The eighth edition of this best-selling text, valued for its concise and balanced introduction to the U.S. health care system, is entirely updated to reflect alterations to health care services, ...delivery, and financing resulting from the Affordable Care Act (ACA). The text describes how our health care system currently functions, the key forces that led to its structure, and the influences likely to shape the industry during the next 5 to 10 years. 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. Other new areas of focus include an assessment of who uses health care and in what way, health care trends, and a forecast for the health care system of the future.
The text elucidates the basic building blocks of the health care system, including its components, organization, services, and financing. It describes the ongoing evolution of the system since the passage of the ACA, development of accountable care organizations (ACOs), and uneven acceptance of Medicaid expansion by states. Organized to facilitate understanding of concepts at work, the text provides health care students with a clear road map of the field in which they will practice, so they can position themselves to navigate the upcoming changes.
"There are many books on the U.S. healthcare system, but few have the longevity of this one. It is easy to read and straightforward in its approach to difficult subjects such as the rise of the Tea ...Party and how that movement has impacted healthcare. This update is certainly needed as the landscape has changed dramatically since the previous edition was published in 2007."-- Doody's Medical Reviews This best-selling textbook remains the most concise and balanced introduction to the United States health care system. Providing an accessible overview of the basic components of the system, this latest edition is also entirely updated to address the health care reform bill of 2010 and subsequent changes to health care services, delivery, and financing. Like its predecessors, Jonasí Introduction to the U.S. Health Care System includes an overview of health care personnel, hospitals and other institutions, the federal government, financing and payment mechanisms, and managed care. It has been updated to offer insights into the 2010 health care reform bill and its resulting political and medical fallout, and a new chapter on health care system trends and consequences has been added. All students of health care administration and policy, as well as practicing health care professionals seeking a clear and concise overview of our health care system, will benefit from this resource. Key Features of the Updated Edition: * Remains the most concise and balanced introduction to the U.S. health care system * Entirely updated to address the 2010 health care reform bill and subsequent changes to health care services, delivery, and financing * Includes new chapter on health care system trends and consequences * Ideal for use in undergraduate courses on the U.S. health care system, in graduate survey courses, and in courses introducing the subject to medical students * Comes with instructor materials, including PowerPoints, an instructor manual, and a test bank
Updated and thoroughly revised, the second edition of this foundational text continues to cover all major topics of organization, financing, workforce, goals, initiatives, accountability, and metrics ...from the perspectives of academicians and officials in public health. This second edition is the only public health text to encompass the new legislation implemented by the Affordable Care Act, with its focus on prevention and increase in funding for prevention research. It also examines resulting job opportunities and expanded interest in the public health field.
Comprehensive and accessible, the text discusses a variety of new trends in public health, particularly regarding primary care and public health partnerships. The second edition also includes information about new accountability initiatives and workforce requirements to contribute to ""public health services and systems research,"" better known as health services research and clinical outcomes research in medical care. The text stresses the increasing emphasis on efficiency, effectiveness, and equity in achieving population health improvements, and goes beyond merely presenting information to analyze the question of whether the practice of public health achieves its promise. Each chapter includes objectives, review questions, and case studies. Also included are an instructor's manual (containing every major public health improvement initiative and introducing every major data system sponsored by the U.S. public health system), PowerPoint slides, and a test bank.
New to the Second Edition:
Completely updated and revised
Addresses changes wrought by Obamacare
Focuses on the workforce, job opportunities, and job training
Discusses building healthy communities and the determinants of health
Covers new developments in treating Lyme disease, West Nile virus, and other illnesses
Considers variation in public health-globally and nationally by state
Investigates intentional injuries such as suicide, homicide, and war
Key Features:
Provides information that is holistic, comprehensive, and accessible
Covers all major topics of organization, financing, leadership, goals, initiatives, accountability, and metrics
Relates current public health practice to the field's history and mission
Includes a global health component
Analyzes successful and unsuccessful aspects of health care delivery
In view of the looming physician shortage, especially in primary care specialties, there have been calls for increasing graduate medical education (GME). However, the capacity for increases of GME in ...institutions accredited by the Accreditation Council for Graduate Medical Education (ACGME) has not been determined.
In 2009, the authors surveyed the 48 designated institutional officials supervising ACGME-accredited residencies in New York State that were eligible for their study, to determine interest in and capacity for development of new core residencies and expansion of existing ones if additional funds were made available at current Medicare rates.
Thirty-six (75%) responded; 39% would add new programs and 47% would expand current programs with additional funding. The major interest in adding new programs was in emergency medicine (35%). Notably, only 11% would add family medicine. The major interest in program expansion was internal medicine (48%), urology (42%), diagnostic radiology (35%), obstetrics-gynecology (26%), and emergency medicine (25%).
