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Health Policy Analysis: An Interdisciplinary Approach

Author(s): Curtis P. McLaughlin, DBA, Professor Emeritus, Kenan-Flagler Business School and School of Public Health, University of North Carolina, Chapel Hill, North Carolina
Craig D. McLaughlin, MJ, Health Policy Speaker and Consultant, Olympia, Washington
Details:
  • ISBN-13: 9780763744427
  • ISBN-10:0763744425
  • Paperback    438 pages      © 2008
Price: International Sales $123.95 US List
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Instructor Resources: Instructor's Manual, PowerPoints, TestBank

Drawing from the perspectives of a variety of disciplines, this innovative text is unlike any others of its kind. Health Policy Analysis: An Interdisciplinary Approach analyzes current U.S. health policy and proposes various alternatives for developing future health policy without pushing a single solution set—rather, it considers the viewpoints of economics, political science, management, communications, technology, and public health.

Organized into three sections, Health Policy Analysis

  • Explores the current and historical issues with the U.S. healthcare system and considers the alternatives for future policy that have strong support. 
  • Reviews the political processes that influence planning in various healthcare settings; presents the accepted methods of economic and financial analysis; and addresses the ethical and other value considerations that must enter into the health policy process. 
  • Looks at the roles, skills, and leadership that health professionals can bring to the policy making process in their local and national communities.

Featuring ten short cases studies dealing with issues such as folic acid fortification; national standards on culturally and linguistically appropriate services; evidence-based medicine in mental health; electronic health information networks; voluntary standards for regulation; medical tourism; community vs. specialty hospitals; international health system comparisons; small area variations in practices; and the experience with the Clinton health plan, this is an ideal resource for students in public health, health administration, or executive MBA programs.

Chapter 1   Introduction
   The Many Actors
   The U.S. System is Unique, but Not Unparalleled
   Health Policy – What is It?
   The Policy Analysis Process
   Supporting Implementation
   Health Professionals and the Policy Process
   Big Issues to Keep Our Eyes On
   Conclusion
   The Road Ahead

PART I – THE CONTEXT

Chapter 2  Where Are We?
   Introduction
   Current Outcomes and Costs
   A More Systematic Evaluation
   Complexity
   Leadership at the State and Local Level
   Industrializing Structures for Delivery
   Medicalization of Society
   Conclusion

Chapter 3  How Did We Get Here?
   Introduction
   Contending Visions of a System for Delivering Health Care
   A Chronology
   The Current “Era” Emerges
   Employers Want Out: Backing for Consumer-Driven Health Care
   Conclusion   
   Case 3-1 International Comparisons: Where Else Might
   We Have Gone?
   
Chapter 4  Where Do We Want to Go?
   Introduction
   Alignment with the Rest of Society
   Who is the We in “Where Do We Want to Go”?
   Conclusion
   Case 4 -1 National Standards on Culturally and Linguistically
   Appropriate Services (CLAS)

Chapter 5   What Are the Governmental Alternatives?
   Introduction
   Federal Level Alternatives
    
Access to Care – Administer System Alternatives
    Access to Care – Oligopolistic Competition Alternatives
    Access to Care – Free-market Competition Alternatives
    Quality of Care – Administer System Alternatives
    Quality of  Care – Oligopolistic Competition Alternatives
    Quality of Care – Free-market Competition Alternatives
    Cost of Care – Administer System Alternatives
    Cost of Care – Oligopolistic Competition Alternatives
    Cost of  Care – Free-market Competition Alternatives
    Other Interventions
   State and Local Government Options
    
Access to Care – Administer System Alternatives
    Access to Care – Oligopolistic Competition Alternatives
    Access to Care – Free-market Competition Alternatives
    Quality of Care – Administer System Alternatives
    Quality of  Care – Oligopolistic Competition Alternatives
    Quality of Care – Free-market Competition Alternatives
    Cost of Care – Administer System Alternatives
    Cost of Care – Oligopolistic Competition Alternatives
    Cost of Care – Free-market Competition Alternatives

    Other Interventions
   Conclusion 
   Case 5 -1 Specialty vs. Community Hospitals

Chapter 6  Alternative Responses and Initiatives of Institutions and Professions
   Introduction
   Common Responses
   Payers
   Providers
   Institutions
   Professions
   Consumers
   Not-for-Profit vs. For-Profit
   The Value-Driven Care Initiative
   Conclusion
   Case 6-1 Global Health Coverage

PART II – THE POLICY ANALYSIS PROCESS

Chapter 7   The Policy Analysis Process - Identification and Definition
   Introduction
   Getting the Scenario Right
   Hidden Assumptions
   Defining What is Medical Problem
   Conclusion
   Case 7 -1 Small Area Variations

