RT Book, Section
A1 Longnecker, David E.
A1 Mackey, Sean C.
A1 Newman, Mark F.
A1 Sandberg, Warren S.
A1 Zapol, Warren M.
SR Print(0)
ID 1144080148
T1 Preface
T2 Anesthesiology, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071848817
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1144080148
RD 2024/04/23
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.