Chapter 1
Introduction
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Constant Changes
Delivery mode
Treatment methods
Applications of technology
Payment mechanisms
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Constant Changes
In the 1900s
Patients were treated at home
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Dentists
Rehabilitation organizations and therapists Chiropractors
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System Integration
Horizontal Integration
Similar services to broader area
Hospital mergers
Vertical Integration
Combine a wider range of services Health systems
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Managed Care
Case management Comprehensive care Efficient and effective Primary care physicians Health maintenance organizations
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Patients
Health care consumers Consumers make informed decisions about
Health insurance companies Hospitals Providers
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Change is Constant
Technology Policy Societal needs
Prevention
Personal preferences
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Population Health
Public health sector Community not individuals Chronic care issues
Lifestyle issues
Disparities
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Summary
Cost of care Evolution of payment mechanisms Health status of the U.S. population
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