Details

Toward a 21st Century Health System

The Contributions and Promise of Prepaid Group Practice
Jossey-Bass Public Health, Band 9 1. Aufl.

von: Alain C. Enthoven, Laura A. Tollen, William L. Roper
35,99 €
Verlag:	Wiley
Format:	PDF
Veröffentl.:	29.03.2004
ISBN/EAN:	9780787974046
Sprache:	englisch
Anzahl Seiten:	340

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Beschreibungen

Titelbeschreibung

Toward a 21st Century Health System is a collection of thoughtful analyses that explore a key element of the health care delivery system-physician group practices. Edited by policy experts Alain Enthoven and Laura Tollen, and written by a blue ribbon panel of health policy scholars and leaders including Stephen Shortell, Hal Luft, Donald Berwick, James Robinson, and Helen Darling, this resource addresses a variety of topics, including <ul> <li>Organized delivery systems</li> <li>Quality of care in prepaid group practice versus other types of managed care</li> <li>The role of physician leadership and culture in group practice</li> <li>Prepaid group practice and the formation of national health policy</li> </ul> This comprehensive resource also covers such topics as pharmacy benefit management, technology assessment, health services research, and employer purchasing of benefits– all as they relate to prepaid group practice.

Inhaltsverzeichnis

Tables and Exhibits ix Acknowledgments xi The Contributors xiii Foreword xxiii William L. Roper Preface xxvii Alain C. Enthoven, Laura A. Tollen 1 Prepaid Groups and Organized Delivery Systems: Promise, Performance, and Potential 1 Stephen M. Shortell and Julie Schmittdiel 2 Systems and Results: The Basis for Quality Care in Prepaid Group Practice 22 Donald M. Berwick and Sachin H. Jain 3 The Clinical and Economic Performance of Prepaid Group Practice 45 Kenneth H. Chuang, Harold S. Luft, and R. Adams Dudley 4 Prepaid Group Practice and Health Care Policy 61 Jon B. Christianson and George Avery 5 Technology Assessment, Deployment, and Implementation in Prepaid Group Practice 85 David M. Eddy 6 Managing the Pharmacy Benefit in Prepaid Group Practice 108 William H. Campbell, Richard E. Johnson, and Sharon L. Levine 7 Prepaid Group Practice and Medical Workforce Policy 128 Jonathan P. Weiner 8 Prepaid Group Practice and Health Care Research 156 Raymond Fink and Merwyn R. Greenlick 9 Physician Leadership: “Group Responsibility” as Key to Accountability in Medicine 179 Francis J. Crosson, Allan J. Weiland, and Robert A. Berenson 10 The Limits of Prepaid Group Practice 199 James C. Robinson 11 The Relationship Between Prepaid Group Practice and the Employer Community 213 Helen Darling 12 Open the Markets and Level the Playing Field 227 Alain C. Enthoven Editors’ Introduction to the Epilogue 247 Epilogue: Prepaid Group Practice and Computerized Caregiver Support Tools 249 George C. Halvorson Appendix: The Origins of Prepaid Group Practice in the United States 265 Jon A. Stewart Index 275

Rezension

"Several of the chapters are excellent analyses of how the PGP model is responsive to current policy and delivery concerns." (JAMA; 11/24/2004) "This book should be required reading for every physician in the United States." (Health Affairs, Vol 23, No 4; July/August 2004) “A brief review cannot do justice to the range of issues explored in this volume… Toward a 21st Century Health System repays careful study.” (Health Service Journal, April 2004)

Autorenportrait

ALAIN C. ENTHOVEN, PH.D (editor) is Marriner S. Eccles Professor of Public and Private Management (Emeritus), Graduate School of Business, and Senior Fellow, Institute for International Relations, Center for Health Policy, Stanford University. He was one of the architect's of the managed competition model of health reform, which was subsequently adopted by President Clinton in the Health Security Act of 1996. LAURA TOLLEN, MPH, (editor) is Senior Policy Consultant for Kaiser Permanente Institute for Health Policy. Prior to joining the Institute, Laura was Senior Analyst and Project Director at the Institute for Health Policy Solutions, a Washington, DC-based think tank.

