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Shi & Singh’s Delivering Health Care in the United States: A Systems Approach 9th Edition By Leiyu Shi

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Pages: 777
File size: 14.59 MB
Format: Digital PDF
Course: Health Care
Category: eBook[PDF]

About this ebook

Shi & Singh's Delivering Health Care in the United States: A Systems Approach, 9th Edition, authored by Dr. Leiyu Shi, utilizes a unique "systems" framework to examine the structurally complex and fragmented U.S. healthcare delivery system. [1, 2]

The textbook is structurally organized into 14 chapters across core thematic components: [1, 2]

1. System Foundations & Conceptual Basis

An Overview of U.S. Healthcare Delivery (Chapter 1): Examines the complexity and inefficiency of a system with over 17.2 million employees and no central governing body. It outlines the massive role of government financing through Medicare, Medicaid, and CHIP. [1]
Beliefs, Values, and Health (Chapter 2): Reviews the cultural foundation of U.S. healthcare, examining determinants of health, promotion, risk factors (e.g., poverty, lifestyle), and population-health metrics. [1]

2. Historical Context & Healthcare Resources

Historical Origins: Evaluates the evolution of health services from their early roots to modern, integrated delivery mechanisms.
The Healthcare Workforce: Covers the roles, training, and challenges regarding health services professionals and specialists.
Medical Technology: Explores the development, dissemination, and utilization of technology, including an expanded global focus on medical technology assessment. [1, 2, 3]

3. System Finance & Infrastructure

Health Care Finance & Payment (Chapter 6 - Revamped): Significantly revised in this edition to provide greater clarity on complex financial structures, insurance mechanisms, and public funding programs.
Payment Innovations: Adds a focused look into emerging payment methods, value-based incentives, and strategic alignment options. [1, 2]

4. Health Services Delivery & Integration

Primary and Ambulatory Care: Includes new insights into the evolving landscape and future role of primary outpatient care. [1, 2]
Hospitals & Integrated Care Environments: Analyzes the transformation of hospital roles as they shift toward unified, integrated delivery networks. [1, 2]
Managed Care & Long-Term Care: Features future projections and operational structures for managed care plans and long-term care systems. [1, 2]

5. System Outcomes & Key Updates

Cost, Access, and Quality: Investigates the multi-faceted triple constraint of health systems, specifically analyzing how outcomes are measured and optimized.
COVID-19 Impact: Expanded coverage detailing how the global pandemic disrupted and fundamentally altered healthcare costs, resource access, and clinical quality.
Cultural Responsiveness: Incorporates new foundational discussions on delivering equitable, culturally competent care within diverse patient populations. [1, 2]