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.
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.
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.
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.
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.
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.
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.
Описание: North Carolina's Hurricane History charts the more than fifty great storms that have battered the Tar Heel State from the colonial era through Irene in 2011 and Superstorm Sandy in 2012, two of the costliest hurricanes on record. Drawing on news reports, National Weather Service records, and eyewitness descriptions, hurricane historian Jay Barnes emphasizes the importance of learning from this extraordinary history as North Carolina prepares for the inevitable disastrous storms to come. Featuring more than 200 photographs, maps, and illustrations, this book offers amazing stories of destruction and survival. While some are humorous and some tragic, all offer a unique perspective on the state's unending vulnerability to these storms.
Описание: Healthcare in the United States: Clinical, Financial, and Operational Dimensions offers an introductory overview of the American healthcare system by exploring its many organizations, populations, professions, structures, financing, and delivery models, as well as their impact. Authors Stephen L. Walston and Kenneth L. Johnson delve into the many conflicting issues related to cost, access, and quality. The book's 14 chapters cover the following and more: A comprehensive review of the health professions and types of healthcare organizations; An exploration of how medical providers are paid; Major challenges currently facing physicians, hospitals, and the pharmaceutical industry; An examination of the long-term and mental healthcare sectors and the increasing demands for their services; The significant role of the government in healthcare, including the influence of politics; The basics of population health, including an in-depth look at how changing social, demographic, and economic conditions in the United States affect healthcare; The connections between health behaviors, health insurance, and health outcomes; Information technology's role in healthcare; A comparison of US healthcare to that in other countries, with a focus on the four basic models on which most healthcare systems are created to enhance and assess students' learning, each of the book's chapters features case studies, thought-provoking questions and assignments, sidebars, and key terms accompanied by definitions.
As they read, future healthcare administrators and clinicians will obtain a grounding in the multifaceted US healthcare system, thus enabling them to better address its multiple priorities, controversies, and opportunities.
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.
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.
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