To gain a better understanding of the American health care system of today, it is essential to review the chronicle of its development. Before the 20th century, there was very little variation in the basic health care delivery system. In contrast, this century has seen unprecedented changes, forming a unique and complex market-driven health care system. The American health care system is also replete with contrasts, often characterized in both superlative and the poorest of terms. This article chronicles the changes in US health care over the last century, then describes today's market in detail.
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References
1.
De Sa JM, Staiger D.: Hospitals, in Calkins D, Fernandoupolle RJ, Marino BS (eds): Health Care Policy. Cambridge, MA, Blackwell, 1995, pp 41-42
2.
Marino BS, Calkins D.: The Role of government, in Calkins D, Fernandoupulle RJ, Marino BS (eds): Health Care Policy. Cambridge, MA, Blackwell, 1995, p 123
3.
Rosen A., Staiger D.: Private health insurance, in Calkins D, Fernandoupulle RJ, Marino BS (eds): Health Care Policy. Cambridge, MA, Blackwell, 1995, pp 70-73
4.
Knickman JR, Thorpe KE: Financing for health care, in Kouner AR (ed): Jonas's Health Care Delivery in the United States. New York, NY, Springer, 1995, pp 270-272; 287-289
5.
Tilson HH Jr, Ross M., Calkins D.: Medicare and medicaid, in Calkins D, Fernandoupulle RJ, Marino BS (eds): Health Care Policy. Cambridge, MA, Blackwell, 1995, pp 102-112 2
6.
Rovner J.: Mediplans take the managed care plunge. State Health Care1998Bus Health Mag: 8-10, 23-26, 38-42
7.
"Key Industry Facts" American College of Healthcare Executives, Sep/Oct 1997, from Katherine R. Levit et al, "National Health Expenditures, 1995" Health Care Financing Review, Fall 1996, Vol 18, No 1
8.
Baker C., Newhouse J.: Cost, in Calkins D, Fernandoupulle RJ, Marino BS (eds): Health Care Policy. Cambridge, MA, Blackwell, 1995, pp 155-156, 163
9.
Calderon MJ (ed): Managed Care Made Manageable—An Introduction to Managed Care and Health Reform (ed 2). 1994, p 9, 19, 23-25, 32
10.
Caughey A., Sabin J.: Managed care, in Calkins D, Fernandoupulle RJ, Marino BS (eds): Health Care Policy. Cambridge, MA, Blackwell, 1995, pp 93, 96-97
11.
Findlay S.: Making sense of a bustling managed care market. State Health Care am 1998Bus Health Mag p 8
12.
Walker T.: NMHCC and managed healthcare: Look at 10 years of key issues. Managed Healthcare8:28-29, 1998
13.
Urban Hospital Closures Raise Questions About Adequate Access to Care.Health Care Financing & Organization: News & Progress, Alpha Center, Washington DC, Robert Wood Johnson Foundation, Nov 1997, pp 6-7
14.
Physician-hospital arrangements: Levels of integration vary, and success obtaining capitated contracts has been limited. Health Care Financing & Organization: News & Progress, Alpha Center , Washington DC, Robert Wood Johnson Foundation, Nov 1997, pp 4-5
15.
Zablocki E. : Are health costs on another upward spiral?State Health Am1998Bus Health , pp 23-26
16.
Morrison JI: Results of a survey of physicians. Institute for the Future , American Managed Care Association Conference , Nashville, TN, October 1995
17.
Simon SR, Pan RJ, Sullivan AMClark-Chiavelli N. et al: Views of managed care—A survey of students, residents, faculty and deans at medical schools in the United States. N Engl J Med340:959-961, 1999
18.
New Developments in Managed Health Care Industry May Bring About Significant Change. Employee Benefit Plan Review, Sept 1998, pp 10-12
19.
Halvorson G. : Health plans' strategic responses to a changing marketplace. Health Affairs18:28-29, 1999
20.
Health Care Purchasers Pursue New Methods to Exercise Their Bargaining Power.Health Care Financing & Organization: News & Progress, Alpha Center, Washington DC, Robert Wood Johnson Foundation, Nov 1997, pp 1-3
21.
Ginzberg E. : Managed care—A look back and a look ahead . N Engl J Med, April 3, 1997
