Essentials of the U
Essentials of the U.S. Health Care System,
Second Edition
Leiyu Shi, DrPH, MBA, MPA
Douglas A. Singh, PhD, MBA
Transition Guide
What’s NEW to the Second Edition!
In the Second Edition, the level and scope of Essentials of the U.S. Health Care System remain the same. Aside from the changes noted below, the book retains the original systems framework to discuss the components and major themes of US health care delivery. Facts, illustrations, and text have been completely updated with the latest available data and research.
Specific Chapter Updates:
Chapter 1 Major Characteristics of US Health Care Delivery
NEW coverage of the VA health care system, US government sponsored health insurance programs such as Medicare, Medicaid, and SCHIP, selected international health care systems
Chapter 2 Foundation of US Health Care Delivery
NEW coverage of public health system, interventions to improve performance
Chapter 3 Historical Overview of US Health Care
NEW coverage of discussion of corporatization of health care, the information revolution, and globalization
Chapter 4 Health Care Providers and Professionals
NEW coverage of the “hospitalist”.
Chapter 5 Technology and Its Effects
Expanded coverage of information technology, including electronic health records and e-health
Chapter 6 Financing and Reimbursement Methods
NEW coverage of high-deductible health plans and health savings accounts, and an organized presentation of the four parts of Medicare
Chapter 7 Outpatient Services and Primary Care
Information updated with the latest data available.
Chapter 8 Hospitals
Information updated with the latest data available.
Chapter 9 Managed Care and Integrated Systems
Information updated with the latest data available.
Chapter 10 Long-Term Care Services
NEW coverage of an updated and revised discussion of long-term care and its services
Chapter 11 Underserved Populations
Information updated with the latest data available.
Chapter 12 Cost, Access, and Quality
NEW coverage of comparison of health care spending among industrialized countries, electronic health records (
Chapter 13 Health Policy
NEW coverage of health policy issues such as 2008 presidential candidates' positions on healthcare reform, universal health coverage, smoking and tobacco use, fighting HIV/ AIDS
Chapter 14 The Future of Health Services Delivery
NEW coverage of a discussion on conflicting realities of cost and coverage in the context of Massachusetts’ health plan and universal health insurance; system reform in the context of 2008 presidential election; and a new section on evidence-based health care
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