Delivering Health Care in America: A Systems Approach / Edition 1

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In a clear, cohesive format, Delivering Health Care in America provides a comprehensive overview of the basic structures and operations of the U.S. health system-from its historical origins and resources to its individual services, cost, and quality. Using the unique "systems" approach, it brings together an extraordinary breadth of information into a highly accessible, easy-to-read text that clarifies the complexities of healthcare organization and finance, while presenting a solid overview of how the various components fit together.

The Fourth Edition has been thoroughly updated with the most current information on trends and issues in health care, including: Mandates of recent legislation such as the Medicare Prescription Drug Act and the Deficit Reduction Act, The global threat of avian influenza, Health policy agenda of the Bush administration, Progress toward Healthy People 2010 goals, The effects of corporatization, information revolution, and globalization on healthcare delivery, Pay-for-performance initiatives, Updated information on health services for special populations, State Children's Health Insurance Plan reauthorization issues, The President's Emergency Plan for AIDS Relief, Insurance restructuring in Massachusetts, Challenges in long-term care and trends in home healthcare services, The era of evidence-based medicine.

The book contains black-and-white illustrations.

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Editorial Reviews

Provides a detailed overview of health care delivery in the US, using a systems approach that clarifies the complexities of health care organization and finance while explaining how various components fit together in actual operation. Coverage includes conceptual basis and historical origins, structures of care, costs, and quality. Learning features include objectives, summaries, key terms, and review questions. This second edition offers new lead articles for each chapter to spark student interest, and incorporates new laws and current health data. Also new is a list of Web sites. Shi teaches in the School of Public Health and Hygiene, Johns Hopkins University. Singh teaches in the School of Public and Environmental Affairs at Indiana University-South Bend. Annotation c. Book News, Inc., Portland, OR (
From The Critics
Reviewer: Patricia Kelly, EdD, PA-C(Nova Southeastern University)
Description: This extraordinarily comprehensive book describes and analyzes the U.S. healthcare system from a health policy perspective. It is both wide in scope and detailed in its analysis of specific problems and constraints encountered by the system. A very important section describes the probable future of the healthcare system given current trends.
Purpose: This book engages in a descriptive analysis of the institution of U.S. healthcare using a systems framework. Including historical antecedents, it provides an entirely comprehensible yet thorough overview of health systems and health policy in this country. The authors seek to meet the needs of both graduate and undergraduate health policy students. In updating this work, the authors continue to provide one of the "gold standard" academic health policy texts.
Audience: The book is written for upper level undergraduate and graduate students of health policy and health systems. Because it addresses a relatively diverse audience, the authors attempt to provide a reader-friendly resource while including sufficient reference materials to encourage further scholarship. This is an excellent reference work for health policy students and also provides a "stepping off" platform to enable students to gain a sufficient fund of knowledge to understand and use primary works in the field. The authors are widely known and at the forefront of health systems analysis.
Features: The scope of the book is enormous; it is literally a well organized encyclopedia of information concerning U.S. healthcare delivery. Each chapter starts with basic learning objectives and ends with terminology and review questions, which initially makes it seem simplistic. However, the intricacy of the explanations and illustrations and depth of the reference materials included at the end of each chapter make this book usable at a number of different levels. The glossary and index are complete and useful.
Assessment: This would be an excellent book for entry level graduate students in health systems analysis and health policy, health law, and public administration. It provides students with an adequate fund of knowledge, enabling them to conduct subsequent and more in-depth research and analysis using primary source material. Appropriate primary source materials are clearly identified. Given the explosion of knowledge in American medicine and increasing controversy involving healthcare funding and policy in this country, a new edition is necessary and welcomed.
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Product Details

  • ISBN-13: 9780834210813
  • Publisher: Wolters Kluwer Law & Business
  • Publication date: 8/18/1998
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 597

Table of Contents

Contents: A Distinctive System of Health Delivery
• Beliefs, Values, and Health
• The Evolution of Health Services in the U.S.
• Health Services Professionals
• Medical Technology
• Health Services Financing
• Outpatient and Community Health Services
• Inpatient Facilities and Services
• Managed Care and Integrated Organizations
• Long Term Care
• Health Services for Special Populations
• Cost, Access, and Quality
• Health Policy
• The Future of Health Services Delivery

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Customer Reviews

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  • Posted November 23, 2012

    Highly Recommended!

    As the synopsis view states: “In a clear, cohesive format, Delivering Health Care in America provides a comprehensive overview of the basic structures and operations of the US health system—from its historical origins and resources, to its individual services, cost, and quality.” There’s really no better way to describe it. I used this book as a primer in my masters course for healthcare administration. It’s thorough, well-written, understandable, and answers your questions regarding the healthcare system in the U.S., as well as touching upon the health care in other countries. I highly recommend it!

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