Health and health care 2010 : the forecast, the challenge

Figures.Tables. Sidebars.Abbreviations and Acronyms.Introduction. Chapter 1: Health and Health Care Forecast.Executive Summary.Legislation. Demographics: Patients, Populations, and New Consumers.Payers and Health Care Costs.Health Plans and Insurers.Hospitals and Physicians.Medical and Information Technologies.Care Processes and Medical Management.Public Health.Three Scenarios.Chapter 2: Demographic Trends and the Burden of Disease.Increasing Diversity.The United States Population Is Growing Older and Living Longer.The Face of America Continues to Change-Diversity Is Increasing.Household Income Is Increasing, but the Gap Between the Extremes Is Widening.The Shifting Burden of Disease: Chronic Diseases, Mental Illness, and Lifestyle Behaviors.Chapter 3: Health Care's Demand Side.Changing Trends in Growth Rates 1960-2010.Historical Trends.The Issues: What Drives Cost Increases? Market Dynamics.The Forecast: Real Cost Growth at 1 Percent.The Significance of Our Cost Forecast for the Rest of Our 10-Year Outlook.Wild Cards.Chapter 4: Health Insurance.The Three-Tiered Model.Scope of Employment-Based Coverage.The Issues: How Will People Receive Health Insurance? The Forecast: Source of Insurance-Where Are the People? and What Type of Insurance Will They Have? Tiering Will Increase.Wild Cards.Chapter 5: Managed Care.Experiments in Reinvention.The Issues: Managed Care is out of Balance.Drivers. Regulation May Have Cost Consequences.Potential Barriers to IT Implementation.The Forecast: Experiments in Reinvention.Managed Care 2010: Patterns of Power.Wild Cards.Chapter 6: Health Care Providers.Themes of the Future Delivery System.Intermediaries. Reimbursement Models: Between Finance and Delivery.Care Delivery Organizations for the Next Decade.Medical Management: The New Arena of Activity.What Happens to Hospitals? Wild Cards.Chapter 7: Health Care Workforce.Future Supply and Demand.Physicians. Nurses.Physicians' Assistants.Future Employment.Pharmacists. Wild Cards.Chapter 8: Medical Technologies.Effects on Care.Rational Drug Design.Advances in Imaging.Minimally Invasive Surgery.Genetic Mapping and Testing.Gene Therapy.Vaccines. Artificial Blood.Xenotransplantation. Stem Cell Technologies.Wild Cards.Chapter 9: Information Technologies.Will Health Care Join in the Information Age? Base Technologies.The Forecast: Four Big Effects in Health Care.Progression of Information Technology into Health Care.Wild Cards.Chapter 10: Health Care Consumers.The Haves and the Have-Nots.Three Tiers of Health Care Consumers.Forecast and Assumptions.Wild Cards.Chapter 11: Public Health Services.A Challenging Future.The History of Public Health in the United States.Key Factors Affecting Public Health in America Today.Technology. Public Health Frameworks and Strategies: Problems of Perception.Reconciling Public Health and Private Medicine.The Future: Scenarios and Forecasts.Forecast of the Future: Organizational Issues.Chapter 12: Mental Health.The Hope of Science and Services.Facing the Problem and the Facts.Determining Priorities for Public Spending.Change Agents in Research.Mental Health Services Changes in the Next Decade.Policy and Legislation.Chapter 13: Children's Health.A Good Investment.What Keeps Kids Healthy? Access and Environment.Access to Health Services: Enough Providers? The Impact of Environment.Physical Environment and Increasing Chronic Illness.How Are We Doing? What's in Store? Wild Cards.Chapter 14: Health and Health Care of America's Seniors.The Future Awaits Us.The Demographics of an Aging Population.The Economic Status of Seniors.Health Status of Seniors.Long-Term Care.Elder Health Care Financing Through Medicare.Implications.Chapter 15: Chronic Care in America.An Evolving Crisis.Chronically Misunderstood: The Who, When, and What of Chronic Illness.Chronic Care Today: How We Got Here.Forecast. Implications.Chapter 16: Disease Management.Weaving Disease Management into the Fabric of Patient Care.Diseases Being Managed.A Disease Management Primer.Drivers and Barriers on the Path Ahead.Forecast. The Pace of Change.Chapter 17: Health Behaviors.Small Steps in the Right Direction.Alcohol and Drug Abuse in America.Injury Prevention: A Focus on Guns.Tobacco Use and Health.Wild Cards.Chapter 18: Expanded Perspective on Health.Beyond the Curative Model.Definition of Health.Stress. Socioeconomic Status as a Determinant of Health.What's New? Why Now? Consumer Expectations.Deteriorating Health Conditions.Global Health Perspective.The Future: Shifting Paradigms.The Paradigm Shift: Evolution or Revolution? Wild Cards.The Reactions.Glossary. Index.