{"product_id":"wiley-pathways-introduction-to-u-s-health-care-9780471790754","title":"Wiley Pathways Introduction to U.S. Health Care","description":"\u003cb\u003eBook Synopsis\u003c\/b\u003e\u003cbr\u003eYou 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\u003cbr\u003e\u003cbr\u003e\u003cb\u003eTable of Contents\u003c\/b\u003e\u003cbr\u003e\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","brand":"John Wiley \u0026 Sons Inc","offers":[{"title":"Default Title","offer_id":49525410103639,"sku":"9780471790754","price":91.76,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0817\/1739\/5799\/files\/9780471790754.jpg?v=1731860408","url":"https:\/\/bookcurl.com\/products\/wiley-pathways-introduction-to-u-s-health-care-9780471790754","provider":"Book Curl","version":"1.0","type":"link"}