Delivering Health Care in America: A Systems Approach

Delivering Health Care in America, Seventh 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.
With updated data and figures throughout, the new seventh edition is a thorough revision that highlights many new trends in health care; examines current challenges in cost, access, and quality; and explores the legacy of Obamacare and the future of health care reform in view of the new presidency.
The Seventh Edition covers:
• New trends in health care
• Chronic conditions in the U.S. along with updated information on global pandemics and infectious diseases
• Healthy People 2020 goals
• Implications of healthcare professional shortage and the major issues in healthcare workforce after the ACA
• New regulations for medical devices and the impact medical technology and technology assessment.
• Current information on health insurance
• New assessments of patient-centered medical homes in primary care; primary care providers in other countries; and current developments in alternative medicine
• Updates on hospital utilization and costs.
• Experiences with CO-OPs and ACOs under Obamacare.
• Perspectives on community-based LTC. Trends in institutional care.
• The uninsured after the ACA; the current status of the homeless; the plight of mental health and healthcare; the quality of care indicators
• Current challenges in health care cost, access, and quality; pay-for-performance in healthcare
• The critical policy issues; future health policy issues/challenges in both US and abroad

Community Review

  • This book contained a lot of information related to my specific course and otherwise. My knowledge has definitely increased, regarding healthcare, the financing of it, and so much more! Truly, a great book!
  • I picked up this book after reading the Health Care Handbook and found that this has some very solid information, and left me feeling that I have a working knowledge of the US health care system. The reason for 4 stars is that the online materials accompanying this book are very lazy and not helpful. The comprehension quizzes are 10 questions of arbitrary importance, and the discussion questions are just open ended questions that don’t have responses or answers anywhere to be found. I think if the authors supplemented this book with more quizzes and discussion questions it would provide a much better experience.
  • This book is sobering and a must read for every American who depends on health care. Dr. Rosenthal recounts story after story of human tragedies caused by the pure greed and profit motive of many health care sectors (hospitals, doctors, pharmaceutical and medical device companies, etc.). Of course, to them it is just “good business” — make as much money as the law lets you get away with it. Unfortunately, any one of those stories could be about us. We are just an illness or accident away from financial ruin. Read this book and join the movement to take back our health care system.
  • I opted for the CD set so I could put long car rides to good use. I am not particularly interested in this subject nor am I very knowledgable, but with age I find that I want to know more about how our economic and political system works, and this is a timely publication! I’m about half way through and already see the truths revealed all around me. One particular passage about non-profit hospitals buying expensive art or building Japanese Gardens on their campuses became real when the small company we bought beautiful live-edge wood tables and a bench from in Everett, WA recently published a photo of their pieces in a local hospital. It’s happening all around us, it’s very real, and I’m really excited for the second half of the book where hopefully I have a chance to learn how to be part of the change. It’s pretty thick and dry material, much like boiled chicken breast, but it’s good stuff and I’m glad I bought it.
  • This is an important book to read for all those seeking to understand our healthcare system and how to reform it. Rosenthal’s stories resonate, and I think many will walk away from reading this book believing that we all dodged a bullet in not having been billed an exorbitant fee or had to spend weeks or months arguing about some erroneous charge. However, my concern about her anecdotal approach, while riveting, may leave many with the impression that everyone in the healthcare field are a bunch of crooks, which I don’t think she believes. In fact, she cites a number of cases of doctors, academics, and others fighting valiantly for the rights of patients. But those instances seem few and far between. Clearly incentives do matter, but I think one of the challenges we face is that while insurers, regulators, and patients can all seek to challenge inappropriate charges and unnecessary procedures, drugs, and treatments, the system seems to resemble a balloon where any attempts to reduce spending in one area seem to just cause spending to increase in others. So the question then is, do we simply have too many doctors or are they paid too much or some other issue?

    Clearly $3 trillion is not producing the desired outcomes while other countries are spending less and generally getting better outcomes. In that regard, one other avenue to explore is whether American culture is part of the problem. That American doctors are led to expect great wealth while patients expect virtually unlimited care for their premiums. To the first part about the doctors, I would simply observe that in my fifteen years doing professional services (cybersecurity in my case), there are really only two types of customers that one can make a lot of money off of delivering professional services (as opposed to selling products or managed services). Those are rich people and large companies. Except for plastic surgeons, doctors face that challenge of too few people who can afford what they charge. It is only through insurance that their model has any hope of working, but the problem is that there is simply not enough money in the insurance system to make that viable without a ton of taxpayer subsidy.

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