Nation's Health / Edition 6

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Edited by two of the nation's leading health and aging policy experts, Philip R. Lee and Carroll L. Estes, the seventh edition of The Nation's Health critically examines the nation's health; the determinants of health; the roles of both public health care (population-based intervention) and personal health care; and the role of the community in protecting and assuring the health of the population. Rather than merely focusing on the care of the sick or the financing of care and public health, this text looks at the complex web of issues, policies, controversies, and proposed solutions that surround health policy, public health, community health, and health care in the United States.

This is an important compendium of articles compiled by two of the nation's preeminent health policy analysts. Drs. Lee and Estes provide a clear view of the factors affecting the health of Americans, and emphasize the precarious circumstances of the nation’s public health and healthcare systems as we move toward the 21st century. This brilliantly edited volume covers areas affecting health and healthcare, including tobacco, immunization, HIV/AIDS, managed competition, the medical-industrial complex, and rationing of health care. The Nation’s Health, Sixth Edition also touches on the important subjects of preventive care, cost of healthcare, and the relationship between socioeconomic class and health. While this volume is important for those already making public health policy, it also provides the breadth of knowledge essential to students of health policy, healthcare administration, healthcare economics, nursing policy and trends, and public health. Physicians, nurses, and health policy scholars and students in schools of public health and departments of health education will find this an invaluable resource. This book represents the best and most thoughtful treatment of this timely and vitally important subject.

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Editorial Reviews

Doody's Review Service
Reviewer: Robert McLean, PhD (Creighton Univ School of Pharmacy & Allied Health Professions)
Description: This is a compilation of previously published articles covering a wide variety of topics dealing with the nation's health. Among the areas covered are the nation's current health status, the determinants of health and disease, health policy and politics, health insurance (both private and public), and the health of special populations (women and the elderly).
Purpose: The purpose is to provide students of public health, health policy, and health administration a single source for an overview course in population health. In that, the editors have been successful. The coverage is extremely thorough, and the articles selected for this edition are up-to-date.
Audience: The intended audience is graduate students in pubic health, health policy, health administration, and related fields. It will also be of interest to public health officials, scholars, and journalists seeking a quick reference.
Features: The book is divided into "chapters," each covering a topic area (e.g., Medicare and Medicaid). The editors have prepared an introduction to each of these chapters, which includes a brief bibliography. Following the introduction are several previously published articles, each discussing some aspect of the topic.
Assessment: This is an extremely useful contribution to the field. The articles are well chosen. The technical level of the material is relatively low, making the book useful to the beginning students as well as to those at more advanced levels. The coverage is encyclopedic. No other book takes this approach or has the breadth of coverage that this one displays.
Bernard J. Turnock
The latest edition of this book is an outstanding collection of articles and essays on the American health system. More than two dozen separate topics are addressed by an impressive panel of contributors. The book's purpose is to provide an understanding of the health problems facing the U.S. in the 1990s, and especially those problems that have brought the system to the brink of significant reform in the organization, financing, and provision of health services. These worthy objectives are achieved as this book provides an excellent foundation for understanding both the problems facing the provision of health services as well as the underlying determinants of health and illness in American society. Many audiences will find this book useful and interesting. These include students of health policy and health administration, as well as many professionals and leaders in the field of health services. The authors are very credible -- the senior author is the current Assistant Secretary for Health in the Clinton Administration -- and the contributors are a diverse selection of national policy experts. The technical features of this book, including illustrations, table of contents and index, are adequate. The references and recommended related readings are an excellent feature of this fourth edition. The need for a new edition is apparent in view of the current interest and recent debate over the form and content of health reform in America. Overall, this is an excellent and important contribution to the field. It is a must purchase for health libraries and must reading for those seriously engaged in thinking and planning for an enhanced health system for the U.S.
Nancy J. Stiles
This is a collection of concise articles covering the major health care issues and challenges of the 1990's. This is the fifth edition; the fourth edition was published in 1994. The purpose is to address the latest developments in the nation's health care system. The authors clearly meet this important goal. The book is relevant to a multidisciplinary audience interested in our nation's health. The editors and contributors meet the objectives of the text and all are readily acknowledged experts in their field. References are recent and from relevant well-respected sources. The overall appearance of the book is pleasing and its compact size facilitates portability. The table of contents is well organized into four parts. The brevity of the articles makes it easy for the reader to be updated on current issues quickly. The articles cover major healthcare issues and evolving challenges of the 1990s. Particular attention is given to healthcare reform, managed care, and women's health. Unfortunately some articles are covered too superficially.
A compendium of articles overviewing factors affecting the health of Americans. Topics discussed include tobacco, AIDS, the rationing of healthcare, preventive care, and the relationship between socioeconomic class and health. This new edition offers increased emphasis on public health and on women's health and aging. For students and professionals in health policy, public health, nursing, and medicine. Lee is affiliated with the Institute for Policy Studies. Estes is founding director of the Institute for Health and Aging at the University of California-San Francisco. Annotation c. Book News, Inc., Portland, OR (

