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· 분류 : 외국도서 > 의학 > 공중위생학
· ISBN : 9780470631522
· 쪽수 : 720쪽
· 출판일 : 2019-09-04
목차
Foreword
Acknowledgements
Chapter 1 Understanding and Managing Complex Healthcare Systems
I Definitions
II Health System Structure and Features
III Strategic Planning
A Stakeholders
B Health System Tradeoffs and Value Propositions
Chapter 2 Determinants of Utilization of Healthcare Services and Products
I Reasons Stakeholders Seek Healthcare
II Patient Characteristics That Influence Care-seeking
III Reducing Patient Demand for Healthcare
IV Consumer Behavior-Healthcare Market Segmentation
V Provider-Induced Demand for Healthcare
VI Summary
Chapter 3 Introduction to Managerial Epidemiology
I Introduction
II Definitions and Use of Principles
III Clinical Study Designs
IV Summary
Chapter 4 Hospitals and Health Systems
I A Brief History of Western Hospitals
II American Hospital Expansion in the 20th Century
III Hospital Definition and Classifications
A Definition
B Ways hospitals may be classified and special related issues
1 Size
2 Level of Care (Including Teaching and Non-Teaching Hospitals)
3 Corporate Status/Sponsorship (for Profit Versus Non-Profit)
4 Public/Private Status
5 General/Specialty Hospitals
6 Location
7 Hospital Systems
a Wholly Owned/Singly Managed Systems
b Alliances
c Group Purchasing Organizations(GPOs)
8 Physician-Owned Hospitals
9 Safety Net Providers
a Disproportionate Share Hospitals (DSH)
b Medicare Dependent Hospitals (MDH)
c Sole Community Hospitals (SCH)
d Critical Access Hospitals (CAH)
10 Religious-Sponsored (Faith-based) Hospitals
IV Hospital Inpatient Payment Methods
V Organized (Integrated) Delivery Systems/ Accountable Care Organizations (ACOs)
VI Governance
VII Summary
Chapter 5 Healthcare Professionals
I Physicians
A History of Western Medical Care
B History of American Medical Care
C Current Status of Medical Training
1 Admissions
2 Curriculum
3 Cost
4 Post Graduate Training (residency)
5 Fellowship
6 Board Certification
D Licensure
E Shortage of Physicians
F Employment status
G Summary
II Nurses
A Registered Nurses
B Nurse Practitioners
C Nurse Anesthetists
D Midwives
III Physician Assistants
A Education and Certification
B Physician Versus NP/PA Care
IV Summary
Chapter 6 Payers
I Principles of Health Insurance
II Background and Current Status of Health Insurance in the U.S
A Private Health Insurance
1 Overview
2 Origins and current status of Private Health Insurance in the U.S
a Development of Employer-Sponsored Health Insurance
b Blue Cross/Blue Shield Plans
c Tax Exempt Status of Health Insurance
d Acceleration of Employer-Sponsored Insurance
e Regulation of Insurance and the McCarran-Ferguson Act
f Employee Retirement and Income Security Act (ERISA)
g Consolidated Omnibus Reconciliation Act (COBRA)
h Health Insurance Portability and Accountability Act (HIPAA- Insurance Provisions)
i Personal Healthcare Spending Accounts (Medical Savings Accounts, Health Savings Accounts, Flexible Spending Accounts and Health Reimbursement Arrangements)
j Voluntary Employee Beneficiary Association (VEBA)
k Patient Protection and Affordable Care Act (ACA)
B Medicare
1 Overview and Eligible Populations
2 Structure, Governance and Funds Flow
3 Part A
4 Part B
5 Part C (Medicare Advantage)
6 Part D
7 End Stage Renal Dialysis (ESRD) Program
8 Summary
C Medicaid
1 Background
2 Eligibility
3 Benefits
4 Funding and Expenditures
5 340B Program
6 Cost Control Initiatives
D Children's Health Insurance Program (CHIP)
E Other Federally Sponsored Programs
1 Veterans Healthcare System
2 Active Military/Retirees and Dependents (TRICARE)
3 Federal Employees (Federal Employee Health Benefit Program: FEHBP)
F Managed Care
1 Background
2 Definitions and their Implications (With a focus on Health Maintenance Organizations)
3 Types of Health Maintenance Organizations (HMOs)
4 Distribution of HMO Premiums and its Behavioral Implications
5 Disease Management
6 Preferred Provider Organizations (PPOs)
7 Point of Service (POS) Plans
8 Stakeholder Requirements and Desires for Managed Care Success
9 Current Trends
G Summary
Chapter 7 Healthcare Technology
I Definition and Frameworks for Study
II Major Trends in Healthcare Technology
A Safety
B History of Safety Problems and Corrective Legislation
C Bringing Healthcare Technology to Market
D Evolving Industry Structure
E Globalization
F Generics
G Specialty Pharmaceuticals and Cost-Containment Tactics
H Patents
I Genomics and Precision Medicine
J Disruptive Innovation
III Healthcare technology’s Contribution to Costs by Stage of Care
A Overview
B Quality Adjusted Life Years (QALYs)
C Core cost issues
D Prevention
E Screening
F Diagnosis
G Treatment
IV Other Healthcare Technology Issues
A Religious Issues
B Ethical Issues
C End-of-Life Costs
D Media’s Role in Increasing Technology Costs
E Malpractice and Defensive Medicine
V Summary
Chapter 8 Information Technology
I Introduction
II Definitions
III Background and Key Issues
A Collection, Classification and Ordering of Data
B Terminology and Coding
C Interoperability
1 Introduction and Definition
2 General Background
3 Applications to Healthcare
a Technological Solutions for Data Exchange in Healthcare
b Governmental Initiatives
c Private Initiatives
d Health Information Exchanges
D Certification
E Privacy and Security of Information
F Management Considerations
G Other Issues and Trends
1 Telehealth/Telemedicine
2 Block Chain
3 Cloud-Based Services
4 Artificial Intelligence/Voice Recognition
5 Industry Consolidation
6 Expanding Patient’s Access to and Control of their Data
7 Administrative Simplification
IV Summary
Chapter 9 Quality and Safety
I Introduction
II History of Healthcare Quality and Development of Key Concepts and Institutions
III Quality of Care and the Public’s Health
A Centers for Disease Control and Prevention (CDC)
B Healthy People
IV Definition of quality
V Key Questions for Successful Evaluation and Implementation of Quality Measures
VI Volume/Quality Relationship
VII Managing Quality Improvement
VIII Value Propositions
IX Summary
Index
