Global Shopping Center
UK | Germany
Home - Books - Medicine - Administration & Policy - Health Care Delivery Help

1-20 of 200       1   2   3   4   5   6   7   8   9   10   Next 20

click price to see details     click image to enlarge     click link to go to the store

$70.00
1. Clinical Guidelines in Family
$59.95 $50.00
2. Delivering Health Care in America:
$62.95 $60.17
3. Public Health, Third Edition :
$81.95 $53.55
4. An Introduction to Community Health:
$61.28 $59.09 list($83.95)
5. Introduction To Health Services,
$71.39 $55.20 list($75.95)
6. Understanding Health Insurance,
$45.40 $34.93
7. Effective Leadership and Management
$44.95 $42.95
8. Leading and Managing in Nursing
$63.95 $60.90
9. Health Care, U.S.A: Understanding
$108.00 $103.99
10. Understanding Healthcare Financial
$160.95 $140.21 list($185.00)
11. Medical and Dental Space Planning
$65.95 $45.17
12. The Case Manager's Handbook
$32.55 $27.61 list($35.00)
13. Health and Health Care 2010: The
$108.95 $75.00
14. e-Healthcare: Harness the Power
$75.00 $57.65
15. Essentials of Physician Practice
$99.00 $94.94
16. Primary Care: A Collaborative
$44.95 $42.00
17. Crossing the Quality Chasm: A
$81.00 $79.00
18. Health Policymaking in the United
$74.00 $70.00
19. Planning, Implementing, and Evaluating
$95.95 $64.28
20. Health Care Administration: Planning,

1. Clinical Guidelines in Family Practice
by Constance R. Uphold, Mary V. Graham
list price: $70.00
our price: $70.00
(price subject to change: see help)
Asin: 0964615169
Catlog: Book (2003-06)
Publisher: Barmarrae Books
Sales Rank: 17905
Average Customer Review: 5 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Book Description

This up-to-date medical text (4th Edition) contains the latest approaches to diagnosis, evaluation, and management for commonly occurring primary care problems. The most recentdiagnostic and evidence-based treatment guidelines from major authoritative sources are incorporated in order to make this a comprehensive, yet practical and useful book for the primary care clinician.

The book also contains a focus on development assessment for children as well as approaches to commonly occurring behavioral problems.The latest nutrition guidelines from the Institute of Medicine as well as new recommendations by the Third US Preventive Services Task Force are also included. ... Read more

Reviews (5)

5-0 out of 5 stars Essential clinical reference
This book is an essential clinical reference for both NP students and practicing NPs. It is organized in an easy to use format. It contains up-to-date information on diagnosing and managing common illnesses seen in both children and adults. It also contains thorough information on health promotion. I would recommend this book to all students and new clinicians.

5-0 out of 5 stars Best Book For Practice
we use this book in our practice as a policy book for mid-level providers.

5-0 out of 5 stars Invaluable Reference Tool
As a nurse practitioner student, things were much easier once I discovered this reference. As a new graduate nurse practitioner, I KNOW I couldn't survive without this reference. With the focus on evidence-based practice, a provider MUST follow true, tested, approved guidelines to stay up-to-date and free of trouble! Worth every dime and then some.

5-0 out of 5 stars clinical guidelines in family practice
This the "back bone" of my protocals. I wouldn't practice without it, and look forward to the new edtion.

5-0 out of 5 stars Essential guidelines
"Clinical Guidelines in Family Health" is a great tool for the NP or NP student. It contains research backed protocols for managing various problems in the primary care setting. This book served as the core text in my introductory clinical course as a NP student and was considered an essential reference tool by staff and students alike. ... Read more


2. Delivering Health Care in America: A Systems Approach, Third Edition
by Leiyu Shi, Douglas A., Ph.D. Singh
list price: $59.95
our price: $59.95
(price subject to change: see help)
Asin: 0763731994
Catlog: Book (2003-10-01)
Publisher: Jones & Bartlett Publishers
Sales Rank: 64140
Average Customer Review: 2.5 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Book Description

In a clear, cohesive format, Delivering Health Care in America provides a comprehensive overview the basic structures and operations of the US health system—from its historical origins and resources, to its individual services, cost, and quality. Using a unique "systems" approach, it brings together an extraordinary breadth of information into a highly accessible, easy-to-read text that clarifies the complexities of health care organization and finance, while presenting a solid overview of how the various components fit together.

