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Delivering Health Care in America: A Systems Approach, Third Edition [Paperback]

Leiyu Shi , Douglas A. Singh
3.6 out of 5 stars  See all reviews (28 customer reviews)

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Book Description

September 2003 0763731994 978-0763731991 3rd
Delivering Health Care in America, Third Edition provides readers with a comprehensive understanding of the basic structures and operations of one of the largest sectors of the U.S. economy. With the most current data, legislation, and overall system changes addressed, the third edition covers the conceptual basis for the system, its historical origins, the structures of ambulatory care, inpatient care, and other important services structures, the translation of these structures into health services themselves, and the manifestations of their impact on costs and quality. The text includes learning objectives, review questions, and key terminology.

Editorial Reviews


"...very interesting and informative to those in the health care "system" of America...worth adding to your library."(AAMA Executive -- Journal of the American Academy of Medical Administrators) -- AAMA Executive (journal of the American Academ

"Let me begin by saying that I liked this book very much...will be well received within the academic community." -- University of North Carolina at Charlotte, June 7, 2001

For anyone returning to the U.S. to practice in health care, this book provides the missing evolutionary pieces that "time away" may have created." -- Hanrahan, Susan, PT, PhD, Physical Therapy, March 2001 --This text refers to an out of print or unavailable edition of this title.

Product Details

  • Paperback: 652 pages
  • Publisher: Jones & Bartlett Publishers; 3rd edition (September 2003)
  • Language: English
  • ISBN-10: 0763731994
  • ISBN-13: 978-0763731991
  • Product Dimensions: 9.9 x 7 x 1.4 inches
  • Shipping Weight: 2.6 pounds
  • Average Customer Review: 3.6 out of 5 stars  See all reviews (28 customer reviews)
  • Amazon Best Sellers Rank: #997,191 in Books (See Top 100 in Books)

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Customer Reviews

Most Helpful Customer Reviews
16 of 20 people found the following review helpful
4.0 out of 5 stars Good introduction to the American health care system November 13, 2002
The book is a good basic introduction to the American health care system. If you are doing advanced health policy research this book is not for you. If you are teaching a class for undergraduates (or are someone who wants to know about 'nuts and bolts' issues) this would be perfect. For what it does (basic intro), it does well but do not look for sophisticated analysis here.
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4 of 4 people found the following review helpful
5.0 out of 5 stars Simply outstanding as an introduction to healthcare. December 1, 2008
Almost every class has a textbook, and almost every professor assures his or her students that his or class' particular textbook is worth buying. Rarely is this true. In the case of Shi & Singh's book, though, I actually agree.

I bought this book for the first course that I took on the U.S. healthcare system. I was skeptical but Shi & Singh quickly won me over with their excellent writing, which presents the material in quick, readable fashion and stays relevent and fresh throughout.

Some might see "bias" here, because the authors are quite clear from the start that the U.S. healthcare "system"--I use the quotes because one thing that this text makes clear is that America has no system at all--is fundamentally flawed. To me, that is not bias, because it is a point on which virtually everyone agrees. Moreover, while Shi & Singh do advocate for the creation of a true system, they do not limit their approach to one model. It is when one contrasts Singapore's true-market model with Britain's pure-national model that one comes to grasp how bizarre and nonsensical the American approach to healthcare really is, a solution that satisfies no one and does little if anything efficiently from either a market or a social perspective.

I came to today to sell back my books from this semester. The others have been posted. Shi & Singh's Delivering Health Care, however, is a rare example of a text that will be staying on my shelf. I recommend this book to everyone interested in understanding healthcare in America.
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10 of 13 people found the following review helpful
1.0 out of 5 stars A Systems Approach is not very systematic February 17, 2007
Format:Paperback|Verified Purchase
This is one of the worst text books I have ever used for a course. The content is dense and difficult.

Chapters are not well outlined and don't follow sequence provided in text.

Too many inconsistencies in the data and materials. Chapter 12, page 524 says that the HEDIS quality review has 56 measures, the glossary says 71. This is only one of many I identified. I spotted far too many grammatical errors, incomplete sentences and more for a 3rd Edition book.

