Jonas and Kovner's Health Care Delivery in the United States

Article excerpt

Jonas and Kovner's Health Care Delivery in the United States edited by Anthony R. Kovner, PhD, and James R. Knickman, PhD; New York: Springer Publishing, 2005; 753 pages, $74.95 hardcover, $48.95 softcover

Health care delivery in the United States is a complex enterprise built on business processes and dependent on rapidly changing medical science, coexisting professional and hierarchical organizational structures, and complex - and often unresolved - ethical and social issues. Government regulation of public sector reimbursement for health care, concerns for cost of care and profit margins by health care administrators, responsibility for ensuring care quality and access, and the development, acquisition, and management of scarce resources are all issues in building and supporting systems of care.

Jonas and Kovner's Health Care Delivery in the United States addresses this dynamic field by carefully exploring the health care sector of our economy, the settings in which health care is provided, measurements of system performance, and strategic-planning and forecasting. Readers are led through a detailed examination of what makes the US health care delivery system what it is and how its successes and failures compare to those of other developed countries. With contributions from well-known experts in their fields, the editors identify key challenges of health care delivery while offering resource information important to the design and management of future systems.

The book details contextual issues that are often overlooked in similar discussions: health-related behaviors and preventive health measures centered in public health. It also explains the realities of health care resources such as research and regulations that impact the availability of medical interventions, including new pharmaceuticals, medical devices, and biological approaches such as those offered through genomics. …