Now in its third edition, Delivering Health Care in America has been updated with the latest available data and research findings to provide the most current information on the foundations, structural features, past and current trends, and major issues pertaining to the U.S. health care delivery system. ... Read more

Reviews (2)

1-0 out of 5 stars Fluffy
This book is near 600 pages, but it could be condensed to 300 easily: by cutting back on some simplistic flow charts and over-explanation. Maybe the goal was to make the book readable for the high school level, but I didn't find its style or level appropriate for a graduate (MBA) textbook. One further annoyance was the authors' shameless and open promotion of socialized health care. A more balanced take would give the authors greater credibility.

4-0 out of 5 stars Good introduction to the American health care system
The book is a good basic introduction to the American health care system. If you are doing advanced health policy research this book is not for you. If you are teaching a class for undergraduates (or are someone who wants to know about 'nuts and bolts' issues) this would be perfect. For what it does (basic intro), it does well but do not look for sophisticated analysis here. ... Read more


3. Public Health, Third Edition : What It Is and How It Works
by Bernard J. Turnock
list price: $62.95
our price: $62.95
(price subject to change: see help)
Asin: 076373215X
Catlog: Book (2004-09-25)
Publisher: Jones and Bartlett Publishers, Inc.
Sales Rank: 145029
Average Customer Review: 3.33 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Book Description

This book is a straightforward introduction to the complex, multidimensional field of public health and how it functions in modern day America. ... Read more

Reviews (3)

1-0 out of 5 stars Inaccurate and vapid
If you've ever had any actual experience in public health, you will probably recognize this book for the sham it really is. Public health systems in the real world just don't behave in the idealized way that Turnock describes. Moreover, Turnock is far too uncritical of HMOs, which consitently fail to provide actual assitance (not just theoretical assistance) to patients who need it. There is also no understanding at all here about the ways in which class differences affect dstribution of health care coverage, or any discussion of what we might be able to do about it.

The reader is left with a blinkered and rather utopian model of our current public health system - one that glosses over existing problems and presents only the most simplistic assessments. You might learn something if you're just beginning your public health studies, but for the rest of us, this book just isn't worth its exorbitant price tag.

5-0 out of 5 stars Wow...
Boy, I'm surprised at the reaction the book is getting! I have this book, and it's really quite good - I'm an MS-Epidemiology candidate, and it's really helped me with the fundamentals of the field. Incidentally, in response to the implication that Dr. Turnock is less than qualified to put forth an effort such as this, you might want to investigate that, you can find his impressive accompishments at the school's website. Board certified in Preventive Medicine and Public Health, and former director of the IDPH, to name a few? Sounds qualified to me. I'd recommend this book to any PH student or someone looking to learn the basics...I don't hesitate to rank this right up there with Gordis. Cheers!

4-0 out of 5 stars Good guide to understanding Public Health
This book really tells us what the Public Health is and how it works, as the title suggests. Even though data or statistics cited are somewhat outdated, you can understand the fundamental meaning of PH. ... Read more


4. An Introduction to Community Health: Web Enhanced
by James F. McKenzie, R. R. Pinger, Jerome Edward Kotecki
list price: $81.95
our price: $81.95
(price subject to change: see help)
Asin: 0763716790
Catlog: Book (2001-12-01)
Publisher: Jones & Bartlett Publishers
Sales Rank: 165101
US | Canada | United Kingdom | Germany | France | Japan

