All advanced health care systems face severe difficulties in financing the delivery of today’s sophisticated medical care. In this study David Wilsford compares the health systems in France and the United States to demonstrate that some political systems are considerably more effective at controlling the cost of care than others. He argues that two variables—the autonomy of the state and the strength and cohesiveness of organized medicine—explain this variance. In France, Wilsford shows, the state is strong in the health policy domain, while organized medicine is weak and divided. Consequently, physicians exercise little influence over health care policymaking. By contrast, in the United States the state is weak, the employers and insurers who pay for health care are fragmented, and organized medicine is strong and well financed. As a result, medical professionals are able to exert a greater influence on policymaking, thus making cost control more difficult. Wilsford extends his comparison to health care systems in the United Kingdom, West Germany, Italy, Canada, and Japan. Whether the private or public sector finances health care, he discovers, there is now an important trend in all of the advanced industrial countries toward controlling escalating costs by curbing both the medical profession’s clinical autonomy and physicians’ incomes.
Автор: Ameringer, Carl F. (virginia Commonwealth University) Название: Us health policy and health care delivery ISBN: 1107539846 ISBN-13(EAN): 9781107539846 Издательство: Cambridge Academ Рейтинг: Цена: 3800.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: Carl F. Ameringer`s analysis of the relationship between health policy and healthcare delivery offers a fresh perspective on the current configuration of the US healthcare system, its historical roots, and its major differences with systems in other countries, particularly in the provision of primary and specialty care.
Описание: Carl F. Ameringer`s analysis of the relationship between health policy and healthcare delivery offers a fresh perspective on the current configuration of the US healthcare system, its historical roots, and its major differences with systems in other countries, particularly in the provision of primary and specialty care.
Автор: Moini, Jahangir (retired Professor, Science And Health Department, Eastern Florida State College, Fl, Usa) Oyindamola, Akinso (assistant Professor Of Название: Health care today in the united states ISBN: 032399038X ISBN-13(EAN): 9780323990387 Издательство: Elsevier Science Рейтинг: Цена: 19370.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: Featuring an easy-to-learn and easy-to-use reference system acclaimed for more than five generations, the Thompson Chain-Reference Bible enables you to search the breadth of Scripture`s teachings on thousands of topics. Ideal for personal study and sermon preparation, it`s now easier to read with the NKJV Comfort Print typeface.
By the time William Penn was planning the colony that would come to be called Pennsylvania, with Philadelphia at its heart, Europeans on both sides of the ocean had long experience with the hazards of city life, disease the most terrifying among them. Drawing from those experiences, colonists hoped to create new urban forms that combined the commercial advantages of a seaport with the health benefits of the country. The Contagious City details how early Americans struggled to preserve their collective health against both the strange new perils of the colonial environment and the familiar dangers of the traditional city, through a period of profound transformation in both politics and medicine.
Philadelphia was the paramount example of this reforming tendency. Tracing the city’s history from its founding on the banks of the Delaware River in 1682 to the yellow fever outbreak of 1793, Simon Finger emphasizes the importance of public health and population control in decisions made by the city’s planners and leaders. He also shows that key figures in the city’s history, including Benjamin Franklin and Benjamin Rush, brought their keen interest in science and medicine into the political sphere. Throughout his account, Finger makes clear that medicine and politics were inextricably linked, and that both undergirded the debates over such crucial concerns as the city’s location, its urban plan, its immigration policy, and its creation of institutions of public safety. In framing the history of Philadelphia through the imperatives of public health, The Contagious City offers a bold new vision of the urban history of colonial America.
Автор: Ubokudom Название: United States Health Care Policymaking ISBN: 1489990429 ISBN-13(EAN): 9781489990426 Издательство: Springer Рейтинг: Цена: 9776.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: This book surveys the reaction to the Obama Administration`s health care reform plan and the Patient Protection and Affordable Care Act of 2010. It examines the range of social and political factors that influence health care policy making and delivery.
Описание: Since 2005 a dozen states and more than 15 specialties have reported a physician shortage or anticipate one in the next few years. This anticipated shortage and a worsening of physician distribution are compounded by a projected increased demand for women’s healthcare services.Women’s healthcare is particularly vulnerable, because the obstetrician-gynecologist workforce is aging and is among the least satisfied medical specialists. Furthermore, fellowship training in women’s healthcare in internal medicine and in maternal child health in family and community medicine involves only a small portion of general internists and family physicians.In response to this challenge, the Association of American Medical Colleges called for an expansion of medical schools and graduate medical education enrollments. As we cope with significant and rapid changes in organizations and reimbursement, academic departments of obstetrics and gynecology, family and community medicine, and internal medicine have opportunities to create a unified women’s health curriculum for undergraduate students, share preventive health and well-woman expertise in training programs, provide improved continuity of care, instill concepts of lifelong learning to our graduates, and better develop our research programs. This volume’s chapters focus on strategic planning on behalf of academic faculty who will train the anticipated additional load of students, residents, and fellows in women’s healthcare. -changing demographics of faculty -expanding roles of clinician educators -physician investigators and their future -the hidden value of part-time faculty -faculty salaries -required skillsets of academic leaders -the meaning of tenure and faculty satisfaction and retention.Recommendations presented here from authors with distinguished leadership skills indicate a consensus, but not unanimity. In furthering these goals, we summarize in the final chapter our collective expertise and offer ways to implement recommendations to better prepare for tomorrow’s needs in academic women’s healthcare.
