Hospital City Health Care Nation

Author : Guian A. McKee
Publisher : University of Pennsylvania Press
Page : 393 pages
File Size : 43,8 Mb
Release : 2023-03-07
Category : History
ISBN : 9781512823929

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Hospital City, Health Care Nation by Guian A. McKee Pdf

Hospital City, Health Care Nation recasts the story of the U.S. health care system by emphasizing its economic, social, and medical importance in American communities. Focusing on urban hospitals and academic medical centers, the book argues that the country's high level of health care spending has allowed such institutions to become vital, if often problematic, economic anchors for communities. Yet that spending has also constrained possibilities for comprehensive health care reform over many decades, even after the passage of the Affordable Care Act in 2010. At the same time, the role of hospitals in urban renewal, in community health provision, and as employers of low-wage workers has contributed directly to racial health disparities. Guian A. McKee explores these issues through a detailed historical case study of Baltimore's Johns Hopkins Hospital while also tracing their connections across governmental scales--local, state, and federal. He shows that health care spending and its consequences, rather than insurance coverage alone, are core issues in the decades-long struggle over the American health care system. In particular, Hospital City, Health Care Nation points to the increased role of financial capital after the 1960s in shaping not only hospital growth but also the underlying character of these vital institutions. The book shows how hospitals' quest for capital has interacted with structural racism and inequality to shape and constrain the U.S. health care system. Building on this reassessment of the hospital system, its politics, and its financing, Hospital City, Health Care Nation offers ideas for the next steps in health care reform.

Author : Ezekiel J. Emanuel
Publisher : PublicAffairs
Page : 464 pages
File Size : 50,9 Mb
Release : 2020-06-16
Category : Political Science
ISBN : 9781541797727

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Which Country Has the World's Best Health Care? by Ezekiel J. Emanuel Pdf

The preeminent doctor and bioethicist Ezekiel Emanuel is repeatedly asked one question: Which country has the best healthcare? He set off to find an answer. The US spends more than any other nation, nearly $4 trillion, on healthcare. Yet, for all that expense, the US is not ranked #1 -- not even close. In Which Country Has the World's Best Healthcare? Ezekiel Emanuel profiles eleven of the world's healthcare systems in pursuit of the best or at least where excellence can be found. Using a unique comparative structure, the book allows healthcare professionals, patients, and policymakers alike to know which systems perform well, and why, and which face endemic problems. From Taiwan to Germany, Australia to Switzerland, the most inventive healthcare providers tackle a global set of challenges -- in pursuit of the best healthcare in the world.

Author : National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life
Publisher : National Academies Press
Page : 184 pages
File Size : 52,9 Mb
Release : 2004-09-08
Category : Social Science
ISBN : 9780309165860

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Understanding Racial and Ethnic Differences in Health in Late Life by National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life Pdf

As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

Author : Brian Alexander
Publisher : St. Martin's Griffin
Page : 0 pages
File Size : 43,5 Mb
Release : 2022-03-08
Category : Business & Economics
ISBN : 9781250828682

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The Hospital by Brian Alexander Pdf

"An intimate, heart wrenching portrait of one small hospital that reveals the magnitude of America's health care crises. By following the struggle for survival of one small-town hospital, and the patients who walk, or are carried, through its doors, The Hospital takes readers into the world of the American medical industry in a way no book has done before."--Publisher's description.

Author : Gary Geddes
Publisher : Heritage House Publishing Co
Page : 326 pages
File Size : 52,9 Mb
Release : 2017-02-15
Category : Social Science
ISBN : 9781772031652

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Medicine Unbundled by Gary Geddes Pdf

"We can no longer pretend we don't know about residential schools, murdered and missing Aboriginal women and 'Indian hospitals.' The only outstanding question is how we respond." —Tom Sandborn, Vancouver Sun A shocking exposé of the dark history and legacy of segregated Indigenous health care in Canada. After the publication of his critically acclaimed 2011 book Drink the Bitter Root: A Writer’s Search for Justice and Healing in Africa, author Gary Geddes turned the investigative lens on his own country, embarking on a long and difficult journey across Canada to interview Indigenous elders willing to share their experiences of segregated health care, including their treatment in the "Indian hospitals" that existed from coast to coast for over half a century. The memories recounted by these survivors—from gratuitous drug and surgical experiments to electroshock treatments intended to destroy the memory of sexual abuse—are truly harrowing, and will surely shatter any lingering illusions about the virtues or good intentions of our colonial past. Yet, this is more than just the painful history of a once-so-called vanishing people (a people who have resisted vanishing despite the best efforts of those in charge); it is a testament to survival, perseverance, and the power of memory to keep history alive and promote the idea of a more open and just future. Released to coincide with the Year of Reconciliation (2017), Medicine Unbundled is an important and timely contribution to our national narrative.

