Essentials of the U.S. Health Care System / Edition 3

Paperback (Print)
Rent from
(Save 73%)
Est. Return Date: 07/24/2015
Buy Used
Buy Used from
(Save 41%)
Item is in good condition but packaging may have signs of shelf wear/aging or torn packaging.
Condition: Used – Good details
Used and New from Other Sellers
Used and New from Other Sellers
from $52.60
Usually ships in 1-2 business days
(Save 49%)
Other sellers (Paperback)
  • All (34) from $52.60   
  • New (13) from $81.37   
  • Used (21) from $52.60   


Written by best-selling authors Leiyu Shi and Douglas Singh, Essentials of the U.S. Health Care System is the most concise examination of the basic structures and operations of the U.S. health system. An ideal resource for courses in health policy, allied health, health administration and more, the text clarifies the complexities of health care organization and finance and presents a solid overview of how the various components fit together.

The Third Edition is a comprehensive update that offers new data, charts, and tables throughout the book, as well as updated ancillary materials.

New to the Third Edition:
• Data updated throughout the book reflected in tables and text
• Information on Healthy People 2020 initiative
• New material on U.S. health reform throughout the book
• New materials on disparities initiatives
• Updated conceptual framework on determinants of health
• Mental health services in their historical context
• Patient centered care
• The Magnet recognition program of the American Nurses Credentialing Center
• Critical access hospitals
• Accountable care organizations
• Updates on vulnerable populations
• New information on health centers and safety-net providers
• Revised perspectives on the future of health care in America

Read More Show Less

Editorial Reviews

From The Critics
Reviewer: Carole Ann Kenner, PhD, MSN, BSN(Northeastern University Bouve College of Health Sciences)
Description: This abbreviated version of the authors' standardized text on healthcare delivery in the U.S. (Delivering Health Care in America: A Systems Approach, 4th edition (Jones and Bartlett, 2008)) covers the basics of the U.S. system to outcomes and health policy implications.
Purpose: The purpose is to provide a basic understanding of the U.S. healthcare delivery system.
Audience: The audience is junior college students taking a basic course in U.S. healthcare and other undergraduate or graduate students who need supplemental material for an advanced course in health policy.
Features: The book starts with a brief overview of the U.S. healthcare delivery system and comparisons with other countries such as Canada, the U.K., and Germany. The central chapters focus on the transdisciplinary providers, the impact of technology, financial considerations including reimbursement issues, differences between primary, chronic, community, and acute care needs. The next set of chapters explores the evolution of managed care and integrated health systems. Two chapters address vulnerable populations — those in long term care and those who are considered underserved. The book ends with the growing issues of today — cost, access, quality, policy implications, and the future as projected by the new Obama administration. The topics are old, but the book helps students to visually see the information with the many exhibits such as health indicators and examples of cost-saving technology. Since many readers may not be health professionals, these exhibits enhance understanding.
Assessment: There are many books on healthcare delivery systems, but this is the only one that condenses the material in an understandable manner. This second edition has added up-to-date information on the VA system, Centers for Medicare Medicaid Systems, state children's health insurance, the movement to corporate health models, and technology including the electronic medical record and use of telemedicine. Health care reform is presented within the context of the Obama administration's campaign for reform — a good rationale for a new edition.
Read More Show Less

Product Details

  • ISBN-13: 9781284035421
  • Publisher: Jones & Bartlett Learning
  • Publication date: 4/19/2013
  • Edition description: New Edition
  • Edition number: 3
  • Pages: 382
  • Sales rank: 62,654
  • Product dimensions: 5.84 (w) x 8.94 (h) x 0.90 (d)

