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Delivering Health Care In America: A Systems Approach, by Leiyu Shi, Douglas A. Singh
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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
- Sales Rank: #73116 in Books
- Published on: 2014-03-19
- Original language: English
- Number of items: 1
- Dimensions: 1.50" h x 7.00" w x 9.90" l, 2.55 pounds
- Binding: Paperback
- 650 pages
- Online Access Code
- Sixth Edition
Most helpful customer reviews
17 of 18 people found the following review helpful.
A good overview of US Health Care and very readable, but somewhat dry
By Apprentice Iron Chef
I hope to give a somewhat objective review of this book, having actually read it. When writing this there was only one review of this book that gives a more-than-a-little skewed overview(and the author obviously only skimmed through the table of contents rather than reading its content). In this review I will briefly discuss the books content and hopefully guide some potential purchasers to know whether this is the book they are looking for.
Its primary purpose is to provide an overview of the United States health care system. Additionally, it brings out some of the policy issues that the system is facing and as some of the history that led the system to where it is today.
Overall, I would say it succeeds at its first objective. While it doesn't get into all the specifics of the industry, it at least explains the major aspects of most of the health care system's components. If you want the nuances of a particular issue, you'll have to go to a different book or head to the academic literature. If you just want a basic idea of how the US health system functions, then this gives a decent overview.
The book struggles a bit more with the policy and history aspect. Anybody that has spent much time working in health policy knows that the historical events, the policy decisions and the unplanned results of legislation are so convoluted that it is impossible to cover them all in one book, let alone in just a few sections in one book. That said, if you, are starting from square one in regards to health policy and health care history, this does give you a very brief introduction, though the policy discussions are not as well-covered as the overview of the system as a whole.
One other thing to keep in mind is that this was published shortly after the Patient Protection and Affordable Care Act was passed and does not have a comprehensive summary of the provisions of that bill. It does mention some of what the bill does, but it does not, by any means, break it down. If your goal is to imagine what the health care system is going to look like in the future based on the ACA, choose a different book.
In terms of writing, the book is very readable with clear prose and generally understandable descriptions, though it is somewhat dry. It is not a presentation of changes in the future or solutions for how the health care system should change, but a summary of what it is right now. I would definitely recommend it to anyone who just wants to learn how the American health system's pieces fit together. Compared to other health system overviews I would recommend this book due to its readability.
Contrary to the first review of this book, it is not a left-wing socialist glorification health care. It is a relatively objective overview that is ideal for people who really don't understand what the health care system consists of. While it does discuss different payment models (including socialized systems like the UK and national insurance systems like Canada (which is not socialized)) it does not advocate for them. After all, this is a descriptive, somewhat dull, textbook, not a political treatise.
16 of 20 people found the following review helpful.
Good introduction to the American health care system
By Nathan Jones
The book is a good basic introduction to the American health care system. If you are doing advanced health policy research this book is not for you. If you are teaching a class for undergraduates (or are someone who wants to know about 'nuts and bolts' issues) this would be perfect. For what it does (basic intro), it does well but do not look for sophisticated analysis here.
4 of 4 people found the following review helpful.
Simply outstanding as an introduction to healthcare.
By James C. Samans
Almost every class has a textbook, and almost every professor assures his or her students that his or class' particular textbook is worth buying. Rarely is this true. In the case of Shi & Singh's book, though, I actually agree.
I bought this book for the first course that I took on the U.S. healthcare system. I was skeptical but Shi & Singh quickly won me over with their excellent writing, which presents the material in quick, readable fashion and stays relevent and fresh throughout.
Some might see "bias" here, because the authors are quite clear from the start that the U.S. healthcare "system"--I use the quotes because one thing that this text makes clear is that America has no system at all--is fundamentally flawed. To me, that is not bias, because it is a point on which virtually everyone agrees. Moreover, while Shi & Singh do advocate for the creation of a true system, they do not limit their approach to one model. It is when one contrasts Singapore's true-market model with Britain's pure-national model that one comes to grasp how bizarre and nonsensical the American approach to healthcare really is, a solution that satisfies no one and does little if anything efficiently from either a market or a social perspective.
I came to Amazon.com today to sell back my books from this semester. The others have been posted. Shi & Singh's Delivering Health Care, however, is a rare example of a text that will be staying on my shelf. I recommend this book to everyone interested in understanding healthcare in America.
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