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    Read more about Healthcare in the  United States: Navigating the Basics of a Complex System

    Healthcare in the United States: Navigating the Basics of a Complex System

    (2 reviews)

    Deanna L. Howe, Albany, NY

    Andrea L. Dozier, Albany, NY

    Sheree O. Dickenson, Albany, NY

    Copyright Year:

    ISBN 13: 9781940771915

    Publisher: University of North Georgia Press

    Language: English

    Formats Available

    Conditions of Use

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    CC BY-SA


    Learn more about reviews.

    Reviewed by Dahlia Castillo, Assistant Professor, University of Texas Rio Grande Valley on 4/24/24

    It is more of an overview although lends itself to a deeper dive into topics including overview of health, healthcare workforce, healthcare settings, federal and state funding, private insurance, special populations, access to healthcare, cost of... read more

    Reviewed by Jessica Sellars, Medical assistant office instructor, Mt. Hood Community College on 2/10/23

    There is a lot of fantastic information in this textbook. I will be able to utilize some of it in the course I teach in patient advocacy for health insurance. I have struggled to find good information to give to my students in this course. Due to... read more

    Table of Contents

    • Acknowledgments
    • Preface
    • Introduction
    • Overview of Health
    • Healthcare Workforce
    • Healthcare Settings
    • Federal and State Funded Healthcare
    • Private Insurance
    • Special Populations
    • Access Issues in Healthcare
    • Cost of Healthcare
    • Quality in Healthcare
    • Technology Use in Healthcare
    • National Healthcare Systems
    • Glossary
    • Contributors

    Ancillary Material

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    About the Book

    This book is a collaborative effort among three faculty members from the Darton College of Health Professions, Nursing Department, at Albany State University, a Historically Black College and University (HBCU), and part of the UniversitySystem of Georgia. The book idea originated from a grant-funded program to create open education resources (OER) for students learning in UniversitySystem of Georgia’s eMajor courses. The cost of education in the United States is remarkably expensive, and the added burden of purchasing textbooks for each course can be prohibitive. The opportunity to create free educational materials has been a rewarding experience. A free pdf form of this text is available for download. The authors of this book are registered nurses who have each worked 25 or more years in various roles and specialties within our healthcare system. There have been many changes throughout the years. The authors’ experience and knowledge are from a nursing perspective not found in other texts of similar content.The healthcare system has advanced tremendously since the very beginning of our formalized system. The most significant growth has been in technology use to support, diagnose, increase patient safety, and document patient outcomes.However, more can be done to ensure a system that meets all our citizens’ healthcare needs.Readers of this text will learn a brief history of our healthcare system and explore the current state of health in the U.S. In the next 12 chapters, readers will:

    • consider health as defined using determinants of health
    • discover the many types of healthcare providers seen throughout the system
    • differentiate between the different types of healthcare settings
    • explore state and federal programs that provide oversight
    • examine private insurance and managed care plans
    • survey access issues and the cost of healthcare
    • review how state and federal government provides support to special populations
    • discover the quick expansion of technology use in healthcare
    • assess quality determinants and accreditation standards
    • compare national healthcare systems presently used to the present system
    • identify advantages of a national healthcare system for the UnitedStates

    This book will describe and explain our current healthcare system’s complexities by providing the basics of many components in easy to understand terminology. Each chapter includes essential features to assist the student in learning and understanding.

    About the Contributors



    Dr. Deanna Howe has worked in healthcare since 1985 when she first entered the field as a medical technician in the Air Force. After active duty she began nursing school and initially graduated with an Associate of Science in Nursing degree. She continued with education while working in the field as a registered nurse and earned a BSN, MSN, and Ph.D. in nursing. Dr. Howe has worked in community health, public health, medical-surgical nursing, operating room and the last 16 years teaching nurses of the
    future. She teaches post-licensure and graduate courses from a distance as a full-time professor with Albany State University. Her research focus and writing to date has been on
    faculty experiences and satisfaction teaching online. She has lived and visited several countries, working with many different cultural groups, has been exposed to numerous unique health practices and experienced eastern and western health systems. Through these diverse experiences, she has developed a global point of view regarding healthcare. Dr. Howe currently lives in Germany with her husband and two dogs (Lucy and Beau) and has two grown children.


    Dr. Andrea Lovett Dozier received her Associate of Science in Nursing degree from Darton State College, Bachelor of Science in Nursing from Georgia Southwestern State University, Master of Science in Nursing from Albany State University, and Doctorate in Curriculum
    and Instruction from Valdosta State University. She also received her Online Teaching Certification from Valdosta State University. Dr. Dozier has over 25 years of nursing experience and has been providing instruction in higher education for over 18 years. She is currently employed as an associate professor of nursing and currently serves at the Associate of Science in Nursing Programs Director at Albany State University. Her research interests include teacher efficacy, instructional methodologies, and course design in nursing education.


    Dr. Sheree Dickenson received her undergraduate A.S.N. and B.S.N. degrees from Georgia Southwestern University, A M.S.N degree in Adult Health/Nursing Education from Valdosta State University, and an Ed.D. for nurse educators from The University of Alabama. She has recently accepted an adjunct nursing teaching position after over 40 years in nursing with the last more than 15 of those years teaching undergraduate nursing students. She has served on various boards and committees within the school, hospital, and community. Her research interests are clinical judgement of nursing students and the care and teaching of patients with diabetes mellitus.

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