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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.
Raymond L. Goldsteen, DrPH, is professor emeritus of Family, Population & Preventive Medicine, at the Health Sciences Center, Stony Brook University, where he was founding director of the Master of Public Health (MPH) program.
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
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