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Delivering Health Care in America, Fourth Edition
A Systems Approach

Author(s): Leiyu Shi, DrPH, MBA, MPA, Professor, Johns Hopkins Bloomberg School of Public Health, Co-Director, Johns Hopkins Primary Care Policy Center for the Underserved
Douglas A. Singh, PhD, MBA, Associate Professor of Management, School of Business and Economics, Indiana University at South Bend
Details:
  • ISBN-13: 9780763745127
  • ISBN-10:076374512X
  • Paperback    650 pages      © 2008
Price: International Sales $109.95 US List
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Overview

Instructor Resources: Instructor's Manual, PowerPoints, TestBank
Student Resources: Companion Website with Interactive Glossary

In a clear, cohesive format, Delivering Health Care in America provides a comprehensive overview of the basic structures and operations of the US health system—from its historical origins and resources, to its individual services, cost, and quality. Using a unique “systems” approach, it brings together an extraordinary breadth of information into a highly accessible, easy-to-read text that clarifies the complexities of health care organization and finance, while presenting a solid overview of how the various components fit together.

The Fourth Edition has been thoroughly updated with the latest information on:

  • The global threat of avian influenza  
  • Health policy agenda of the Bush administration
  • Progress towards Healthy People 2010 goals
  • The effects of corporatization, information revolution, and globalization on health care delivery.
  • The role of hospitals in the U.S.healthcare system
  • The continuing nursing shortage
  • Prospective payment initiatives for inpatient psychiatric facilities and inpatient rehabilitation facilities
  • Pay-for-performance initiatives
  • Trends in home health care services
  • The role of long-term care hospitals and reimbursement for their services
  • Disease management as a strategy to manage utilization
  • The role of inpatient rehabilitation facilities
  • Updated information on health services for special populations
  • State strategies to provide universal coverage
  • State Children’s Health Insurance Plan reauthorization issues
  • The President’s Emergency Plan for AIDS Relief
  • High-deductible health plans
  • Insurance restructuring in Massachusetts
  • Challenges in long-term care
  • The era of evidence-based medicine
  • Mandates of recent legislation such as the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 and the Deficit Reduction Act of 2005 

Upgrade Your Course Materials to the New Edition! Click here to access our easy transition guide. 

ShowTable of Contents

Title
Copyright
Contents
Foreword
Preface
List of Exhibits
List of Figures
List of Tables
List of Abbreviations/Acronyms
Chapter 1  A Distinctive System of Health Care Delivery
PART I System Foundations
Chapter 2  Beliefs,Values, and Health
Chapter 3  The Evolution of Health Services in the United States
PART II System Resources
Chapter 4  Health Services Professionals
Chapter 5  Medical Technology
Chapter 6  Health Services Financing
PART III System Processes
Chapter 7  Outpatient and Primary Care Services
Chapter 8  Inpatient Facilities and Services
Chapter 9  Managed Care and Integrated Organizations
Chapter 10  Long-Term Care
Chapter 11  Health Services for Special Populations
PART IV System Outcomes
Chapter 12  Cost, Access, and Quality
Chapter 13  Health Policy
PART V System Outlook
Chapter 14  The Future of Health Services Delivery
Appendix A—Glossary
Appendix B—Selected Web Sites
Index
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ShowAbout the Author(s)

Leiyu Shi, DrPH, MBA, MPA-Professor, Johns Hopkins Bloomberg School of Public Health, Co-Director, Johns Hopkins Primary Care Policy Center for the Underserved

Dr. Leiyu Shi is an Associate Professor in the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, and Co-Director of Johns Hopkins Primary Care Policy Center for the Underserved Populations. Dr. Shi's research focuses on primary care, health disparities, and vulnerable populations. He has conducted extensive studies about the association between primary care and health outcomes, particularly on the role of primary care in mediating the adverse impact of income inequality on health outcomes. Dr. Shi is also well known for his extensive research on the nation's vulnerable populations, in particular community health centers that serve vulnerable populations, including their sustainability, provider recruitment and retention experiences, financial performance, experience under managed care, and quality of care. Dr. Shi is the author of three textbooks and nearly 100 journal articles.

Additional Titles by this Author

Douglas A. Singh, PhD, MBA-Associate Professor of Management, School of Business and Economics, Indiana University at South Bend

Dr. Singh teaches graduate and undergraduate courses in health care delivery, policy, finance, and management in the School of Business and Economics and in the Department of Political Science at Indiana University-South Bend. He has authored/coauthored four books and has published in peer-reviewed journals. Before pursuing an academic career, he spent over 15 years in the long-term care industry and held positions of administrator, regional manager, vice president, and consultant. He was awarded the long-term care research award by the Foundation of American College of Health Care Administrators in 1995.

Additional Titles by this Author

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ShowReviews

  • "This extraordinarily comprehensive book describes and analyzes the U.S. healthcare system from a health policy perspective. It is both wide in scope and detailed in its analysis of specific problems and constraints encountered by the system...an excellent book for entry level graduate students in health systems analysis and health policy, health law, and public administration."

    —Patricia Kelly, EdD, PA-C, Nova Southeastern University (For Doody's Book Review Service, May 2008)

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