Book Description

The fourth edition of this comprehensive introductory community health text continues to effectively address the health issues facing today's communities. With emphasis on developing the knowledge and skills necessary for a career in health education, the text covers such topics as epidemiology, community organization, program planning, minority health, health care, mental health, environmental health, drugs, safety, and occupational health. An Introduction to Community Health incorporates a variety of pedagogical elements that assist and encourage students to understand and complex community health issues. ... Read more


5. Introduction To Health Services, 6e
by Stephen Williams, Paul R. Torrens
list price: $83.95
our price: $61.28
(price subject to change: see help)
Asin: 0766836118
Catlog: Book (2001-12-05)
Publisher: Thomson Delmar Learning
Sales Rank: 173309
Average Customer Review: 4 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Book Description

Introduction to Health Services, 6E builds on a well established format written by nationally recognized authors with updated research and statistics.This revision reflects critical updates in health care finance, health care access, managed care, insurance, and home health. ... Read more

Reviews (1)

4-0 out of 5 stars Excellent introductory overview to the US health system.
Williams and Torrens have developed one of the best introductory texts on the US health system. The book has clear learning objectives, useful references, and helpful diagrams. The American health system is farily and accurately described, warts and all. ... Read more


6. Understanding Health Insurance, 7e : A Guide to Professional Billing
by Jo Ann C. Rowell, Michelle A. Green
list price: $75.95
our price: $71.39
(price subject to change: see help)
Asin: 1401837913
Catlog: Book (2003-07-16)
Publisher: Thomson Delmar Learning
Sales Rank: 51234
Average Customer Review: 4.44 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Book Description

Understanding Health Insurance: A Guide to Professional Billing, 7th edition, is a comprehensive guide for those learning about health insurance claims processing and reimbursement issues. The text utilizes a step-by-step approach to successful completion of health insurance claims. The objectives of this edition are to 1) introduce information about major third party payers, 2) provide up-to-date information about federal health care regulations, 3) clarify coding guidelines and provide application exercises for each coding system, 4) introduce reimbursement issues, 5) emphasize the importance of coding for medical necessity, and 6) help users develop the skill to complete claims accurately. Numerous examples help clarify key concepts. Case studies and review exercises provide users with numerous opportunities to apply knowledge and develop skills in completing CMS-1500 claims accurately. The textbook CD-ROM and accompanying workbook provide additional exercises and practice in completing CMS-1500 claims electronically. Current information is provided on CPT-5 and ICD-10-CM coding systems. The appendices include information about processing UB-92 (CMS-1450) claims and dental claims. ... Read more

Reviews (9)

3-0 out of 5 stars Very misleading
I purchased this book with the accompanying workbook. Although it may contain good information, the answers are not provided to the exercises--in either the book or workbook. Apparently, a separate instructor's manual needs to be purchased. When spending [the money] for both books, I didn't even think that answers would not be provided, much less that I'd have to spend [more money] to get them. I'd recommend the book, workbook, and instructor's manual, unless you're taking a class that allows you to check to make sure you understand the concepts.

I'm not sure why I don't have voting buttons--I read every review here before I submitted mine.

5-0 out of 5 stars Good book
If your going to Fairleigh Dickinson University and your taking up Medical Administration you will need this book

5-0 out of 5 stars A must have for understanding billing
extensive illustrations and diagrams. the book explains exactly what is needed to understand the billing procedure.

4-0 out of 5 stars It's Great!
This book explains a great deal about medical billing. It is written in an easy-to-read style, and organizes the information in logical steps.

