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This revised ninth edition of the best-selling introductory text to the U.S. health care system is fully updated to reflect changes to health care services, delivery, and financing resulting from new policies affecting the Affordable Care Act (ACA). Valued for its concise and balanced survey of the U.S. health care system, this book describes how the American health care system currently functions, the major factors that led to its present day structure, and a forecasting of how the industry is likely to change over the course of the next few years. This practical text highlights an array of influences shaping the future of health care, such as the use of big data and analytics, new policies and trends tied to pharmaceuticals and medical devices, and innovations to mental health and substance abuse. With an emphasis on policy development, the authors underscore the fluidity of the system and examine the debates and conflicts that have shaped health care changes and influenced American values and belief systems.
This accessible text defines the most essential elements of the health care system, including its components, organization, services, and financing. An ideal text for undergraduate courses, graduate survey courses, and courses introducing the subject to medical students, it describes the ongoing evolution of the system, taking into consideration future directions given proposed changes to the ACA and other health laws by Congress, the Trump administration, and the political landscape in general. Organized to facilitate an understanding of concepts at work, Jonas’ Introduction to the U.S. Health Care System equips public health and health administration students as well as medical, nursing, and allied health professionals with a deeper understanding of the field in which they will practice, so they can position themselves to navigate upcoming changes that affect health care quality, value, and access.
- Updated to address changes to health care services, delivery, and financing in the United States
- An expanded section on future trends in health care
- A full description of the health care reform politics under the Obama and Trump administrations and those being promoted in political campaigns
- New chapter on medicines, devices, and health care technology
- Increased coverage of mental health and substance abuse, long-term care, and other institutionalized populations
- Digital ancillaries include access to the e Book, an annual update on U.S. health policy, and new student exercises utilizing publicly available data
New to the Ninth Edition:
- The most concise and balanced introduction to the U.S. health care system
- Provides a framework for examining how each structure and stakeholder within the health system interacts and how changes to policy would affect them
- Numerous cartoons, graphs, and tables break up the text and serve as meaningful context with pertinent data
- Each chapter utilizes learning objectives and discussion questions to guide student reading
- Includes a full suite of Instructor ancillaries including an Instructor’s Manual, Power Points, Test Bank, and other exercises
Key Features:
Table of Content
Preface
Acknowledgments
List of Abbreviations
PART I. U.S. HEALTH CARE SYSTEM: PRESENT STATE
1. Introduction
2. The Settings for Health Care Delivery
3. The People Who Provide Health Care
4. Medicines, Devices, and Technology
5. Government and the Health Care System
6. Financing the Health Care System
7. Health Care System Performance
PART II. U.S. HEALTH CARE SYSTEM IN TRANSITION: HOW WE GOT HERE AND WHERE WE ARE GOING
8. Debates That Have Structured Health Care System Change
9. History of Change From 1900 to 2010: Incrementalism
10. History of Change From 1900 to 2010: Comprehensive Reform
11. The Affordable Care Act: Achievements, Limitations, and Opposition
12. Trends in the U.S. Health Care System
Index
About the author
Benjamin Z. Goldsteen, MBA, has 20 years of experience as an innovator in health care and life sciences organizations. While working at one of the largest consulting firms in the world, he led multiple strategy and performance-improvement engagements for health care clients across the United States from assessment through implementation. He is highly knowledgeable about all aspects of health care delivery and the policies that impact the health care system. He currently serves as Chief Analytics Officer of a division dedicated to driving transformation across the largest municipal health care system in the United States.