSummary Questions 104\u003c\/p\u003e \u003cp\u003eReview Questions 107\u003c\/p\u003e \u003cp\u003eApplying This Chapter 108\u003c\/p\u003e \u003cp\u003eYou Try It 109\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePart III: Health Care Resources 110\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e5 The Health Care Workforce 110\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 111\u003c\/p\u003e \u003cp\u003e5.1 Sizing Up the Workforce 111\u003c\/p\u003e \u003cp\u003eSelf-Check 114\u003c\/p\u003e \u003cp\u003e5.2 Understanding the Role of the Physician 114\u003c\/p\u003e \u003cp\u003e5.2.1 Counting All Doctors 114\u003c\/p\u003e \u003cp\u003e5.2.2 Specialists 116\u003c\/p\u003e \u003cp\u003e5.2.3 General practitioners 117\u003c\/p\u003e \u003cp\u003e5.2.4 Hospitalists 118\u003c\/p\u003e \u003cp\u003eSelf-Check 118\u003c\/p\u003e \u003cp\u003e5.3 Training Doctors 118\u003c\/p\u003e \u003cp\u003e5.3.1 Medical School 119\u003c\/p\u003e \u003cp\u003e5.3.2 Residency and Fellowship 119\u003c\/p\u003e \u003cp\u003eSelf-Check 121\u003c\/p\u003e \u003cp\u003e5.4 Nurses 121\u003c\/p\u003e \u003cp\u003e5.4.1 Registered Nurses (RNs) 121\u003c\/p\u003e \u003cp\u003e5.4.2 Training Requirements 123\u003c\/p\u003e \u003cp\u003e5.4.3 Where the Nurses are 123\u003c\/p\u003e \u003cp\u003e5.4.4 Other Nursing Personnel: LPNs and LVNs 124\u003c\/p\u003e \u003cp\u003eSelf-Check 125\u003c\/p\u003e \u003cp\u003e5.5 Other Independent Health Professionals 125\u003c\/p\u003e \u003cp\u003e5.5.1 Dentists 126\u003c\/p\u003e \u003cp\u003e5.5.2 Chiropractors 126\u003c\/p\u003e \u003cp\u003e5.5.3 Optometrists 127\u003c\/p\u003e \u003cp\u003e5.5.4 Podiatrists 127\u003c\/p\u003e \u003cp\u003e5.5.5 Pharmacists 128\u003c\/p\u003e \u003cp\u003eSelf-Check 129\u003c\/p\u003e \u003cp\u003e5.6 Working in Concert with Physicians 129\u003c\/p\u003e \u003cp\u003e5.6.1 Physical Therapists 129\u003c\/p\u003e \u003cp\u003e5.6.2 Physician Assistants 130\u003c\/p\u003e \u003cp\u003eSelf-Check 131\u003c\/p\u003e \u003cp\u003eSummary 131\u003c\/p\u003e \u003cp\u003eKey Terms 132\u003c\/p\u003e \u003cp\u003eSummary Questions 135\u003c\/p\u003e \u003cp\u003eReview Questions 137\u003c\/p\u003e \u003cp\u003eApplying This Chapter 139\u003c\/p\u003e \u003cp\u003eYou Try It 140\u003c\/p\u003e \u003cp\u003e\u003cb\u003e6 Research and Technology 141\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 142\u003c\/p\u003e \u003cp\u003e6.1 Understanding Medical Research 142\u003c\/p\u003e \u003cp\u003e6.1.1 Advances in Knowledge 143\u003c\/p\u003e \u003cp\u003e6.1.2 Advances in Diagnostic Techniques 145\u003c\/p\u003e \u003cp\u003e6.1.3 Advances in Treatment Options and\u003c\/p\u003e \u003cp\u003eTherapeutic Interventions 146\u003c\/p\u003e \u003cp\u003e6.1.4 Advances in Pharmaceuticals 147\u003c\/p\u003e \u003cp\u003e6.1.5 Advances in Information and Communication Technologies 147\u003c\/p\u003e \u003cp\u003eSelf-Check 149\u003c\/p\u003e \u003cp\u003e6.2 Research Facilities 149\u003c\/p\u003e \u003cp\u003e6.2.1 Public Research Facilities: National Institutes of Health (NIHs) 149\u003c\/p\u003e \u003cp\u003e6.2.2 Academic Health Centers 151\u003c\/p\u003e \u003cp\u003e6.2.3 Private Research Facilities 152\u003c\/p\u003e \u003cp\u003e6.2.4 Core