Course Materials

1. Health Care System & Outpatient Services HW
Health Care System & Outpatient Services HW ON Health Care System & Outpatient
Services HWInstructions:1. Write an overview of the topic in an introductory paragraph.2. a.
Define outpatient. b. What are several key changes that have been instrumented in shifting
the balance between inpatient and outpatient services?3. How do outpatient services the
continuity of care in the delivery of health services?4. Why is it important for hospital
administrators to regard outpatient care as a key component of their overall business
strategy?Tutor is required to prepare a 700 word document with standard APA. Tutor is
also required to make use of the attached additional journals and cite 15 sources from there
and make use of chapters 7 and 8 in the book: Essentials of U. S. Healthcare Delivery by Shi
and Singh. Health Care System & Outpatient Services HWattachment_1Unformatted
Attachment PreviewBUSI 511 MODULE/WEEK 5 ADDITIONAL READING American College
of Physicians (ACP). The advanced medical home: A patient-centered, physician-guided
model of health care. 2006. http://www.acponline.org/. American Hospital Association
(AHA). AHA Guide to the Health Care Field 1994 Edition. Chicago: AHA; 1994. American
Hospital Association (AHA). Hospital Statistics 1990–1991 Edition. Chicago: AHA; 1990.
American Hospital Association (AHA). Section for small or rural hospitals: Annual report for
2010. 2011. http://www.aha.org/content/11/2010-SRsectionAnnualReport.pdf. Accessed
January 2012. Appleby C. Boxed in? Hosp Health Networks. 1995;69(18):28–34. Bakwin H.
Pseudodoxia pediatrica. N Engl J Med. 1945;232:691–697. Barnes PM, Bloom B, Nahin RL.
Complementary and alternative medicine use among adults and children: United States,
2007. Natl Health Statistics Rep. 2008;12:1–23. Barr KW, Breindel CL. Ambulatory care. In
Health Care Administration: Principles, Practices, Structure, and Delivery, 2nd ed., edited by
Wolper LF. Gaithersburg, MD: Aspen Publishers; 1995:547–573. Bartter T, Pratter MR.
Asthma: Better outcome at lower cost? The role of the expert in the care system. Chest.
1996;110(6):1589–1596. Bertakis KD, Callahan EJ, Helms LJ, et al. Physician practice styles
and patient outcomes: Differences between family practice and general internal medicine.
Med Care. 1998;36(6):879–891. Bindman AB, Grumbach K, Osmond D, et al. Primary care
and receipt of preventive services. J Gen Intern Med. 1996;11(5):269–276. Bradley EH, et al.
Documentation of discussions about prognosis with terminally ill patients. Am J Med.
2001;111(3): 218–23. Bresnohan JF, Drane JF. A challenge to examine the meaning of living
and dying. Health Prog. 1986;67:32–37, 98. Complementary and Alternative Medicine
(CAM) Research Methodology Conference. Defining and describing complementary and
alternative medicine. Altern Therap. 1997;3(2):49– 56. Page 1 of 6 BUSI 511 Daniels RJ,

2. Carson LD. Academic medical centers: Organizational integration and discipline through
contractual and firm models. JAMA. 2011;306(17):1912–1913. Department of Health and
Human Services (DHHS). Health, United States, 2010. 2011. Hyattsville, MD: DHHS; 2011.
Donohoe MT. Comparing generalist and specialty care: Discrepancies, deficiencies, and
excesses. Arch Intern Med. 1998;158(15):1596–1608. Ferrante JM, Gonzalez EC, Pal N,
Roetzheim RG. Effects of physician supply on early detection of breast cancer. J Am Board
Family Pract. 2000;13(6):408–414. Filteau J. Catholic hospitals serve one in six patients in
the United States. Natl Catholic Rep. 2010. http://ncronline.org/news/catholic-hospitals-
serve-onesix-patients-united-states. Accessed January 2012. Flocke SA, Stange KC, Zyzanski
SJ. Health Care System & Outpatient Services HWThe association of attributes of primary
care with the delivery of clinical preventive services. Med Care. 1998;36 (8 suppl):AS21–
AS30. Franks P, et al. Gatekeeping revisited: Protecting patients from overtreatment. N Engl
J Med. 1992;327(4):424–429. Franks P, Fiscella K. Primary care physicians and specialists
as personal physicians: Health care expenditures and mortality experience. J Family Pract.
