The third edition of Changing the U.S. Health Care System is a thoroughly revised and updated compendium of the most current thought on three key components of health care policy improving access, ensuring quality, and controlling costs. Written by a panel of health care policy experts, this third edition highlights the most recent research relevant to health policy and management issues. New chapters address topics such as the disparities in health and in health care, information systems, and performance in the area of nursing. Revisions to chapters from the previous edition emphasize the most recent developments in the field.

Author Information

Ronald Andersen is the Wasserman Professor Emeritus in the University of California, Los Angeles, department of Health Services and Sociology. Previously he was professor at the University of Chicago and director of Center for Health Administration Studies.

Gerald Kominski is professor in the Department of Health Services, associate dean for academic programs, and associate director of the Center for Health Policy Research at the University of California, Los Angeles School of Public Health.

Thomas Rice is vice chancellor for academic personnel at the University of California, Los Angeles and professor of health services, University of California, Los Angeles, School of Public Health.

Table of Contents

Figures and Tables

Foreword

Abdelmonem A. Afifi, Linda Rosenstock

Acknowledgments

The Editors

The Authors

Introduction and Overview (Ronald M. Andersen, Thomas H. Rice, and Gerald F. Kominski)

PART ONE: ACCESS TO HEALTH CARE

1. Improving Access to Care in America: Individual and Contextual Indicators (Ronald M. Andersen and Pamela L. Davidson)
2. Ethnic Disparities in Health Status Antronette K. Yancey, Roshan Bastani, and Beth A. Glenn)
3. Disparities in Health Care (Leo S. Morales and Alexander N. Ortega)
4. Public Policies to Extend Health Care Coverage (E. Richard Brown, with Shana Alex Lavarreda)

PART TWO: COSTS OF HEALTH CARE

1. Measuring Health Care Costs and Trends (Thomas H. Rice)
2. Containing Health Care Costs (Thomas H. Rice and Gerald F. Kominski)
3. Controlling Pharmaceutical Prices and Expenditures (Stuart O. Schweitzer and William S. Comanor)

PART THREE: QUALITY OF HEALTH CARE

1. Measuring Outcomes and Health-Related Quality of Life (Patricia A. Ganz, Mark S. Litwin, Ron D. Hays and Robert M. Kaplan)
2. Evaluating the Quality of Care (Elizabeth A. McGlynn)
3. Public Release of Information on Quality (Elizabeth A. McGlynn and John L. Adams)
4. Health Care Information Systems (Jeff Luck and Paul Fu)
5. Performance Measurement of Nursing Care (Jack Needleman, Ellen T. Kurtzman and Kenneth W. Kizer)

PART FOUR: SPECIAL POPULATIONS

1. Long-Term Care and the Elderly Population (Steven P. Wallace, Emily K. Abel, Nadereh Pourat and Linda Delp)
2. AIDS in the Twenty-First Century: Challenges for Health Services and Public Health (David S. Zingmond and William E. Cunningham)
3. Health Reform for Children and Families (Moira Inkelas, Neal Halfon, David Lee Wood and Mark A. Schuster)
4. Mental Health Services and Policy Issues (Susan L. Ettner and Janet C. Link)
5. Women's Health: Key Issues in Access to Health Insurance Coverage and to Services Among Nonelderly Women (Roberta Wyn and Beatriz M. Solís)
6. Homeless Persons (Lisa Arangua and Lillian Gelberg)

PART FIVE: DIRECTIONS FOR CHANGE

1. Managed Care and the Growth of Competition (Gerald F. Kominski and Glenn A. Melnick)
2. Medicare Reform (Gerald F. Kominski, Jeanne T. Black and Thomas H. Rice)
3. Public Health and Personal Health Services (Lester Breslow and Jonathan E. Fielding)
4. The Continuing Issue of Medical Malpractice Liability (Ruth Roemer)
5. Ethical Issues in Public Health and Health Services (Pauline Vaillancourt Rosenau and Ruth Roemer)

Name Index

Subject Index