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

<p><b>Gerald F. Kominski, PhD,</b> is professor, Department of Health Policy and Management in the UCLA Fielding School of Public Health, and director of UCLA Center for Health Policy Research. He is co-developer of the California Simulation of Insurance Markets (CalSIM) model currently being used to estimate eligibility and enrollment in health insurance exchanges in California and Hawaii.

<p><b><i>Changing the</i> U. S. Health Care System<br/> Key Issues in Health Services Policy and Management<br/> 4^th Edition</b> <p>Since the first edition was published in 1996, <i>Changing the U.S. Health Care System</i> has provided a comprehensive, single-source account of the issues of most concern to health care policy and management students, health services researchers and policy analysts, health care managers, practitioners, and providers. <p>The fourth edition of <i>Changing the U.S. Health Care System</i> is a thoroughly revised and updated compendium of evidence-based views of the most important current issues in the field. Written by a panel of health care policy experts, this new edition highlights access to health care, cost of health care, quality of health care, special populations, and directions for change. This resource also offers deep coverage of health reform and its impact on all areas and regions of health services. <p>Each chapter is written by experts in the field who integrate evidence to explain the current condition and present support for needed change in our health care system. <p>Companion Web site: <b>www.josseybass.com/go/kominski4e</b><br/> Additional resources: <b>www.josseybasspublichealth.com</b>

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