Author : Sandra Opdycke
Publisher : Oxford University Press
Page : 264 pages
File Size : 47,5 Mb
Release : 2000-09-28
Category : History
ISBN : 9780195349818

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No One Was Turned Away by Sandra Opdycke Pdf

No One Was Turned Away is a book about the importance of public hospitals to New York City. At a time when less and less value seems to be placed on public institutions, argues author Sandra Opdycke, it is both useful and prudent to consider what this particular set of public institutions has meant to this particular city over the last hundred years, and to ponder what its loss might mean as well. Opdycke suggests that if these public hospitals close or convert to private management--as is currently being discussed--then a vital element of the civic life of New York City will be irretrievably lost. The story is told primarily through the history of Bellevue Hospital, the largest public hospital in the city and the oldest in the nation. Following Bellevue through the twentieth century, Opdycke meticulously charts the fluctuating fortunes of the city's public hospital system. Readers will learn how medical technology, urban politics, changing immigration patterns, economic booms and busts, labor unions, health insurance, Medicaid, and managed care have interacted to shape both the social and professional environments of New York's public hospitals. Having entered the twentieth century with high hopes for a grand expansion, Bellevue now faces financial and political pressures so acute that its very future is in doubt. In order to give context to the Bellevue experience, Opdycke also tracks the history of a private facility over the same century: New York Hospital. By noting the points at which the paths of these two mighty institutions have overlapped--as well as the ways in which they have diverged--this book clearly and persuasively highlights the significance of public hospitals to the city. No One Was Turned Away shows that private facilities like New York Hospital have generally provided superb care for their patients, but that in every era they have also excluded certain groups. This exclusion has occurred for various reasons, such as patients' diagnoses, their social characteristics, behavior, or financial status--or simply because of a lack of unoccupied beds. Fortunately, however, year in and year out, Bellevue and its fellow public facilities have acted as the city's medical safety net. Opdycke's book maintains that public hospitals will be as essential in the future as they have been in the past. This is a thoughtful and well-written study that will appeal to anyone interested in the history of medicine, public policy, urban affairs, or the City of New York.

Author : John Lavis
Publisher : Unknown
Page : 442 pages
File Size : 40,9 Mb
Release : 2016-12
Category : Medical care
ISBN : 1927565111

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Ontario's Health System by John Lavis Pdf

Author : Richard (Buz) Cooper
Publisher : JHU Press
Page : 305 pages
File Size : 43,6 Mb
Release : 2016-08-15
Category : Medical
ISBN : 9781421420233

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Poverty and the Myths of Health Care Reform by Richard (Buz) Cooper Pdf

Proof that high health care spending is linked directly to poverty. In Poverty and the Myths of Health Care Reform, Dr. Richard (Buz) Cooper argues that US poverty and high health care spending are inextricably entwined. Our nation's health care system bears a financial burden that is greater than in any other developed country in large part because impoverished patients use more health care, driving up costs across the board. Drawing on decades of research, Dr. Cooper illuminates the geographic patterns of poverty, wealth, and health care utilization that exist across neighborhoods, regions, and states—and among countries. He chronicles the historical threads that have led to such differences, examines the approaches that have been taken to combat poverty throughout US history, and analyzes the impact that structural changes now envisioned for clinical practice are likely to have. His research reveals that ignoring the impact of low income on health care utilization while blaming rising costs on waste, inefficiency, and unnecessary care has led policy makers to reshape clinical practice in ways that impede providers who care for the poor. The first book to address the fundamental nexus that binds poverty and income inequality to soaring health care utilization and spending, Poverty and the Myths of Health Care Reform is a must-read for medical professionals, public health scholars, politicians, and anyone concerned with the heavy burden of inequality on the health of Americans.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Publisher : National Academies Press
Page : 161 pages
File Size : 51,6 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9780309469210

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Health-Care Utilization as a Proxy in Disability Determination by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities Pdf

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.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Committee on Community-Based Solutions to Promote Health Equity in the United States
Publisher : National Academies Press
Page : 583 pages
File Size : 43,7 Mb
Release : 2017-04-27
Category : Medical
ISBN : 9780309452960

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Communities in Action by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Committee on Community-Based Solutions to Promote Health Equity in the United States Pdf

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.

Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher : Unknown
Page : 256 pages
File Size : 51,9 Mb
Release : 1989
Category : Federal aid to hospitals
ISBN : STANFORD:36105111208281

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Fiscal Year 1990 Budget Issues Relating to Payment of Inner-city and Rural Hospitals Under Part A of the Medicare Program by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Pdf

Author : Committee for the Study of the Future of Public Health,Division of Health Care Services,Institute of Medicine
Publisher : National Academies Press
Page : 240 pages
File Size : 49,7 Mb
Release : 1988-01-15
Category : Medical
ISBN : 9780309581905

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The Future of Public Health by Committee for the Study of the Future of Public Health,Division of Health Care Services,Institute of Medicine Pdf

"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.

Author : United States. Congress. House. Committee on the Budget. Task Force on Human Resources
Publisher : Unknown
Page : 240 pages
File Size : 42,7 Mb
Release : 1990
Category : Federal aid to medical care research
ISBN : PSU:000016123304

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Critical Health Funding Issues by United States. Congress. House. Committee on the Budget. Task Force on Human Resources Pdf

Author : World Health Organization
Publisher : World Health Organization
Page : 442 pages
File Size : 46,5 Mb
Release : 2013
Category : Medical
ISBN : 9789241548373

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Pocket Book of Hospital Care for Children by World Health Organization Pdf

The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.

Author : United States. Congress. Senate. Committee on Labor and Human Resources
Publisher : Unknown
Page : 140 pages
File Size : 40,7 Mb
Release : 1987
Category : Health insurance
ISBN : PURD:32754077662926

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Essential Health Care by United States. Congress. Senate. Committee on Labor and Human Resources Pdf