Essentials Of The U.S. Health Care System / Edition 2

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Overview

New Edition Available

Covering the basic structures and operations of the U.S. health system, this condensed distillation of the important topics covered in Delivering Health Care in America is the perfect resource for courses in health policy, allied health, health administration and more. It clarifies the complexities of health care organization and finance and presents a solid overview of how the various components fit together.

The Second Edition of Essentials of the US Health Care System has been updated to include new data, charts, tables and accompanying information throughout the book. Use as a stand-alone text, or a supplement in various courses.

New content includes:

Medicare, Medicaid and SCHIP.
Ongoing evolution in U.S. health care as a result of corporatization and globalization.
The role of hospitalists.
Updated content on Parts C and D of Medicare. including information on high-deductible health plans/health savings accounts as an insurance option.
Updated content on primary care and community oriented health care development
Current development on hospital extensions to the community.
Current development on nano technology.
Current health policy issues.
Current discussion on healthcare reforms, including future challenges posed by the increased need for long-term care.

New Third Edition Now Available!

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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.
Doody's Review Service
Reviewer: Eric P Matthews, PhD, MSed, MA (A. T. Still University)
Description: This update of a book on the U.S. healthcare system incorporates information on pertinent government policies that have been instituted since the 2009 edition. This is an abbreviated version of the authors' comprehensive work, Delivering Health Care in America: A Systems Approach, 5th edition (Jones & Bartlett Learning, 2012).
Purpose: The primary purpose is to incorporate information on U.S. healthcare policy changes since the publication of the previous edition. The inclusion of updated statistics and information on the Patient Protection and Affordable Care Act of 2010 and the American Recovery and Reinvestment Act of 2009 make this a worthwhile objective.
Audience: This well-written tome is aimed at postsecondary students who are taking a survey course on the U.S. healthcare system or those who need a supplementary text to support other studies. The authors are knowledgeable experts and well-known for their books. They accomplish the goal of providing an intermediary work that is comprehensive (covering material beyond an introductory level) but is not burdensome and can be easily read and interpreted by college and university students.
Features: The book covers the U.S. healthcare system from its colonial founding through the modern era. It divides this subject into broad themes and separates the chapters accordingly. The first section covers the basis of the current system. The historical perspectives provided in this section are invaluable, but weak. The second section covers the necessary resources to support the healthcare system, then the process of healthcare, taking readers through the system. Finally, a section covers the outcomes of healthcare. Dividing the book along these lines allows for a smooth progression of learning as readers build upon their knowledge, working through the entire process.
Assessment: This much-needed update incorporates the many major changes in U.S. healthcare policy and delivery that have occurred since 2009. The book is very useful as a standalone textbook for introductory students or as an adjunct to more comprehensive books for advanced students. It covers the U.S. healthcare system with enough detail to deliver pertinent information without being pedantic, redundant, or difficult to understand.
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Product Details

  • ISBN-13: 9780763763800
  • Publisher: Jones & Bartlett Learning
  • Publication date: 3/5/2009
  • Edition description: 2E
  • Edition number: 2
  • Pages: 360
  • Sales rank: 704,328
  • Product dimensions: 6.00 (w) x 8.90 (h) x 3.00 (d)

