Ensuring Americas Health

Ensuring America s Health

• Author : Christy Ford Chapin
• Publisher : Cambridge University Press
• File Size : 15,9 Mb
• Release Date : 2015-05-28
• Genre: History
• Pages : 373
• ISBN 10 : 9781107044883

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This book provides an in-depth evaluation of the U.S. health care system's development in the twentieth century. It shows how a unique economic design - the insurance company model - came to dominate health care, bringing with it high costs; corporate medicine; and fragmented, poorly distributed care.

An American Sickness

• Author : Elisabeth Rosenthal
• Publisher : Penguin
• File Size : 18,9 Mb
• Release Date : 2017-04-11
• Genre: Medical
• Pages : 432
• ISBN 10 : 9780698407183

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A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The syste

The Future of the Public s Health in the 21st Century

• Author : Institute of Medicine
• Publisher : National Academies Press
• File Size : 7,5 Mb
• Release Date : 2003-02-01
• Genre: Medical
• Pages : 536
• ISBN 10 : 9780309133180

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The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Ensuring America s Health

• Author : Christy Ford Chapin
• Publisher : Unknown
• File Size : 20,6 Mb
• Release Date : 2011
• Genre: Uncategoriezed
• Pages : null
• ISBN 10 : OCLC:792948242

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The Future of Public Health

• Author : Institute of Medicine
• Publisher : National Academies Press
• File Size : 12,5 Mb
• Release Date : 1988-02-01
• Genre: Medical
• Pages : 240
• ISBN 10 : 9780309038300

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"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of governmentâ€"federal, state, and localâ€"at which these functions would best be handled.

Public Health in the Americas

• Author : Pan American Health Organization
• Publisher : Pan American Health Org
• File Size : 14,8 Mb
• Release Date : 2002
• Genre: America
• Pages : 326
• ISBN 10 : 9789275115893

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This book describes the principal conceptual, methodological, and empirical developments stemming from PAHO and WHO's institutional efforts in public health, which have entailed the broad and committed participation of the Member States. It provides and overview of the status of Essential Public Health Functions (EPHF) in 41 countries and territories of the Americas, based on self-evaluation exercises performed by health authorities to measure their performance.

Remaking the American Patient

• Author : Nancy Tomes
• Publisher : UNC Press Books
• File Size : 20,6 Mb
• Release Date : 2016-01-06
• Genre: Medical
• Pages : 560
• ISBN 10 : 9781469622781

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In a work that spans the twentieth century, Nancy Tomes questions the popular--and largely unexamined--idea that in order to get good health care, people must learn to shop for it. Remaking the American Patient explores the consequences of the consumer economy and American medicine having come of age at exactly the same time. Tracing the robust development of advertising, marketing, and public relations within the medical profession and the vast realm we now think of as "health care," Tomes considers what it means to be a "good" patient. As she shows, this history of the coevolution of medicine and consumer culture tells us much about our current predicament over health care in the United States. Understanding where the shopping model came from, why it was so long resisted in medicine, and why it finally triumphed in the late twentieth century helps explain why, despite striking changes that seem to empower patients, so many Americans remain unhappy and confused about their status as patients today.

Assessing America s Health Risks

• Author : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
• Publisher : Unknown
• File Size : 12,9 Mb
• Release Date : 2002
• Genre: Medicare
• Pages : 96
• ISBN 10 : PSU:000049650532

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Best Care at Lower Cost

• Author : Institute of Medicine
• Publisher : National Academies Press
• File Size : 8,8 Mb
• Release Date : 2013-05-10
• Genre: Medical
• Pages : 437
• ISBN 10 : 9780309282819

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America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be enco

American Business Since 1920

• Author : Thomas K. McCraw
• Publisher : John Wiley & Sons
• File Size : 11,7 Mb
• Release Date : 2017-11-30
• Genre: History
• Pages : 408
• ISBN 10 : 9781119097266

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Tells the story of how America’s biggest companies began, operated, and prospered post-World War I This book takes the vantage point of people working within companies as they responded to constant change created by consumers and technology. It focuses on the entrepreneur, the firm, and the industry, by showing—from the inside—how businesses operated after 1920, while offering a good deal of Modern American social and cultural history. The case studies and contextual chapters provide an in-depth understanding of the evolution of American management over nearly 100 years. American Business Since 1920: How It Worked presents historical struggles with decision making and the trend towards relative decentralization through stories of extraordinarily capable entrepreneurs and the organizations they led. It covers: Henry Ford and his competitor Alfred Sloan at General Motors during the 1920s; Neil McElroy at Procter & Gamble in the 1930s; Ferdinand Eberstadt at the government’s Controlled Materials Plan during World War II; David Sarnoff at RCA in the 1950s and 1960s; and Ray Kroc and his McDonald’s franchises in the late twentieth century and early twenty-first; and more. It also delves into such modern success stories as Amazon.com, eBay, and Google. Provides deep analysis of some of the most successful companies of the 20th century Contains topical chapters covering titans of the 2000s Part of Wiley-Blackwell’s highly praised American History Series American Business Since 1920: How It Worked is designed for use in both basic and advanced courses in American history, at the undergraduate and graduate levels.

The critical role of community health centers in ensuring access to care

• Author : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health
• Publisher : Unknown
• File Size : 20,7 Mb
• Release Date : 2006
• Genre: Community health services
• Pages : 64
• ISBN 10 : PSU:000058792322

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Health Professions Education

• Author : Institute of Medicine
• Publisher : National Academies Press
• File Size : 8,6 Mb
• Release Date : 2003-07-01
• Genre: Medical
• Pages : 191
• ISBN 10 : 030913319X

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The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Health Care Utilization as a Proxy in Disability Determination

• Author : National Academies of Sciences, Engineering, and Medicine
• Publisher : National Academies Press
• File Size : 12,5 Mb
• Release Date : 2018-04-02
• Genre: Medical
• Pages : 160
• ISBN 10 : 9780309469210

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The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

To Err Is Human

• Author : Institute of Medicine
• Publisher : National Academies Press
• File Size : 16,7 Mb
• Release Date : 2000-03-01
• Genre: Medical
• Pages : 312
• ISBN 10 : 9780309068376

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Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is tha

The Long Fix

• Author : Vivian Lee
• Publisher : National Geographic Books
• File Size : 11,6 Mb
• Release Date : 2021-08-17
• Genre: Medical
• Pages : 0
• ISBN 10 : 9780393867442

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It may not be a quick fix, but this concrete action plan for reform can create a less costly and healthier system for all. Beyond the outrageous expense, the quality of care varies wildly, and millions of Americans can’t get care when they need it. This is bad for patients, bad for doctors, and bad for business. In The Long Fix, physician and health care CEO Vivian S. Lee, MD, cuts to the heart of the health care crisis. The problem with the way medicine is practiced, she explains, is not so much who’s paying, it’s what we are paying for. Insurers, employers, the government, and individuals pay for every procedure, prescription, and lab test, whether or not it makes us better—and that is both backward and dangerous. Dr. Lee proposes turning the way we receive care completely inside out. When doctors, hospitals, and pharmaceutical companies are paid to keep people healthy, care improves and costs decrease. Lee shares inspiring examples of how this has been done, from physicians’ practices that prioritize preventative care, to hospitals that adapt lessons from manufacturing plants to make them safer, to health care organizations that share online how much care costs and how well each physician is caring for patients. Using clear and compelling language, Dr. Lee paints a picture that is both realistic and optimistic. It may not be a quick fix, but her concrete action plan for reform—for employers and other payers, patients, clinicians, and policy makers—can reinvent health care, and create a less costly, more efficient, and healthier system for all.