Delivering Health Care In America / Edition 4

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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 US health system—from its historical origins and resources, to its individual services, cost, and quality. Using a unique “systems” approach, it brings together an extraordinary breadth of information into a highly accessible, easy-to-read text that clarifies the complexities of health care organization and finance, while presenting a solid overview of how the various components fit together.

The fourth edition has been thoroughly updated with the latest information on:

The global threat of avian influenza Health policy agenda of the Bush administration Progress towards Healthy People 2010 goals The effects of corporatization, information revolution, and globalization on health care delivery.
The role of hospitals in the U.S. healthcare system The continuing nursing shortage Prospective payment initiatives for inpatient psychiatric facilities and inpatient rehabilitation facilities Pay-for-performance initiatives Trends in home health care services The role of long-term care hospitals and reimbursement for their services Disease management as a strategy to manage utilization The role of inpatient rehabilitation facilities Updated information on health services for special populations State strategies to provide universal coverage State Children’s Health Insurance Plan reauthorization issues The President’s Emergency Plan for AIDS Relief High-deductible health plans Insurance restructuring in Massachusetts Challenges in long-term care The era of evidence-based medicine Mandates of recent legislation such as the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 and the Deficit Reduction Act of 2005

New Fifth Edition Now Available

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Editorial Reviews

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.
Doody's Review Service
Reviewer: Carole Ann Kenner, PhD, RN, FAAN (The College of New Jersey)
Description: This book describes the U.S. healthcare delivery system within the context of the new healthcare reform legislation. An update of the 2007 edition, this edition addresses the new healthcare environment.
Purpose: The purpose is to place the delivery of healthcare in the U.S. within a systems context. Because healthcare is a global issue, the U.S. system is also compared with other major systems in Germany, Canada, and the U.K. in particular.
Audience: The intended audience is anyone interested in healthcare delivery systems from a policy perspective — within and outside the U.S. However, it is most appropriate for graduate-level students and readers interested in policy.
Features: The usual topics are covered — quality, healthcare financing, vulnerable populations, health policy, etc. However, this edition describes the Affordable Health Care Act, the movement for universal coverage — including the political climate that is resisting change — and the shift from disease orientation to primary care and case management. The illustrations are very good and help readers understand models, for example, of health and social determinants. The glossary and abbreviations are also helpful. However, there are some shortcomings. The description of the role of the nurse practitioner is very limited and there is no mention of fact that NPs may be able to be reimbursed for services, although not at the rate and the same way as physicians. Certified nurse anesthetists are mentioned, but not discussed as nurse midwives are, yet they have evolved and are a good example of a nurse whose model of reimbursement and services are more similar to physicians. Case management is noted, but the newer term is care coordination. The Naylor model of transitional care, which is evidence-based and supported by insurance companies, is not mentioned as a good example of translational research impacting practice and changing healthcare delivery models. The shortage of health professionals and its impact on care is not really discussed. All of these areas would strengthen the argument that healthcare is a complex issue.
Assessment: Now in its fifth edition, this book has a long history of success in the marketplace. There are other books on policy and others on delivery of healthcare. Jonas and Kovner's Health Care Delivery in the United States, 10th edition, Kovner et al. (Springer Publishing Company) book covers most of the same topics but includes more on the healthcare workforce than does Delivering Health Care in America. The books provide different perspectives, both are needed, and, as Kovner argues, healthcare depends on a stakeholder's viewpoint. The same is true for readers.
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Product Details

  • ISBN-13: 9780763745127
  • Publisher: Jones & Bartlett Learning
  • Publication date: 9/5/2007
  • Edition description: 4E
  • Edition number: 4
  • Pages: 650
  • Sales rank: 1,328,914
  • Product dimensions: 7.00 (w) x 9.90 (h) x 1.50 (d)

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