Table of Contents

Preface ix

About the Authors xiii

Acknowledgments xv

List of Exhibits xvii

List of Tables xix

List of Figures xxi

List of Abbreviations xxiii

Chapter 1 Major Characteristics of U.S. Health Care Delivery 1

Introduction 1

Subsystems of U.S. Health Care Delivery 3

Characteristics of the U.S. Health Care System 10

Health Care Systems of Other Developed Countries 20

Systems Framework 24

Conclusion 26

Chapter 2 Foundation of U.S. Health Care Delivery 29

Introduction 29

What Is Health? 30

Determinants of Health 34

Cultural Beliefs and Values 36

Strategies to Improve Health 37

Conclusion 49

Chapter 3 Historical Overview of U.S. Health Care Delivery 53

Introduction 53

Medical Services in Preindustrial America 55

Medical Services in Postindustrial America 59

History of Health Insurance 64

Medical Services in the Corporate Era 73

Conclusion 76

Chapter 4 Health Care Providers and Professionals 79

Introduction 79

Physicians 82

Dentists 89

Pharmacists 91

Other Doctoral-Level Health Professionals 92

Nurses 93

Nonphysician Practitioners 95

Allied Health Professionals 98

Public Health Professionals 100

Health Services Administrators 100

Conclusion 101

Chapter 5 Technology and its Effects 105

Introduction 105

What Is Medical Technology? 107

Information Technology 107

Utilization of Medical Technology 111

Role of the Government in Technology Diffusion 114

Impact of Medical Technology 118

Assessment of Medical Technology 123

Benefits of Technology Assessment 125

Conclusion 126

Chapter 6 Financing and Reimbursement Methods 129

Introduction 129

Effects of Health Care Financing and Insurance 131

Insurance: Its Nature and Purpose 133

Private Insurance 135

Public Insurance 138

The Patient Protection and Affordable Care Act 147

Reimbursement Methods 148

National Health Expenditures 153

Conclusion 155

Chapter 7 Outpatient Services and Primary Care 159

Introduction 159

What Is Outpatient Care? 160

Scope of Outpatient Services 161

Outpatient Care Settings and Methods of Delivery 164

Primary Care 170

Conclusion 181

Chapter 8 Hospitals 185

Introduction 185

Evolution of the Hospital in the United States 186

Expansion and Downsizing of Hospitals in the United States 188

Access and Utilization Measures 192

Hospital Employment 194

Types of Hospitals 194

Licensure, Certification, and Accreditation 202

The Magnet Recognition Program 203

Hospital Organization 204

Ethics and Public Trust 205

Conclusion 207

Chapter 9 Managed Care and Integrated Systems 211

Introduction 211

What Is Managed Care? 212

Evolution and Growth of Managed Care 215

Managed Care Today 218

Utilization Control Methods in Managed Care 219

Types of Managed Care Plans 222

Impact on Cost, Access, and Quality 227

Integrated Systems 229

Types of Integration 230

Conclusion 233

Chapter 10 Long-Term Care Services 237

Introduction 237

What Is LTC? 239

Community-Based Long-term Care Services 245

Institutional Long-term Care 249

Licensing and Certification of Nursing Homes 254

Other Long-term Care Services 256

Nursing Home Industry and Expenditures 257

Conclusion 259

Chapter 11 Population with Special Health Needs 261

Introduction 261

Framework to Study Vulnerable Populations 262

Predisposing Characteristics 264

Enabling Characteristics 271

Need Characteristics 274

Conclusion 277

Chapter 12 Cost, Access, and Quality 281

Introduction 281

Cost of Health Care 282

The High Cost of U.S. Health Care 283

Reasons for High Health Care Costs 284

Cost Containment 291

Unequal in Access 294

Average in Quality 301

Developments in Process Improvement 305

Conclusion 307

Chapter 13 Health Policy 311

Introduction 311

What Is Health Policy? 312

Principal Features of U.S. Health Policy 314

Development of Legislative Health Policy 323

Critical Policy Issues 325

International Health Policy: Comparisons 333

Conclusion 334

Chapter 14 The Future of Health Services Delivery 337

Introduction 337

Conflicting Realities of Cost and Access 339

The Future of Health Care Reform 341

Future Model of Care Delivery 345

Future Workforce Challenges 346

Global Threats and International Cooperation 347

Bioterrorism and the Transformation of Public Health 349

New Frontiers in Clinical Technology 350

Evidence-Based Health Care 351

Conclusion 353

Index 357

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Sort by: Showing all of 3 Customer Reviews
  • Anonymous

    Posted October 2, 2011

    Book is fine, delivery time HORRIBLE

    The book was a requirement for class and was what I needed for the price I needed. However, it took RIDICULOUSLY long to get here (over 2 wks) and I'm in the US! Other than that, all was okay.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted October 27, 2009

    great information

    Lots of important information and the chapters are not God-awefuly long

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted December 5, 2009

    No text was provided for this review.

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