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Delivering Health Care in America, Sixth Edition is the most current and comprehensive overview of the basic structures and operations of the U.S. health system—from its historical origins and resources, to its individual services, cost, and quality. Using a unique “systems” approach, the text brings together an extraordinary breadth of information into a highly accessible, easy-to-read resource that clarifies the complexities of health care organization and finance while presenting a solid overview of how the various components fit together. While the book maintains its basic structure and layout, the Sixth Edition is nonetheless the most substantive revision ever of this unique text. Because of its far-reaching scope, different aspects of the Affordable Care Act (ACA) are woven throughout all 14 chapters. The reader will find a gradual unfolding of this complex and cumbersome law so it can be slowly digested. Additionally, as U.S. health care can no longer remain isolated from globalization, the authors have added new global perspectives, which the readers will encounter in several chapters. Key Features: - Comprehensive coverage of the ACA and its impact on each aspect of the U.S. health care system woven throughout the book - New “ACA Takeaway” section in each chapter as well as a new Topical Reference Guide to the ACA at the front of the book - Updated tables and figures, current research findings, data from the 2010 census, updates on Healthy People 2020, and more - Detailed coverage of the U.S. health care system in straightforward, reader-friendly language that is appropriate for graduate and undergraduate courses alike
Summary: • Presents a comprehensive overarching framework to portray the determinants of the nation’s health and organize the major components of the Book. Then, under each major component, we present a more detailed framework capturing the essential elements of that particular component of the overarching framework. This would be an important new addition to the Book and will make better sense to the readers when approaching the reading materials. • The book cross-links to Delivering Healthcare in the US and Essentials of the US Health Care System books so that the readings presented in this Book would also become background and supplemental readings of the two other textbooks. • In front of each major component, a summary section highlights the major issues and challenges related to that component and provides a summary of the representative articles to follow. This helps readers clearly grasp the essential elements related to that component and understand the main objectives of each of the selected readings for that component. • The Book will include both classic readings and new readings published within the last five years. • New features: Introduces articles on healthcare delivery and interventions to address health determinants and improve population health from other countries in the world. Readers will benefit from learning from other countries in both healthcare delivery and health determinants interventions. Other positive features of the Book include: • Limited use of tables and figures to allow readers to grasp the essence of the chapter without too much distraction • The book can be used either stand-alone as a textbook or a secondary reader to a health care related course Courses will be found in: Schools of Public Health Department of Health Administration and Policy School of Nursing School of Medicine Allied Health Competitive Features: Timely / current Concise and easy-to-follow Well-organized Focusing on essentials of U.S. health care delivery Include lessons and experiences from foreign countries Inexpensive Qualifying Questions: a) Do your students have limited knowledge of U.S. health care? – The book includes overviews and collection of articles that provide an introduction to the most essentials components of U.S. health care delivery at layman’s terms. b) Is current information important in your teaching? – The book provides relevantly current articles on important components of U.S. health care delivery. Its relatively short-length facilitates quick updates from year to year. c) Is coherence important to you and your students? – The book uses a comprehensive framework to organize the parts and chapters. Its limited use of tables and figures does not cause too much a ‘slow-down’.
Based on the authors' teaching and research at the Johns Hopkins Bloomberg School of Public Health and the Keck School of Medicine of the University of Southern California, the second edition of this landmark text offers a general framework for students, researchers, practitioners, and policymakers for learning about vulnerable populations. It contains in-depth data and information on major health and health care disparities by race or ethnicity, socioeconomic status, and health insurance coverage. It is thoroughly updated to include the latest data and trends and provides a detailed synthesis of recent and increasingly expansive programs and initiatives to remedy these disparities. To keep current with recent trends it incorporates the latest Healthy People 2020 objectives, includes new sections on real-world clinical examples, and discusses the impact of health care reform on vulnerable populations. The book's Web site includes instructor's materials that may be downloaded.

Praise for the First Edition of Vulnerable Populations in the United States

"An excellent primer for undergraduates and graduate students interested in vulnerable populations and health disparities."
—New England Journal of Medicine

"Combines thoughtful, coherent theory with a large amount of information available in a single source. It will prove to be a valuable resource for policymakers, researchers, teachers, and students alike for years to come."
—Journal of the American Medical Association

"A very worthwhile read for health care administrators, health policy analysts, public health and health promotion practitioners, students of public health, and health researchers."
—Inquiry

"It makes clear that, for political, social, and economic (as well as moral) reasons, the country must increasingly make vulnerable populations a national health policy priority."
—Journal of Health Care for the Poor and Underserved

"I have reviewed a number of books looking for meaningful content to help my students understand and work with vulnerable populations. This is the most comprehensive, yet understandable book on the topic."
—Doody's Reviews

"Provides much-needed guidance to policymakers challenged with providing solutions to this embarrassing issue in the United States."
—F. Douglas Scutchfield, MD, Peter P. Bosomworth Professor of Health Services Research and Policy, University of Kentucky

Companion Web site: www.josseybass.com/go/shi

" . . . an excellent primer for undergraduates and graduate students interested in vulnerable populations and health disparities." -- New England Journal of Medicine, July 7, 2005

"I have reviewed a number of books looking for meaningful content to help my students understand and work with vulnerable populations. This is the most comprehensive, yet understandable book on the topic." -- Doody's Reviews, 2005

". . .combines thoughtful, coherent theory with a large amount of information available in a single source. It will prove to be a valuable resource for policymakers, researchers, teachers, and students alike for years to come." -- Journal of the American Medical Association, April 20, 2005

Vulnerable Populations in the United States offers in-depth data on access to care, quality of care, and health status and updates and summarizes what is currently known regarding the pathways and mechanisms linking vulnerability with poor health and health care outcomes. Written by Leiyu Shi and Gregory D. Stevens, this book provides a coherent, well-integrated, general framework for the scientific study of vulnerable populations—a framework that is compatible with the focus of public health policy and the Healthy People initiative. The comprehensive volume Vulnerable Populations in the United States

Discusses the determinants of vulnerability using a broad framework that includes both social and individual determinants. Portrays the mechanisms whereby vulnerability influences access, quality, and health status. Summarizes the literature and provides empirical evidence of disparities in health care access, quality, and outcome for vulnerable populations. Focuses on influences of individual risk factors and multiple risk factors . Reviews programs currently in place for vulnerable populations.

Instructors material available.

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