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Authors Shi (health policy and management, Johns Hopkins U.) and Stevens (UCLA Center for Healthier Children, Families and Communities) examine three populations likely to experience inequity in health and health care: those of a minority race or ethnicity, those with low socio-economic status, and those without health insurance. They describe how these populations are or become vulnerable and advocate an improved American health care policy, including systematic implementation of the US Department of Health and Human Services Healthy People 2010 initiative. Study questions and exercises are included. Annotation ©2004 Book News, Inc., Portland, OR
Reviewer:Mariann C. Lovell, PhD, RN (University of Cincinnati School of Nursing)
Description:This book thoroughly examines the issue of vulnerability, from concept to empirical evidence of the determinants of vulnerability to the evaluation of programs that address vulnerable populations in the United States. It is logically organized and provides current data using easy-to-understand charts, graphs and tables.
Purpose:The purpose is to call attention to the inequitable health and healthcare experiences of vulnerable populations in the United States. It proposes a framework to study the vulnerable populations and evaluates programs aimed at reducing health disparities.
Audience:According to the authors, the book is written for academics (students and researchers alike) as well as for practitioners. In my opinion, the book is very useful for healthcare workers, including nurses and physicians, program planners, such as health department administrators, and for policy makers.
Features:This is the only book that I know of that so thoroughly covers vulnerability from presenting a well researched framework to analyzing the determinants of vulnerability to a proposal to resolve health disparities in vulnerable populations. Community determinants and the mechanisms of vulnerability are particularly well covered. The book's organization makes it easy to follow. The extensive glossary allows understanding by even the novice inquirer into vulnerable populations
Assessment:I have reviewed a number of books looking for meaningful content to help my students understand and work with vulnerable populations. Thisis the most comprehensive, yet understandable book on the topic.
Leiyu Shi is co-director of the Johns Hopkins Primary Care Policy at the Center for the Underserved. He is associate professor of Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health.
Gregory D. Stevens is a senior researcher with the UCLA Center for Healthier Children, Families, and Communities.
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06/19/2006: I just got back from seeing Al Gore's movie on global climate change, and had some home work for my social work class. Feeling kind of motivated to 'make a difference', I picked up this assigned book, and even though it's a textbook, I read until almost 4am. I couldn't put this book down...it has so much to say on health disparities, it actually got me upset that the U.S. has not done much to address this problem. It's a perfect book to get energized about solving health disparities.
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06/18/2006: This is definitely the easiest-to-read book I have seen on health issues among the uninsured and minorities. It is very balanced and skillfully brings together a lot of information. It gave me some good ideas for how to redesign some of the health care programs that my community clinic offers. I'd recommend this to other clinics and students of medicine, public health, social work, and anybody interested in care for the poor and underserved.