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Peer Review

Healthcare Systems

Reviewed:

Sep 21, 2026 by Health Sciences
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Ratings

Overall Rating: 4.8 stars
Content Quality: 5.0 stars
Effectiveness: 4.8 stars
Ease of Use: 4.8 stars
Overview:

This book is designed for students enrolled in nursing programs and includes professional relationships, ethics, and the legal aspects of nursing practice and professional identity. 

Type of Material:

Open (Access) Textbook

Recommended Uses:

  • This material can be used for required or supplemental instructional content, and is well-suited for independent reading, self-paced learning (such as for an asynchronous online course) or as home-work.
Technical Requirements:

 

  • Web Browser
  • Internet Access
Identify Major Learning Goals:

After active engagement with the material, the learner will:

1. Describe the history of modern healthcare systems.

2. Describe key concepts of health systems.

3. Explain different healthcare delivery environments across the continuum of care.

4. Explain factors that contribute to the structure and availability of healthcare in the United States.

Note: Each chapter begins with specific learning objectives.

 

 

Note: Each chapter begins with specific learning objectives.

Target Student Population:

  • College Lower Division, College Upper Division
Prerequisite Knowledge or Skills:

  • A basic understanding of medical terminology or common medical jargon.

Content Quality

Rating:
Strengths:

  • This resource is well-organized with a smooth, logical flow between modules.
  • Content is current and includes citations and references.
  • The reading is not overwhelming but is sufficiently detailed.
  • The interactive checkpoints at the end of each module are repeatable and let users check their understanding before continuing.
  • The healthcare systems content is current and includes citations and references.

 

Potential Effectiveness as a Teaching Tool

Rating:
Strengths:

  • Learning objectives are easily located at the beginning of each module.
  • Learning material is appropriate for promoting an understanding of the stated objectives
  • Interactive material is included at the end of each section, allowing individuals to actively apply their learning.
  • Each chapter includes interactive knowledge checks.
  • Each chapter includes a summary of key points.
Concerns:

  • This resource would be stronger with prompts that encourage higher-order thinking, such as discussion or reflection questions. A suggestion is to add some reflection or open-ended critical-thinking questions.

Ease of Use for Both Students and Faculty

Rating:
Strengths:

  • The site is well-organized and aesthetically pleasing.
  • The ever-present navigation menu makes moving between modules fairly simple.
  • All included materials are in working order and function smoothly.
  • Text is selectable.
  • Sequential headings are set up for screen readers.
  • Images include alt text.
  • Book has consistent navigation.

 

Concerns:

The links do not work for the following, but travel to a page that says Oops. 

Chapter Sections:

  1. 4.10 Basic Concepts
  2. 4.20 Access to Care
  3. 4.30 Quality of Care
  4. 4.40 Cost of Care
  5. 4.50 Chapter Summary
  6. 4.6 References & Attributions

However, by using the right lower arrow key to the next page, it was easy to navigate to the above listed items.

Other Issues and Comments:

Marvelous OER about Health Systems. Thank you for your scholarship!

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