It is more than obvious that some updates have occured in certain sections but have not been rolled throughout the entire text. This textbook is in dire need of an overhaul and condensing. Major points are diluted with it's over-complicated verbiage, poor flow and lack of comprehensive outline.
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5 of 7 people found the following review helpful
Poorly written and highly un-edited. The authors make strong and slanted statements throughout the book, stating things as factual rather than the opinions they truly are. There is little citation of research references when there certainly should be. Poor, poor quality text book.
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2 of 3 people found the following review helpful
3.0 out of 5 stars a little biased February 6, 2009
Format:Paperback|Verified Purchase
We're using this text in an intro to health care delivery for an MPH program. While I don't disagree with the authors and their bend toward a different health care system, I must say that the text often seems biased. The criticism of a medical treatment model is clear, but few disadvantages of MCOs have been as forthright. It seems to me that the job of textbooks should be to present the facts, or at least disguise the authors' preferences a little...for ex, the text clearly paints a picture of the AMA's role in manipulating the health delivery system in favor of higher status for a medical model and the perpetuation of doctors' power and prestige, then a few chapters later portrays the current system as a reflection of American culture and values. Seems that the system is a reflection of the power of the AMA, mostly upper class white men, than a reflection of me or America.
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2 of 3 people found the following review helpful
2.0 out of 5 stars Delivering Health Care in America May 4, 2008
By Carolle
Format:Paperback|Verified Purchase
This book was used as text material for a course I took. I found it to be incredibly biased against the current American "system" of health care. We all know health care needs fixing around here, but I rather expect a more balanced view from a textbook.
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3.0 out of 5 stars Extremely informative book January 19, 2014
Format:Paperback|Verified Purchase
If you ever wanted to know about the history of health care in America, this is the book to read. From how doctors were originally trained to laws such as Medicare and Social Security, this book has it all. My only suggestion, don't read it in bed. It will put you to sleep. A good remedy for insomnia.
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5.0 out of 5 stars An eye opener September 30, 2013
Format:Kindle Edition|Verified Purchase
From the start, what was a assigned as a text became an enthralling adventure into the who, what, how and when our health care system became the fragmented, expensive system it is. Then, the authors bring us to hope through what ironically was our beginning, the primary care provider. Looking forward to reading the rest of this thoroughly interesting tome.
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Most Recent Customer Reviews
4.0 out of 5 stars This book was okay
This book was in good condition. This book was a good book for the class it was for in school.
Published 10 months ago by Alta Pruyn
5.0 out of 5 stars Cheapest Book Purchase
I purchased this book simply because it was the cheapest. I was amazed that there is nothing wrong - no markings, no highlights, no missing pages!
Published 18 months ago by G-Man
4.0 out of 5 stars Detailed Textbook
A great deal of information but shared in a logical manner. Clarifies some of the terms you hear in the press on a daily basis.
Published 22 months ago by S. Lawrence
3.0 out of 5 stars Mixed Review
The book I ordered was in significantly worse condition than described, and arrived late. However, the seller did give me a 20% refund to compensate the poor quality. Read more
Published 23 months ago by Betty
5.0 out of 5 stars Fasinating read
This is a fasinating overview of the very fracture health care delivery system (not really a system) in America. Read more
Published on January 28, 2012 by Elizabeth
4.0 out of 5 stars Good book on U.S. healthcare delivery
This textbook is actually a requirement for my MPH program, and I found the content agreeable and not dry; it's an easy read. Read more
Published on October 28, 2011 by mzfunkimonki
1.0 out of 5 stars There has to be a better text, why is this thing still in print??
I was required to use this text for a allied health professions masters level course. This is one text I will attempt to sell... Read more
Published on October 8, 2011 by TR
2.0 out of 5 stars Wordy & negative
This was excessively wordy and negative toward America in general. A textbook should be non-bias. This was not the case. Read more
Published on April 21, 2011 by Tracy
5.0 out of 5 stars Exactly as Described
I was very pleased with this item. The book was described as slightly used, like new... and that's exactly how I found it to be upon arrival. Read more
Published on February 13, 2011 by Carmen
5.0 out of 5 stars Great Book, Fast Shipment!
This book was in the condition described. The package came within only a few days of purchasing it. Very fast!
Published on February 5, 2011 by StudentGuy
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