An Introduction to the US Health Care System: Sixth Edition [NOOK Book]


Completely expanded and updated to account for the latest changes in the U.S. health care system, this best-selling text remains the most concise and balanced introduction to the domestic health care system. Like its predecessors, it provides an accessible overview of the basic components of the system: healthcare personnel, hospitals and other institutions, the federal government, financing and payment mechanisms, and managed care. Finally, it provides an insightful look at the...

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An Introduction to the US Health Care System: Sixth Edition

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Completely expanded and updated to account for the latest changes in the U.S. health care system, this best-selling text remains the most concise and balanced introduction to the domestic health care system. Like its predecessors, it provides an accessible overview of the basic components of the system: healthcare personnel, hospitals and other institutions, the federal government, financing and payment mechanisms, and managed care. Finally, it provides an insightful look at the prospects for health care reform.

Steven Jonas, a revered expert in public health, has enlisted his colleagues, Drs. Raymond and Karen Goldsteen, to add their expertise in public health and health policy and management to this outstanding volume. All students of health care administration and policy, as well as practicing healthcare professionals who simply want a relatively brief overview of the system, will find it useful.

The book contains no figures.

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Editorial Reviews

Judith Lee Kissell
The fourth edition of this book, and the first by this author, describes the various elements of healthcare in the United States as a system, and describes how each element is affected by the current changes in health finance and organization. The book is designed to give students and professionals who lack a background in health policy a broad understanding of the complexities of the United States health system and how it is changing under current financial and organizational pressures. Such an account is badly needed. The author does an excellent job of meeting his objectives. The author aims this book at medical students and at practitioners who are not experts at health policy but who require broad understanding of the system. He succeeds in this goal. The author, a physician and professor of medicine at the State University of New York at Stony Brook, has written widely in the area of health policy and is well qualified to address this topic. The book contains two appendixes that provide a valuable list of reports on the healthcare system and suggestions for data sources. This is a valuable source for a broad overview of healthcare in the United States as a system. Its conciseness comprises some of its value as a tool for medical students whose time is limited, but who badly need this information. Perhaps its greatest value is that, because it focuses on healthcare as a system, it points to problems sometimes neglected in consideration of the changes occurring in healthcare. The author suggests, for instance, that attention be paid to the importance of public health and to how the structure of the healthcare system, which addresses acute illness and care, needs also toconsider chronic illness and care. The change to managed care could, perhaps, be better clarified if he were to choose as a framework the notion of the integrated delivery system rather than managed care. Also, he mentions, but fails to elaborate upon, the differences between for profit and not-for-profit systems.
From The Critics
Reviewer: Judith Lee Kissell, PhD, MA, BA (Creighton University)
Description: This book gives an overall view of the U.S. healthcare system, emphasizing its uniqueness in relationship to other systems worldwide. It is written at a level for students, is easily grasped, and includes most, if not all, of the important factors that describe the U.S. system.
Purpose: The author intends to provide a thorough and accessible book for undergraduate students. As such, it is an easily accessible source of information on the healthcare system for the lay reader as well as for undergraduate students.
Audience: The book is addressed to undergraduate students, according to the author, but it is also accessible to graduate and professional healthcare students as well as to the lay reader. The author acknowledges the bias he presents in his material, does a thorough job, and is a credible authority.
Features: The book discusses several aspects of the U.S. healthcare system, including issues such as planning, clinical and institutional problems, financing, education, etc., and points out those areas in which the U.S. system differs from other systems throughout the developed world. The book is particularly effective in making the point that the purpose of healthcare "should be to meet and serve the health care needs of the American people." It is also effective in providing an historical perspective of the issues it covers. Because it is intended for undergraduate students, the book is limited in the amount of material it covers and the depth to which it is covered.
Assessment: The book is a good source of basic information that is well-written, easy to read, and a quick study. It is useful for clinicians and other healthcare professionals who need to know the basics of the healthcare system in a hurry. The book is written from the perspective of providing healthcare to people who need it because they need it, rather than from a profit motive:an approach that should be at the heart of professionalism in medicine.
APHA Health Administration Newsletter
This is a brief, easy-to-read volume which is an ideal text for medical and nursing students who require a basic understanding of American health services, without a detailed exploration of their complexities.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780826103154
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 5/25/2007
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition number: 6
  • File size: 2 MB

Meet the Author

Steven Jonas, MD, MPH, MS, is Professor of Preventive Medicine, School of Medicine, and Professor, Graduate Program in Public Health, at Stony Brook University (NY). He is a Fellow of the New York Academy of Sciences, the American College of Preventive Medicine, the New York Academy of Medicine, and the American Public Health Association. In 2006, he received the Duncan Clark Award for lifetime achievement granted by the Association for Prevention Teaching and Research (formerly the Association of Teachers of Preventive Medicine). He is Editor-in-Chief of the American Medical Athletics Association Journal and a member of the Editorial Board of ACSM's Health and Fitness Journal.

Over the course of an academic career that began in 1969, his research has focused on health care delivery systems analysis, preventive medicine and public health, and personal health and wellness. He has authored, co-authored, edited, and co-edited over 25 books, and published more than 135 papers in scientific journals, as well as numerous articles in the popular literature. He is and has been a regular columnist for a number of scientific and lay publications in the health and health-related arenas and also publishes regularly on several webmagazines on the subject of politics. It was in the mid-70s that, having been given the opportunity to do so by Dr. Ursula Springer, he created Health Care Delivery in the United States. He was actively involved with the first seven editions of that book. He is very proud that his name will be continue to associated down through time with that book, as it will be with this one, as it moves on to future editions under the able stewardship of the Drs. Goldsteen.

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Table of Contents

Foreword to the Fifth Edition
Preface to the Fifth Edition
Ch. 1 An Overview of the U.S. Health Care System 1
Ch. 2 Personnel 27
Ch. 3 Institutions: Hospitals 49
Ch. 4 Institutions: Primary and Ambulatory Care 68
Ch. 5 Financing and Payment 89
Ch. 6 Government and the Health Care System 111
Ch. 7 Health Planning: Principles and Practice 130
Ch. 8 From Group Medical Practice to Managed Care 150
Ch. 9 National Health Insurance and National Health Care Reform 171
Epilogue 197
App. I List of Critical Reports/Analyses of the U.S. Health Care Delivery System, 1927-1983 199
App. II Sources of Data 201
App. III: Glossary 207
Index 219
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This new edition portrays the 'system as a whole,' complicated but still described and analyzed as a total organism. With the sophistication and clarity of Dr.Stevn Jonas, this account manages to encompass all the diverse components of the American health system in a relatively short volume. It paints a picture with the necessary highlights and shadows, yet on a canvas with a relatively small frame.
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