Health policy and nursing Book

	Foreword
	Introduction
1	Health Status of the Population and Vulnerable Groups	5
	Actual Causes of Death in the United States	6
	US Childhood Mortality, 1950 through 1993: Trends and Socioeconomic Differentials	19
	The Role of Race/Ethnicity and Social Class in Minority Health Status	31
	Health and Longevity	41
	Health Status, Medical Care Use, and Number of Disabling Conditions in the United States	48
2	Access to Care	53
	Care Denied: US Resident Who Are Unable to Obtain Needed Medical Services	54
	Prenatal Care and Public Policy: Lessons for Promoting Women's Health	61
	Issues in Rural Health: Access, Hospitals, and Reform	71
	A Policy of Inclusion for the Mentally Ill	79
3	Aging, Disability, and LTC	89
	The Aging Enterprise Revisited	90
	The Nursing Home Industry: Public Policy in the 1990s	99
	Home Health Care Outcomes Under Capitated and Fee-for-Service Payment	110
	A Political Economy Perspective on Frontline Workers in Long-Term Care	121
4	Organizational Change	135
	Health Care Paper Chase, 1993: The Cost to the Nation the States, and the District of Columbia	136
	Nursing Staff in Hospitals and Nursing Homes: Is It Adequate?	142
	Mergers and Acquisitions - Who Benefits? Who Loses?	157
5	Labor Issues	163
	Nursing in the Political and Economic Marketplace: Challenges for the 21st Century	164
	Health Care Workforce Priorities: What Nursing Should Do Now	173
	A Report Card on the Physician Work Force in the United States	186
	Critical Challenges: Revitalizing the Health Professions for the 21st Century	196
6	Quality of Care	209
	Error in Medicine	210
	Toward a 21st Century Quality-Measurement System for Managed-Care Organizations	221
	Time for a Checkup: HMOs Must Now Prove That They Are Providing Quality Care	232
	Performance Reports on Quality - Prototypes, Problems, and Prospects	243
7	Financing Health Care	257
	National Health Expenditure Projections, 1994-2005	258
	Extreme Risk - The New Corporate Proposition for Physicians	271
	Annual Report on American Industry	277
	Economic Analysis in Health Care	283
8	Public Financing	297
	Medicaid and Managed Care	298
	Medicaid Managed Care: Can It Work for Children?	310
	Medicare at 30: Preparing for the Future	319
	On Behalf of Older Women: Another Reason to Protect Medicare and Medicaid	327
9	Private Insurance and Managed Care	333
	The Medically Uninsured - Will They Always Be with Us?	334
	The Practice and Ethics of Risk-Related Health Insurance	342
	Managed Care Plan Performance Since 1980: A Literature Analysis	351
	Choice Matters: Enrolees' Views of Their Health Plans	365
10	International Health Systems: Comparison of the UK Canada, and Germany	379
	Re-minding Our Ps and Qs: Medical Cost Controls in Canada	380
	The Politics of Destruction: Rationing in the UK Health Care Market	391
	Who Has the Best Health Care System? A Second Look	403
11	Health Politics and Political Action	415
	Can Meaningful Health Policy Be Developed in a Political System?	416
	Advocating for Nursing	429
	Why Congress Did Not Enact Health Care Reform	435
	What Happened to Americans' Support for the Clinton Health Plan?	442
	Politics, Power, and Vested Interests: Washington at Work	453
12	Health Reform for the Future	463
	A National Health Program for the United States: A Physicians' Proposal	464
	A National Long-Term Care Program for the United States: A Caring Vision	478
	Politics and Public Health	492
	Glossary	505
	Index	515