Connecting with the New Healthcare Consumer : Defining Your Strategy

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ISBN: 9780834220041 | 0834220040
Cover: Hardcover
Copyright: 4/1/2001

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Summary

Supplemental Materials

Directors of Employee Health Managed Care Medical Directors Hospital and Managed Care CEOs Pharmaceutical Senior Executives Graduate programs in healthcare

Listening to the Consumer: A Historical Review

(42)

The Doctor--Patient Relationship

(1)

Patient Care and Physician Practice in Eighteenth and Nineteenth Century America

(3)

From Cottage Industry to the Golden Age of Medicine: The Rise of the Professional Physician

(1)

The Organization and Control of Medical Practice

(3)

Physician's Autonomy over Medical Education and Training

(3)

Collectivizing Consumers: The Purchase of Healthcare in Early Twentieth Century America

(1)

The Rise of the Consumer Club

(1)

The Company Doctor

(2)

Healthcare in Post-War America

(1)

The Development of Comprehensive Third-Party Insurance

(1)

Governmental Fiscal Policy in the Age of Physician-Controlled Medicine: The Creation of Medicaid and Medicare

(2)

In the Aftermath of the Great Society---Regulation and Competition in Healthcare

(2)

Hearing the Patient: The Consumer Movement in Medicine

(5)

Listening to the Consumer: The Role of Patient Satisfaction

(6)

Listening to the Consumer---Integrating Patient Preference into Medical Practice

(4)

Conclusion and Summary

(5)

The Public View of Healthcare

(32)

Introduction

(2)

Methods of Obtaining Public Opinion

(1)

The Three Themes of the Public's Views on Healthcare

(22)

Conclusion

(7)

The Self-Care Trend and the New Healthcare Marketplace

(22)

Definition and Overview of Self-Care

(4)

Evidence of the Self-Care Movement

(6)

Impact of Self-Care Trends

(8)

Conclusion

(4)

Medical and Health Reporting in the News Media

(16)

Traditional Roles of Physicians, Scientists, and the News Media

(1)

Forces for Change

(4)

Medical and Health Reporting Today

103

(1)

Current Issues in Health Reporting

104

(6)

Conclusion

110

(3)

The Online Community as a Healthcare Resource

113

(22)

Introduction

113

(2)

Background

115

(1)

Online Healthcare Formats

116

(4)

Online Presentation

120

(1)

Interactive versus Read-Only Sites

121

(3)

Searching for Information

124

(2)

Demographics of Online Health Area Participants

126

(4)

Topics of Present Import

130

(2)

Conclusion

132

(3)

Relationship-Based Care: Strengthening the Patient--Physician Relationship

135

(28)

Introduction

135

(1)

A Historical Perspective

136

(1)

The Human Element of Caring

137

(1)

Ingredients of the Patient--Physician Encounter

138

(2)

Who Is in Charge?

140

(1)

The Necessity of Educational Team Continuums

141

(1)

Are You My Doctor?

141

(2)

Communication: The Cornerstone of Partnership

143

(1)

The Medical Interview: The Key Entry Experience

143

(2)

Barriers to Communication

145

(2)

Access: A Two-Way Street

147

(1)

Earlier Access: Prevention

148

(1)

Health Insurance: Who Will Pay, Why the Reluctance to Pay, and How Access Is Affected

149

(1)

The Contract: Mutual Responsibilities

150

(2)

Selecting and Training Balanced Healthcare Providers

152

(4)

Summary

156

(7)

Dynamic of the Patient--Provider Relationship

163

(24)

Introduction

163

(1)

The Patient--Provider Relationship and the Culture of Medicine

164

(3)

Providers and Medical Training

167

(3)

Patients and the Patient--Provider Relationship

170

(1)

The Patient--Provider Relationship with Regard to Patient Gender

170

(2)

The Patient--Provider Relationship with Regard to Sexual Orientation

172

(1)