5-0 out of 5 stars LEARN HEALTH PROVIDER CODING
This text, workbook, and instructor's manual - which has the answers :-) - are very well put together, easy to follow and thoroughly cover the usual procedures of coding and touch on many hard-to-code ones. I found the history section informative and much as I wanted to get to the coding work,very thorough and very interesting. There are many questions throughout the lessons that very are well thought out and follow the text extremely well and reinforce what you have just read. This set of instructional manuals will really help you learn this subject. ... Read more


7. Effective Leadership and Management in Nursing (6th Edition)
by Eleanor J. Sullivan
list price: $45.40
our price: $45.40
(price subject to change: see help)
Asin: 0131780948
Catlog: Book (2004-06-24)
Publisher: Prentice Hall
Sales Rank: 146287
Average Customer Review: 5 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Book Description

Effective Leadership and Management in Nursing provides users with the necessary skills to make sound management decisions in a dynamic health care environment. Used worldwide, this award-winning book is now offered in an updated, revised edition to reflect the many changes in health care and nursing.Using case studies with a manager¿s checklist, critical thinking questions, key terms, an easy-to-read format, and a link to online instruction for professionals in the field, complete coverage is provided for nurses in the ever-changing health care field—and they have never needed this information more. Targeted to both practicing nurses and those in management, this book provides the tools for using the skills presented in each chapter. ... Read more

Reviews (1)

5-0 out of 5 stars Excellent Resource and Text
I bought this book as a required senior level text for an RN-BSN completion program. Some text books you keep and some you don't. This one is a keeper. It is well written and not too wordy. Practical examples are true to real clinical practice. Chapters are well titled, specific information is easy to locate, and topics are presented in a well organized, concise manner. No wasted words or overly detailed descriptions. Highly recommended for any RN's personal library and a must for nurse managers. ... Read more


8. Leading and Managing in Nursing
by Pat S. Yoder Wise, Yoder-Wise, Patricia, S., Rn. Yoder-Wise
list price: $44.95
our price: $44.95
(price subject to change: see help)
Asin: 0323016324
Catlog: Book (2002-10-01)
Publisher: C.V. Mosby
Sales Rank: 65149
Average Customer Review: 5 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Reviews (2)

5-0 out of 5 stars I STILL use it!
Granted, Dr. Yoder-Wise TAUGHT my leadership class is nursing school so we HAD to buy her book, but it has been the most useful book to me since I graduated from Texas Tech in '99. I have used the CV and resume' forms multiple times for job applications and graduate school. It's packed full of very useful information. Lots of good sources for legal/ethical and cultural diversity for paper writing too!

5-0 out of 5 stars A "Wise" Approach to Leading and Managing
Patricia Yoder-Wise blends the attributes which nurses exhibit in their practice, care and compassion, knowledge and skill, and logically demonstrates their application in leadership and management areas of nursing. Throughout the book, whether discussing the management of people or resources, Yoder-Wise emphasizes the need for nurses to continue to learn, to care, and maintain their passion for nursing. ... Read more


9. Health Care, U.S.A: Understanding Its Organization and Delivery
by Harry A. Sultz, Kristina M. Young
list price: $63.95
our price: $63.95
(price subject to change: see help)
Asin: 0763725714
Catlog: Book (2003-07-11)
Publisher: Jones & Bartlett Publishers
Sales Rank: 49830
Average Customer Review: 4 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Book Description

This new edition of a favorite text for introductory health care courses presents students with a current and complete overview of the changing roles and component parts of the US health care system—as well as the technical, economic, political, and social forces responsible for those changes. With its cohesiveness and logical organization that builds from general acquaintance through specific features of the health care system, Health Care USA continues to turn complex issues into comprehensible subject matter, giving students a primary grounding in the health care delivery system and how it operates.

