The Fourth Edition of Changing the U.S. Health Care System addresses the key topics in health care policy and management, presenting evidence-based views of current issues. Each chapter is written by an expert in the field who integrates evidence to explain the current condition and presents support for needed change. The book examines all the levers in the setting and implementation of health policy, and includes extensive coverage of impact of the Affordable Care Act, particularly on Medicare, Medicaid, and large and small group insurance markets. Also new to this edition is expanded coverage of nursing, disease management, mental health, women's health, children's health, and care for the homeless.
Table of Contents
Figures and Tables xv
Foreword to the Third Edition xix
Foreword to the Fourth Edition xxi
The Editor xxv
The Authors xxvii
Introduction and Overview xliii
Acknowledgments lvii
Part One: Access to Health Care 1
1 The Patient Protection and Affordable Care Act of 2010 3
Gerald F. Kominski
2 Improving Access to Care 33
Ronald M. Andersen, Pamela L. Davidson, Sebastian E. Baumeister
3 Racial and Ethnic Disparities in Health Status 71
Antronette K. Yancey, Roshan Bastani, Beth A. Glenn
4 Racial and Ethnic Disparities in Health Care 103
Arturo Vargas Bustamante, Leo S. Morales, Alexander N. Ortega
5 Multilevel Social Determinants of Health 135
Ninez A. Ponce, Michelle Ko
6 Public Health Insurance 157
Shana Alex Lavarreda, E. Richard Brown
7 Private Health Insurance 191
Nadereh Pourat, Gerald F. Kominski
Part Two: Cost of Health Care 223
8 Measuring Health Care Expenditures and Trends 225
Thomas H. Rice
9 Containing Health Care Costs 245
Thomas H. Rice, Gerald F. Kominski
10 Promoting Pharmaceutical Access While Controlling Prices and Expenditures 269
Stuart O. Schweitzer, William S. Comanor
Part Three: Quality of Health Care 305
11 Measuring Health-Related Quality of Life and Other Outcomes 307
Patricia A. Ganz, Ron D. Hays, Robert M. Kaplan, Mark S. Litwin
12 Evaluating the Quality of Care 343
Elizabeth A. McGlynn
13 Public Release of Information on Quality 381
Elizabeth A. McGlynn, John L. Adams
14 Health Care Information Systems 413
Jeff Luck, Leah J. Vriesman, Paul Fu Jr.
15 Performance Measurement of Nursing Care 455
Jack Needleman, Ellen T. Kurtzman, Kenneth W. Kizer
Part Four: Special Populations 493
16 Long-Term Services and Supports for the Elderly Population 495
Steven P. Wallace, Nadereh Pourat, Linda Delp, Kathryn G. Kietzman
17 HIV and AIDS in the Twenty-First Century 523
Erin G. Grinshteyn, William E. Cunningham
18 Children’s Health 559
Moira Inkelas, Neal Halfon, David Lee Wood
19 Homeless Persons 593
Lisa Arangua, Lillian Gelberg
Part Five: Directions For Change 621
20 Changing the Health Care Delivery System 623
Nadereh Pourat, Hector P. Rodriguez
21 Medicare Reform 651
Gerald F. Kominski, Jeanne T. Black, Thomas H. Rice
22 Public Health and Clinical Care 681
Jonathan E. Fielding, Lester Breslow, Steven M. Teutsch
23 Strengthening the Safety Net 703
Dylan H. Roby
24 Ethical Issues in Public Health and Health Services 727
Pauline Vaillancourt Rosenau, Ruth Roemer, Frederick J. Zimmerman
Index 753
