Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management / Edition 3

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The third edition of Changing the U.S. Health Care System is a thoroughly revised and updated compendium of the most current thought on three key components of health care policy—improving access, ensuring quality, and controlling costs. Written by a panel of health care policy experts, this third edition highlights the most recent research relevant to health policy and management issues. New chapters address topics such as the disparities in health and in health care, information systems, and performance in the area of nursing. Revisions to chapters from the previous edition emphasize the most recent developments in the field.
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Editorial Reviews

From the Publisher
"The book is sobering and pulls no punches as it describes the myriad strengths and weaknesses on both policy and health care…" (PsycCritiques, 09/19/2007)
Doody's Review Service
Reviewer: Carole Ann Kenner, PhD, RN, FAAN (The College of New Jersey)
Description: This comprehensive book addresses issues in healthcare from a policy and management perspective. Each chapter is written by experts in the field who were charged with integration of evidence to support the current condition and projected needed change. The previous edition was published in 2001.
Purpose: The book is intended to present current issues in health policy and management within the context of evidence. It is intended to be a "one stop shop" for health issues facing the U.S. populace. The book lives up to its objective, being comprehensive and contemporary in its approach to a very old topic.
Audience: The intended audience is interdisciplinary students, health service researchers and analysts, healthcare managers, practitioners, and healthcare providers.
Features: Starting off with access to healthcare, cost, quality, special populations, and culminating in directions for change, the book provides a comprehensive review of current issues. The tie to the Institute of Medicine (IOM) reports about quality is excellent. The coverage of healthcare reform and the impact on special populations such as women and children is very good.
Assessment: This is the most comprehensive healthcare policy book around. Its emphasis on the current research and evidence to support each chapter's content gives it a unique spin. This edition includes contemporary topics such as disparities in health and in access to care, use of information systems, and nursing performance indicators as they impact quality. This last chapter highlights the contribution nursing has made to quality care and patient safety, something that is lacking in many healthcare policy books.
Researchers working in health policy from a wide range of perspectives summarize existing empirical research on their specialties and discuss research and management strategies that can be used to address current problems. Those whose chapter were carried over from the first edition (no date noted) were asked to emphasize developments since then. The 20 studies cover access, costs, quality, special populations, and directions for change. Annotation c. Book News, Inc., Portland, OR (
"The authoritative book on the U.S. health care system. Any student, scholar, executive, or policymaker who wants to understand a particular phenomenon should consult it."
--Deborah A. Freund, vice chancellor and provost, professor of public administration, Syracuse University

"Under one cover can be found the basic data and research relevant to virtually all important health policy issues, as well sophisticated analytic material on current problems and their range of possible solutions."
--Steven A. Schroeder, M.D., president and CEO, The Robert Wood Johnson Foundation

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780787985240
  • Publisher: Wiley
  • Publication date: 2/2/2007
  • Edition description: REV
  • Edition number: 3
  • Pages: 744
  • Product dimensions: 7.24 (w) x 9.23 (h) x 1.67 (d)

Meet the Author

Ronald M. Andersen is the Wasserman Professor Emeritus in the University of California, Los Angeles, department of Health Services and Sociology. Previously he was professor at the University of Chicago and director of Center for Health Administration Studies.

Thomas H. Rice is vice chancellor for academic personnel at the University of California, Los Angeles and professor of health services, University of California, Los Angeles, School of Public Health.

Gerald F. Kominski is professor in the Department of Health Services, associate dean for academic programs, and associate director of the Center for Health Policy Research at the University of California, Los Angeles School of Public Health.

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Table of Contents

Figures and Tables.

Foreword (Abdelmonem A. Afifi, Linda Rosenstock).

The Editors.

The Authors.

Introduction and Overview (Ronald M. Andersen, Thomas H. Rice, Gerald F. Kominski).



1. Improving Access to Care in America: Individual and Contextual Indicators (Ronald M. Andersen, Pamela L. Davidson).

2. Ethnic Disparities in Health Status (Antronette K. Yancey, Roshan Bastani, Beth A. Glenn).

3. Disparities in Health Care (Leo S. Morales, Alexander N. Ortega).

4. Public Policies to Extend Health Care Coverage (E. Richard Brown, with Shana Alex Lavarreda).


5. Measuring Health Care Costs and Trends (Thomas H. Rice).

6. Containing Health Care Costs (Thomas H. Rice, Gerald F. Kominski).

7. Controlling Pharmaceutical Prices and Expenditures (Stuart O. Schweitzer, William S. Comanor).


8. Measuring Outcomes and Health-Related Quality of Life (Patricia A. Ganz, Mark S. Litwin, Ron D. Hays, Robert M. Kaplan).

9. Evaluating the Quality of Care (Elizabeth A. McGlynn).

10. Public Release of Information on Quality (Elizabeth A. McGlynn, John L. Adams).

11. Health Care Information Systems (Jeff Luck, Paul Fu Jr.).

12. Performance Measurement of Nursing Care (Jack Needleman, Ellen T. Kurtzman, Kenneth W. Kizer).


13. Long-Term Care and the Elderly Population (Steven P. Wallace, Emily K. Abel, Nadereh Pourat, Linda Delp).

14. AIDS in the Twenty-First Century: Challenges for Health Services and Public Health (David S. Zingmond, William E. Cunningham).

15. Health Reform for Children and Families (Moira Inkelas, Neal Halfon, David Lee Wood, Mark A. Schuster).

16. Mental Health Services and Policy Issues (Susan L. Ettner, Janet C. Link).

17. Women’s Health: Key Issues in Access to Health Insurance Coverage and to Services Among Nonelderly Women (Roberta Wyn, Beatriz M. Solís).

18. Homeless Persons (Lisa Arangua, Lillian Gelberg).


19. Managed Care and the Growth of Competition (Gerald F. Kominski, Glenn A. Melnick).

20. Medicare Reform (Gerald F. Kominski, Jeanne T. Black, Thomas H. Rice).

21. Public Health and Personal Health Services (Lester Breslow, Jonathan E. Fielding).

22. The Continuing Issue of Medical Malpractice Liability (Ruth Roemer).

23. Ethical Issues in Public Health and Health Services (Pauline Vaillancourt Rosenau, Ruth Roemer).


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Customer Reviews

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