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The Safety-Net Health Care System

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The Safety-Net Health Care System

SKU# 9780826105714

Health Care at the Margins

Author: Gunnar Almgren MSW, PhD, Taryn Lindhorst MSW, PhD


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This is the only book currently available that fully addresses all aspects of the safety net for healthcare." Score: 96, 4 Stars--Doody's Medical Reviews

[T]his complex treatment of a complex topic represents a valuable contribution to the health services literature."--INQUIRY

The Safety-Net Health Care System offers a road map to help safety-net providers overcome personal prejudices, understand why certain patients become "difficult" or fail to adhere to treatment, and deal with the stress of working in safety-net environments."--Health Affairs

A unique and authoritative guide to the US safety-net health care system, this book addresses how various populations and their difficult health and socio-economic issues are dealt with and impacted by the system. Drs. Gunnar Almgren and Taryn Lindhorst, experts in the fields of social work and public health, provide critical, much-needed insight into the safety-net system and how the recession, unemployment, and reform have accelerated its growth.

Ideal for graduate students and early professionals in the health professions, this textbook:

  • Includes narratives from patients and caregivers that help readers understand and empathize with the poor, homeless, and other vulnerable populations affected by the safety-net system
  • Discusses various health issues, including: violence, chronic diseases, mental illness, victimization, and substance abuse/addiction
  • Examines overlaps in US public health, social work, nursing, and medical education
  • Analyzes the differences between the populations that depend on safety-net system providers and more advantaged populations that have access to the mainstream health care system

Product Details 

  • Publication Date December 21, 2011
  • Page Count 408
  • Product Form Paperback / softback
  • ISBN 13 9780826105714
  • EISBN 9780826105721

About The Author(s) 

Gunnar Almgren, PhD, is Professor of Social Work and Social Welfare at the University of Washington, Seattle Campus. Prior to that, he was a social work practitioner and administrator in not-for-profit and public health care systems for 15 years. His teaching and research interests include health care policy, social welfare policy, poverty and inequality, safety-net health care systems, and the determinants of disparities in health and in health care. He is also the co-author of The Safety-Net Health Care System: Health Care at the Margins (Springer Publishing, 2012).

Table of Contents 



1. Origins and Defi nitions of the Safety-Net Health Care System

2. Poverty and Being Poor

3. Stratifi cation and Stigma

4. Differences, Power, Privilege, and Disparities in Care


5. Homelessness as a Social Phenomenon and Being Homeless

6. Substance Abuse and Addiction

7. Violence, Victimization, and Trauma

8. Diffi cult Patients, Diffi cult Health Conditions

9. Adherence to Care

10. Thriving in Stressful Environments