Patients and Providers and Managed Care

173

(1)

American Culture and Health Insurance

174

(2)

Providers and Formularies

176

(1)

Providers and Pharmaceutical Companies

177

(1)

Health Insurance and Subscribers

178

(2)

Health Insurance and Employers

180

(1)

Health Insurance and Employees

180

(2)

Conclusion

182

(5)

Improving Consumer Health through Disease Management

187

(20)

Introduction

187

(2)

Disease Management Programs: Where the Consumer Fits in

189

(5)

The Logistics: Implementing Consumer-Focused Initiatives

194

(8)

Summary

202

(5)

The Drug Benefit: Design and Management

207

(30)

Introduction

207

(1)

The Role of Modern Drug Therapy in Managing Disease

208

(2)

System Failures in Drug Benefit Management

210

(3)

Commodity Cost-Driven (First-Generation) Drug Benefit Management Processes and Systems

213

(8)

Health Outcomes--Driven (Second-Generation) Drug Benefit Management Processes and Systems

221

(7)

The Drug Benefit: Administrative and Payment Processes

228

(4)

Conclusion

232

(5)

The Role of Self-Care and Nonprescription Drug Therapy in Managing Illness: The Rx-to-OTC Switch Movement

237

(28)

Introduction

237

(2)

Self-Medication: A Historical Perspective

239

(4)

Implications of the Rx-to-OTC Switch Movement for Managed Care

243

(6)

Rx-to-OTC Switches: Consumer Benefits

249

(3)

Healthcare Providers and the Effects of the Switch Movement on Relations with Patients

252

(2)

The Pharmacist's Expanding Role

254

(3)

Employers: Switches Can Benefit

257

(1)

Rx-to-OTC Switches: The Future

258

(7)

Empowering Consumers to Make Informed Choices

265

(22)

Introduction

265

(1)

Rationale

266

(2)

Need for Paradigm Shift

268

(1)

Parameters of Change

269

(1)

A Framework for Communicating with the Public about Quality Healthcare

270

(12)

How Can Quality Information Be Integrated with Other Important Factors?

282

(1)

How Can Consumer Decision Making Shape Successful National Policy?

283

(4)

The Ascendancy of the Employer as Consumer Advocate in Healthcare

287

(22)

Introduction

287

(1)

Historical Perspective: Back to the Future

287

(10)

How Are Employers Measuring Value, and What Are They Doing to Promote It for Their Employees?

297

(8)

Conclusion

305

(4)

Employer Groups (Purchasers) and the New Healthcare Consumer

309

(24)

Tuning into the ``Consumer Headset''

309

(1)

The Intersection between Manufacturing and Healthcare: Where the Consumer Fits in

310

(3)

Listening to the Patient Headset: The Quest for Patient-Centered Care

313

(1)

Auto Workers: Prototypes of the New Healthcare Consumer

314

(1)

Informing Consumers and the Bottom Line

315

(1)

The Synergism of Joint Stakeholder Collaboration

315

(4)

Ford's Healthcare Initiatives

319

(10)

The Challenge Continues

329

(4)

Government Connections to the New Healthcare Consumer

333

(26)

Introduction

333

(3)

The Critical Link: Government Information for the Consumer

336

(5)

Government Support for the New Healthcare Consumer: Examples of Health Information Services Offered by Federal and State Agencies

341

(13)

How Will the States and Federal Government Support Future Healthcare Consumers?