The thoroughly updated Fourth Edition highlights the momentous readjustments occurring in the market-driven system resulting from the managed care backlash, the implementation of the Balanced Budget Act of 1997, and its amendments and contemporary policy directions. ... Read more

Reviews (1)

4-0 out of 5 stars An excellent introductory text for undergrads
I used this book as a textbook for a junior-level undergrad course I taught entitled Health Systems Administration. It provides an excellent overview to our U.S. health care system and covers basic material such as how medical education, ambulatory care and health care personnel needs currently are addressed and likely changes in the future. I anticipate using this text again when I teach the course. ... Read more


10. Understanding Healthcare Financial Management, Fourth Edition
by Louis C. Gapenski
list price: $108.00
our price: $108.00
(price subject to change: see help)
Asin: 1567932088
Catlog: Book (2003-07-01)
Publisher: Health Administration Press
Sales Rank: 177213
US | Canada | United Kingdom | Germany | France | Japan

Book Description

This fourth edition includes the theories and concepts behind financial decision making in health services. This text features practical applications and updated real-world examples available online to help students grasp the financial theories and concepts discussed.

What's new in this edition:

Text is not limited to just hospitals, and includes examples from medical practices, managed care organizations, nursing homes, and home health providers
Text is ideal for advanced graduate students, but also contains enough introductory material that it is also appropriate for an introductory course
New edition has been thoroughly updated, particularly the recent reimbursement changes and the real-world examples
New sections focusing on the complications that arise in small businesses, especially medical practices, have been added
Each chapter features end-of-chapter problems suitable for homework assignments or class discussion
Most chapters in the text have accompanying online Excel® models to help readers learn the material better. ... Read more


11. Medical and Dental Space Planning : A Comprehensive Guide to Design, Equipment, and Clinical Procedures
by JainMalkin
list price: $185.00
our price: $160.95
(price subject to change: see help)
Asin: 0471385743
Catlog: Book (2002-04-03)
Publisher: Wiley
Sales Rank: 60498
US | Canada | United Kingdom | Germany | France | Japan

Book Description

This definitive reference offers detailed analyses of more than thirty medical and dental specialties and their respective space planning requirements. New to the third edition is coverage of new medical specialties including reproductive enhancement, LASIX eye surgery, breast care centers, larger ambulatory centers, and medical oncology. It also offers up-to-date information on digital technology-electronic medical records, digital imaging, diagnostic instruments, and networked communications-and how it impacts the design of medical and dental facilities. You'll also find out about recent changes in regulatory agency reviews of office-based surgery practices and ADA compliance. ... Read more


12. The Case Manager's Handbook
by Catherine M. Mullahy, Deborah K. Jensen
list price: $65.95
our price: $65.95
(price subject to change: see help)
Asin: 0763731889
Catlog: Book (2004-03-01)
Publisher: Jones & Bartlett Publishers
Sales Rank: 364274
Average Customer Review: 4.5 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Book Description

Written by an active and nationally recognized case management consultant, The Case Manager's Handbook, Third Edition is the ultimate how-to guide for Case Managers.It is designed to define good case management, examine the case management process and present practical procedural information. Virtually every chapter has been revised.Packed with tried-and-true approaches to care and claims management, you'll find this book to be an excellent daily reference or a resource for a different approach. It can be used as a training guide for new case managers, or a teaching tool for client groups. ... Read more

Reviews (2)

5-0 out of 5 stars The Case Management Bible
I am not a case manager, however I work with them on a regular basis. I have found this book extremely helpful in understanding the field, the impact case management can and does have on the health care delivery process, and how it helps improve outcomes and contain costs, especially in critical and chronic care cases. This book is an invaluable tool for case managers and anyone who requires proven, nuts and bolts information on the process of case management and the role of case managers in health care. Lots of basic, hands-on, how-to information.

4-0 out of 5 stars A terrific resource for new case managers !!!
I have used this book in developing case manager inservice programs and it has been invaluable as a framework for the case manager's role and responsibilities. It is great !! ... Read more


13. Health and Health Care 2010: The Forecast, The Challenge, 2nd Edition
by Institute for the Future
list price: $35.00
our price: $32.55
(price subject to change: see help)
Asin: 078795974X
Catlog: Book (2001-11-12)
Publisher: Jossey-Bass
Sales Rank: 183525
Average Customer Review: 4 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Book Description

Health and Health Care 2010, Second Edition, offers well-researched coverage of health insurance, managed care, health care providers, the health workforce, medical technologies, information technologies, consumerism, public health services, mental health, child health, health of the elderly, chronic care, and health behaviors, and more. Each of the volume's topics starts with historical background leading into the contemporary setting and is followed with predicted short-term developments and forecasts reaching to the year 2010. Acknowledging the difficulty of long-term predictions, even by experts, the projections are cast as "stormy," "long and winding," or "sunny."

