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Vulnerable Populations in the United States (Public Health/Vulnerable Populations)
Leiyu Shi, Gregory D. Stevens

Jossey-Bass, 2004 - 312 pages

average customer review:based on 8 reviews
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   highly recommended  highly recommended



Smart book, clear explanations, very comprehensive.

I bought this book for a class on health care in the U.S. and it was the only book in my entire year of school that I actually kept! The others I sold back for $10 each, but this one is a keeper. In particular, I liked that it gives step-by-step instructions for people and organizations to use to solve the problem of health disparities. Also, very clearly written!


A BRILLIANTLY Written Classic!!

What else is there to say...this is a winner by far. It covers issues in health care for the poor and underserved so solidly, that this might well be considered the defining book on the issue. Considering how much it has to say, and how deep the theory goes, its amazing that it can also be SO UNDERSTANDABLE. If you need a good primer in health care for the "vulnerable" in this world (well, primarily the U.S. in this case), this is your book. I would only recommend that they cover international issues more...but that's probably something they could write an entire other book about.


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Great for the public health nurse!

I am not a public health nurse, I am an ICU nurse at heart. However as doctoral student, this text was required for a course I am currently taking. It truly opened my eyes to vulnerability even within the US. With the recent and current national crisis and disasters, the concepts discussed are brought home.






an unbiased textbook that politicians who care about health care should read

The authors make a great point that poverty rates are increasing in this country, companies are fast dropping health insurance coverage for their employees, and immigration continues to be on the rise. These facts make this book applicable to almost everyone...since there is no guarantee that the middle and upper classes will have health insurance in the next few years. Remember how Starbucks became famous for offering health insurance to all employees, but the points raised in this book were echoed just a few months back, when Starbucks stood on the steps of Congress and said they soon would no longer be able to offer this coverage because of the huge increases in price. This book prepares you for what's to come and offers some GREAT tips on what needs to be done to help make sure that these problems don't tear apart this country. It's a great read...Shi and Stevens should really be commmended.


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reviews: page 1, 2



" . . . an excellent primer for undergraduates and graduate students interested in vulnerable populations and health disparities." -- New England Journal of Medicine, July 7, 2005

"I have reviewed a number of books looking for meaningful content to help my students understand and work with vulnerable populations. This is the most comprehensive, yet understandable book on the topic." -- Doody's Reviews, 2005

". . .combines thoughtful, coherent theory with a large amount of information available in a single source. It will prove to be a valuable resource for policymakers, researchers, teachers, and students alike for years to come." -- Journal of the American Medical Association, April 20, 2005

Vulnerable Populations in the United States offers in-depth data on access to care, quality of care, and health status and updates and summarizes what is currently known regarding the pathways and mechanisms linking vulnerability with poor health and health care outcomes. Written by Leiyu Shi and Gregory D. Stevens, this book provides a coherent, well-integrated, general framework for the scientific study of vulnerable populations?a framework that is compatible with the focus of public health policy and the Healthy People initiative. The comprehensive volume Vulnerable Populations in the United States Discusses the determinants of vulnerability using a broad framework that includes both social and individual determinants. Portrays the mechanisms whereby vulnerability influences access, quality, and health status. Summarizes the literature and provides empirical evidence of disparities in health care access, quality, and outcome for vulnerable populations. Focuses on influences of individual risk factors and multiple risk factors . Reviews programs currently in place for vulnerable populations.

Instructors material available.


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