Facilities 152\u003c\/p\u003e \u003cp\u003eSelf-Check 153\u003c\/p\u003e \u003cp\u003e6.3 Funding Research: Knowing Where the Money Comes From 153\u003c\/p\u003e \u003cp\u003e6.3.1 Public Funds 153\u003c\/p\u003e \u003cp\u003e6.3.2 Private Donors\/Benefactors 154\u003c\/p\u003e \u003cp\u003eSelf-Check 155\u003c\/p\u003e \u003cp\u003e6.4 Assessment and Challenges of Continuing Medical Advancement 155\u003c\/p\u003e \u003cp\u003e6.4.1 The Shift from Public to Private Research Endeavors 155\u003c\/p\u003e \u003cp\u003e6.4.2 Issues Regarding Research in General Internal Medicine 155\u003c\/p\u003e \u003cp\u003e6.4.3 The Impact on Academic Health Centers 156\u003c\/p\u003e \u003cp\u003e6.4.4 Cost To Health Care 156\u003c\/p\u003e \u003cp\u003eSelf-Check 157\u003c\/p\u003e \u003cp\u003eSummary 158\u003c\/p\u003e \u003cp\u003eKey Terms 158\u003c\/p\u003e \u003cp\u003eSummary Questions 159\u003c\/p\u003e \u003cp\u003eReview Questions 161\u003c\/p\u003e \u003cp\u003eApplying This Chapter 162\u003c\/p\u003e \u003cp\u003eYou Try It 164\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePart IV: The Health Care Delivery System 165\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e7 Hospitals in the U.S. 165\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 166\u003c\/p\u003e \u003cp\u003e7.1 The Evolution of Hospitals in the U.S 166\u003c\/p\u003e \u003cp\u003e7.1.1 Forming Hospitals: the Refuge Stage 166\u003c\/p\u003e \u003cp\u003e7.1.2 Hospitals As the Center of Health Care: Physician Workshop Stage 168\u003c\/p\u003e \u003cp\u003e7.1.3 Becoming More Business Oriented: The Business Stage 169\u003c\/p\u003e \u003cp\u003e7.1.4 Managing Complex Systems: The System Stage 169\u003c\/p\u003e \u003cp\u003eSelf-Check 170\u003c\/p\u003e \u003cp\u003e7.2 Components and Cost of American Hospitals 170\u003c\/p\u003e \u003cp\u003e7.2.1 Hospital Components 170\u003c\/p\u003e \u003cp\u003e7.2.2 Hospital Costs 171\u003c\/p\u003e \u003cp\u003eSelf-Check 172\u003c\/p\u003e \u003cp\u003e7.3 Classifying Hospitals 173\u003c\/p\u003e \u003cp\u003e7.3.1 Length of Stay: Short-and Long-Term Hospitals 174\u003c\/p\u003e \u003cp\u003e7.3.2 Type of Service: General and Specialty Hospitals 174\u003c\/p\u003e \u003cp\u003e7.3.3 Ownership: Nonprofit, Proprietary, and Governmental 175\u003c\/p\u003e \u003cp\u003eSelf-Check 176\u003c\/p\u003e \u003cp\u003e7.4 Care and Competition in the Twenty-First Century 177\u003c\/p\u003e \u003cp\u003e7.4.1 Hospital Care 177\u003c\/p\u003e \u003cp\u003e7.4.2 Competition in Health Care 178\u003c\/p\u003e \u003cp\u003eSelf-Check 179\u003c\/p\u003e \u003cp\u003eSummary 179\u003c\/p\u003e \u003cp\u003eKey Terms 180\u003c\/p\u003e \u003cp\u003eSummary Questions 182\u003c\/p\u003e \u003cp\u003eReview Questions 183\u003c\/p\u003e \u003cp\u003eApplying This Chapter 184\u003c\/p\u003e \u003cp\u003eYou Try It 185\u003c\/p\u003e \u003cp\u003e\u003cb\u003e8 Ambulatory Care 186\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 187\u003c\/p\u003e \u003cp\u003e8.1 Understanding Ambulatory Care 187\u003c\/p\u003e \u003cp\u003e8.1.1 The Growing Reliance on Ambulatory Care 188\u003c\/p\u003e \u003cp\u003e8.1.2 Accessing Ambulatory Care 189\u003c\/p\u003e \u003cp\u003e8.1.3 Paying For Ambulatory Care 189\u003c\/p\u003e \u003cp\u003e8.1.4 Ambulatory Care Accreditation 190\u003c\/p\u003e \u003cp\u003eSelf-Check 191\u003c\/p\u003e \u003cp\u003e8.2 Ambulatory Care Settings and Providers 191\u003c\/p\u003e \u003cp\u003e8.2.1 Physician Offices: Solo and Group Practices 192\u003c\/p\u003e \u003cp\u003e8.2.2 Emergency Rooms and Hospital Outpatient Departments 193\u003c\/p\u003e \u003cp\u003e8.2.3 Urgent Care Facilities 194\u003c\/p\u003e \u003cp\u003e8.2.4 Same-Day Surgery Centers 194\u003c\/p\u003e \u003cp\u003e8.2.5 Community Health Centers and Clinics 195\u003c\/p\u003e \u003cp\u003e8.2.6 Student Health Centres or Clinics 196\u003c\/p\u003e \u003cp\u003e8.2.7 Occupational Health Programs 197\u003c\/p\u003e \u003cp\u003eSelf-Check 197\u003c\/p\u003e \u003cp\u003e8.3 Home Health and Visiting Nurse Agencies 197\u003c\/p\u003e \u003cp\u003eSelf-Check 199\u003c\/p\u003e \u003cp\u003eSummary 199\u003c\/p\u003e \u003cp\u003eKey Terms 200\u003c\/p\u003e \u003cp\u003eSummary Questions 201\u003c\/p\u003e \u003cp\u003eReview Questions 202\u003c\/p\u003e \u003cp\u003eApplying This Chapter 204\u003c\/p\u003e \u003cp\u003eYou Try It 205\u003c\/p\u003e \u003cp\u003e\u003cb\u003e9 Long-Term Care 206\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 207\u003c\/p\u003e \u003cp\u003e9.1 Understanding Long-Term Care 207\u003c\/p\u003e \u003cp\u003e9.1.1 Typical Long-Term Care Services 207\u003c\/p\u003e \u003cp\u003e9.1.2 People Who Need Long-Term Care 208\u003c\/p\u003e \u003cp\u003eSelf-Check 209\u003c\/p\u003e \u003cp\u003e9.2 Personal Care Facilities 209\u003c\/p\u003e \u003cp\u003e9.2.1 Assisted Living Facilities 210\u003c\/p\u003e \u003cp\u003e9.2.2 Continuing Care Retirement Communities (CCRCs) 210\u003c\/p\u003e \u003cp\u003e9.2.3 Congregate Care Facilities 211\u003c\/p\u003e \u003cp\u003e9.2.4 Nursing Homes 211\u003c\/p\u003e \u003cp\u003e9.2.5 Alzheimer’s \/Dementia Facilities 213\u003c\/p\u003e \u003cp\u003eSelf-Check 214\u003c\/p\u003e \u003cp\u003e9.3 Community-Based and Home Health Care 214\u003c\/p\u003e \u003cp\u003e9.3.1 Receiving Care at Home 215\u003c\/p\u003e \u003cp\u003e9.3.2 Taking Advantage of Community-Based Care 216\u003c\/p\u003e \u003cp\u003eSelf-Check 218\u003c\/p\u003e \u003cp\u003e9.4 Rehabilitation Centers 218\u003c\/p\u003e \u003cp\u003eSelf-Check 219\u003c\/p\u003e \u003cp\u003e9.5 Hospice Care 219\u003c\/p\u003e \u003cp\u003e9.5.1 Hospice Service Providers 219\u003c\/p\u003e \u003cp\u003e9.5.2 Hospice Services 220\u003c\/p\u003e \u003cp\u003e9.5.3 Accessing Hospice Care 221\u003c\/p\u003e \u003cp\u003e9.5.4 Financing Hospice Care 222\u003c\/p\u003e \u003cp\u003eSelf-Check 222\u003c\/p\u003e \u003cp\u003eSummary 222\u003c\/p\u003e \u003cp\u003eKey Terms 222\u003c\/p\u003e \u003cp\u003eSummary Questions 225\u003c\/p\u003e \u003cp\u003eReview Questions 226\u003c\/p\u003e \u003cp\u003eApplying This Chapter 227\u003c\/p\u003e \u003cp\u003eYou Try It 229\u003c\/p\u003e \u003cp\u003e\u003cb\u003e10 Caring For Special Populations 230\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 231\u003c\/p\u003e \u003cp\u003e10.1 Caring For Mentally Ill Patients 231\u003c\/p\u003e \u003cp\u003e10.1.1 Providing Mental Health Services 231\u003c\/p\u003e \u003cp\u003e10.1.2 Paying For Mental Health Services 234\u003c\/p\u003e \u003cp\u003e10.1.3 Challenges To Accessing And Providing Care For Mentally Ill Patients 235\u003c\/p\u003e \u003cp\u003e10.1.4 Legal Issues Regarding Health Care for Mentally Ill Patients 237\u003c\/p\u003e \u003cp\u003eSelf-Check 239\u003c\/p\u003e \u003cp\u003e10.2 Homeless Patients 239\u003c\/p\u003e \u003cp\u003e10.2.1 Health Issues in the Homeless Population 240\u003c\/p\u003e \u003cp\u003e10.2.2 Challenges in Providing Health Care to Homeless 240\u003c\/p\u003e \u003cp\u003eSelf-Check 241\u003c\/p\u003e \u003cp\u003e10.3 Veterans 241\u003c\/p\u003e \u003cp\u003e10.3.1 Health Issues For Veterans 241\u003c\/p\u003e \u003cp\u003e10.3.2 Challenges in Providing Health Care to Veterans 242\u003c\/p\u003e \u003cp\u003eSelf-Check 243\u003c\/p\u003e \u003cp\u003e10.4 Immigrants 243\u003c\/p\u003e \u003cp\u003e10.4.1 Challenges in Providing Health Care to Immigrants 243\u003c\/p\u003e \u003cp\u003e10.4.2 Legal Issues Regarding Health Care for Immigrants 244\u003c\/p\u003e \u003cp\u003eSelf-Check 245\u003c\/p\u003e \u003cp\u003e10.5 Caring For Other Special Populations 245\u003c\/p\u003e \u003cp\u003e10.5.1 People With AIDS and HIV 245\u003c\/p\u003e \u003cp\u003e10.5.2 Victims of Violence 246\u003c\/p\u003e \u003cp\u003eSelf-Check 246\u003c\/p\u003e \u003cp\u003eSummary 247\u003c\/p\u003e \u003cp\u003eKey Terms 247\u003c\/p\u003e \u003cp\u003eSummary Questions 249\u003c\/p\u003e \u003cp\u003eReview Questions 251\u003c\/p\u003e \u003cp\u003eApplying This Chapter 251\u003c\/p\u003e \u003cp\u003eYou Try It 253\u003c\/p\u003e \u003cp\u003e\u003cb\u003e11 Caring For Uninsured Patients 254\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 255\u003c\/p\u003e \u003cp\u003e11.1 Identifying Uninsured Patients 255\u003c\/p\u003e \u003cp\u003eSelf-Check 257\u003c\/p\u003e \u003cp\u003e11.2 Accessing Health Care When Uninsured 257\u003c\/p\u003e \u003cp\u003e11.2.1 Community Health Centers and Clinics 257\u003c\/p\u003e \u003cp\u003e11.2.2 Urgent Care Facilities 257\u003c\/p\u003e \u003cp\u003e11.2.3 Emergency Rooms 258\u003c\/p\u003e \u003cp\u003eSelf-Check 260\u003c\/p\u003e \u003cp\u003e11.3 Challenges in Providing Health Care to Uninsured Patients 260\u003c\/p\u003e \u003cp\u003e11.3.1 Health-Related Challenges 260\u003c\/p\u003e \u003cp\u003e11.3.2 Financial-Related Challenges 261\u003c\/p\u003e \u003cp\u003eSelf-Check 263\u003c\/p\u003e \u003cp\u003e11.4 Legal Issues and Uninsured Patients 263\u003c\/p\u003e \u003cp\u003eSelf-Check 264\u003c\/p\u003e \u003cp\u003eSummary 264\u003c\/p\u003e \u003cp\u003eKey Terms 264\u003c\/p\u003e \u003cp\u003eSummary Questions 266\u003c\/p\u003e \u003cp\u003eReview Questions 267\u003c\/p\u003e \u003cp\u003eApplying This Chapter 267\u003c\/p\u003e \u003cp\u003eYou Try It 268\u003c\/p\u003e \u003cp\u003e\u003cb\u003e12 Managed Care 269\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 270\u003c\/p\u003e \u003cp\u003e12.1 Understanding Managed Care 270\u003c\/p\u003e \u003cp\u003e12.1.1 Controlling Costs 270\u003c\/p\u003e \u003cp\u003e12.1.2 Ensuring Quality 271\u003c\/p\u003e \u003cp\u003e12.1.3 Understanding How Managed Care Works 272\u003c\/p\u003e \u003cp\u003eSelf-Check 272\u003c\/p\u003e \u003cp\u003e12.2 Types of Managed Care Organizations 273\u003c\/p\u003e \u003cp\u003e12.2.1 Health Maintenance Organizations (HMOs) 273\u003c\/p\u003e \u003cp\u003e12.2.2 Preferred Provider Organizations (PPOs) 275\u003c\/p\u003e \u003cp\u003e12.2.3 Point-Of-Service (POS) Plans 275\u003c\/p\u003e \u003cp\u003eSelf-Check 276\u003c\/p\u003e \u003cp\u003e12.3 Assessing the Performance of Managed Care 276\u003c\/p\u003e \u003cp\u003e12.3.1 Impact on Quality and Cost 276\u003c\/p\u003e \u003cp\u003e12.3.2 Impact on Physicians and Health Care Providers 277\u003c\/p\u003e \u003cp\u003e12.3.3 The Future of Managed Care 278\u003c\/p\u003e \u003cp\u003eSelf-Check 278\u003c\/p\u003e \u003cp\u003eSummary 279\u003c\/p\u003e \u003cp\u003eKey Terms 279\u003c\/p\u003e \u003cp\u003eSummary Questions 281\u003c\/p\u003e \u003cp\u003eReview Questions 282\u003c\/p\u003e \u003cp\u003eApplying This Chapter 284\u003c\/p\u003e \u003cp\u003eYou Try It 285\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePart V: Challenges Of US Health Care 286\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e13 Promoting Health And Preventing Disease 286\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 287\u003c\/p\u003e \u003cp\u003e13.1 Growing Complexity of the U.S Health Care System 287\u003c\/p\u003e \u003cp\u003e13.1.1 The Effect on Governing Boards 288\u003c\/p\u003e \u003cp\u003e13.1.2 The Challenge to Health Systems 289\u003c\/p\u003e \u003cp\u003eSelf-Check 290\u003c\/p\u003e \u003cp\u003e13.2 Financing Health Care 290\u003c\/p\u003e \u003cp\u003e13.2.1 Government Initiatives 291\u003c\/p\u003e \u003cp\u003e13.2.2 Evolving Health Insurance and Health Plans 292\u003c\/p\u003e \u003cp\u003e13.2.3 Funding Medicare 293\u003c\/p\u003e \u003cp\u003eSelf-Check 294\u003c\/p\u003e \u003cp\u003e13.3 Aging Population 294\u003c\/p\u003e \u003cp\u003e13.3.1 Demand and Cost for Short-Term Care 294\u003c\/p\u003e \u003cp\u003e13.3.2 Demand For Long-Term Care 295\u003c\/p\u003e \u003cp\u003eSelf-Check 296\u003c\/p\u003e \u003cp\u003e13.4 Challenges for Primary Care 296\u003c\/p\u003e \u003cp\u003e13.4.1 The Cult of Specialization 296\u003c\/p\u003e \u003cp\u003e13.4.2 Too Few Generalists; Too Many Specialists 298\u003c\/p\u003e \u003cp\u003e13.4.3 The Unexpected Impact of Managed Care 298\u003c\/p\u003e \u003cp\u003e13.4.4 The Lack of Government Direction Regarding Primary Care Physicians 299\u003c\/p\u003e \u003cp\u003e13.4.5 Changing Medical Models 300\u003c\/p\u003e \u003cp\u003eSelf-Check 302\u003c\/p\u003e \u003cp\u003e13.5 Examining The Underserved: Rural and Inner-City Areas 302\u003c\/p\u003e \u003cp\u003e13.5.1 Lack of Racial and Ethnically Diverse Doctors 302\u003c\/p\u003e \u003cp\u003e13.5.2 Declining Numbers of General Practitioners 303\u003c\/p\u003e \u003cp\u003e13.5.3 Location of Practices 303\u003c\/p\u003e \u003cp\u003e13.5.4 Lack of Coordinated Effort to Address Shortage 304\u003c\/p\u003e \u003cp\u003e13.5.5 Role of Gender on Choice of Practice Location 305\u003c\/p\u003e \u003cp\u003eSelf-Check 305\u003c\/p\u003e \u003cp\u003e13.6 Fixing the Problem of the Underserved 305\u003c\/p\u003e \u003cp\u003e13.6.1 Bolstering Ethnically Diverse Workforce 305\u003c\/p\u003e \u003cp\u003e13.6.2 Changing Medical Education System 306\u003c\/p\u003e \u003cp\u003e13.6.3 Changing Reimbursement Strategies