Table of Contents

Preface ix
List of Exhibits xi
List of Tables xii
List of Figures xii
List of Abbreviations xiii
Chapter 1 Major Characteristics of US Health Care Delivery 1
Introduction 1
Subsystems of US Health Care Delivery 3
Characteristics of the US Health Care System 8
Health Care Systems of Other Developed Countries 15
Systems Framework 17
Conclusion 20
Chapter 2 Foundation of US Health Care Delivery 23
Introduction 23
What Is Health? 24
Determinants of Health 27
Cultural Beliefs and Values 30
Strategies to Improve Health 30
Conclusion 42
Chapter 3 Historical Overview of US Health Care Delivery 45
Introduction 45
Medical Services in Preindustrial America 47
Medical Services in Postindustrial America 51
History of Health Insurance 56
Year 1970 into the 21st Century 63
Conclusion 68
Chapter 4 Health Care Providers and Professionals 71
Introduction 71
Physicians 74
Dentists 80
Pharmacists 82
Other Doctoral-Level Health Professionals 83
Nurses 84
Nonphysician Practitioners 86
Allied Health Professionals 88
Health Services Administrators 90
Conclusion 92
Chapter 5 Technology and Its Effects 97
Introduction 97
What Is Medical Technology? 99
Information Technology 100
Use of Medical Technology 102
Role of the Government in Technology Diffusion 105
Impact of Medical Technology 109
Assessment of Medical Technology 115
Benefits of Technology Assessment 117
Conclusion 118
Chapter 6 Financing and Reimbursement Methods 121
Introduction 121
Effects of Health Care Financing and Insurance 122
Insurance: Its Nature and Purpose 125
Private Insurance 127
Public Insurance 129
Reimbursement Methods 139
National Health Expenditures 143
Conclusion 146
Chapter 7 Outpatient Services and Primary Care 149
Introduction 149
What Is Outpatient Care? 150
Scope of Outpatient Services 151
Outpatient Care Settings and Methods of Delivery 153
Primary Care 158
Conclusion 168
Chapter 8 Hospitals 173
Introduction 173
Evolution of the Hospital in the United States 174
Expansion and Downsizing of Hospitals in the United States 176
Access and Utilization by the US Population 179
Utilization of Hospital Capacity 180
Hospital Employment 181
Types of Hospitals 182
Licensure, Certification, and Accreditation 189
Hospital Organization 190
Ethics and Public Trust 192
Conclusion 194
Chapter 9 Managed Care and Integrated Organizations 197
Introduction 197
What Is Managed Care? 198
Evolution and Growth of Managed Care 200
Utilization Control Methods in Managed Care 204
Types of Managed Care Organizations 206
Impact of Cost, Access, and Quality 211
Health Networks 212
Types of Integration 214
Conclusion 217
Chapter 10 Long-Term Care Services 221
Introduction 221
What Is LTC? 223
Community-Based LTC Services 229
Institutional LTC 233
Licensing and Certification of Nursing Homes 238
Other LTC Services 240
State of the Nursing Home Industry 241
Conclusion 243
Chapter 11 Underserved Populations 247
Introduction 247
Framework to Study Vulnerable Populations 248
Enabling Characteristics 255
Need Characteristics 257
Conclusion 260
Chapter 12 Cost, Access, and Quality 263
Introduction 263
Cost of Health Care 264
High in Cost 265
Reasons for High Cost 266
Cost Containment 272
Unequal in Access 275
Average in Quality 282
Developments in Process Improvement 286
Conclusion 287
Chapter 13 Health Policy 291
Introduction 291
What Is Health Policy? 292
Principal Features of US Health Policy 294
Development of Legislative Health Policy 302
Critical Policy Issues 305
Conclusion 310
Chapter 14 The Future of Health Services Delivery 313
Introduction 313
Future of Managed Care, Health Care Costs, and System Reform 316
Trends in Health Insurance 319
Options for Comprehensive Reform 322
National and Global Challenges 323
Bioterrorism and the Transformation of Public Health 326
Future of Health Care Workforce 327
New Frontiers in Technology 330
Conclusion 332
Index 337
Read More Show Less

Customer Reviews

Average Rating 4
( 3 )
Rating Distribution

5 Star


4 Star


3 Star


2 Star


1 Star


Your Rating:

Your Name: Create a Pen Name or

Barnes & Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation


  • - By submitting a review, you grant to Barnes & and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Terms of Use.
  • - Barnes & reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)