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The twelve papers in this third volume of the research program for the Romanow Commission offer a detailed analysis of the governance of health care in Canada from the perspective of constitutionalism, intergovernmental relations, and societal context.In the first section, the authors deal with the formal division of powers regarding health care as outlined in the Canadian constitution and the Charter of Rights and Freedoms. The second section outlines the strengths and weaknesses of the intergovernmental governance of health care. Finally, the third section focuses on governance of health care outside of the governmental sphere. The theme that resonates throughout the contributions – and which is in itself a call for deeper analysis – is that health care governance has become locked in a cycle of mutual recrimination, blame assigning, and blame avoidance from the federal and provincial levels right down to the level of the individual citizen.

Now in its 10th edition, this best-selling introductory text, valued for its balanced overview of the U.S. health care system, has been fully updated to help students stay at the forefront of the dynamic and complex health care field. Jonas'Introduction to the U.S. Health Care System continues to offer a foundational framework that concisely explains the core elements and functions of the system. The text provides an essential understanding of the current state of the health care system, as well as the factors influencing its future state. Students also benefit from the special emphasis given to the evolution of the health care system and to identification of the underlying values that influence health care policy. Well-organized and easily accessible, the 10th edition prepares the next generation of health care leaders—from health care management, public health, medicine, nursing, allied health, and health policy—to comprehend the variety of forces that shape the field in which they will practice so they can navigate change and improve the health system's record on quality, safety, value, access, and equity. New to the 10th Edition: Expanded coverage of telehealth, advanced consumer medical devices, apps, and remote patient monitoring Updated treatment of the social and political determinants of health Discussion of the COVID-19 pandemic including the health care system's resiliency in the face of adversity Updated content on the diverse health care workforce and its functions Discussion of important financing issues including value-based care and alternative payment models as well as the impact of private equity funding, consolidation, and consumerism Significantly updated sections across the continuum of care including self-care, adult day services, hospice, long-term care, and others Key Features The most concise and balanced introduction to the U.S. health care system Engaging visual content including cartoons, graphs, and tables that consolidate key information about health care system performance, workforce trends, health care financing, and policy changes Qualified instructors have access to this edition's expanded Instructor Resources featuring new learning activities, engaging case studies, and additional resources to supplement students'dynamic learning and interaction with the text

Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller.This revised ninth edition of the best-selling introductory text to the U.S. health care system is fully updated to reflect changes to health care services, delivery, and financing resulting from new policies affecting the Affordable Care Act (ACA). Valued for its concise and balanced survey of the U.S. health care system, this book describes how the American health care system currently functions, the major factors that led to its present day structure, and a forecasting of how the industry is likely to change over the course of the next few years. This practical text highlights an array of influences shaping the future of health care, such as the use of big data and analytics, new policies and trends tied to pharmaceuticals and medical devices, and innovations to mental health and substance abuse. With an emphasis on policy development, the authors underscore the fluidity of the system and examine the debates and conflicts that have shaped health care changes and influenced American values and belief systems.This accessible text defines the most essential elements of the health care system, including its components, organization, services, and financing. An ideal text for undergraduate courses, graduate survey courses, and courses introducing the subject to medical students, it describes the ongoing evolution of the system, taking into consideration future directions given proposed changes to the ACA and other health laws by Congress, the Trump administration, and the political landscape in general. Organized to facilitate an understanding of concepts at work, Jonas'Introduction to the U.S. Health Care System equips public health and health administration students as well as medical, nursing, and allied health professionals with a deeper understanding of the field in which they will practice, so they can position themselves to navigate upcoming changes that affect health care quality, value, and access.New to the Ninth Edition:Updated to address changes to health care services, delivery, and financing in the United StatesAn expanded section on future trends in health careA full description of the health care reform politics under the Obama and Trump administrations and those being promoted in political campaignsNew chapter on medicines, devices, and health care technologyIncreased coverage of mental health and substance abuse, long-term care, and other institutionalized populationsDigital ancillaries include access to the eBook, an annual update on U.S. health policy, and new student exercises utilizing publicly available dataKey Features:The most concise and balanced introduction to the U.S. health care systemProvides a framework for examining how each structure and stakeholder within the health system interacts and how changes to policy would affect themNumerous cartoons, graphs, and tables break up the text and serve as meaningful context with pertinent dataEach chapter utilizes learning objectives and discussion questions to guide student readingIncludes a full suite of Instructor ancillaries including an Instructor's Manual, PowerPoints, Test Bank, and other exercises

