The eighth edition of this best-selling book, 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. It describes how the U.S. health care system currently functions, the key forces that led to it structure, and the influences likely to shape the industry during the next five to ten years. With an emphasis on policy development, the authors underscore the fluidity of the system and examine the debates and conflicts that have structured 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.

This book elucidates the basic building blocks of the health care system including its structures, organisation, financing, and performance assessment. It describes the ongoing evolution of the system since the passage of the ACA, uneven acceptance of the Medicaid expansion by states, and the development of ACOs. Organised to facilitate understanding of concepts at work, the text provides health care students with a clear roadmap of the field in which they will practice, and how they can position themselves to navigate the upcoming changes.

It provides a full suite of ancillary materials for the educator including Instructor Manual, Power Points, and test bank.

New to the eighth edition:

Entirely updated to address changes wrought by the ACA in health care services, delivery, and financing.
Describes influences that will shape the industry in years to come.
Emphasises policy development.
Assesses current consumers of health care and how they use it.
Examines the debates and conflicts that have structured health care change.
Monitors health care trends.
Discusses the continuing evolution of our system since the ACA.
Explores the development of ACOs.
Reinforces information with illustrative tables and figures.

Key Features:

Remains the most concise and balanced introduction to the U.S. health care system.
Ideal for use in undergraduate courses, in graduate survey courses, and in courses introducing the subject to medical students.
Includes review questions concluding each chapter.
Provides a full suite of ancillary materials for the educator including Instructor Manual, Power Points, and test bank.

Entirely updated to address changes wrought by the ACA in health care services, delivery, and financing.
Describes influences that will shape the industry in years to come.
Emphasises policy development.
Assesses current consumers of health care and how they use it.
Examines the debates and conflicts that have structured health care change.
Monitors health care trends.
Discusses the continuing evolution of our system since the ACA.
Explores the development of ACOs.
Reinforces information with illustrative tables and figures.

Key Features:

Remains the most concise and balanced introduction to the U.S. health care system.
Ideal for use in undergraduate courses, in graduate survey courses, and in courses introducing the subject to medical students.
Includes review questions concluding each chapter.
Provides a full suite of ancillary materials for the educator including Instructor Manual, Power Points, and test bank.

Acerca del autor

Raymond Goldsteen, DrPH , is Director, MPH Program and Professor, Department of Family and Community Medicine, School of Medicine and Health Sciences, University of North Dakota.

Karen Goldsteen , PhD, is Research Associate Professor, Department of Family and Community Medicine, MPH Program, University of North Dakota.

Benjamin Z. Goldsteen has an MBA from Columbia University and 20 years of experience innovating in health care and life sciences organisations. He has led multiple performance improvement efforts for Deloitte Consulting covering all aspects from assessment through implementation.

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