Three years in its creation, Comprehensive Healthcare for the U.S.: An Idealized Model brings together contributions from physicians, nurses, administrators, and social workers from around the globe to critically examine the mire of excellent technical quality and inefficient delivery that has become the United States healthcare system. Written by
Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
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.
This book presents simulation as an essential, powerful tool to develop the best possible healthcare system for patients. It provides vital insights into the necessary steps for supporting and enhancing medical care through the simulation methodology. Organized into four sections, the book begins with a discussion on the overarching principles of simulation and systems. Section two then delves into the practical applications of simulation, including developing new workflows, utilizing new technology, building teamwork, and promoting resilience. Following this, section three examines the transition of ideas and initiatives into everyday practices. Chapters in this section analyze complex interpersonal topics such as how healthcare clinical stakeholders, simulationists, and experts who are non-clinicians can collaborate. The closing section explores the potential future directions of healthcare simulation, as well as leadership engagement. A new addition to the Comprehensive Healthcare Simulation Series, Improving Healthcare Systems stimulates the critical discussion of new and innovative concepts and reinforces well-established and germane principles.
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.
The third edition of Changing the U.S. Health Care System is a thoroughly revised and updated compendium of the most current thought on three key components of health care policy—improving access, ensuring quality, and controlling costs. Written by a panel of health care policy experts, this third edition highlights the most recent research relevant to health policy and management issues. New chapters address topics such as the disparities in health and in health care, information systems, and performance in the area of nursing. Revisions to chapters from the previous edition emphasize the most recent developments in the field.
Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
This book provides information to support the new and growing field of medical simulation training using mobile simulation vehicles. These mobile training programs bring vehicles equipped with spaces to simulate patient care areas, task trainers, and mannequins directly to the medical provider. This concise reference introduces programs that bring necessary training to providers and offers step by step guidance on how to establish and run a mobile medical simulation program. Divided into two main sections, the first analyzes the methods and techniques to implement a program, including marketing, finances, and program evaluation. The second section then delves into greater detail regarding the actual teaching and training, including chapters on educational methodology, scenario design, and how to prepare for a simulation session. Part of the groundbreaking Comprehensive Healthcare Simulation Series, Mobile Medical Simulation is an ideal guide for administrators and managers who design and implement mobile simulation training programs, as well as educators and trainers working in the field.
While offering a historical assessment on the state of America’s healthcare Post–World War II, Dr. Paguyo analyzes some of the best universal healthcare systems around the world and offers recommendations with solutions to thirteen major problems the U.S.A. healthcare system has. HEALTHCARE FOR ALL AMERICANS is a proposal of a comprehensive universal healthcare plan that is made for every American. The plan is portable and reliable with freedom to choose ones healthcare provider; user–friendly; worry–free; easy and simple to administer, and sustainable based on free market principles.
