Higher Education

The U.S. Health System: Origins and Functions, 6th Edition

  • Camille K. Barsukiewicz, Ph.D. University of Memphis, Memphis, Tennessee
  • Marshall W. Raffel, Ph.D. Pennsylvania State University, University Park, Pennsylvania
  • Norma K. Raffel
  • ISBN-10: 1418052981  |  ISBN-13: 9781418052980
  • 304 Pages
  • Previous Editions: 2002, 1994, 1989
  • © 2011 | Published
  • College Bookstore Wholesale Price = $151.50
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THE U.S. HEALTH SYSTEM offers both a historical and current perspective of the delivery of health care in the United States. Readers will learn about the origins of our health system, the forces that have influenced its change, and how the system has responded to those forces of change to become what it is today. Key topics include costs, financing and access to health care, as well as a look at the various systems for delivering health care. Reform efforts are also discussed and new chapters on information management systems, health status and health care utilization, and public health have been introduced. Each chapter poses topics for further debate in a Question of Ethics and provides hands-on exercises in the Activity-Based Learning sections. Exhibits in each chapter will stimulate discussion on the various chapter topics.

Features and Benefits

  • Provides both a historical and current view of the delivery of health care in the United States.
  • The book is organized into three primary sections on health care system origins, influences, and changes.
  • Includes stories of real health care organizations dealing with delivery and financing of health care.
  • Discusses ethical implications of health care delivery.

Table of Contents

1. Introduction.
2. Health Care Costs.
3. Paying for Health Care Services.
4. Health Status and Health Care Utilization.
5. Medical Education.
6. Professions in Health Care.
7. Ambulatory Care.
8. Hospitals.
9. Mental Health Services.
10. Long-Term Care.
11. Public Health – The Health of the Community.
12. Information Management Systems.
13. Current Issues in Health Care Delivery.

What's New

  • New chapter on Public Health – The Health of the Community.
  • New chapter on Technology Development and Information Management Systems.
  • New chapter on Health Status and Health Care Utilization.
  • New chapter on Health Status and Health Care Utilization.
  • Updated Activity-Based Learning questions and Question of Ethics sections challenge students' critical thinking skills.
  • Updated references with related web resources provide additional research opportunities.


All supplements have been updated in coordination with the main title. Select the main title's "About" tab, then select "What's New" for updates specific to title's edition.

For more information about these supplements, or to obtain them, contact your Learning Consultant.

Instructor Supplements

Online Companion  (ISBN-10: 141805299X | ISBN-13: 9781418052997)

The new online companion will be password protected. It will include an instructor's manual with a sample syllabus and topic calendar as well as talking points for the exhibits and ethical questions. It will also include suggested group and individual activities and assignments, and additional information to support the cases in the text such as suggested paths and answers to the discussion questions throughout. The PowerPoint slides will include the chapter objectives, artwork, and key information/topics from the book (organized by chapter). The test bank will include essay and/or critical thinking questions, True/False, and Multiple Choice questions.

Meet the Author

Author Bio

Camille K. Barsukiewicz, Ph.D.

School of Urban Affairs and Public Policy, University of Memphis, Memphis, Tennessee.

Marshall W. Raffel, Ph.D.

Professor Emeritus of Health Policy and Administration, The Pennsylvania State University, University Park, Pennsylvania.