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Instructor Resources: New test bank, PowerPoint slides, HAP Course Lesson Plans, answer guides to the chapter-end discussion questions, and a transition guide to the new edition. In the past decade, the nation experienced an unusually active period in health policy with the enactment of the Affordable Care Act (ACA). Historically, health policymaking has been a slow yet persistent evolution. The ACA, in spite of its magnitude, is an excellent example of the incremental evolution that characterizes policymaking in the United States. This book provides context and background for understanding the development of today's health reform legislation. In the new edition of this widely used book, Beaufort Longest provides a framework for understanding the formulation, implementation, and modification of health policymaking at both the federal and state levels. Students will learn how policymaking relates to decisions that affect healthcare providers and patients. They will also gain insight into how they can influence the policymaking process. Incorporated in the book are excerpts from congressional testimony, news stories, executive orders, legislation, and other documents related to real-world policy issues. Thoroughly updated and revised, this edition: Discusses the ACA extensively, with examples of both its formulation and its implementation Expands coverage of policymaking's implementation phase Provides a new chapter on the role of courts in health policy and policymaking Includes more than 30 appendices, many brand new to this edition, to illustrate the policymaking process
Future healthcare leaders: Do you have an obligation to serve the common good? If your answer to this ethical question is yes, then you need a working knowledge of health policy. An understanding of how policy decisions are made gives healthcare leaders a knowledge base from which they can turn what once appeared to be limitations or obstacles into opportunities to facilitate better access to care, improve the quality of care, and more effectively manage costs. Leaders who have a firm grasp on the policymaking process can advocate for their patients, their organizations, and their communities. This revamped version of the classic textbook originally authored by Beaufort B. Longest, Jr., links policy concepts to practical applications and real healthcare outcomes. It covers formulation, implementation, and modification of health policymaking at both the federal and state levels, while giving readers insight into real-life political results and details of on-the-ground policy decisions. Highlights include: - A new chapter on federalism and the role of the states - Policy Snapshots at the beginning of each of the book's sections that offer brief, true stories of a significant policy event or an opportunity for students to envision their future selves as health advocates - A thoroughly revised and updated chapter on how the courts shape health policy - A rich array of new or updated examples drawn from actual policymaking events, in addition to new graphics and sidebars - Updated appendixes reorganized to provide easy access to examples germane to the topic at hand - An epilogue highlighting federal and state policy challenges posed by the coronavirus pandemic of 2020 Let author Michael R. Meacham guide you through health policy as a process. With a background in policy, law, healthcare leadership, and academia, he enables students to understand both the big picture and the small, but important, details.
What happens in health policy at local, state, and federal levels directly affects patients, nurses, and nursing practice. Some healthcare professionals, though, are intimidated by the knotty policy process or simply don’t know how to take the first step toward implementing policy change. In Evidence-Informed Health Policy authors Jacqueline M. Loversidge and Joyce Zurmehly demystify health policymaking and equip nurses and other healthcare professionals with the knowledge, tools, and confidence to navigate that first step—and many steps beyond.
The American health care system is a unique mix of public and private programs that critics argue has produced a two-tier system - one for the rich and the other for the poor - that delivers dramatically unequal care and leaves millions of Americans seriously underinsured or with no coverage at all. This book examines the root causes of the inequalities of the American health care system and discusses various policy alternatives. It systematically documents the demands on and the performance of our health care system for different population groups as defined on the basis of gender (women), age (children), race and ethnicity (African Americans, Hispanics, Native Americans), and residence in high poverty areas (rural and inner city locales).For each population, the book documents: historical and demographic profile, data on health status, aspects of inequality including access; quality of care; and endemic, cultural, and lifestyle issues affecting health; policies, laws, and programs relevant to health care; and, indicators of improvement or negative trends.
In our rapidly advancing scientific and technological world, many take great pride and comfort in believing that we are on the threshold of new ways of thinking, living, and understanding ourselves. But despite dramatic discoveries that appear in every way to herald the future, legacies still carry great weight. Even in swiftly developing fields such as health and medicine, most systems and policies embody a sequence of earlier ideas and preexisting patterns. In History and Health Policy in the United States, seventeen leading scholars of history, the history of medicine, bioethics, law, health policy, sociology, and organizational theory make the case for the usefulness of history in evaluating and formulating health policy today. In looking at issues as varied as the consumer economy, risk, and the plight of the uninsured, the contributors uncover the often unstated assumptions that shape the way we think about technology, the role of government, and contemporary medicine. They show how historical perspectives can help policymakers avoid the pitfalls of partisan, outdated, or merely fashionable approaches, as well as how knowledge of previous systems can offer alternatives when policy directions seem unclear. Together, the essays argue that it is only by knowing where we have been that we can begin to understand health services today or speculate on policies for tomorrow.
Providing concrete steps that federal policymakers should take to promote prevention both within and outside our healthcare sector, Prevention First not only sounds the alarm about the terrible consequences of preventable disease but serves as a rallying cry that we can and must do better in this country to reduce preventable deaths.
