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to Health
Policy
Introduction
to Health
Policy
Leiyu Shi
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Copyright 2014 by the Foundation of the American College of Healthcare Executives. Printed in the United
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Preface
ix
DETAILED CONTENTS
Brief Contents.......................................................................................................vii
Detailed Contents................................................................................................. ix
Preface...................................................................................................................xiii
Part I
Introduction........................................................................................1
Chapter 1
Overview Of Health Policy.................................................................3
Learning Objectives................................................................................................3
Case Study: Healthcare Reform: Hillary Clinton and Barack Obama......................4
Health Defined.......................................................................................................5
Public Health Defined............................................................................................9
What Are the Determinants of Health?...................................................................9
Policy Defined......................................................................................................16
Health Policy........................................................................................................16
Determinants of Health Policy..............................................................................18
Stakeholders of Health Policy................................................................................21
ix
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Detailed Contents
Health Policymaking.........................................................................29
Chapter 2
Federal Health Policymaking.............................................................31
Learning Objectives..............................................................................................31
Case Study: The Development of Medicare and Medicaid....................................32
The US Political System........................................................................................33
Policymaking Process at the Federal Level.............................................................35
Attributes of Health Policymaking in the United States........................................43
Role of Interest Groups in US Health Policymaking.............................................46
Key Points.............................................................................................................49
Case Study Questions...........................................................................................49
For Discussion......................................................................................................49
References.............................................................................................................50
Health Policymaking at The State and
Local Levels and in the Private Sector.............................................53
Learning Objectives..............................................................................................53
Case Study: Massachusetts Healthcare Reform......................................................54
State Governmental Structure...............................................................................55
Local Government Structure.................................................................................57
Private Health Research Institutes.........................................................................60
Private Health Foundations ..................................................................................61
Private Industry ....................................................................................................63
Attributes of Health Policy Development in Nonfederal Sectors...........................65
Key Points.............................................................................................................68
Case Study Questions...........................................................................................68
For Discussion......................................................................................................68
References.............................................................................................................69
Chapter 3
Chapter 4
International Health Policymaking....................................................74
Learning Objectives..............................................................................................74
Case Study: Chinas Healthcare Reform................................................................75
Detailed Contents
Chapter 5
Health Policy Related to Financing and Delivery..............................99
Learning Objectives..............................................................................................99
Case Study: The Federally Funded Health Center Program:
Providing Access, Overcoming Disparities......................................................100
Financing US Healthcare....................................................................................101
US Healthcare Delivery ......................................................................................105
Policy Issues Related to Healthcare Financing and Delivery................................109
Key Points...........................................................................................................114
Case Study Questions.........................................................................................114
For Discussion....................................................................................................114
Referneces...........................................................................................................115
Chapter 6
Health Policy For Diverse Populations............................................118
Learning Objectives............................................................................................118
Case Study: The Health Center Program.............................................................119
Defining Vulnerability .......................................................................................120
Health Policy Issues for Diverse Populations.......................................................121
Health Policy Issues for Vulnerable Subpopulations............................................128
Key Points...........................................................................................................139
xi
xii
Detailed Contents