The debate about health care reform has gone on for many years. The debate has generated often innovative ideas for reform that transcend national boundaries. For example, proposals have been made for an extension of health insurance with a framework of social protection; progressive development of funding methods; controls on expenditure; bringing benefits into line with what is actually needed; and the application of technological advances.The book concentrates on health insurance policy innovations in selected countries in Africa, the Americas, Asia, and Europe. In addition this book addresses recent institutional economic findings with regard to application of information technology in health insurance systems. Topics discussed include: new approaches in extending coverage in a health insurance system, confronting resource scarcity: innovative strategies, refining benefits to meet current needs, new institutional and administrative frameworks, and transformation through information technology systems. Many of the innovations presented here have already been integrated into existing reforms and the authors refer to concrete developments in individual countries and regions. This book presents those important innovations to social health insurance systems in industrialized and developing countries that have been brought forward in recent years and, as far as possible, already evaluated. In doing so, the intention is to show developments that are valid for more than one country and could have long term impact on health insurance systems. This book is intended to promote deeper exchanges of experience between differing regions, countries, and health insurance systems. In this way it will stimulate ideas for politicians and practitioners, scientists and other experts.

In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Innovation in medical technology generates a remarkable supply of new drugs, devices, and diagnostics that improve health, reduce risks, and extend life. But these technologies are too often used on the wrong patient, in the wrong setting, or at an unaffordable price. The only way to moderate the growth in health care costs without undermining the dynamic of medical innovation is to improve the process of assessing, pricing, prescribing, and using new technologies. Purchasing Medical Innovation analyzes the contemporary revolution in the purchasing of health care technology, with a focus on the roles of the Food and Drug Administration (FDA), Medicare and private health insurers, physicians and hospitals, and consumers themselves. The FDA is more thoroughly assessing product performance under real-world conditions as well as in laboratory settings, accelerating the path to market for breakthroughs while imposing use controls on risky products. Insurers are improving their criteria for coverage and designing payment methods that reward efficiency in the selection of new treatments. Hospitals are aligning adoption of complex supplies and equipment more closely with physicians'preferences for the best treatment for their patients. Consumers are becoming more engaged and financially accountable for their health care choices. This book describes both the strengths and deficiencies of the current system of purchasing and highlights opportunities for buyers, sellers, and users to help improve the value of medical technology: better outcomes at lower cost.

Patient Confidential will teach readers to be active players in their healthcare and to get the most out of the healthcare system with the least amount of risk. It prepares readers for medical office visits, surgeries, rehabilitation, insurance and more. Patient Confidential also functions as a handbook readers can consult before every encounter with the healthcare system.

This is the story of the Singapore healthcare system: how it works, how it is financed, its history, where it is going, and what lessons it may hold for national health systems around the world. Singapore ranks sixth in the world in healthcare outcomes, yet spends proportionally less on healthcare than any other high-income country. This is the first book to set out a comprehensive system-level description of healthcare in Singapore, with a view to understanding what can be learned from its unique system design and development path.The lessons from Singapore will be of interest to those currently planning the future of healthcare in emerging economies, as well as those engaged in the urgent debates on healthcare in the wealthier countries faced with serious long-term challenges in healthcare financing. Policymakers, legislators, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think tanks should understand how the Singapore system works to achieve affordable excellence.

In this book, the authors present current research in the study of the issues and challenges of health care insurance from across the globe. Topics discussed in this compilation include the assessment of the efficiency of hospitals in Botswana; the public long-term care insurance system in Japan; an examination of service delivery when there is an integration of health insurance and care provisions; estimating the total health expenditure on households by sources of financing and providers in Gambia; and social and private insurance systems in The Netherlands.

Increasingly, the core mission of the Centers for Medicare and Medicaid Services (CMS), an agency of the Department of Health and Human Services, is expanding from one of focusing on prompt claims payment to one of becoming more broadly involved in improving health care quality and efficiency. The requirements for the information technology (IT) systems of CMS are changing as its mission changes, and the efforts to evolve its systems from those designed to support the agency's historical mission come in the midst of a push to modernize the nation's health care IT more broadly. These new challenges arise even as CMS must meet challenging day-to-day operational requirements and make frequent adjustments to its business processes, code, databases, and systems in response to changing statutory, regulatory, and policy requirements. In light of these and other emerging challenges, CMS asked the National Research Council to conduct a study that would lay out a forward-looking vision for the Centers for Medicare and Medicaid Services, taking account of CMS's mission, business processes, and information technology requirements. The study is being conducted in two phases. The first, resulting in the present volume, draws on a series of teleconferences, briefings, and an information-gathering workshop held in Washington, D.C., on September 27-28, 2010. The second phase, drawing on that workshop and on additional briefings, site visits, and committee deliberations, will result in a final report with recommendations, to be issued at the end of the project in 2011.