of Medicare and Medicaid 307\u003c\/p\u003e \u003cp\u003e13.6.4 Changes in Existing Direct Federal and State Programs 307\u003c\/p\u003e \u003cp\u003e13.6.5 Relying on the Impact of Managed Care 307\u003c\/p\u003e \u003cp\u003eSelf-Check 308\u003c\/p\u003e \u003cp\u003e13.7 Other Challenges 309\u003c\/p\u003e \u003cp\u003e13.7.1 Advancing Technology 309\u003c\/p\u003e \u003cp\u003e13.7.2 Shortage of Nurses 309\u003c\/p\u003e \u003cp\u003e13.7.3 Evolving Public Health Threats 310\u003c\/p\u003e \u003cp\u003e13.7.4 Declining Financial Health of Hospitals 310\u003c\/p\u003e \u003cp\u003eSelf-Check 311\u003c\/p\u003e \u003cp\u003eSummary 311\u003c\/p\u003e \u003cp\u003eKey Terms 311\u003c\/p\u003e \u003cp\u003eSummary Questions 313\u003c\/p\u003e \u003cp\u003eReview Questions 315\u003c\/p\u003e \u003cp\u003eApplying This Chapter 316\u003c\/p\u003e \u003cp\u003eYou Try It 318\u003c\/p\u003e \u003cp\u003e\u003cb\u003e14 Public Health Policy 319\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 320\u003c\/p\u003e \u003cp\u003e14.1 Public Health Services 320\u003c\/p\u003e \u003cp\u003e14.1.1 Federal Health Agencies 322\u003c\/p\u003e \u003cp\u003e14.1.2 State Health Agencies 323\u003c\/p\u003e \u003cp\u003e14.1.3 Local Health Agencies 325\u003c\/p\u003e \u003cp\u003e14.1.4 Private Initiatives in Public Health Policy 327\u003c\/p\u003e \u003cp\u003eSelf-Check 328\u003c\/p\u003e \u003cp\u003e14.2 Federal and State Health Laws 328\u003c\/p\u003e \u003cp\u003e14.2.1 Federal Statutes and Regulations 328\u003c\/p\u003e \u003cp\u003e14.2.2 State Statutes and Regulations 329\u003c\/p\u003e \u003cp\u003eSelf-Check 330\u003c\/p\u003e \u003cp\u003e14.3 Assessing U.S Health Policy 330\u003c\/p\u003e \u003cp\u003eSelf-Check 331\u003c\/p\u003e \u003cp\u003e14.4 Comparing U.S Health Care to Health Care in Other Countries 332\u003c\/p\u003e \u003cp\u003e14.4.1 Health Indicators 332\u003c\/p\u003e \u003cp\u003e14.4.2 Characteristics of the Health System 332\u003c\/p\u003e \u003cp\u003e14.4.3 Primary Care of Specialty Care-Based System 333\u003c\/p\u003e \u003cp\u003eSelf-Check 334\u003c\/p\u003e \u003cp\u003eSummary 334\u003c\/p\u003e \u003cp\u003eKey Terms 335\u003c\/p\u003e \u003cp\u003eSummary Questions 336\u003c\/p\u003e \u003cp\u003eReview Questions 337\u003c\/p\u003e \u003cp\u003eApplying This Chapter 338\u003c\/p\u003e \u003cp\u003eYou Try It 340\u003c\/p\u003e \u003cp\u003eEndnotes 341\u003c\/p\u003e \u003cp\u003eGlossary 343\u003c\/p\u003e \u003cp\u003eIndex 359\u003c\/p\u003e \u003cp\u003e \u003c\/p\u003e  \u003cp\u003e\u003cstrong\u003eDennis D. Pointer\u003c\/strong\u003e is president of Dennis D. Pointer \u0026amp; Associates and the author of numerous books including Board Work (Jossey-Bass, 1999), winner of the James A. Hamilton Book of the Year Award from the American College of Healthcare Executives. Dr. Pointer is the Austin Ross Professor in the Department of Health Services at the University of Washington School of Public Health and Community Medicine.   \u003cb\u003eYou \u003ci\u003ecan\u003c\/i\u003e get there\u003c\/b\u003e  \u003c\/p\u003e\u003cp\u003eWhere do you want to go? You might already be working in a health care or business setting. You may be looking to expand your skills. Or, you might be setting out on a new career path.