Table of Contents

 

 

 

 

Foreword   Richard H. Carmona, RN, MD, MPH, FACS

ix

 

Preface

xi

 

Contributors

xiii

SECTION I

INTRODUCTION

1

1

To Engage or Not Engage: The Choice Confronting Nurses and Other Health Professionals   Nancy Aries

3

2

Health Status and Access to Care   Paula Lucey

25

SECTION II

THE HEALTH LABOR FORCE: UNDERSTANDING THE DISTRIBUTION OF POWER AND INFLUENCE

51

3

Physicians   Nancy Aries and Barbara Caress

53

4

Nurses   Donna M. Nickitas

75

5

Allied and Other Health Professionals   Donna M. Nickitas

103

SECTION III

HEALTHCARE PROVIDERS: UNDERSTANDING HOW POWER, MARKETS, AND GOVERNMENT IMPACT THE ORGANIZATION AND DELIVERY OF CARE

121

6

Hospitals: The Power of Institutional Interests   Nancy Aries and Barbara Caress

123

7

Long-Term Care   Emma Kontzamanis and Keville Frederickson

143

8

Mental and Behavioral Health: Clinical and Policy Impact on Mental Health Trends   Kunsook Bernstein and Joseph Saladino

155

9

Public Health Policy: Promotion, Prevention, and Protection   Mary Mincer Hansen and Mary Jones

181

SECTION IV

HEALTHCARE FINANCE: UNDERSTANDING THE ROLE OF MARKETS IN GOVERNMENT

209

10

Healthcare Costs: Follow the Money!   Jonathan Engel

211

11

The History of Health Insurance in the United States   Leah Curtin and Franklin A. Shaffer

237

SECTION V

DRIVERS

261

12

Advancing the Use of Technology in the Organization and Delivery of Health Care   Diane J. Skiba and Donna Dulong

263

13

Healthcare Quality   Donna J. Middaugh

287

14

Health Services Research   Donna M. Nickitas, Keville Freckrickson, and Jonathan Small

309

15

Conclusions: A Policy Toolkit for Healthcare Providers and Activists   Roby Robertson and Donna J. Middaugh

327

Appendix A

Web Resources   Compiled by Lametria Wafford

353

Appendix B

Glossary of Managed Care Terminology

357

 

Index

365

 

Photo Credits

377