Health service policy and health policy have changed considerably over the past fifteen years and there is a pressing need for an up-to-date sociological analysis of health policy. Not only have policies themselves changed but new policy themes – such as evidence-based policy and practice, an increasing focus on a primary care led health service, a growing recognition of the need to address inequalities through public health policies and a focus on the views and the voice of the user and the public– have emerged alongside some of the old.Following up the very successful The Sociology of the Health Service, this all-new volume covers a broad range of key contemporary health services issues. It includes chapters on consumerism, technology, evidence-based practice, public health, managerialism and social care among others, and incorporates references to new developments, such as regulation and incentivization, throughout.The New Sociology of the Health Service provides a vital new sociological framework for analyzing health policy and healthcare. It is an important read for all students and researchers of medical sociology and health policy.

Despite the attention to the problem of protecting the health care interests of Americans, there is little consensus on what should be done politically or otherwise to address this problem. In Protecting American Health Care Consumers Eleanor DeArman Kinney, a nationally regarded expert on health policy and law, tackles the serious and ongoing debate among state and federal policymakers, health care providers, third-party payers, and consumers about how to provide procedural justice to patients in the present health care climate.To promote and ensure consumer protection in an increasingly adversarial and complicated health-care culture, Kinney first analyzes the procedures by which consumer concerns are presently discerned and resolved and then explains why these systems are unsatisfactory. She also discusses problematic procedures for making coverage policy and quality standards and proposes reforms in a variety of processes that would enable all consumers, including the uninsured, to influence key policies and standards and also to raise concerns and obtain appropriate remedies.As the first comprehensive treatment of administrative procedures in American health plans and other such institutions, Protecting American Health Care Consumers will be welcomed by state and federal policymakers, managed care executives, and lawyers charged with designing and implementing protections for consumers in public and private health plans.

Much of the debate about health policy in the United States has focused on the availability of health insurance coverage and the relatively large number of individuals who are uninsured. While tackling the problem of the uninsured might improve access to and utilization of health care, it would likely have little effect on the health of the population, as there is only a weak connection between health insurance coverage and health. Expanding health insurance coverage alone is unlikely to significantly improve the health of the population or narrow health disparities within the population, given that many of the major causes of poor health such as smoking, obesity, and physical inactivity are largely unaffected by health insurance. The narrow focus on the uninsured in the health policy debate comes at the expense of other policies that could improve health faster and more significantly for every dollar spent. It is well known that the United States spends approximately twice as much per capita on health care as most other developed nations, but that there is little difference in population health between the United States and other developed nations. This suggests that we are on the'flat part of the curve'of health care spending with respect to health and as a result need to pursue other approaches for improving population health. In light of the imbalance in the health policy debate in the US, in November 2007, the Institute of Government and Public Affairs and the College of Medicine of the University of Illinois sponsored a conference entitled, Beyond Health Insurance: Public Policy to Improve Health. The purpose of the conference was to make available to the public new research on policies that can significantly improve the health of the US population. The conference focused on four areas: reducing racial and ethnic health disparities, preventing disease and promoting health, developing and regulating pharmaceuticals, and improving consumer information.

In this volume, the nation's leading advisors on health policy and financing appraise America's ailing healthcare system and suggest reasonable approaches to its rehabilitation. Each chapter confronts a major challenge to the country's health security, from runaway costs and uneven quality of care to declining levels of insurance coverage, medical bankruptcy, and the growing enthusiasm for health plans that put patients in charge of risk and cost. Bringing the latest research to bear on these issues, contributors diagnose the problems of our present system and offer treatments grounded in extensive experience. Free of bias and rhetoric, Health at Risk is an invaluable tool for those who are concerned with the current state of healthcare and are eager to effect change.

The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.