... Read more

Reviews (1)

4-0 out of 5 stars Thoughts on Health and Health Care 2010
This is a very interesting prediction of what health care may hold for us this decade. I enjoyed reading forecasts of what the population will be like and their lifestyles, as well as buying habits. Health careers that will be booming were discussed as well as what medical advances will flourish. I found it interesting that this publication does not really predict a nursing shortage as everyone else is predicting. The discussion of insurance plan growth and changes was less interesting to this reader but necessary. ... Read more


14. e-Healthcare: Harness the Power of Internet, e-Commerce & e-Care
by Douglas E. Goldstein
list price: $108.95
our price: $108.95
(price subject to change: see help)
Asin: 0834213656
Catlog: Book (2000-02-15)
Publisher: Jones & Bartlett Publishers
Sales Rank: 132408
Average Customer Review: 5.0 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Book Description

CD-ROM on the latest in consumer-focused strategy with practical 'how-to' tips for using available information. Based on the premise that the Internet is a great tool for energizing, communicating, and supporting customers. System requirements: Windows 95+, 6.5MB RAM, and Adobe Acrobat Reader. Macintosh System 7.0+. 6.5MB RAM, and Adobe Acrobat Reader. Jewel case only. ... Read more

Reviews (1)

5-0 out of 5 stars e-Healthcare, The Revolution is Underway
Goldstein provides a timely wealth of information in an easilyreadable format.The information is well documented and very futuristic; rather than the more typical books that talk about what's already happening.Excellent resources and examples are offered to depict relevant points.I think this is the most comprehenisve book on e-healthcare available today. It is a valuable read for practitioners, managers, andstudents interested in building core knowledge. ... Read more


15. Essentials of Physician Practice Management (J-B Public Health/Health Services Text)
list price: $75.00
our price: $75.00
(price subject to change: see help)
Asin: 0787971898
Catlog: Book (2004-08-06)
Publisher: Jossey-Bass
Sales Rank: 235832
US | Canada | United Kingdom | Germany | France | Japan

Book Description

Essentials of Physician Practice Management offers a practical reference for administrators and medical directors and provides a comprehensive text for those preparing for a career in medical administration, practice management, and health plan administration. Essentials of Physician Practice Management is filled with valuable insights into every aspect of medical practice management including operations, financial management, strategic planning, regulation and risk management, human resources, and community relations. ... Read more


16. Primary Care: A Collaborative Practice (Primary Care: Collaborative Practice)
by Terry Mahan Buttaro, Patricia Polgar Bailey, Joann Trybulski, Joanne Sandberg-Cook
list price: $99.00
our price: $99.00
(price subject to change: see help)
Asin: 0323020321
Catlog: Book (2003-04-01)
Publisher: C.V. Mosby
Sales Rank: 103025
Average Customer Review: 5 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Book Description

Written specifically for nurse practitioners, this unique, comprehensive primary care reference provides concise, yet thorough information that primary care providers need in today's fast-paced, collaborative environment. PRIMARY CARE: A COLLABORATIVE APPROACH is based on a body systems framework and covers a multitude of adult disorders and related issues, including barotrauma, rehabilitation, and domestic violence. Arranged alphabetically for easy reference, each disorder is discussed from a primary care perspective with the information and approach necessary to care for adult patients in a caring, cost-effective manner. A variety of contributors include nurse practitioners, doctors, physician assistants, respiratory technicians, and nurses from all over the country. ... Read more

