TY - CHAP M1 - Book, Section TI - Preface A1 - Longnecker, David E. A1 - Mackey, Sean C. A1 - Newman, Mark F. A1 - Sandberg, Warren S. A1 - Zapol, Warren M. PY - 2017 T2 - Anesthesiology, 3e AB - Anesthesiology, and indeed all of US health care, is influenced currently by four dominant trends. First, the passage of the Patient Protection and Affordable Care Act (PPACA) of 2010 demonstrated an enhanced national commitment to access to health care. Second, it underscored that such care must be affordable, that is, more efficient and cost effective. These two principles are now well established and will likely persist, although structural details may vary depending on national policy and political preference. Third, the emphasis on quality and safety in health care has gained even greater momentum. Fourth, the national burden of illness is magnified by a US population that is aging rapidly, resulting in over 10,000 new Medicare enrollees daily. Collectively, these trends have led to the development of alternative payment models that reward value, not volume of services, and that further emphasize the role of patient choice in the care process. We believe these trends will be dominant themes for many years to come, and they are guiding principles in the current edition of this text. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1144080148 ER -