Chapter 8 The Policy Analysis Process - Evaluation – Technology Assessment 
   Introduction
   Terminology
   Technological Forecasting
   Levels of Technological Forecasting
   Not Just What, But Also When
   Forecasting Methods
   Changing Business Models
   Organizations Devoted to Health Care Technology Assessment
   Conclusion
   Case 8-1 Health Information Networks

Chapter 9  The Policy Analysis Process -Evaluation – Political Feasibility
   Introduction
   Terminology
   Overview
   Authorizing Environments
   Key Government Actors
   Political Inputs
   Non-Governmental Actors
   Methods for Analyzing Political Feasibility
   Conclusion
   Case 9-1 Politics of The Clinton Health Plan

Chapter 10  The Policy Analysis Process - Evaluation – Economic Viability
   Introduction
   Defining the Health Care Process Involved
   Agreeing in Detail on the Delivery System Involved
   Selecting the Analytical Approach
   Agreeing on the Outcomes Produced
   Determining Relevant Costs
   Basic Tools
    
Supply and Demand Concepts
    Benefit/Cost Concepts
   Valuing the Outcomes Produced
    
Determining the Present Values of Costs and Outcomes
    Inflation Adjusting
    Discounting
   Dealing With Important Uncertainties
   Identifying Financing Methods
   Considering Distributional Effects
   Comparing Competing Alternatives
   Financial Feasibility
   Conclusion
   Case 10-1 Folic Acid Fortification

Chapter 11  The Policy Analysis Process - Analysis of Values – Last But Not Least
   Introduction
   Influence on Society – A Broader Question
   Ethical Review
   Conclusion
   Case 11-1 Voluntary Codes

Chapter 12  Implementation Strategy and Planning
   Introduction
   Levels of Implementation Failure
   Implementation Planning
   Setting Up to Succeed
   That All-Important Start
   The Post-Mortem
   Conclusion
   Case 12-1 Evidence-Based Medicine in Mental Health

PART III – THE PROFESSIONAL AS AN ACTOR

Chapter 13  What is Likely to Work
   Introduction
   Working Out Your Own Scenarios
   Why Not an Unraveling?
   Conclusion

Chapter 14 Professional Leadership
   Introduction
   To Influence Locally, Start Locally
   Health Policy Analysis: A Relevant School for Leadership
   Enhancing the Professional’s Role
   Conclusion

Chapter 15 Conclusion – All Those Levers and No Fulcrum
   Where to Stand
   The Physician’s Dilemma
   The ERISA Problem
   Tradeoffs
   


Curtis P. McLaughlin, DBA-Professor Emeritus, Kenan-Flagler Business School and School of Public Health, University of North Carolina, Chapel Hill, North Carolina

Curtis P. McLaughlin, D.B.A., is professor emeritus and adjunct professor at the Kenan-Flagler Business School of the University of North Carolina at Chapel Hill.  At the time of his retirement he was also Professor of Health Policy and Administration in the Gillings School of Global Public Health and Senior Research Fellow of the Cecil B. Sheps Center for Health Services Research.  Prior to coming to North Carolina, he was Assistant Professor at the Harvard Business School and also taught in the Harvard School of Public Health.  He is the author or coauthor of approximately 275 publications, including Continuous Quality Improvement in Health Care with A.D. Kaluzny, now in its third edition with Jones & Bartlett. He received his BA in Chemistry from Wesleyan University and his MBA and his DBA from Harvard Business School. While there, he studied and then taught in the initial Harvard interdisciplinary program in health care economics and management.

Additional Titles by this Author

Craig D. McLaughlin, MJ-Health Policy Speaker and Consultant, Olympia, Washington

Craig D. McLaughlin, MJ is a journalist, author, and public speaker. He was executive director of the Washington State Board of Health when he co-authored the first edition of this book. He joined the Board as senior health policy manager in 2001 and served as executive director from 2004 to 2011. Immediately prior, he served as director of college relations and adjunct faculty for The Evergreen State College. As a newspaper editor and freelance journalist for more than a decade, Mr. McLaughlin wrote and edited articles on a broad range of health issues. He has served as a communications consultant to foundations and as a management consultant to media organizations. Mr. McLaughlin earned his Bachelor of Arts in biology from Wesleyan University and his Masters in Journalism from the University of California at Berkeley. He also completed all coursework toward a Masters in Public Administration with a concentration in health administration at the University of New Mexico.

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Instructor's Manual, PowerPoints

ISBN-13:
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The following instructor resources are available to qualified instructors for download

ISBN-13: 9780763744427

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Instructor Manual
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McLaughlin's "Health Policy Analysis: An Interdisciplinary Approach" with Teitelbaum's "Essential Readings in Health Policy and Law"

Bundle ISBN: 9781598220544