New thinking is needed on the age-old conundrum of how to connect research and policymaking. Why does a disconnect exist between the research community, which is producing thousands of studies relevant to public policy, and the policy community, which is making thousands of decisions that would benefit from research evidence? The second edition updates community dissonance theory and provides an even stronger, more substantiated story of why research is underutilized in policymaking, and what it will take to connect researchers and policymakers. This book offers a fresh look into what policymakers and the policy process are like, as told by policymakers themselves and the researchers who study and work with them. New to the second edition: • The point of view of policymakers is infused throughout this book based on a remarkable new study of 225 state legislators with an extraordinarily high response rate in this hard-to-access population. • A new theory holds promise for guiding the study and practice of evidence-based policy by building on how policymakers say research contributes to policymaking. • A new chapter features pioneering researchers who have effectively influenced public policy by engaging policymakers in ways rewarding to both. • A new chapter proposes how an engaged university could provide culturally competent training to create a new type of scholar and scholarship. This review of state-of-the-art research on evidence-based policy is a benefit to readers who find it hard to keep abreast of a field that spans the disciplines of business, economics, education, family sciences, health services, political science, psychology, public administration, social work, sociology, and so forth. For those who study evidence-based policy, the book provides the basics of producing policy relevant research by introducing researchers to policymakers and the policy process. Strategies are provided for identifying research questions that are relevant to the soc
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of governmentâ€"federal, state, and localâ€"at which these functions would best be handled.
This book introduces students to health policy making, health policy issues, research/evaluation methods, and international perspectives on health policy. Shi uses real-world cases and examples to reinforce theories and concepts throughout the book and addresses all healthcare settings, including public health, managed care, ambulatory care, extended care, and the hospital setting.
American Federalism in Practice is an original and important contribution to our understanding of contemporary health policy. It also illustrates how contentious public policy is debated, formulated, and implemented in today’s overheated political environment. Health care reform is perhaps the most divisive public policy issue facing the United States today. Michael Doonan provides a unique perspective on health policy in explaining how intergovernmental relations shape public policy. He tracks federal-state relations through the creation, formulation, and implementation of three of the most important health policy initiatives since the Great Society: the State Children’s Health Insurance Program (CHIP) and the Health Insurance Portability and Accountability Act (HIPAA), both passed by the U.S. Congress, and the Massachusetts health care reform program as it was developed and implemented under federal government waiver authority. He applies lessons learned from these cases to implementation of the Affordable Care Act. “Health policymaking is entangled in a complex web of shared, overlapping, and/or competing power relationships among different levels of government,” the author notes. Understanding federal-state interactions, the ways in which they vary, and the reasons for such variation is essential to grasping the ultimate impact of federalism on programs and policy. Doonan reveals how federalism can shift as the sausage of public policy is made while providing a new framework for comprehending one of the most polarizing debates of our time.
What determines the capacity of countries to design, approve and implement effective public policies? To address this question, this book builds on the results of case studies of political institutions, policymaking processes, and policy outcomes in eight Latin American countries. The result is a volume that benefits from both micro detail on the intricacies of policymaking in individual countries and a broad cross-country interdisciplinary analysis of policymaking processes in the region.
Healthcare affects the lives of most Americans and absorbs a large portion of the United States' resources. It also is continually debated, prompting ongoing legislative changes and market restructuring. One of the best ways to understand healthcare, in all its complexity, is from an economic perspective -- that is, from the perspective of the financial self-interest of all involved parties. "Health Policy Issues: An Economic Perspective" takes just such an approach. Paul J. Feldstein describes the forces that press for change in healthcare and explains why the US health system has evolved to its current state. The book's 38 concise, issue-oriented chapters cover various aspects of the US health system, including the cost of medical care, health insurance, Medicare and Medicaid, physician and nursing shortages, medical school admittance, malpractice reform, prescription drug prices, and more. -- From publisher's description.
Health Policy and Politics: A Nurse’s Guide, Fifth Edition encompasses the entire health policy process from agenda setting through policy and program evaluation. This is an essential text for both graduate and undergraduate students. The Fifth Edition includes expanded information on the breadth of policy making and includes the impact of social media, economics, finance and other timely topics. The authors draw from their experience and provide concrete examples of real-life situations that help students understand the link between policy theory and political action. New to the Fifth Edition: Updated case studies involve the reader in making the connection between theory and active participation in policy making New chapter on inter-professional practice, education, and research Reference to the Affordable Care Act and other laws that affect the health care of consumers and the organization of health care system Expanded content on economics and finance New co
Each of us is, to a certain extent, dangerous to his or her own health, but how far do we want the government to curb our freedom to be "foolish"? In a look at such highly charged health issues as smoking, alcohol, road safety, and AIDS, Howard Leichter analyzes the efforts of the United States and Great Britain to confront the seemingly constant tension involved with this question. Leichter contends that both governments are now paying less attention to providing access to health care and more to forcing or encouraging people to change their behavior. The result has been a transformation of health politics from a largely consensual to a largely conflictual enterprise: health promotion policies often provoke debate on issues filled with scientific uncertainties, while taking on the quality of a disagreeable moral crusade. A primary concern of this book is to account for the differences, as well as the similarities, between the two countries in their public health policies. Leichter examines, for example, why seat belt regulation flourished in the American states even when federal action was blocked while, in Britain's more concentrated political structure, similar regulation faced a tortuous political path through the Lords and Commons. Finding that the United States is more apt to use formal regulation and that Britain tends toward voluntary agreement, Leichter compares the two approaches. Neither government avoids conflict, he maintains, but regulation, despite its problems, is more effective. Originally published in 1991. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands o