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Foreword Richard H. Carmona ix
Preface xi
Contributors xiii
Section I Introduction 1
1 To Engage or Not Engage: The Choice Confronting Nurses and Other Health Professionals Nancy Aries 3
2 Health Status and Access to Care Paula Lucey 25
Section II The Health Labor Force: Understanding the Distribution of Power and Influence 51
3 Physicians Nancy Aries Barbara Caress 53
4 Nurses Donna M. Nickitas 75
5 Allied and Other Health Professionals Donna M. Nickitas 103
Section III Healthcare Providers: Understanding How Power, Markets, and Government Impact the Organization and Delivery of Care 121
6 Hospitals: The Power of Institutional Interests Nancy Aries Barbara Caress 123
7 Long-Term Care Emma Kontzamanis Keville Frederickson 143
8 Mental and Behavioral Health: Clinical and Policy Impact on Mental Health Trends Kunsook Bernstein Joseph Saladino 155
9 Public Health Policy: Promotion, Prevention, and Protection Mary Mincer Hansen Mary Jones 181
Section IV Healthcare Finance: Understanding the Role of Markets in Government 209
10 Healthcare Costs: Follow the Money! Jonathan Engel 211
11 The History of Health Insurance in the United States Leah Curtin Franklin A. Shaffer 237
Section V Drivers 261
12 Advancing the Use of Technology in the Organization and Delivery of Health Care Diane J. Skiba Donna Dulong 263
13 Healthcare Quality Donna J. Middaugh 287
14 Health Services Research Donna M. Nickitas Keville Frederickson Jonathan Small 309
15 Conclusions: A Policy Toolkit for Healthcare Providers and Activists Roby Robertson Donna J. Middaugh 327
Appendix A Web Resources Lametria Wafford 353
Appendix B Glossary of Managed Care Terminology 357
Index 365
Photo Credits 377
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