1998;47(2):105–109. Gadomski A, Jenkins P, Nichols M. Impact of a Medicaid primary care
provider and preventive care on pediatric hospitalization. Pediatrics. 1998;101(3):E1.
http://www.pediatrics.org/cgi/content/full/101/3/e1. Greenfield S, et al. Variations in
resource utilization among medical specialties and systems of care: Results from the
medical outcomes study. JAMA. 1992;267(12):1624–1630. Grumbach K, Selby JV,
Schmittdiel JA, Quesenberry CP Jr. Quality of primary care practice in a large HMO according
to physician specialty. Health Serv Res. 1999;34(2):485–502. Haglund CL, Dowling WL. The
hospital. In Introduction to Health Services. 4th ed., edited by Williams SJ, Torrens PR.
Albany, NY: Delmar Publishers; 1993:135–176. Harrold LR, Field TS, Gurwitz JH.
Knowledge, patterns of care, and outcomes of care for generalists and specialists. J Gen
Intern Med. 1999;14(8):499–511. Health Forum. AHA Guide to the Health Care Field. 2001–
2002 Edition. Chicago: Health Forum; 2001. Page 2 of 6 BUSI 511 Hirth RA, Fendrick AM,
Chernew ME. Specialist and generalist physicians’ adoption of antibiotic therapy to
eradicate Helicobacter pylori infection. Med Care. 1996;34(12):1199–1204. Kaag ME, Wijkel
D, de Jong D. Primary health care replacing hospital care: The effect on quality of care. Int J
Qual Health Care. 1996;8(4):367–373. Lee PR. Models of excellence. Lancet.
1994;344(8935):1484–1486. Macinko J, Starfield B, Shi L. Quantifying the health benefits of
primary care physician supply in the United States. Int J Health Serv. 2007;37(1):111–126.
Mark DH, Gottlieb MS, Zellner BB, et al. Medicare costs in urban areas and the supply of
primary care physicians. J Family Pract. 1996;43(1):33–39. McAlearney JS. The financial
performance of community health centers, 1996–1999. Health Affairs. 2001;21(2):219–225.
Minkler M. Community organizing among the elderly poor in the United States. Int J Health
Serv. 1992;22(2):303–316. National Center for Health Statistics. Health, United States, 2002.
Hyattsville, MD: Department of Health and Human Services; 2002. Parchman ML, Culler S.
Primary care physicians and avoidable hospitalizations. J Family Pract. 1994;39(2):123–
128. Paris M. The medical staff. In Health Care Administration: Principles, Practices,
Structure, and Delivery. 2nd ed., edited by Wolper LF. Gaithersburg, MD: Aspen Publishers;
1995:32– 46. Perrin JM, et al. Primary care involvement among hospitalized children. Arch
Pediatr Adolesc Med. 1996;150(5):479–486. Politzer RM, Yoon J, Shi L, et al. Inequality in

3. America: The contribution of health centers in reducing and eliminating disparities in
access to care. Med Care Res Rev. 2001;58(2):234–248. Raffel MW, Raffel NK. The U.S.
Health System: Origins and Functions, 3rd ed. Albany, NY: Delmar Publishers; 1989. Raffel
MW, Raffel NK. The U.S. Health System: Origins and Functions, 4th ed. Albany, NY: Delmar
Publishers; 1994. Raffel MW. The U.S. Health System: Origins and Functions. New York: John
Wiley and Sons; 1980. Page 3 of 6 BUSI 511 Rakich JS, et al. Health Care System &
Outpatient Services HWManaging Health Services Organizations, 3rd ed. Baltimore, MD:
Health Professions Press; 1992. Roetzheim RG, et al. The effects of physician supply on the
early detection of colorectal cancer. J Family Pract. 1999;48(11):850–858. Roos N. Who
should do the surgery? Tonsillectomy and adenoidectomy in one Canadian province.
Inquiry. 1979;16(1):73–83. Rosenthal TC. The medical home: Growing evidence to a new
approach to primary care.” J Am Board Family Med. 2008;21:427–440. Rosser WW.
