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The U.S. Health System

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Clinical Informatics Study Guide

Abstract

The complexity of the health system continues to grow and can be characterized by more to know, do, manage, and watch for more people than at any point in history. Population health and health outcomes in the United States have been largely impacted by poorly organized and uncoordinated health care delivery. As the U.S. health system aims to improve quality, increase access, and reduce cost, the role of clinical informatics has become increasingly important. This chapter sets the foundation for understanding the importance of clinical information’s and the flow of information within the various domains of the health system as well as between these health system domains.

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References

  1. Russo P. Population health. In: Kovner AR, Knickman J, editors. Health care delivery in the United States. New York: Springer; 2011. p. 86–99.

    Google Scholar 

  2. Hernandez LM, Blazer DG. Genes, behavior, and the social environment: moving beyond the nature/nurture debate. Washington, DC: National Academies Press; 2006.

    Google Scholar 

  3. Kindig D, Stoddart G. What is population health? Am J Public Health. 2003;93(3):380–3.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Friis RH, Sellers TA. Epidemiology for public health practice. Burlington: Jones & Bartlett Publishers; 2014.

    Google Scholar 

  5. World Health Organization. Constitution of the World Health Organization. Geneva: WHO Press; 1995:1–18. http://apps.who.int/iris/bitstream/10665/121457/1/em_rc42_cwho_en.pdf

  6. Marmot M. Social determinants of health inequalities. Lancet. 2005;365(9464):1099–104. doi:10.1016/S0140-6736(05)71146-6.

    Article  PubMed  Google Scholar 

  7. Shi L, Singh DA. Delivering health care in America: a systems approach. 5th ed. Sudbury: Jones & Bartlett Learning; 2012.

    Google Scholar 

  8. Witmer A, Seifer SD, Finocchio L, Leslie J, O’Neil EH. Community health workers: integral members of the health care work force. Am J Public Health. 1995;85(8 Pt 1):1055–8.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  9. Shi L, Singh DA. The evolution of health services in the United States. Delivering health care in America: a systems approach. 5th ed. Sudbury: Jones & Bartlett Learning; 2012. p. 83–118.

    Google Scholar 

  10. Shi L, Singh DA. Health services financing. Delivering health care in America : a systems approach. 5th ed. Sudbury: Jones & Bartlett Learning; 2012. p. 197–242.

    Google Scholar 

  11. Longest BB. Health policymaking in the United States. 5th ed. Chicago: Health Administration Press; 2009.

    Google Scholar 

  12. Feldstein PJ. Health care economics, Delmar series in health services administration. 4th ed. Albany: Delmar Publishers; 1993.

    Google Scholar 

  13. Institute of Medicine (U.S.). Committee on quality of health care in America. Crossing the quality chasm : a new health system for the 21st century. Washington, DC: National Academy Press; 2001.

    Google Scholar 

  14. Winslow CE. The untilled fields of public health. Science. 1920;51(1306):23–33. doi:10.1126/science.51.1306.23.

    Article  CAS  PubMed  Google Scholar 

  15. Moulton AD, Halverson PK, Honore PA, Berkowitz B. Public health finance: a conceptual framework. J Public Health Manag Pract. 2004;10(5):377–82.

    Article  PubMed  Google Scholar 

  16. Institute of Medicine (U.S.). Committee for the study of the future of public health. The future of public health. Washington, DC: National Academy Press; 1988.

    Google Scholar 

  17. Lee LM, Thacker SB. The cornerstone of public health practice: public health surveillance, 1961–2011. MMWR Surveill Summ. 2011;60 Suppl 4:15–21.

    PubMed  Google Scholar 

  18. Virnig BA, McBean M. Administrative data for public health surveillance and planning. Annu Rev Public Health. 2001;22:213–30. doi:10.1146/annurev.publhealth.22.1.213.

    Article  CAS  PubMed  Google Scholar 

  19. Ginexi EM, Hilton TF. What’s next for translation research? Eval Health Prof. 2006;29(3):334–47. doi:10.1177/0163278706290409.

    Article  PubMed  Google Scholar 

  20. Cimino J, Del Fiol G. Infobuttons and point of care access to knowledge. Clinical decision support : the road ahead. San Diego: Elsevier Academic; 2007. p. 345–72.

    Book  Google Scholar 

  21. Hettler B. The six dimensions of wellness model. In: Defining wellness. The National Wellness Institute. 1976. [Internet] http://c.ymcdn.com/sites/www.nationalwellness.org/resource/resmgr/docs/sixdimensionsfactsheet.pdf. Accessed 1 Mar 2015.

  22. James J. Health policy brief: patient engagement. Health Affairs. 2013;34(2) p. 1–6.

    Google Scholar 

  23. Department of Health and Human Services. Protected health information. 2013. http://www.hhs.gov/ocr/privacy/hipaa/understanding/training/udmn.pdf. 2015.

  24. World Health Organization. mHealth: new horizons for health through mobile technologies. Geneva: WHO Press; 2011.

    Google Scholar 

  25. DeNavas-Walt C, Proctor B, Smith J. Income, poverty, and health insurance coverage in the United States: 2011. Washington: United States Census Bureau/U.S. Department of Commerce; 2012.

    Google Scholar 

  26. World Health Organization. The world health report: 2000: health systems: improving performance. Geneva: WHO Press; 2000.

    Google Scholar 

  27. Gold J. FAQ on ACOs: accountable care organizations, explained. Kaiser Health News. April 16, 2014.

    Google Scholar 

  28. Electronic Health Records: the basics. In: What is an electronic health record (EHR)?. Washington D.C.: HealthIT.gov; 2013. http://www.healthit.gov/providers-professionals/faqs/what-electronic-health-record-ehr. 2015.

  29. Grossman C, McGinnis JM. Digital infrastructure for the learning health system: the foundation for continuous improvement in health and health care: workshop series summary. Washington, DC: National Academies Press; 2011.

    Google Scholar 

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Correspondence to Hannah L. Maxey PhD, MPH, RDH .

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Maxey, H.L., Norwood, C.W., Osburn, L.L. (2016). The U.S. Health System. In: Finnell, J., Dixon, B. (eds) Clinical Informatics Study Guide. Springer, Cham. https://doi.org/10.1007/978-3-319-22753-5_2

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  • DOI: https://doi.org/10.1007/978-3-319-22753-5_2

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22752-8

  • Online ISBN: 978-3-319-22753-5

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