"Comparing the health care systems of six industrialized nations - the United States, Canada, Germany, the Netherlands, Japan, and the United Kingdom - the author assesses the strengths and weaknesses of each system, discusses the latest in health care policy research, and suggests how the lessons learned by other nations might be applied in the United States to produce lasting health care reform."--BOOK JACKET.
The United States is rapidly transforming into one of the most racially and ethnically diverse nations in the world. Groups commonly referred to as minorities-including Asian Americans, Pacific Islanders, African Americans, Hispanics, American Indians, and Alaska Natives-are the fastest growing segments of the population and emerging as the nation's majority. Despite the rapid growth of racial and ethnic minority groups, their representation among the nation's health professionals has grown only modestly in the past 25 years. This alarming disparity has prompted the recent creation of initiatives to increase diversity in health professions. In the Nation's Compelling Interest considers the benefits of greater racial and ethnic diversity, and identifies institutional and policy-level mechanisms to garner broad support among health professions leaders, community members, and other key stakeholders to implement these strategies. Assessing the potential benefits of greater racial and ethnic diversity among health professionals will improve the access to and quality of healthcare for all Americans.
A revised edition of a renowned synthesis of the connections between social structures and well-being provides evidence that growing inequality is undermining health, welfare, and community life in America, in a volume that poses an urgent call for social justice as a necessary vehicle for the betterment of society. Reprint.
‘Hope lies in dreams, in imagination, and in the courage of those who dare to make dreams into reality.’ – Jonas Salk, inventor of one of the first successful polio vaccines No one will die of smallpox again… One of the worst killers ever is now consigned to history – perhaps the greatest humanitarian achievement of our age. Now polio, malaria and measles are on the hit list. Karen Bartlett tells the dramatic story of the history of eradication and takes us to the heart of modern campaigns. From high-tech labs in America to the poorest corners of Africa and the Middle East, we see the tremendous challenges those on the front lines face every day, and how they take us closer to a brave new world.
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
Intro -- FrontMatter -- Reviewers -- Foreword -- Acknowledgments -- Contents -- Boxes, Figures, and Tables -- Summary -- 1 Introduction -- 2 Background on the Pipeline to the Physician Workforce -- 3 GME Financing -- 4 Governance -- 5 Recommendations for the Reform of GME Financing and Governance -- Appendix A: Abbreviations and Acronyms -- Appendix B: U.S. Senate Letters -- Appendix C: Public Workshop Agendas -- Appendix D: Committee Member Biographies -- Appendix E: Data and Methods to Analyze Medicare GME Payments -- Appendix F: Illustrations of the Phase-In of the Committee's Recommendations.
Assessments of the costs of war generally focus on the financial, political, military, and territorial risks associated with involvement in violent conflict. Often overlooked are the human costs of war, particularly their effects on population well-being. In War and the Health of Nations, Zaryab Iqbal explores these human costs by offering the first large-scale empirical study of the relationship between armed conflict and population health. Working within the influential "human security" paradigm—which emphasizes the security of populations rather than states as the central object of global security—Iqbal analyzes the direct and indirect mechanisms through which violent conflict degrades population health. In addition to battlefield casualties, these include war's detrimental economic effects, its role in the creation of refugees and forced migration, and the destruction of societies' infrastructure. In doing so, she provides a comprehensive picture of the processes through which war and violent conflict affect public health and the well-being of societies in a cross-national context. War and the Health of Nations provides a conceptual and theoretical framework for understanding the influence of violent interstate and intrastate conflict on the quality of life of populations and empirically analyzes the war-and-health relationship through statistical models using a universal sample of states. The analyses provide strong evidence for the direct as well as the indirect effects of war on public health and offer important insights into key socio-economic determinants of health achievement. The book thus demonstrates the significance of population health as an important consequence of armed conflict and highlights the role of societal vulnerabilities in studies of global security.
Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.
When we think "climate change," we think of man-made global warming, caused by greenhouse gas emissions. But natural climate change has occurred throughout human history, and populations have had to adapt to its vicissitudes. Tony McMichael, a renowned epidemiologist and a pioneer in the field of how human health relates to climate change, is the ideal guide to this phenomenon, and in his magisterial Climate Change and the Health of Nations, he presents a sweeping and authoritative analysis of how human societies have been shaped by climate events.