354

(5)

Health System Initiatives: Responding to the New Healthcare Consumer

359

(16)

Introduction

359

(1)

Background

360

(4)

Health Systems Moving Forward

364

(6)

``We Will Come to You''

370

(1)

Information in All the Right Places

371

(2)

Conclusion

373

(2)

The Healthwise Communities Project: Where Health Care Is Practiced by All

375

(22)

Introduction

375

(1)

The Rise of the New Medical Consumer

376

(2)

Consumer Participation in Healthcare Decision Making: A Brief History

378

(1)

The Rise of the New Science of Evidence-Based Medicine

379

(1)

Making the Most of Information Technology

380

(1)

Healthwise Communities: From Patient to Partner

381

(2)

A Book in Every Home

383

(1)

The Healthwise Knowledgebase: Putting Consumer Health Information at the Community's Fingertips

384

(2)

Project Evaluation

386

(2)

Physician Involvement and Response

388

(3)

What's the Pay-Off?

391

(1)

Lessons Learned

392

(2)

The Best Medicine

394

(3)

Nursing: Linking Today's Consumer to a Changing System

397

(16)

Historical Background

398

(1)

Current Market Trends Shaping Nursing

399

(3)

The Impact for Nursing

402

(2)

A Dearth of Education and Training Opportunities for Nurses

404

(3)

New Roles for Nurses

407

(3)

Conclusion

410

(3)

The Elderly as the New Consumer of Healthcare

413

(26)

Introduction

413

(1)

Key Demographics

414

(2)

Disability Patterns in the Elderly

416

(2)

Implications for Long-Term Care Services

418

(1)

Implications of Resource Allocation/Rationing for the Elderly

419

(1)

The Face of Diversity in the Elderly and Implications for Their Healthcare

420

(3)

The Older Consumer of Healthcare

423

(1)

Use of Formal Medical Services

424

(1)

Use of Lay Care

425

(2)

The Media, Health Information, and Telemedicine

427

(3)

Aging, Diversity, and Health Information

430

(2)

Conclusion

432

(7)

Women's Health: Women as the (Not-so-New) Healthcare Consumer

439

(24)

Introduction

439

(2)

Organized Women's Health Consumerism

441

(5)

Women as Individual Healthcare Consumers

446

(12)

Conclusion

458

(5)

Consumer Advocacy and Mental Health: Public Attitudes and Private Battles

463

(30)

Introduction

463

(1)

Background

464

(2)

Early Efforts toward Mental Health Advocacy

466

(3)

The Biology of Mental Disorders and the New Mental Health Revolution (Late 1980s to Present)

469

(3)

The Media

472

(3)

The Mental Healthcare Marketplace

475

(3)

Recent Public and Private Campaigns to Improve Access, Treatment, and Outcomes

478

(1)

The Ongoing Plague: Issues of Confidentiality, Consent, and Special Populations

478

(8)

The Demand for Quality Outcomes and Patient Satisfaction

486

(2)

Conclusions: What Have We Learned and What Opportunities Still Exist?

488

(5)

Examining Alternative Medicine: What Consumers Want from Physicians and What Physicians Should Tell Them

493

(24)

Introduction

493

(1)

What Drives the Popularity of Alternative Medicine?

494

(2)

What Do Consumers Really Want to Know about Alternative Medicine?

496

(1)

What Is It for? What Are the Specific Indications for This Therapy?

497

(2)

What Is the Evidence? What Valid, Reliable Data Exist to Support Its Use?

499

(2)

What Are the Risks? What Side Effects, Adverse Effects, and Interactions Might Be Engendered?

501

(1)

Does It Contain What It Is Supposed to? What Assurances of Product Quality, Formulation, Purity, and Composition Are Extant?

502

(1)

``What's in a Label?''

503

(2)

What Do Doctors Think of Alternative Medicine?

505

(2)

Ethical Issues: Helping Providers and Practitioners Balance Allopathic and Alternative Therapies

507

(2)

Will Payors and Employers Step in? And What about Multilevel Marketing?

509

(1)

Credentialing and Licensure Hurdles

510

(1)

What Are the Take-Home Messages?

510

(2)

Conclusion

512

(5)

About the Authors

517

(2)

Index

519

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Connecting with the New Healthcare Consumer : Defining Your Strategy

Summary

Table of Contents

Supplemental Materials