Reviews (1)

5-0 out of 5 stars Thorough, invaluable resource, wonderful teaching tool
A well written, cutting edge reference. Easy to use format, clearly outlining differentials, diagnostics, and referral guidelines. Great patient education sections. Has replaced all my other primary care texts. ... Read more


17. Crossing the Quality Chasm: A New Health System for the 21st Century
by Institute of Medicine
list price: $44.95
our price: $44.95
(price subject to change: see help)
Asin: 0309072808
Catlog: Book (2001-06-01)
Publisher: National Academies Press
Sales Rank: 65564
Average Customer Review: 4.5 out of 5 stars
US | Canada | United Kingdom | Germany | France | Japan

Reviews (2)

4-0 out of 5 stars This book will not get you there
This book is written as the product of an Institute of Medicine initiative to reduce the mortality and morbidity from errors in the American healthcare system. The Institute of Medicine is a private organization created by congressional charter to advise the federal government on specific matters. Their mission statement is to "advance and disseminate knowledge to improve human health." This book is the final report of the Committee on the Quality of Health Care in America. Their homepage is available by searching the Internet using the full committee name. Membership of the committee and sponsors of the project are available at that web site.

The format of the book is to present evidence for quality problems in healthcare in America and make recommendations. The operational definition of quality used in the book is "The degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." There are thirteen recommendations presented initially and are discussed in relevant chapters. The recommendations vary in scope from suggesting that multiple parties need to be committed to quality as a way to decrease the burden of disease to suggestions that specific agencies fund pilot studies to look at how reimbursement can be aligned with quality. Six major parameters are discussed as guiding quality and it is suggested that 15 specific conditions be a focus for improving quality.

There is no difficulty in identifying literature studies that demonstrate quality problems in hospital and clinical populations. A survey of current research is included in Appendix A. A review of the tables in this appendix show the types of quality markers that are typically studied in the literature. The authors make the argument that errors due to quality lapses or deficiencies need to be actively worked on and that the current high error rates are not acceptable. Health care has become a major political issue and the political factions are shaping up to be government and business on one side and physicians and other health care providers on the other. There has been a major revamping of the health care system in the past decade to control costs. That required the active cooperation of the insurance industry and government. There is still medical inflation and limited access with 40 million Americans uninsured. Should we believe that another cooperative effort between industry and government will improve quality any more than it has controlled cost or improved access?

The authors acknowledge weaknesses in their suggestions about changing the face of American medicine, but they minimize the adverse impact of the current funding mechanisms for medical care and the issue of information systems integration and security. A good example can be found in their application of engineering principles to clinical settings - - where teams see patients for four hours of direct contact time and the remaining time is for documentation and returning calls. That plan would not be economically feasible in many settings. The high cost and lack of flexibility of the current reimbursement schemes are not mentioned as a potential reason why these plans won't work.

Information technology is seen as a way to enhance both productivity and safety. The authors suggest that e-mail can lead to productive exchanges between physicians and patients. Many physicians have been doing this for years. Many have also stopped with the advent of security concerns about medical privacy. With larger IT systems the critical issue is backward compatability with older systems. That usually requires custom designs that are extremely expensive. Those problems usually need to be solved before bedside computing and decision support can be developed. Security is acknowledged as a problem that needs to be solved. In spite of a federal initiative in this area, the important precedent to remember is how the financial privacy of Americans was protected. The authors point out that medical privacy requirements need to be more stringent than other industries. At the same time they point out that some opinions suggest that there is a trade off between privacy protections and the need to advance information technology in health care. If they are suggesting that the Internet should be at the heart of this infrastructure and the Internet is not secure, what does that mean?

