Planning for community-oriented health systems

목차 (Table of Contents)

• CONTENTS
• Preface = ⅶ
• Chapter 1 : Planning Doctrine = 1
• Definitions = 2
• Special Characteristics of the Health Care Market = 4
• Organizational Design Principles = 10
• HMOs as Optimal Design = 12
• A Metaphor for Community Health Planning = 14
• Conclusion = 15
• Chapter 2 : Designing Community Health Systems = 21
• Mission = 22
• Types of Local Primary Care Systems = 23
• Community- Oriented Primary Care = 27
• Performance of Primary Care Organizations = 30
• Community Governance = 31
• Principles for Successful System Development = 35
• Integration with Regional Systems = 36
• Chapter 3 : Assessment of Community Needs = 41
• Forecasting Demand in an Era of Managed Care = 51
• Estimating Resource Requirements : The Hospital Example = 54
• Defining the Service Population = 60
• Regionalization = 63
• Planning for Ambulatory Medical Care = 65
• Planning for Mental Health and Substance Abuse Services = 69
• Needs Assessment = 70
• Long-Term Care Services = 77
• Conclusion = 79
• Chapter 4 : Measuring Health System Performance = 85
• Performance Measures = 86
• Recommended Performance Indicators = 99
• Mental Health and Substance Abuse Services = 104
• Assessing Public Health Performance = 108
• Monitoring Statewide Trends : An Example Taken from State-Funded Substance Abuse Treatment = 109
• Conclusion = 114
• Chapter 5 : Monitoring Quality and Appropriateness = 117
• Approaches to Quality Assessment = 118
• Monitoring Quality with Risk-Adjusted Indicators = 122
• The Kaiser Permanente Case = 127
• Conclusion = 131
• Chapter 6 : Evaluating the Quality of Planning:Criteria and Cases = 135
• Criteria for Evaluating Community- Oriented Health Systems = 135
• Case A : A Different Kind of Place = 136
• Case B : Hospital Dominance = 145
• Case C : A Community with a Heart = 148
• Case D : A Rogue Hospital = 151
• Case E : A Rogue Public Health Agency = 155
• Case F : A Grieving Community = 157
• Case G : A Health Commission for a Primary Care System = 159
• Conclusion = 165
• Chapter 7 : Healthy Governance : Diagnosing Performance Problems in Community Health Planning Boards = 167
• Symptoms and Traits = 168
• Cross Tabulations = 171
• Typical Scenarios = 172
• Applying the Diagnostic Approach = 173
• Corrective Actions = 177
• Motivating the Hospital = 178
• Discussion = 179
• Conclusion = 180
• Chapter 8 : Planning, Marketing, and Accountability = 183
• Listening to the Consumer = 184
• Why Health Care Markets Fail = 185
• Community Benefit and Health System Development = 186
• Community Coalitions = 188
• Accountability : Report Cards = 192
• Chapter 9 : Access to Medical Care, Market Share, and Demand = 195
• Physician Visits = 196
• Primary Care Visits and Use of Prevention Services = 196
• Specialist Visits = 197
• Identifying Market Segments = 198
• Subdividing Market Segments by Age = 198
• Subdividing Market Segments by Gender = 199
• Example of an Access Survey = 199
• Chapter 10 : Prospects and Training = 211
• The Politics of Local Health Policy = 211
• Health Planning Education = 214
• The Evolution of Health Administration = 215
• The Traditional Perspective in Health Administration = 220
• What Went Wrong? = 222
• Conclusion = 223
• Appendix = 231
• Index = 239