Populations At Risk In America

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U.S. Health in International Perspective

Author : National Research Council,Institute of Medicine,Board on Population Health and Public Health Practice,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Understanding Cross-National Health Differences Among High-Income Countries
Publisher : National Academies Press
Page : 421 pages
File Size : 44,6 Mb
Release : 2013-04-12
Category : Social Science
ISBN : 9780309264143

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U.S. Health in International Perspective by National Research Council,Institute of Medicine,Board on Population Health and Public Health Practice,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Understanding Cross-National Health Differences Among High-Income Countries Pdf

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

Populations At Risk In America

Author : George J Demko,Michael C. Jackson
Publisher : Routledge
Page : 262 pages
File Size : 43,5 Mb
Release : 2019-06-04
Category : Social Science
ISBN : 9781000307733

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Populations At Risk In America by George J Demko,Michael C. Jackson Pdf

As this century draws to a close and the new one approaches, the United States is still struggling with serious and persistent social problems. These troubling dilemmas, including poverty, homelessness, discrimination, and severe inequity, afflict some subgroups of the population more than others, and it is the plight of these at-risk groups—childr

At Risk in America, 7 X 10

Author : Lu Ann Aday
Publisher : Jossey-Bass
Page : 410 pages
File Size : 50,9 Mb
Release : 1993-02-24
Category : Health & Fitness
ISBN : STANFORD:36105004437260

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At Risk in America, 7 X 10 by Lu Ann Aday Pdf

Lu Ann Aday has undertaken extensive research on vulnerable populations, and in this book, she provides a comprehensive reference on the characteristics and needs of many at risk groups in America today--including the homeless, refugees, and immigrants, people suffering from AIDS, alcohol and substance abusers, high-risk mothers and infants, victims of family or other violence, and the chronically or mentally ill. Aday offers a systematic and cross-cutting overview of the issues that affect all these groups, and she discusses the steps necessary to achieve a more community-oriented health policy that can be effective in decreasing vulnerability.

Populations at Risk in America

Author : George J. Demko,Michael C. Jackson
Publisher : Routledge
Page : 186 pages
File Size : 55,6 Mb
Release : 2019-09-27
Category : Electronic
ISBN : 0367283905

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Populations at Risk in America by George J. Demko,Michael C. Jackson Pdf

As this century draws to a close and the new one approaches, the United States is still struggling with serious and persistent social problems. These troubling dilemmas, including poverty, homelessness, discrimination, and severe inequity, afflict some subgroups of the population more than others, and it is the plight of these at-risk groups. This book provides keen and powerful insights into the problems affecting the "disadvantaged" populations of this nation. The contributors' informed perspectives are critically important if we are to comprehend the scale and complexity of the obstacles to achieving an "equitable society" in the twenty-first century.

At Risk in America

Author : Lu Ann Aday
Publisher : John Wiley & Sons
Page : 399 pages
File Size : 54,9 Mb
Release : 2002-02-28
Category : Medical
ISBN : 9780787959326

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At Risk in America by Lu Ann Aday Pdf

This updated second edition of At Risk in America provides a detailed analysis of those key population groups most vulnerable to disease and injury in the United States today-including homeless persons, refugees and immigrants, people living with AIDS, alcohol and substance abusers, high-risk mothers and infants, victims of family or other violence, and the chronically or mentally ill. Lu Ann Aday reviews the major theories and knowledge concerning these at-risk groups and offers new approaches and methodologies for tracing the social determinants and societal influences on health. She examines the specific health needs and risks faced by these groups, their experience in the health care system, the current policies and programs that serve them, and the research and policy initiatives that might be undertaken to help reduce their vulnerability.

Communities in Action

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 : 41,9 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.

The Future of the Public's Health 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 : 42,5 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.

Systems Practices for the Care of Socially At-Risk Populations

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Population Health and Public Health Practice,Committee on Accounting for Socioeconomic Status in Medicare Payment Programs
Publisher : National Academies Press
Page : 95 pages
File Size : 47,9 Mb
Release : 2016-05-07
Category : Medical
ISBN : 9780309391979

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Systems Practices for the Care of Socially At-Risk Populations by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Population Health and Public Health Practice,Committee on Accounting for Socioeconomic Status in Medicare Payment Programs Pdf

The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor health outcomes (e.g., individuals with low socioeconomic position, racial and ethnic minorities, gender and sexual minorities, socially isolated persons, and individuals residing in disadvantaged neighborhoods) may be more likely to fare poorly on quality rankings and to receive financial penalties, and less likely to receive financial rewards. The drivers of these disparities are poorly understood, and differences in interpretation have led to divergent concerns about the potential effect of VBP on health equity. Some suggest that underlying differences in patient characteristics that are out of the control of providers lead to differences in health outcomes. At the same time, others are concerned that differences in outcomes between providers serving socially at-risk populations and providers serving the general population reflect disparities in the provision of health care. Systems Practices for the Care of Socially At-Risk Populations seeks to better distinguish the drivers of variations in performance among providers disproportionately serving socially at-risk populations and identifies methods to account for social risk factors in Medicare payment programs. This report identifies best practices of high-performing hospitals, health plans, and other providers that serve disproportionately higher shares of socioeconomically disadvantaged populations and compares those best practices of low-performing providers serving similar patient populations. It is the second in a series of five brief reports that aim to inform the Office of the Assistant Secretary of Planning and Evaluation (ASPE) analyses that account for social risk factors in Medicare payment programs mandated through the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.

