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America's Health Care Safety Net

Institute of Medicine,Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers

Author : Institute of Medicine,Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers
Publisher : National Academies Press
Page : 303 pages
File Size : 51,7 Mb
Release : 2000-08-04
Category : Medical
ISBN : 9780309172851

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America's Health Care Safety Net by Institute of Medicine,Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers Pdf

America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.

America's Health Care Safety Net

Institute of Medicine,Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers

Author : Institute of Medicine,Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers
Publisher : National Academies Press
Page : 304 pages
File Size : 48,6 Mb
Release : 2000-09-04
Category : Medical
ISBN : 9780309064972

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America's Health Care Safety Net by Institute of Medicine,Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers Pdf

America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.

The Health Care Safety Net in a Post-Reform World

Sara Rosenbaum,Mark A. Hall

Author : Sara Rosenbaum,Mark A. Hall
Publisher : Rutgers University Press
Page : 297 pages
File Size : 42,7 Mb
Release : 2012-08-03
Category : Medical
ISBN : 9780813553177

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The Health Care Safety Net in a Post-Reform World by Sara Rosenbaum,Mark A. Hall Pdf

The Health Care Safety Net in a Post-Reform World examines how national health care reform will impact safety net programs that serve low-income and uninsured patients. The “safety net” refers to the collection of hospitals, clinics, and doctors who treat disadvantaged people, including those without insurance, regardless of their ability to pay. Despite comprehensive national health care reform, over twenty million people will remain uninsured. And many of those who obtain insurance from reform will continue to face shortages of providers in their communities willing or able to serve them. As the demand for care grows with expanded insurance, so will the pressure on an overstretched safety net. This book, with contributions from leading health care scholars, is the first comprehensive assessment of the safety net in over a decade. Rather than view health insurance and the health care safety net as alternatives to each other, it examines their potential to be complementary aspects of a broader effort to achieve equity and quality in health care access. It also considers whether the safety net can be improved and strengthened to a level that can provide truly universal access, both through expanded insurance and the creation of a well-integrated and reasonably supported network of direct health care access for the uninsured. Seeing safety net institutions as key components of post-health care reform in the United States—as opposed to stop-gap measures or as part of the problem—is a bold idea. And as presented in this volume, it is an idea whose time has come.

The Safety-Net Health Care System

Gunnar Robert Almgren,Taryn Lindhorst

Author : Gunnar Robert Almgren,Taryn Lindhorst
Publisher : Springer Publishing Company
Page : 408 pages
File Size : 49,7 Mb
Release : 2012
Category : Medical
ISBN : 9780826105714

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The Safety-Net Health Care System by Gunnar Robert Almgren,Taryn Lindhorst Pdf

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America's Children

Institute of Medicine and National Research Council,Institute of Medicine,Committee on Children, Health Insurance, and Access to Care

Author : Institute of Medicine and National Research Council,Institute of Medicine,Committee on Children, Health Insurance, and Access to Care
Publisher : National Academies Press
Page : 216 pages
File Size : 47,8 Mb
Release : 1998-10-27
Category : Medical
ISBN : 9780309173933

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America's Children by Institute of Medicine and National Research Council,Institute of Medicine,Committee on Children, Health Insurance, and Access to Care Pdf

America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.

A Safety Net That Works

Robert Doar

Author : Robert Doar
Publisher : Rowman & Littlefield
Page : 262 pages
File Size : 42,5 Mb
Release : 2017-02-13
Category : Political Science
ISBN : 9780844750064

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A Safety Net That Works by Robert Doar Pdf

This is an edited volume reviewing the major means-tested social programs in the United States. Each author addresses a major program or area, reviewing each area’s successes and recommending how to address shortcomings through policy change. In general, our means-tested programs do many things well, but some adjustments to each could make the system much more effective. This book provides policymakers with a broad overview of the issues at hand in each program and how to address them.

To Err Is Human

Institute of Medicine,Committee on Quality of Health Care in America

Author : Institute of Medicine,Committee on Quality of Health Care in America
Publisher : National Academies Press
Page : 312 pages
File Size : 51,5 Mb
Release : 2000-03-01
Category : Medical
ISBN : 9780309068376

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To Err Is Human by Institute of Medicine,Committee on Quality of Health Care in America Pdf

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

Health Care Off the Books

Danielle T. Raudenbush

Author : Danielle T. Raudenbush
Publisher : University of California Press
Page : 208 pages
File Size : 53,8 Mb
Release : 2020-02-11
Category : Social Science
ISBN : 9780520305625

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Health Care Off the Books by Danielle T. Raudenbush Pdf

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.

Care Without Coverage

Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance

Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 213 pages
File Size : 48,8 Mb
Release : 2002-06-20
Category : Medical
ISBN : 9780309083430

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Care Without Coverage by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

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 American Health Care Paradox

Elizabeth H. Bradley,Lauren A. Taylor

Author : Elizabeth H. Bradley,Lauren A. Taylor
Publisher : PublicAffairs
Page : 272 pages
File Size : 47,5 Mb
Release : 2013-11-05
Category : Political Science
ISBN : 9781610392105

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The American Health Care Paradox by Elizabeth H. Bradley,Lauren A. Taylor Pdf

Foreword by Harvey V. Fineberg, President of the Institute of Medicine For decades, experts have puzzled over why the US spends more on health care but suffers poorer outcomes than other industrialized nations. Now Elizabeth H. Bradley and Lauren A. Taylor marshal extensive research, including a comparative study of health care data from thirty countries, and get to the root of this paradox: We've left out of our tally the most impactful expenditures countries make to improve the health of their populations-investments in social services. In The American Health Care Paradox, Bradley and Taylor illuminate how narrow definitions of "health care," archaic divisions in the distribution of health and social services, and our allergy to government programs combine to create needless suffering in individual lives, even as health care spending continues to soar. They show us how and why the US health care "system" developed as it did; examine the constraints on, and possibilities for, reform; and profile inspiring new initiatives from around the world. Offering a unique and clarifying perspective on the problems the Affordable Care Act won't solve, this book also points a new way forward.