\u003c\/p\u003e \u003cp\u003eWherever you want to go, \u003ci\u003eIntroduction to U.S. Health Care\u003c\/i\u003e will help you get there. Easy-to-read, practical, and up-to-date, this text not only helps you learn fundamental concepts of the American health care system; it also helps you master the core competencies and skills you need to succeed in the classroom and beyond. The book’s brief, modular format and variety of built-in learning resources enable you to learn at your own pace and focus your studies.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eWith this book, you will be able to:\u003c\/b\u003e  \u003c\/p\u003e \u003cul\u003e \u003cli\u003eUnderstand the role of governing boards and the challenges they face.\u003c\/li\u003e \u003cli\u003eCompare and contrast the primary-care and specialty-care models.\u003c\/li\u003e \u003cli\u003eExplore recent health care reforms that affect the primary-care model.\u003c\/li\u003e \u003cli\u003eExamine how we pay for health care.\u003c\/li\u003e \u003cli\u003eLearn about the many different roles played by the health care workforce.\u003c\/li\u003e \u003cli\u003eDiscover how medical miracles are financed.\u003c\/li\u003e \u003cli\u003eTrace the evolution of hospitals throughout the nation’s history and through their current state.\u003c\/li\u003e \u003cli\u003eAssess the reasons behind the growing reliance on ambulatory care.\u003c\/li\u003e \u003cli\u003eUnderstand who needs long-term care, why, and what the choices are.\u003c\/li\u003e \u003cli\u003eExplore the challenges of providing health services for society’s most vulnerable groups.\u003c\/li\u003e \u003cli\u003eIdentify obstacles in caring for the uninsured.\u003c\/li\u003e \u003cli\u003eExamine the types of managed care organizations, such as HMOs, PPOs, and POS plans.\u003c\/li\u003e \u003cli\u003eExplore current and future challenges for the health care industry.\u003c\/li\u003e \u003cli\u003eUnderstand the impact of new and emerging laws, regulations, and initiatives.\u003c\/li\u003e \u003c\/ul\u003e \u003cp\u003e\u003cb\u003e\u003ci\u003eWiley Pathways\u003c\/i\u003e helps you achieve your goals\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eWhen it comes to learning about health care, not everyone is on the same path. But everyone wants to succeed. The new \u003ci\u003eWiley Pathways\u003c\/i\u003e series in Health Care Management helps you achieve your goals with its brief, inviting format, clear language, and focus on core competencies and skills.\u003c\/p\u003e \u003cp\u003eThe books in this series--\u003ci\u003eIntroduction to U.S. Health Care, Health Care Economics, Health Care Management,\u003c\/i\u003e and \u003ci\u003eHealth Care Law and Ethics\u003c\/i\u003e--offer a coordinated curriculum for learning health care management. Learn more at www.wiley.com\/go\/pathways.\u003c\/p\u003e","brand":"Wiley","offers":[{"title":"Default Title","offer_id":47990492070117,"sku":"NP9780471790754","price":86.5,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9780471790754.jpg?v=1761788044","url":"https:\/\/k12savings.com\/products\/wiley-pathways-introduction-to-u-s-health-care-isbn-9780471790754","provider":"K12savings","version":"1.0","type":"link"}