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Intro
Preface
Contents
About the Author
Chapter 1: Introduction to Health Services Planning
What Is Planning?
What Is a Plan?
What Is Health Services Planning?
How Is Health Services Planning Different?
The Diverse Functions of Healthcare
The Political Nature of Planning
Who Needs Health Planning?
Planning for Whom?
Why Is Health Planning Needed?
Why the Resistance to Planning?
What a Plan Is Not
The Planning Time Horizon
The Changing Environment for Health Services Planning
Justifying the Planning Effort

Chapter 2: An Overview of Health Planning
Nationwide Health Planning
Community-Wide Health Planning
Defining the "Community"
Time Horizons for Planning
Organization-Level Planning
Who Should Perform Organization-Level Planning?
Planning at What Level?
Geographic Focus for Organization-Level Planning
Functional Emphasis
Time Horizon
Health Planning in the United States: Past and Present
National Planning Initiatives
Community-Wide Planning
Organization-Level Planning
Current Status of Health Planning
Federal Level
Regional Level
State Level

Local Level
Renewed Interest in Planning
Health Services Planning in Other Countries
Reference
Further Reading
Chapter 3: The Social and Health Systems Context for Health Services Planning
The Sociocultural Context
The Cultural Framework
Societal Trends
Demographic Trends
The Changing Age Structure
Racial and Ethnic Diversity
Changing Household and Family Structure
Consumer Attitudes
The Transformation of the US Healthcare System
The 1950s: The Emergence of "Modern" Medicine
The 1960s: The Golden Age of American Medicine

The 1970s: Questioning the System
The 1980s: The Great Transformation
The 1990s: The Shifting Paradigm
2000-2010: New Millennium Healthcare
The 2010s: Emerging Paradigms
References
Further Reading
Chapter 4: The Changing Environment for Health Planning
Introduction
An Evolving Environment
Changing Patient Characteristics
Changing Disease Etiology
Adapting to a Changing Environment
The Role of Health Planning
Limitations to the Healthcare Paradigm
The Emergence of the Population Health Paradigm
Attributes of Population Health

Recognition of the Social Determinants of Health Problems
Focus on Populations (or Subpopulations) Rather than Individuals
Shift in Focus Away from Patients to Consumers
Geography as a Predictor of Health and Health Behavior
Health Status Measured at the Community Level
Acceptance of the Limited Role of Medical Care
Changes in Health Behavior Are Not Ultimately Individual Actions
Traditional Ways of Measuring Health Status May Not Be Appropriate
Improvements in Community Health Require Collective Impact
Identifying the Problems Not the Symptoms
Emerging Patterns of Morbidity.

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