Understanding Health Policy: A Clinical Approach, Seventh Edition
Format: PDF / Kindle (mobi) / ePub
Understand how the healthcare system works – and how you can succeed in it
The Seventh Edition of Understanding Health Policy: A Clinical Approach remains the most trusted and comprehensive guide to healthcare available and provides everything you need to build a solid foundation on the field’s most critical issues. This concise and engaging textbook clearly explains the all major aspects of healthcare, including finance, organization, and reimbursement. It will help you develop a clearer, more systematic way of thinking about health care in the United States, its problems, and the alternatives for managing and solving these problems.
The book features a unique approach, using clinical vignettes to highlight key policy issues, clarify difficult concepts, and demonstrate how they apply to real-world situations, affecting both patients and professionals alike. Expert practitioners in both the public and private healthcare sectors, the authors cover the entire scope of our healthcare system. They carefully weave key principles, descriptions, and concrete examples into chapters that make important health policy issues interesting and understandable.
Understanding Health Policy makes otherwise difficult concepts easy to understand―so you can make better decisions, improve outcomes, and enact positive change on a daily basis.
The Seventh Edition features:
- Updated throughout to reflect the latest changes and events, including additional content on value-based care, Choosing Wisely®, etc.
- Expanded coverage of the impact of the Affordable Care Act, including Accountable Care Organizations and their impact, and global issues in health policy
- End-of-chapter summaries and comprehensive lists of review questions to reinforce what you have learned
- Includes "Questions and Discussion Topics" for classroom or individual study
puriﬁcation were probably the main reason for the decline in infant mortality rates (McKeown, 1990). Some illnesses are exceptions to the rule that infectious disease mortality is inﬂuenced more by improved living standards and public health measures than by medical interventions. Immunization for smallpox, polio, and tetanus and antimicrobial therapy for syphilis had a substantial impact on mortality rates from those illnesses. Considering infectious diseases as a group, however, medical
Citizens health insurance plan Subsidies for retirees Figure 14–5. The Japanese health system. Yet a third type of health insurance, communitybased health insurance (also called citizens’ health insurance), covers self-employed workers and retirees (41% of the population). Each municipal government in Japan administers a local citizen’s insurance plan and levies a compulsory premium on the selfemployed workers and retirees in its jurisdiction. In addition, each employer-operated
costs. One of the factors contributing to this inﬂation was reimbursement of physicians and hospitals by insurance companies and government programs. Therefore, new methods of reimbursement have been tried as one way of lowering the growth rate in health care costs. Dr. Mary Young has recently ﬁnished her family medicine residency and joined a small group practice, PrimaryCare. On her ﬁrst day, she has the following experiences with health care ﬁnancing: her ﬁrst patient is insured by Blue
for 12 visits at the same $60 fee. An identical cost increase is a price rise for Dr. Morton but an increase in quantity of care for Dr. Norton. Changes in prices and quantities have different implications for patients and providers (Reinhardt, 1987). In the preceding example, both physicians increase their income (and both insurance plans increase their expenditures) by $120, though in the case of the price increase, the additional income does not require a higher volume of work. To the patient,
examinations to radiologists and received no reimbursement for the studies. The patients in the two groups were similar (Hillman et al, 1990). After 2000, proﬁtable diagnostic, imaging, and surgical procedures have rapidly migrated from the hospital to free-standing physician-owned ambulatory surgery centers, endoscopy centers, and imaging centers (Berenson et al, 2006). For example, the number of CT scans performed for Medicare patients increased by 65% from 2000 to 2005; during those years, the