What is the best way to structure primary care services? How can coordination between primary care and other parts of health care systems be improved?How should new technologies be integrated into primary care? There is considerable agreement among national policy makers across Europe that, in principle, primary care should be the linchpin of a well-designed health care system. This agreement, however, does not carry over into the organizational mechanisms best suited to pursuing or achieving this common objective. Across western, central and eastern Europe, primary care is delivered through a wide range of institutional, financial, professional and clinical configurations. This book is a study of the reforms of primary care in Europe as well as their impacts on the broader co-ordination mechanisms within European health care systems. It also provides suggestions for effective strategies for future improvement in health care system reform.Primary Care in the Driver's Seat is key reading for students studying health policy, health economics, public policy and management, as well as health managers and policy makers. Contributors: Richard Baker, University of Leicester; Sven-Eric Bergman, Bergman and Dahlbäck AB, Stockholm, Sweden; Wienke Boerma, Netherlands Institute of Health Services Research (NIVEL) in Utrecht, Netherlands; Mats Brommels, University of Helsinki and Karolinska Institute in Stockholm; Sweden; Michael Calnan, University of Bristol; Diana Delnoij, Netherlands Institute of Health Services Research (NIVEL) in Utrecht, Netherlands; Anna Dixon, London School of Economics and Political Science; Carl-Ardy Dubois, University of Montreal, Canada; Joan Gené Badia, Catalan Institute of Health in Barcelona, Spain; Bernhard Gibis, National Association of Statutory Health Insurance Physicians (KBV), Berlin, Germany; Stefan Greß, Institute of Health Care Management of the University of Duisburg-Essen in Essen, Germany; Peter Groenewegen, Netherlands Institute of Health Services Research (NIVEL) and Utrecht University in Utrecht, Netherlands; Jan Heyrman, Catholic University Leuven (KULeuven) in Leuven, Belgium; Jack Hutten, Ministry of Health, Welfare and Sports, The Hague, Netherlands; Michael Kidd, University of Sydney; Australia; Mårten Kvist, Laitila-Pyhäranta Health Centre in Laitila, Finland; Miranda Laurant, Centre for Quality of Care Research of the Universities of Nijmegen and Maastricht in Nijmegen, Netherlands; Margus Lember, University of Tartu in Tartu, Estonia; Martin Marshall, University of Manchester; Alison McCallum, National Research and Development Centre for Welfare and Health (STAKES) in Helsinki, Finland and Karolinska Institute in Stockholm, Sweden; Toomas Palu, Europe and Central Asia Development Department of the World Bank in Washington DC, USA; Ana Rico, University of Oslo, Norway; Ray Robinson, London School of Economics and Political Science; Valentin Rusovich, Department of General Practice of the Belarussian Medical Academy for Continuous Medical Education (BelMAPO), Department of General Practice in Minsk, Belarus; Richard B. Saltman, Emory University, Atlanta, USA; Anthony Scott, University of Aberdeen; Rod Sheaff, Manchester University; Igor Svab, University of Ljubljana, Slovenia; Bonnie Sibbald, University of Manchester; Hrvoje Tiljak, Andrija Štampar School of Public Health, Zagreb, Croatia; Michel Wensing, Centre for Quality of Care Research of the Universities of Nijmegen and Maastricht in Nijmegen, Netherlands.

Hidden Cost, Value Lost, the fifth of a series of six books on the consequences of uninsurance in the United States, illustrates some of the economic and social losses to the country of maintaining so many people without health insurance. The book explores the potential economic and societal benefits that could be realized if everyone had health insurance on a continuous basis, as people over age 65 currently do with Medicare. Hidden Costs, Value Lost concludes that the estimated benefits across society in health years of life gained by providing the uninsured with the kind and amount of health services that the insured use, are likely greater than the additional social costs of doing so. The potential economic value to be gained in better health outcomes from uninterrupted coverage for all Americans is estimated to be between $65 and $130 billion each year.

Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.

In today's bureaucratically dominated health care system, the patient's major role is to sign the forms that authorize one large, impersonal organization to release funds to another. Government, through Medicare and Medicaid, buys close to half the health care provided in America today. Most of the other half is paid for by insurance companies, through policies purchased by third parties, because the tax laws encourage people to rely on first-dollar health coverage from their employers. When health care appears to be free or very cheap, people buy more than they would if they were paying the full cost. The resulting casual attitude toward shopping for health care drives up prices, drives up insurance premiums, and creates hardship for business and those without insurance. The Goodman and Musgrave solution is to restore power and responsibility to individuals.

Argues for a health care system that would restore power and responsibility to the individual consumer and taking it out of the hands of government and insurance companies

Issued also in French under the title: La santé au Canada.

Issued also in French under the title: La santé au Canada.

Issued also in French under the title: La santé au Canada.

Issued also in French under the title: La santé au Canada.

The Sociology of the Health Service responds directly to the need to develop a sociological analysis of current health policy. Topics covered vary from privatisation and health service management to health education and the politics of professional power. Also included is an histroical review of sociology's contributions to health policy and proposals for an agenda for sociological health policy research in the 1990s.