Pharmacy and the U.S. Health Care System, Second Edition by Fincham, Jack E; Wertheimer, Albert I;

Short description:

Politics, changes in reimbursement and service delivery, prescription benefit programs, trends in managed health care, and dwindling public financial resources are drastically altering the pharmacy and health care environments. Pharmacy and the U.S. Health Care System, Second Edition examines and gauges the ramifications of each of these phenomena to clarify the issues at hand. This text will ensure that students, academics, practicing pharmacists, and manufacturers are prepared to lead the profession to a higher level of success. As you will see, without the active examination of societal changes and the setting of new professional goals, the profession faces stagnation.

To view an excerpt online, find the book in our QuickSearch catalog at www.HaworthPress.com.

More

Long description:

Pharmacy and the U.S. Health Care System, Second Edition, examines and gages the ramifications of each of these phenomena to clarify the issues at stake and ensure that better-informed and prepared students, academics, practicing pharmacists, and manufacturers emerge to lead the profession to a higher level of success. As you will see, without the active examination of societal changes and the setting of new professional goals, the profession faces stagnation.

Pharmacists face formidable tasks such as filling more and more prescriptions with less time and manpower, increasing one-on-one contact with health care consumers, monitoring consumer consumption of over-the-counter drugs, and surviving the competition caused by mail order pharmacy and 'discriminatory’pricing. Pharmacy and the U.S. Health Care System provides you with in-depth coverage of these challenges and the strategies and techniques now being employed by leaders in the field to control health care utilization and cost. You will also learn critical information about:

• how the U.S. spends little on health promotion yet huge amounts on prolonging unhealthy life at the end of human lifespans
  
• health care financing
  
• competitive bidding among HMOs that reduces premiums for member companies
  
• how pharmacy interfaces with the contemporary health care system
  
• disease management programs
  
• how patient behavior and patient compliance influence the drug use process
  
• capitation--the most powerful tool to reduce the cost of health plans
  
• the role of pharmacists in providing services and products to patients residing in long-term care facilities

Pharmacists will find in this accessible and easy-to-read book the insight they need to channel their expertise into drug product selection, therapeutic substitution, and disease management to see that clinical, economic, and humanistic outcomes are incorporated into developing patient care plans. Pharmacy and the U.S. Health Care System will guide you to action; don't let other forces determine the role your profession will play in the future of health care provision!

Pharmacy and the U.S. Health Care System, Second Edition, examines and gages the ramifications of each of these phenomena to clarify the issues at stake and ensure that better-informed and prepared students, academics, practicing pharmacists, and manufacturers emerge to lead the profession to a higher level of success. As you will see, without the active examination of societal changes and the setting of new professional goals, the profession faces stagnation.

Pharmacists face formidable tasks such as filling more and more prescriptions with less time and manpower, increasing one-on-one contact with health care consumers, monitoring consumer consumption of over-the-counter drugs, and surviving the competition caused by mail order pharmacy and 'discriminatory’pricing. Pharmacy and the U.S. Health Care System provides you with in-depth coverage of these challenges and the strategies and techniques now being employed by leaders in the field to control health care utilization and cost. You will also learn critical information about:

• how the U.S. spends little on health promotion yet huge amounts on prolonging unhealthy life at the end of human lifespans
  
• health care financing
  
• competitive bidding among HMOs that reduces premiums for member companies
  
• how pharmacy interfaces with the contemporary health care system
  
• disease management programs
  
• how patient behavior and patient compliance influence the drug use process
  
• capitation--the most powerful tool to reduce the cost of health plans
  
• the role of pharmacists in providing services and products to patients residing in long-term care facilities

Pharmacists will find in this accessible and easy-to-read book the insight they need to channel their expertise into drug product selection, therapeutic substitution, and disease management to see that clinical, economic, and humanistic outcomes are incorporated into developing patient care plans. Pharmacy and the U.S. Health Care System will guide you to action; don't let other forces determine the role your profession will play in the future of health care provision!

More

Table of Contents:

