Catalogue


At risk in America : the health and health care needs of vulnerable populations in the United States /
Lu Ann Aday.
edition
2nd ed.
imprint
San Francisco : Jossey-Bass Publishers, 2001.
description
xxiii, 372 p.
ISBN
0787949868 (alk. paper)
format(s)
Book
Holdings
More Details
author
imprint
San Francisco : Jossey-Bass Publishers, 2001.
isbn
0787949868 (alk. paper)
catalogue key
4363094
 
Includes bibliographical references and indexes.
A Look Inside
About the Author
Author Affiliation
Lu Ann Aday is professor of Behavioral Sciences and Management and Policy Sciences at the University of Texas, Houston, School of Public Health
Excerpts
Flap Copy
The skyrocketing numbers of uninsured, combined with the subsequent emphasis on cost-effective practices in medicine, have had a profound impact on the movement to improve access to health care for our most vulnerable citizens. The poor, minorities, and the uninsured, among others, are increasingly finding that favorable trends for access are slowing or reversing. The current solutions to dealing with the needs of these diverse groups have been fragmented-resulting in many at-risk individuals slipping through the cracks of the existing health and social service systems. This updated second edition of At Risk in America provides a detailed analysis of those key population groups most vulnerable to disease and injury in the United States today-including homeless persons, refugees and immigrants, people living with AIDS, alcohol and substance abusers, high-risk mothers and infants, victims of family or other violence, and the chronically or mentally ill. Lu Ann Aday reviews the major theories and knowledge concerning these at-risk groups and offers new approaches and methodologies for tracing the social determinants and societal influences on health. She examines the specific health needs and risks faced by these groups, their experience in the health care system, the current policies and programs that serve them, and the research and policy initiatives that might be undertaken to help reduce their vulnerability. Drawing from the latest theoretical, empirical, and policy developments, At Risk in America, Second Edition, updates the data and sources presented in the earlier edition as well as substantially expanding the conceptual framework, research needs, and policy implications initially introduced. The book also examines emerging new trends in the health care system, such as the accelerating influence of managed care, and looks at how public health as a profession is being redefined by these forces. No other source has pulled together, in systematic fashion, such a wide array of information or identified the cross-cutting policy and research issues surrounding the increasing numbers of the at-risk population.
Full Text Reviews
Appeared in Choice on 2001-12-01:
Since the first edition (1993) of this book, the intervening years have been good ones for the general welfare of the country, according to the key economic indicators of increasing per capita income, gross national product, and stock market value, with generally low unemployment and interest rates. This new edition is needed to determine if vulnerable populations (defined as being at risk of poor physical, psychological, or social health) have shared in this increasing largess of the nation, particularly as it applies to health and health care. Aday (Univ. of Texas, Houston) shows that in some ways there has been improvement, but in far too many instances there has been stagnation or decline in health indexes for these populations. This new edition provides extensive descriptions and analyses of trends during the 1990s, elaborates and extends Aday's theoretical framework of vulnerability, provides a systematic assessment of research needed to advance the understanding of the vulnerable and the health problems they face, and outlines a policy and plans of action to address these problems. A useful book for health care practitioners, teachers, researchers, and students of public health. Highly recommended. Undergraduates through faculty. J. M. Howe AIDS Information Center, VA Headquarters (DC)
Reviews
Review Quotes
"A useful book for health care practitioners, teachers, researchers, and students of public health. Highly Recommended." ( Choice , 12/01) "What makes Adays contribution significant is her methodical identification of groups that exist in the midst of a land of plenty, yet are not necessarily living the American dream." ( Nephrology Nursing Journal , April 2002)
