Changing the U. S. Health Systems: Key Issues in Health Services Policy and Management, Fourth Edition, addresses the key issues in health care policy and management. Previous editions have been published in 1996, 2001, and 2007, and like those, this book is intended to present evidence-based views of current issues. Each chapter is written by experts in the field who integrate evidence to explain the current condition and present support for needed change.  It is especially ideal for students in health administration, public health, nursing, social work, and public administration. This edition will have especially deep coverage of health reform and its impact on all areas and regions of health services. CONTENTS: Introduction and Overview (Ronald M. Andersen, Thomas H. Rice, Gerald F. Kominski) PART ONE: ACCESS TO HEALTH CAREPART TWO: COSTS OF HEALTH CAREPART THREE: QUALITY OF HEALTH CAREPART FOUR: SPECIAL POPULATIONSPART FIVE: DIRECTIONS FOR CHANGE