Although the United States spends 16 percent of its gross domestic product on health care, more than 46 million people have no insurance coverage, while one in four Americans report difficulty paying for medical care. Indeed, the U.S. health care system, despite being the most expensive health care system in the world, ranked thirty-seventh in a comprehensive World Health Organization report. With health care spending only expected to increase, Americans are again debating new ideas for expanding coverage and cutting costs. According to the historian Paul V. Dutton, Americans should look to France, whose health care system captured the World Health Organization's number-one spot.
In Differential Diagnoses, Dutton debunks a common misconception among Americans that European health care systems are essentially similar to each other and vastly different from U.S. health care. In fact, the Americans and the French both distrust "socialized medicine." Both peoples cherish patient choice, independent physicians, medical practice freedoms, and private insurers in a qualitatively different way than the Canadians, the British, and many others. The United States and France have struggled with the same ideals of liberty and equality, but one country followed a path that led to universal health insurance; the other embraced private insurers and has only guaranteed coverage for the elderly and the very poor.
How has France reconciled the competing ideals of individual liberty and social equality to assure universal coverage while protecting patient and practitioner freedoms? What can Americans learn from the French experience, and what can the French learn from the U.S. example? Differential Diagnoses answers these questions by comparing how employers, labor unions, insurers, political groups, the state, and medical professionals have shaped their nations' health care systems from the early years of the twentieth century to the present day.
Although the United States spends 16 percent of its gross domestic product on health care, more than 46 million people have no insurance coverage, while one in four Americans report difficulty paying for medical care. Indeed, the U.S. health care system, despite being the most expensive health care system in the world, ranked thirty-seventh in a comprehensive World Health Organization report. With health care spending only expected to increase, Americans are again debating new ideas for expanding coverage and cutting costs. According to the historian Paul V. Dutton, Americans should look to France, whose health care system captured the World Health Organization's number-one spot.
In Differential Diagnoses, Dutton debunks a common misconception among Americans that European health care systems are essentially similar to each other and vastly different from U.S. health care. In fact, the Americans and the French both distrust "socialized medicine." Both peoples cherish patient choice, independent physicians, medical practice freedoms, and private insurers in a qualitatively different way than the Canadians, the British, and many others. The United States and France have struggled with the same ideals of liberty and equality, but one country followed a path that led to universal health insurance; the other embraced private insurers and has only guaranteed coverage for the elderly and the very poor.
How has France reconciled the competing ideals of individual liberty and social equality to assure universal coverage while protecting patient and practitioner freedoms? What can Americans learn from the French experience, and what can the French learn from the U.S. example? Differential Diagnoses answers these questions by comparing how employers, labor unions, insurers, political groups, the state, and medical professionals have shaped their nations' health care systems from the early years of the twentieth century to the present day.
Navigating the maze of modern American health care is rarely easy; those who enter it are confronted with a dizzying array of specialists, practitioners, and clinics from which to choose, and are forced to make decisions regarding drugs and treatments about which they may know very little. For immigrants, finding their way can be difficult—especially for those to whom Western medicine is itself unfamiliar.
In this engaging, accessible, and detail-rich book, Zibin Guo narrates elderly Chinese immigrants' response to contemporary American medicine. Traditional Chinese medicine emphasizes self-care and the medicinal value of foods and herbs; American doctors' responses to the ailments of their Chinese patients can seem impersonal and unnecessarily interventionist. Distrust, expense, and problems of communication and interpretation often frustrate both patient and practitioner.
Guo paints a picture of a population that, despite its outward appearance of homogeneity, demonstrates a surprisingly wide variety of health-care knowledge, practice, and belief. Using case materials and interviews, he analyzes the blend of folk treatments and respect for Western science that coexist in the health care regimens of these elderly Chinese immigrants.
We are on the verge of the nation's worst nursing shortage in history. Dedicated nurses are leaving hospitals in droves, and there are not enough new recruits to the profession to meet demand. Even hospitals that were once very highly regarded for the quality of their nursing care, such as Boston's Beth Israel Deaconess Medical Center, now struggle to fill vacant positions. What happened? Dana Beth Weinberg argues that hospital restructuring in the 1990s is to blame.
In their attempts to retain profit margins or even just to stay afloat, hospitals adopted a common set of practices to cut costs and increase revenues. Many strategies squeezed greater productivity out of nurses and other hospital workers. Nurses' workloads increased to the point that even the most skilled nurses questioned whether they could provide minimal, safe care to patients. As hospitals hemorrhaged money, it seemed that no one—not hospital administrators, not doctors—felt they could afford to listen to nurses.
Through a careful look at the effects of the restructuring strategies chosen and implemented by Beth Israel Deaconess Medical Center, the author examines management's efforts to balance service and survival. By showing the effects of hospital restructuring on nurses' ability to plan, evaluate, and deliver excellent care, Weinberg provides a stinging indictment of standard industry practices that underestimate the contribution nurses make both to hospitals and to patient care.
Navigating the maze of modern American health care is rarely easy; those who enter it are confronted with a dizzying array of specialists, practitioners, and clinics from which to choose, and are forced to make decisions regarding drugs and treatments about which they may know very little. For immigrants, finding their way can be difficult—especially for those to whom Western medicine is itself unfamiliar.
In this engaging, accessible, and detail-rich book, Zibin Guo narrates elderly Chinese immigrants' response to contemporary American medicine. Traditional Chinese medicine emphasizes self-care and the medicinal value of foods and herbs; American doctors' responses to the ailments of their Chinese patients can seem impersonal and unnecessarily interventionist. Distrust, expense, and problems of communication and interpretation often frustrate both patient and practitioner.
Guo paints a picture of a population that, despite its outward appearance of homogeneity, demonstrates a surprisingly wide variety of health-care knowledge, practice, and belief. Using case materials and interviews, he analyzes the blend of folk treatments and respect for Western science that coexist in the health care regimens of these elderly Chinese immigrants.
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