Approach to diagnosis by primary care clinicians and specialists: Is there a difference? J
Family Pract. 1996;42(2):139–144. Ryan A, Riley A, Kang M, Starfield B. The effects of
regular source of care and health need on medical care use among rural adolescents. Arch
Pediatr Adolesc Med. 2001;155(2):184– 190. Saver B. Financing and organization findings
brief. Acad Res Health Care Policy. 2002;5(1):1– 2. Shea S, Misra D, Ehrlich MH, et al.
Predisposing factors for severe, uncontrolled hypertension in an inner-city minority
population. N Engl J Med. 1992;327(11):776–781. Shi L, et al. Income inequality, primary
care, and health indicators. J Family Pract. 1999;48:275–284. Shi L, et al. Primary care, self-
rated health, and reductions in social disparities in health. Health Serv Res. 2002;37:529–
550. Shi L, Macinko J, Starfield B, et al. Primary care, infant mortality, and low birth-weight
in US states. J Epidemiol Community Health. 2004;58(5):374–380. Shi L, Starfield B. Primary
care, income inequality, and self-rated health in the United States: A mixed-level analysis.
Int J Health Serv. 2000;30:541–555. Shi L. Primary care, specialty care, and life chances. Int J
Health Serv. 1994;24(3):431–458. Shi L. The relation between primary care and life
chances. J Health Care Poor Underserved. 1992;3:321–335. Sinay T. Cost structure of
osteopathic hospitals and their local counterparts in the USA: Are they any different? Soc Sci
Med. 2005;60(8):1805–1814. Page 4 of 6 BUSI 511 Starfield B, Lemke KW, Bernhard T, et al.
Comorbidity: Implications for the importance of primary care in “case” management. Ann
Family Med. 2003;1:8–14. Starfield B, Shi L. Policy relevant determinants of health: An
international perspective. Health Policy. 2002;60:201–218. Starfield B. Is primary care
essential? Lancet. 1994;344(8930):1129–1133. Starfield B. Motherhood and apple pie: The
effectiveness of medical care for children. Milbank Memorial Fund Quarterly: Health and
Society. 1985;63(3):523–546. Starfield B. Primary Care: Concept, Evaluation, and Policy.
New York: Oxford University Press; 1992. Stewart DA. The History and Status of Proprietary
Hospitals. Blue Cross Reports—Research Series 9. Chicago: Blue Cross Association; 1973.
Teisberg ED, et al. The Hospital Sector in 1992. Boston: Harvard Business School; 1991. U.S.
Census Bureau. Statistical Abstract of the United States: 2012, 131st ed. Washington, DC:
U.S. Census Bureau; 2011. Valderas JM, Starfield B, Forrest CB, et al. Ambulatory care
provided by office-based specialists in the United States.” Ann Family Med. 2009;7(2):104–
111. Vanselow NA, et al. From the Institute of Medicine. JAMA. 1995;273(3):192. Villalbi JR,
et al. An evaluation of the impact of primary care reform on health. Aten Primaria.

4. 1999;24(8):468–474. Welch WP, Miller ME, Welch HG, et al. Geographic variation in
expenditures for physicians’ services in the United States. N Engl J Med. 1993;328(9):621–
627. Whittle JC, et al. Relationship of provider characteristics to outcomes, process, and
costs of care for community-acquired pneumonia. Med Care. 1998;36(7):977–987. Williams
SJ. Ambulatory health care services. In Introduction to Health Services, 4th ed., edited by
Williams SJ, Torrens PR. Albany, NY: Delmar Publishers; 1993. Wolfson J, Hopes SL. What
makes tax-exempt hospitals special? Healthcare Financ Manage. July 1994: 56–60. Wolper
LF, Peña JJ. History of hospitals. In Health Care Administration: Principles, Practices,
Structure, and Delivery, 2nd ed., edited by Wolper LF. Gaithersburg, MD: Aspen Publishers;
1995:3–15. Page 5 of 6 BUSI 511 World Health Organization (WHO). Primary Health Care.
Geneva: WHO; 1978. Page 6 of 6 …Health Care System & Outpatient Services HW