"This updated and extended portrait of America's most vulnerable populations provides an extraordinary amount of important information for researchers, policymakers, practitioners, and students. Aday reliably presents the challenges in reducing risk and improving health in the years ahead." (David Mechanic, director, Institute for Health, Health Care Policy, and Aging Research, Rutgers University) "As we bask in the longest economic boom in history and an unprecedented accumulation of wealth, Aday relentlessly reminds us of the dire health needs of our vulnerable populations. This new edition will be as valuable as the first was to researchers, policymakers, practitioners, and ethicists." (Mary Ruggie, professor, J. F. Kennedy School of Government, Harvard University) "Lu Ann Aday has done it again. The second edition of At Risk in America will be an indispensable resource for health care providers, public health officials, and health services researchers, and it should be taken especially seriously by anyone concerned with health care policy in the United States." (Bruce C. Vladeck, professor of health policy and geriatrics, and director, Institute for Medicare Practice, Mount Sinai School of Medicine) "A useful book for health care practitioners, teachers, researchers, and students of public health. Highly Recommended." (Choice, 12/01) "What makes Aday's contribution significant is her methodical identification of groups that exist in the midst of a land of plenty, yet are not necessarily living the American dream." (Nephrology Nursing Journal, April 2002)
This item was reviewed in:
Choice, December 2001
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Summaries
Back Cover Copy
Whose health is most at risk in our country today?At Risk in America, Second Edition, offers a unique and essential source of information-substantially revised and updated-on the public health challenges facing vulnerable populations in the United States. This critical resource for public health professionals and health policy experts presents a framework for identifying and studying vulnerable populations, data on their needs, issues regarding the access, cost, and quality of their care, programs and policies developed to address their needs, and new research and policy initiatives aimed at decreasing their vulnerability. The book is unique as a single-source reference for information and evidence about these at-risk populations."This updated and extended portrait of America's most vulnerable populations provides an extraordinary amount of important information for researchers, policymakers, practitioners, and students. Aday reliably presents the challenges in reducing risk and improving health in the years ahead."-David Mechanic, director, Institute for Health, Health Care Policy, and Aging Research, Rutgers University"As we bask in the longest economic boom in history and an unprecedented accumulation of wealth, Aday relentlessly reminds us of the dire health needs of our vulnerable populations. This new edition will be as valuable as the first was to researchers, policymakers, practitioners, and ethicists."-Mary Ruggie, professor, J. F. Kennedy School of Government, Harvard University"Lu Ann Aday has done it again. The second edition of At Risk in America will be an indispensable resource for health care providers, public health officials, and health services researchers, and it should be taken especially seriously by anyone concerned with health care policy in the United States."-Bruce C. Vladeck, professor of health policy and geriatrics, and director, Institute for Medicare Practice, Mount Sinai School of Medicine
Main Description
This updated second edition of At Risk in America provides a detailed analysis of those key population groups most vulnerable to disease and injury in the United States today-including homeless persons, refugees and immigrants, people living with AIDS, alcohol and substance abusers, high-risk mothers and infants, victims of family or other violence, and the chronically or mentally ill. Lu Ann Aday reviews the major theories and knowledge concerning these at-risk groups and offers new approaches and methodologies for tracing the social determinants and societal influences on health. She examines the specific health needs and risks faced by these groups, their experience in the health care system, the current policies and programs that serve them, and the research and policy initiatives that might be undertaken to help reduce their vulnerability.
Table of Contents
Figures and Tablesp. xi
Forewordp. xiii
Prefacep. xv
Acknowledgmentsp. xxi
The Authorp. xxiii
Who Are the Vulnerable?p. 1
How Many Are Vulnerable?p. 16
Who Is Most Vulnerable?p. 54
Why Are They Vulnerable?p. 91
What Programs Address Their Needs?p. 117
Who Pays for Their Care?p. 159
How Good Is Their Access to Care?p. 179
How Much Does Their Care Cost?p. 200
What's the Quality of Their Care?p. 219
What Do We Still Need to Know?p. 239
What Programs and Policies Are Needed?p. 264
National Data Sources on Vulnerable Populationsp. 279
Source Notes on the Data Tablesp. 289
Referencesp. 295
Name Indexp. 353
Subject Indexp. 364
Table of Contents provided by Syndetics. All Rights Reserved.

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