TY - CHAP M1 - Book, Section TI - How Health Care Is Organized—I: Primary, Secondary, and Tertiary Care A1 - Bodenheimer, Thomas A1 - Grumbach, Kevin PY - 2020 T2 - Understanding Health Policy: A Clinical Approach, 8e AB - In 1989, Frank Hope developed Acquired Immune Deficiency Syndrome (AIDS) and was in and out of the hospital with debilitating infections. Yet he remained hopeful that a scientific breakthrough would give him a chance. By 1995, with the discovery of life-saving protease inhibitors, his wish had come true. In Frank’s mind, these types of scientific discoveries attest to the wonders of the US health care system. Frank’s grandson attends a day care program. Ruby, a 3-year-old girl in the program, was recently hospitalized for a severe asthma attack complicated by pneumococcal pneumonia. She spent 2 weeks in a pediatric intensive care unit, including several days on a respirator. Ruby’s mother works full time as a bus driver while raising three children. She has comprehensive private health insurance through her job but finds it difficult to keep track of all her children’s immunization schedules and to find a physician’s office that offers convenient appointment times. She takes Ruby to an evening-hours urgent care center when Ruby has some wheezing but never sees the same physician twice. Ruby never received all her pneumococcal vaccinations or consistent prescription of a steroid inhaler to prevent a severe asthma attack. Ruby’s mother blames herself for her child’s hospitalization. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/10/11 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=1171158401 ER -