Back cover copy

Toward a 21st Century Health System Toward a 21st Century Health System's contributors include George Avery, M.P.H., University of Minnesota School of Public Health and University of Minnesota-Duluth Department of Psychology Robert A. Berenson, M.D., F.A.C.P., The Urban Institute Donald M. Berwick, M.D., M.P.P., Institute for Healthcare Improvement William H. Campbell, Ph.D., University of North Carolina at Chapel Hill, School of Pharmacy Jon B. Christianson, Ph.D., University of Minnesota, Carlson School of Management Kenneth H. Chuang, M.D., San Francisco Veterans Affairs Medical Center Francis J. Crosson, M.D., The Permanente Federation Helen Darling, M.A., National Business Group on Health R. Adams Dudley, M.D., M.B.A., U.C. San Francisco, Institute for Health Policy Studies David M. Eddy, M.D., Ph.D. Alain C. Enthoven, Ph.D., Stanford University, Graduate School of Business. Raymond Fink, Ph.D., Medical and Health Research Association of New York City Merwyn (Mitch) R. Greenlick, Ph.D., Oregon Health and Science University Medical School George C. Halvorson, Kaiser Foundation Health Plan and Hospitals Richard E. Johnson, Ph.D., R.Ph., Center for Health Research, Kaiser Permanente Northwest Sharon L. Levine, M.D., The Permanente Medical Group Harold S. Luft, U.C. San Francisco, Institute for Health Policy Studies Sachin H. Jain, Institute for Healthcare Improvement James C. Robinson, Ph.D., U.C. Berkeley, School of Public Health Julie Schmittdiel, M.A., U.C. Berkeley, School of Public Health Stephen M. Shortell, Ph.D., U.C. Berkeley, School of Public Health Jon A. Stewart, The Permanente Federation Laura A. Tollen, M.P.H., Kaiser Permanente Institute for Health Policy Allan J. Weiland, M.D., Northwest Permanente, P.C. Jonathan P. Weiner, Dr.P.H., Johns Hopkins University, Bloomberg School of Public Health Praise for Toward a 21st Century Health System After three decades of trying to reform health care by looking for a "silver bullet," I found the "future" has been here for more than a century. Policymakers tired of banging heads and gavels on stone walls need look no further than this well-designed analysis of prepaid group practice for the incentives necessary to enhance health system quality, safety, and performance, expand access and equity, and vastly improve the professional-patient relationship. —Hon. David Durenberger, U.S. Senator (1978-1995), Senior Health Policy Fellow, University of St. Thomas If you wonder why the American health system is judged by distinguished experts as "the poster boy of underachievement," read this collection of fine essays by longtime students of that system. The book is a particularly valuable read for students of medicine, health administration, and health policy. Here they will learn how much better value might be wrung out of the health system for the truly ample resources Americans grant it. —Uwe Reinhardt, James Madison professor of Political Economy, Princeton University

Unpublished endorsement

"After three decades of trying to reform?health care...by looking for a 'silver bullet,' I found?the ?future? has been here for more than a century. Policymakers tired of banging heads and gavels on stone walls need look no further than this well-designed?analysis of prepaid group practice for the incentives necessary to enhance health system quality, safety and performance, expand access and equity, and vastly improve the professional-patient relationship." —Hon. David Durenberger, U. S. Senator (1978-1995), Senior Health Policy Fellow, University of St. Thomas "If you wonder why the American health system...is judged by distinguished experts as ?the poster boy of underachievement,? read this collection of fine essays by longtime students of that system.... The book is a particularly valuable read for students of medicine, health administration and health policy. Here they will learn...how much better value might be wrung out of the health system for the truly ample resources Americans grant it." —Uwe Reinhardt, James Madison professor of Political Economy, Princeton University