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780763712860
  • Publisher: Jones & Bartlett Learning, LLC
  • Publication date: 7/1/2000
  • Edition description: Older Edition
  • Edition number: 6
  • Pages: 573

Table of Contents

Pt. 1 Health of the Nation and Determinants of Health 1
Ch. 1 The Health of the Nation 3
Article 1 Trends in Mortality in the Twentieth Century 9
Article 2 Healthy People 2010 Objectives 30
Ch. 2 Determinants of Health 49
Article 1 Determinants of Health 57
Article 2 Socioeconomic Disparities in Health in the United States: An Agenda for Action 65
Article 3 Race or Class versus Race and Class: Mortality Differentials in the United States 79
Pt. 2 Health Policy and the Politics of Health 85
Ch. 3 Health Policy 87
Article 1 Health Care and Health Care Policy in a Changing World 93
Article 2 The Process of Public Policymaking: A Conceptual Model 109
Article 3 Chronic Condition: Why Health Reform Fails 116
Article 4 Decentralization, Devolution, and the Deficit: The Changing Role of the State and the Community 129
Ch. 4 Ethics, Values, and Ideology 143
Article 1 Ethics in the Political Marketplace 151
Article 2 A National Bill of Patients' Rights 157
Article 3 Health Care as a Social Good: Trauma Care and "The Kindness of Strangers" 166
Ch. 5 The Politics of Health 181
Article 1 The New Politics of U.S. Health Policy 186
Article 2 The Politics of Long-Term Care Reform Under the Clinton Health Plan: Lessons for the Future 206
Pt. 3 Public Health, Clinical Preventive Services, and the Emerging Collaboration of Medicine and Public Health 215
Ch. 6 Public Health, Clinical Preventive Services, and the Emerging Collaboration of Medicine and Public Health 217
Article 1 Ten Great Public Health Achievements - United States, 1900-1999 225
Article 2 Motor-Vehicle Safety: a 20th Century Public Health Achievement 228
Article 3 Achievements in Public Health, 1900-1999: Control of Infectious Diseases 233
Article 4 Achievements in Public Health, 1900-1999: Decline in Deaths from Heart Disease and Stroke - United States, 1900-1999 240
Article 5 Guide to Clinical Preventive Services 247
Article 6 Medicine and Public Health: The Power of Collaboration 262
Pt. 4 Health Insurance and Health Care Systems 303
Ch. 7 The Health Insurance System 305
Article 1 Health Insurance Coverage: Consumer Income 313
Article 2 The American Health Care System: Health Insurance Coverage 321
Article 3 The American Health Care System: Employer-Sponsored Health Coverage 331
Ch. 8 Medicare and Medicaid 341
Article 1 The American Health Care System: Medicare 349
Article 2 Rethinking Medicare Reform 363
Article 3 Medicare: Considerations for Adding a Prescription Drug Benefit 379
Article 4 The American Health Care System: Medicaid 389
Article 5 Medicare and Medicaid for the Elderly and Disabled Poor 403
Article 6 Medicaid's Role for Children 408
Ch. 9 Managed Care 413
Article 1 Consumer Protection in Managed Care: A Third-Generation Approach 417
Article 2 Medicaid and Managed Care 426
Article 3 The Uncertain Future of Managed Care 430
Ch. 10 Quality of Health Care 435
Article 1 The American Health Care System: The Movement for Improved Quality in Health Care 441
Article 2 Health System Reform and Quality 452
Pt. 5 Women's Health and Aging 467
Ch. 11 Women's Health and Aging 469
Article 1 Women in the Health Care System 475
Article 2 Gender and Race Bias in Medical Treatment 483
Article 3 Writing a New National Prescription for Women's Health in the 21st Century 490
Article 4 Health Concerns Across a Woman's Lifespan: The Commonwealth Fund 1998 Survey of Women's Health 503
Article 5 Medicare: A Women's Issue 514
Article 6 Aging and Gender: A New Voice on the Women's Health Agenda 523
Recommended Reading 547
Index 557
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