Health Care Off the Books

Health Care Off the Books

Author: Danielle T. Raudenbush

Publisher: University of California Press

Published: 2020-02-11

Total Pages: 208

ISBN-13: 0520305620

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Millions of low-income African Americans in the United States lack access to health care. How do they treat their health care problems? In Health Care Off the Books, Danielle T. Raudenbush provides an answer that challenges public perceptions and prior scholarly work. Informed by three and a half years of fieldwork in a public housing development, Raudenbush shows how residents who face obstacles to health care gain access to pharmaceutical drugs, medical equipment, physician reference manuals, and insurance cards by mobilizing social networks that include not only their neighbors but also local physicians. However, membership in these social networks is not universal, and some residents are forced to turn to a robust street market to obtain medicine. For others, health problems simply go untreated. Raudenbush reconceptualizes U.S. health care as a formal-informal hybrid system and explains why many residents who do have access to health services also turn to informal strategies to treat their health problems. While the practices described in the book may at times be beneficial to people’s health, they also have the potential to do serious harm. By understanding this hybrid system, we can evaluate its effects and gain new insight into the sources of social and racial disparities in health outcomes.


Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-04-02

Total Pages: 161

ISBN-13: 030946921X

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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.


Communities in Action

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.


Urban Poverty and Health Inequalities

Urban Poverty and Health Inequalities

Author: Darrin Hodgetts

Publisher: Routledge

Published: 2017-10-10

Total Pages: 321

ISBN-13: 1317300300

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When discussing health, we talk about ailments and afflictions, the potential of modern medicine and the behaviours that affect our health. Yet although these relationships exist, they undermine a more socio-economic understanding of health. This timely book takes a critical perspective to argue that urban poverty and health inequalities are intimately interconnected, and that the increasing disparity between rich and poor will necessarily exacerbate health issues within urban communities. Urban Poverty and Health Inequalities documents how life has become increasingly insecure and stressful for growing numbers of people due to increased insecurities in employment, income and housing, rising living costs, and the retrenchment of welfare and social services. The book explores the role of history and media depictions of poverty and health inequalities in influencing the current situation. A central objective is to advance ways to understand and respond to urban poverty as a key social determinant of health. The authors pay particular attention to the ways in which punitive responses to urban poverty are further exacerbating the hardships faced by people living in urban poverty. Looking at issues of class, age, gender, ethnic and disability-based inequalities, the book offers both critical theory and grounded solutions to enable those living in poverty to live healthier lives. The collateral damage resulting from current socio-economic arrangements reflects political choices regarding the distribution of resources in societies that needs to be challenged and changed. The authors attend to initiatives for change, offering practical responses to address urban poverty, including efforts to address wealth distribution, the potential of living wage and Universal Basic Income initiatives, social housing and anti-oppressive welfare systems.


Urban Sprawl and Public Health

Urban Sprawl and Public Health

Author: Howard Frumkin

Publisher:

Published: 2004-07-09

Total Pages: 372

ISBN-13:

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'Urban Sprawl and Public Health' offers a survey of the impact that the built environment can have on the health of the people who inhabit our cities. The authors go on to suggest ways in which the design of cities could be improved & have a positive impact on the well-being of their citizens.


Rural Health in the United States

Rural Health in the United States

Author: Thomas C. Ricketts

Publisher: Oxford University Press

Published: 1999-10-07

Total Pages: 233

ISBN-13: 0199759723

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Many of the 61 million people who live in rural America have limited access to health care. Almost a quarter of the nation's population lives in rural places yet only an eighth of our doctors work there. Sponsored by the U.S. Office of Rural Health Policy, this unique book provides the facts about this imbalance and interprets them in the context of government programs that promote the placement of doctors and the operation of hospitals in rural places while paying them less to treat Medicare and Medicaid beneficiaries. The authors' comprehensive analysis of rural health care delivery shows where there are differences in rates of death and disease between rural areas using maps, graphs, and plain-English descriptions. The book provides a thorough look at health care in rural America, giving a snapshot of how doctors, hospitals, and technology are unevenly distributed outside the nation's metropolitan areas.


Slum Health

Slum Health

Author: Jason Corburn

Publisher: Univ of California Press

Published: 2016-06-07

Total Pages: 337

ISBN-13: 0520962796

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Urban slum dwellers—especially in emerging-economy countries—are often poor, live in squalor, and suffer unnecessarily from disease, disability, premature death, and reduced life expectancy. Yet living in a city can and should be healthy. Slum Health exposes how and why slums can be unhealthy; reveals that not all slums are equal in terms of the hazards and health issues faced by residents; and suggests how slum dwellers, scientists, and social movements can come together to make slum life safer, more just, and healthier. Editors Jason Corburn and Lee Riley argue that valuing both new biologic and “street” science—professional and lay knowledge—is crucial for improving the well-being of the millions of urban poor living in slums.


Urban Poverty in the Global South

Urban Poverty in the Global South

Author: Diana Mitlin

Publisher: Routledge

Published: 2013

Total Pages: 370

ISBN-13: 0415624665

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This is compounded by the lack of voice and influence that low income groups have in these official spheres.


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

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

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-02-01

Total Pages: 536

ISBN-13: 0309133181

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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.


More Urban Less Poor

More Urban Less Poor

Author: Goran Tannerfeldt

Publisher: Routledge

Published: 2012-05-04

Total Pages: 191

ISBN-13: 1136561064

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A world more urban... The world is undergoing massive urbanization, and is projected to increase from three to over four billion city dwellers, mostly in the developing world, within 15 years. This historic shift is producing dramatic effects on human well-being and the environment. ...but less poor Unplanned shanty-towns without basic services are not an inevitable consequence of urbanization and slums are not explained by poverty alone. Urban misery also stems from misguided policies, inappropriate legal frameworks, dysfunctional markets, poor governance, and not least, lack of political will. Urbanization and economic development go hand-in-hand and the productivity of the urban economy can and should benefit everyone. Living conditions for the urban poor can be dramatically improved with proper solutions, backed by decisive, concerted action. More Urban - Less Poor brings order to the complex and important field of urban development in developing and transitional countries. Written in an accessible style, the book examines how cities grow, their economic development, urban poverty, housing and environmental problems. It also examines how to face these challenges through governance and management of urban growth, the finance and delivery of services, and finding a role for development cooperation. This is essential reading for development professionals, researchers, students and others working on any facet of urban development and management in our rapidly urbanizing world. Published with SIDA