Coverage Matters

Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance

Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 204 pages
File Size : 52,8 Mb
Release : 2001-10-27
Category : Medical
ISBN : 9780309076098

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Coverage Matters by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

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.

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

Institute of Medicine,Board on Health Promotion and Disease Prevention,Committee on Assuring the Health of the Public in the 21st Century

Author : Institute of Medicine,Board on Health Promotion and Disease Prevention,Committee on Assuring the Health of the Public in the 21st Century
Publisher : National Academies Press
Page : 536 pages
File Size : 44,6 Mb
Release : 2003-02-01
Category : Medical
ISBN : 9780309133180

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The Future of the Public's Health in the 21st Century by Institute of Medicine,Board on Health Promotion and Disease Prevention,Committee on Assuring the Health of the Public in the 21st Century Pdf

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.

Crossing the Quality Chasm

Institute of Medicine,Committee on Quality of Health Care in America

Author : Institute of Medicine,Committee on Quality of Health Care in America
Publisher : National Academies Press
Page : 360 pages
File Size : 50,7 Mb
Release : 2001-08-19
Category : Medical
ISBN : 9780309072809

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Crossing the Quality Chasm by Institute of Medicine,Committee on Quality of Health Care in America Pdf

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Healthcare Reform, Quality and Safety

Jeffrey Braithwaite,Yukihiro Matsuyama,Julie Johnson

Author : Jeffrey Braithwaite,Yukihiro Matsuyama,Julie Johnson
Publisher : CRC Press
Page : 541 pages
File Size : 49,9 Mb
Release : 2017-03-02
Category : Political Science
ISBN : 9781317123217

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Healthcare Reform, Quality and Safety by Jeffrey Braithwaite,Yukihiro Matsuyama,Julie Johnson Pdf

This book offers a global perspective on healthcare reform and its relationship with efforts to improve quality and safety. It looks at the ways reforms have developed in 30 countries, and specifically the impact national reform initiatives have had on the quality and safety of care. It explores how reforms drive quality and safety improvement, and equally how they act to negate such goals. Every country included in this book is involved in a reform and improvement process, but each takes place in a particular social, cultural, economic and developmental context, leading to differing emphases and varied progress. Methods for tackling common problems - financing, efficiencies, effectiveness, evidence-based practice, institutional reforms, quality improvement, and patient safety initiatives - also differ. Representatives from each nation provide a chapter to convey their own situation. The editors draw a conclusion from these numerous contributions and synthesize the themes emerging into a coherent ’lessons learned’ summary that delivers value to the numerous stakeholders. Healthcare Reform, Quality and Safety forms a compendium of the current ’state of the art’ in global healthcare reform. This is the first book of its type, and offers a unique opportunity for cross-fertilization of ideas to the mutual benefit of countries involved in the project. The content will be of interest to governments, policymakers, managers and leaders, clinicians, teaching academics, researchers and students.

Holes in the Safety Net

Ezra Rosser

Author : Ezra Rosser
Publisher : Cambridge University Press
Page : 273 pages
File Size : 51,6 Mb
Release : 2019-08
Category : Law
ISBN : 9781108475730

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Holes in the Safety Net by Ezra Rosser Pdf

An overview of the role played by federalism in anti-poverty policy and in poverty law.

America S Health Care Safety Net

America's Health Care Safety Net by Institute of Medicine,Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers Pdf

America's Health Care Safety Net by Institute of Medicine,Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers Pdf

The Health Care Safety Net in a Post-Reform World by Sara Rosenbaum,Mark A. Hall Pdf

The Safety-Net Health Care System by Gunnar Robert Almgren,Taryn Lindhorst Pdf

America's Children by Institute of Medicine and National Research Council,Institute of Medicine,Committee on Children, Health Insurance, and Access to Care Pdf

A Safety Net That Works by Robert Doar Pdf

To Err Is Human by Institute of Medicine,Committee on Quality of Health Care in America Pdf

Health Care Off the Books by Danielle T. Raudenbush Pdf

Care Without Coverage by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

The American Health Care Paradox by Elizabeth H. Bradley,Lauren A. Taylor Pdf

Coverage Matters by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

The Future of the Public's Health in the 21st Century by Institute of Medicine,Board on Health Promotion and Disease Prevention,Committee on Assuring the Health of the Public in the 21st Century Pdf

Crossing the Quality Chasm by Institute of Medicine,Committee on Quality of Health Care in America Pdf

Healthcare Reform, Quality and Safety by Jeffrey Braithwaite,Yukihiro Matsuyama,Julie Johnson Pdf

Holes in the Safety Net by Ezra Rosser Pdf

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