A practical approach might be to focus on the areas where data is entered into computer systems and make sure that non-human analysis occurs at those levels. For example, all hospitals enter pharmacy orders into computer systems. Many hospitals require that physicians write separate discharge orders. Both of these points are areas where there could be immediate improvements in accuracy. A focused study and solution could be engineered now. The necessary software and hardware requirements could be placed on a central web site and available for download by hospital and clinic IT staff. Existing reviewers could be charged with documenting the baseline level of errors and the degree of improvement.

This book succeeds as a broad survey of what has been done about quality in certain settings. It contains some interesting ideas about what can possibly be accomplished by applying conceptual advances from other fields. It does not discuss the significant drawbacks of evidence based medicine. It lacks a practical plan for transitioning to a new system and in effect creates a new chasm. With a work like this, whether you like the conclusions depends a lot on your interpretation of the evidence and your personal experience. As a practicing physician and a previous quality reviewer I have significant areas of disagreement with what is presented in this book. Areas of controversy are not elaborated upon. I suppose you could say that level of analysis is not required, but recommendations about the future of health care in America should at least meet the criteria of "evidence based" and all the evidence should be discussed.

George Dawson, MD

5-0 out of 5 stars Essential Reading for Everyone in Health Care
If you are in anyway involved in health care, this is essential reading. Physicians, hospital administrators, purchasers, health plan execs, and grad students must immediately put this on the top of their reading list. Lives may depend on it.

In it, the highly respected Institute of Medicine builds a powerful case for how the current health care system is severely broken and how it has produced a "chasm" between what we known must be done for patients (based on current science of medicine) and what is actually done. The information conveyed is shocking but true. Even more importantly, the Institute gives us a plan for building a new, more accountable quality-driven approach to health care.

Read it and perhaps you too will be motivated to take action to improve health care delivery in America. ... Read more


18. Health Policymaking in the United States (3rd Edition)
by Beaufort B. Longest
list price: $81.00
our price: $81.00
(price subject to change: see help)
Asin: 1567931731
Catlog: Book (2002-01-01)
Publisher: Health Administration Press/Ache
Sales Rank: 235842
US | Canada | United Kingdom | Germany | France | Japan

Book Description

Whether at the federal, state, or local level, governments formulate, implement, and constantly modify their health policies within an intricately choreographed policymaking process. With clear explanations and examples, this book illuminates the policymaking process and provides insight into the future of U.S. health policy. New features of the second edition include thorough updating, along with: * A new chapter on policy outcomes * Case studies to illustrate key concepts * Discussion questions at the end of each chapter * References to informative Web sites * An appendix of annotated U.S. federal laws pertaining to health ... Read more


19. Planning, Implementing, and Evaluating Health Promotion Programs: A Primer (3rd Edition)
by James F. McKenzie, Jan L. Smeltzer
list price: $74.00
our price: $74.00
(price subject to change: see help)
Asin: 0205319157
Catlog: Book (2000-08-01)
Publisher: Benjamin Cummings
US | Canada | United Kingdom | Germany | France | Japan

20. Health Care Administration: Planning, Implementing, and Managing Organized Delivery Systems
by Lawrence Wolper, Lawrence F. Wolper
list price: $95.95
our price: $95.95
(price subject to change: see help)
Asin: 0763731447
Catlog: Book (2003-11-01)
Publisher: Jones & Bartlett Publishers
Sales Rank: 111605
US | Canada | United Kingdom | Germany | France | Japan

Book Description

Health Care Administration: Planning, Implementing, and Managing Organized Delivery Systems, Fourth Edition continues to be the definitive guide to contemporary health administration. It provides comprehensive coverage of detailed functional, technical, and organizational matters that pertain to organized delivery systems. It also extensively covers matters that relate to hospitals and functions that occur at the hospital level. With revisions that reflect the emerging issues in health care, this classic text is a must-have for both health administration students and professionals. ... Read more


1-20 of 200       1   2   3   4   5   6   7   8   9   10   Next 20
Prices listed on this site are subject to change without notice.
Questions on ordering or shipping? click here for help.

Top