Fewer than 50% of current training institutions are interested in or have the capacity for expansion of core residencies. The interest in establishing or expanding primary care is especially problematic. Because 70% of internal medicine residents become subspecialists, additional funds for GME at current rates would largely encourage the training of additional hospital-based and hospital-intensive specialists, with little impact on those who would practice adult primary care medicine. Significantly increasing the physician training for adult primary care medicine will require more substantial institutional incentives.
This best-selling textbook remains the most concise and balanced introduction to the United States health care system. Providing an accessible overview of the basic components of the system, this ...latest edition is also entirely updated to address the health care reform bill of 2010 and subsequent changes to health care services, delivery, and financing. Like its predecessors, Jonas' Introduction to the U.S. Health Care System includes an overview of health care personnel, hospitals and other institutions, the federal government, financing and payment mechanisms, and managed care. It has been updated to offer insights into the 2010 health care reform bill and its resulting political and medical fallout, and a new chapter on health care system trends and consequences has been added. All students of health care administration and policy, as well as practising health care professionals seeking a clear and concise overview of our health care system, will benefit from this resource. Key Features of the Updated Edition: Remains the most concise and balanced introduction to the U.S. health care system Entirely updated to address the 2010 health care reform bill and subsequent changes to health care services, delivery, and financing Includes new chapter on health care system trends and consequences Ideal for use in undergraduate courses on the U.S. health care system, in graduate survey courses, and in courses introducing the subject to medical students
The only public health text to incorporate new Affordable Care Act legislationPraise for the first edition:
"More than just another preliminary textbook, this comprehensive introduction for those who ...are new to the field of public health weaves together its values, goals, and practices into a lucid introductory text." -Sally Guttmacher, PhD
Professor, Director, Master's in Community Public Health Program
New York UniversityThis second edition of Introduction to Public Health is the only text to encompass the new legislation implemented by the Affordable Care Act, with its focus on prevention and its increase in funding for prevention research. Updated and thoroughly revised, this foundational resource surveys all major topics related to the U.S. public health system, including organization on local and national levels, financing, workforce, goals, initiatives, accountability, and metrics. The text is unique in combining the perspectives of both academicians and public health officials, and examines new job opportunities and the growing interest in the public health field. Comprehensive and accessible, the text discusses a variety of new trends in public health, particularly regarding primary care and public health partnerships. The second edition also includes information about new accountability initiatives and workforce requirements to contribute to health services research and clinical outcomes research in medical care. The text stresses the increasing emphasis on efficiency, effectiveness, and equity in achieving population health improvements, and goes beyond merely presenting information to analyze the question of whether the practice of public health achieves its promise. Each chapter includes objectives, review questions, and case studies. Also included are an instructor's manual with test questions (covering every major public health improvement initiative and introducing every major data system sponsored by the U.S. public health system) and PowerPoint slides. The book's nine chapters address the history of U.S. public health from its inception and offer a sweeping examination of topics in organization and financing, infectious disease control, injury and noninfectious diseases, system performance, system improvement, public health leadership, building healthy communities, and the future of public health. New to the Second Edition: Completely updated and revised Addresses changes brought about by Obamacare Discusses building healthy communities and the determinants of health Adds new chapter on public health leadership Covers new developments in treating Lyme disease, West Nile virus, and other illnesses Investigates intentional injuries such as suicide, homicide, and war Key Features: Provides information that is holistic, comprehensive, and accessible Covers all major topics of organization, financing, leadership, goals, initiatives, accountability, and metrics Relates current public health practice to the field's history and mission Analyzes successful and unsuccessful aspects of health care delivery
The question whether the "Harry and Louise" campaign ads,sponsored by the Health Insurance Association of America (HIAA) during the 1993-1994 health care reform debate, influenced public opinion has ...particular relevance today since interest groups are increasingly choosing commercial-style mass media campaigns to sway public opinion about health policy issues. Our study revisits the issue of the Harry and Louise campaign's influence on public opinion, comparing the ad campaign's messages to changes in opinion about health care reform over a twentysix-month period in Oklahoma. Looking at the overall trends just prior to the introduction of the Harry and Louise campaign, public opinion was going in the "wrong"direction, from the HIAA perspective. Moreover, public opinion continued in the wrong direction until the mid-point of the campaign. However, in either the turning point of the campaign in terms of message content and tone or in the lag period following it, public opinion reversed on each health reform issue and returned to precampaign levels. It appears from these findings that the campaign captured public opinion when support for issues that were unfavorable to HIAA members was increasing and turned public opinion back to pre-campaign levels. The campaign may result in many more such marriages of political interest groups and commercial advertisers for the purpose of demobilizing public support for health policy initiatives that are unfavorable to special interests.
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