Contents
Chapter 1: Introduction: Impacts Upon Pharmacy

• Medication Use and Acquisition
• Conclusion
• Chapter 2: Overview of Health Care in the United States Health and Disease
• Historical Evolution of Health Services
• The Private Heath Care Sector
• The Public Health Care System
• Health Care: Right or Privilege?
• Conclusion
• Chapter 3: Financing Health Care in the United States
• Intro- duction and Purpose
• History and Organizations
• Summary
• Chapter 4: Cost and Utilization Controls
• Cost-Sharing Strategies
• Capitation
• Utilization Controls
• Product Cost Controls
• Conclusion
• Chapter 5: Managed Care
• What Is Managed Care?
• Costs, Prices, and Spending
• Three Generations of Managed Care
• How MCOs Reduce Costs
• Capitation and the Practice of Medicine
• Managing Health Care Services and Resources
• Fundamental Organization Structures in Managed Care
• Health Benefits Financing and Provider Reimbursement
• Utilization Management
• Effects of Managed Care on Pharmacy Services
• Cost Management Through Care Management
• Managed Care Accomplishments
• The Future: Competition in Managed Care
• Chapter 6: The Health Professions
• Introduction
• Prescribing Authority
• Health Manpower
• Physicians
• Pharmacy Personnel and Practice Site
• Issues and Trends
• Appendix
• Chapter 7: Pharmacists in the U.S. Health Care System
•  Introduction
• Pharmaceutical Care
• Manpower
• Historical Considerations
• Supply
• Demand
• Surplus or Shortage?
• PEW Health Professions Commission Report
• Education
• Historical Considerations
• Increased Length of Curriculum
• Standardization of the Curriculum
• Clinical Pharmacy
• A Profile of Pharmacy Education
• Practice Settings
• Conclusion
  Chapter 8: Pharmacy Organizations
• Introduction
• Role of Pharmacy Organizations
• Historical Development of Pharmacy Organizations
• Specific Pharmacy Organizations
• Current Issues for Pharmacy Organizations
• Individual Decisions Regarding Organizations
• Chapter 9: Emerging Roles for Pharmacists
• Introduction: Historical Overview of the Pharmacist in the United States
• Health Care Issues in the United States
• Health Care Trends and New Opportunities for Pharmacists
• Pharmaceutical Care: Opportunities for the Pharmacist in the Future
• Expanded PC Model: Framework for Achieving Pharmaceutical Care in the Health Care System
• Needs/Challenges to Further Development of Pharmacy Practice and Implementation of Pharmaceutical Care
• Summary and Conclusions
• Chapter 10: Hospitals and Health Care Institutions
• History
• Modern Hospitals
• DRGs or Prospective Reimbursement
• Competition
• Services Offered
• Departments and Services
• Joint Commission on Accreditation of Health Care Organizations
• Summary
• Trends and Predictions
• Chapter 11: Pharmacists' Involvement in Nursing Home Facilities and Home Health Care
• Increase in the Number of Elderly
• Increased Demand for Health Care Services
• Long-Term Care Facilities
• The Role of Consultant Pharmacists in LTCFs
• Cost Benefit of the Consultant Pharmacist
• Home Health Care Services
• Pharmacy Involvement with Home Health Care Agencies
  Chapter 12: The Pharmaceutical Industry
• Financial Statistics
• Sales and R&D
• U.S. Health Care Expenditures
• Market Entry of Alternatives
• Conclusion
•  Chapter 13: Drug Distribution
  Introduction
• Distribution and Marketing Strategy
• Pharmaceutical Manufacturers
• Drug Wholesaling in the United States
• Concerns in the Wholesale Industry
• Repackagers
• Distribution in Large Community Pharmacies
• Alternative Distribution Channels
• Distribution of Generic Drugs
• Emerging Trends in Distribution
• Achieving Operational Efficiency Through Automation
• Conclusion
  Chapter 14: The Consumers of Health Care
• Introduction
• The Consumer Role
• Models of the Patient-Practitioner Relationship
• Consumerism in Health Care: The Changing Role of the Patient
• Health, Illness, and Sick-Role Behavior
• Ethnic and Cultural Differences in Illness Behavior
• Aging Americans: Impact on Health Care
• Consumer Behavior and Pharmacy Practice
• Chapter 15: The Drug Use Process
• Introduction
• Patient Compliance
• Summary
  Chapter 16: Provision of Care to Subpopulations: A Cultural Perspective
•  Introduction
• Minorities: Diversity in the Health Care Fields
• Culture, Race, Ethnicity, and Health Care
• Cultural Sensitivity
• Epidemiology and Ethnic Variations
• Ethnic and Racial Difference in Treatment Outcome Variations
• Cultural Influences and Utilization of Pharmacy Health Services
• Culture and Treatment Compliance
• Conclusion
• Chapter 17: Pending Other Issues
• Introduction
• Pharmacy Technicians: By the Pharmacist's Side
• Medication Errors: A Pharmaceutical Care Responsibility
• Rx to OTC: An Opportunity for Pharmacy and for Better Patient Care
• Pharmacy: An Introspective Look at Drug and Alcohol Dependence
• Challenges for Pharmaceutical Care
  Chapter 18: New Technologies
• Introduction
• Impact of Computer Technology on Pharmacy Practice
• Lifelong Learning with Computer Technology
• Information Technology versus Automation
• How Pharmacy Is Impacted by Technology
• Distribution Systems: Retail and Wholesale
• Practice Implications
• Where Do We Go From Here?
• Index

More