Group Work with Populations at Risk

Author : Geoffrey L. Greif,Paul H. Ephross
Publisher : Oxford University Press, USA
Page : 477 pages
File Size : 44,9 Mb
Release : 2005
Category : Medical
ISBN : 9780195156676

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Group Work with Populations at Risk by Geoffrey L. Greif,Paul H. Ephross Pdf

"Group Work with Populations at Risk, 2nd Edition", is a fundamental book aimed at social workers and other mental health professionals interested in at-risk groups with specific populations. Accessible and practical as well as scientifically and theoretically sound, the text provides a set of guidelines for social workers who are called upon to work with groups of people facing such issues as cancer, AIDS, addiction, head injury, divorce, mental illness, and abuse. The second edition expands the scope of the book to additionally address the significant world developments that have affected th.

Lives at Risk

Author : John C. Goodman,Gerald L. Musgrave,Devon M. Herrick
Publisher : Rowman & Littlefield
Page : 278 pages
File Size : 41,5 Mb
Release : 2004
Category : Health care reform
ISBN : 0742541525

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Lives at Risk by John C. Goodman,Gerald L. Musgrave,Devon M. Herrick Pdf

Lives at Risk identifies 20 myths about health care as delivered in countries that have national health insurance. These myths have gained the status of fact in both the United States and abroad, even though the evidence shows a far different reality. The authors also explore the political and economic climate of the health care system and offer alternatives to the current health care public policies.

Hispanics and the Future of America

Author : National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Hispanics in the United States
Publisher : National Academies Press
Page : 502 pages
File Size : 52,6 Mb
Release : 2006-02-23
Category : Social Science
ISBN : 9780309164818

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Hispanics and the Future of America by National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Hispanics in the United States Pdf

Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.

Front-of-Package Nutrition Rating Systems and Symbols

Author : Institute of Medicine,Food and Nutrition Board,Committee on Examination of Front-of-Package Nutrition Rating Systems and Symbols (Phase II)
Publisher : National Academies Press
Page : 180 pages
File Size : 47,5 Mb
Release : 2012-01-30
Category : Medical
ISBN : 9780309218238

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Front-of-Package Nutrition Rating Systems and Symbols by Institute of Medicine,Food and Nutrition Board,Committee on Examination of Front-of-Package Nutrition Rating Systems and Symbols (Phase II) Pdf

During the past decade, tremendous growth has occurred in the use of nutrition symbols and rating systems designed to summarize key nutritional aspects and characteristics of food products. These symbols and the systems that underlie them have become known as front-of-package (FOP) nutrition rating systems and symbols, even though the symbols themselves can be found anywhere on the front of a food package or on a retail shelf tag. Though not regulated and inconsistent in format, content, and criteria, FOP systems and symbols have the potential to provide useful guidance to consumers as well as maximize effectiveness. As a result, Congress directed the Centers for Disease Control and Prevention (CDC) to undertake a study with the Institute of Medicine (IOM) to examine and provide recommendations regarding FOP nutrition rating systems and symbols. The study was completed in two phases. Phase I focused primarily on the nutrition criteria underlying FOP systems. Phase II builds on the results of Phase I while focusing on aspects related to consumer understanding and behavior related to the development of a standardized FOP system. Front-of-Package Nutrition Rating Systems and Symbols focuses on Phase II of the study. The report addresses the potential benefits of a single, standardized front-label food guidance system regulated by the Food and Drug Administration, assesses which icons are most effective with consumer audiences, and considers the systems/icons that best promote health and how to maximize their use.

Health-Care Utilization as a Proxy in Disability Determination

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 : 50,7 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.

Retooling for an Aging America

Author : Institute of Medicine,Board on Health Care Services,Committee on the Future Health Care Workforce for Older Americans
Publisher : National Academies Press
Page : 317 pages
File Size : 41,8 Mb
Release : 2008-09-27
Category : Medical
ISBN : 9780309115872

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Retooling for an Aging America by Institute of Medicine,Board on Health Care Services,Committee on the Future Health Care Workforce for Older Americans Pdf

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.

Medical Surge Capacity

Author : Institute of Medicine,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Catastrophic Events
Publisher : National Academies Press
Page : 177 pages
File Size : 54,8 Mb
Release : 2010-03-18
Category : Medical
ISBN : 9780309152372

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Medical Surge Capacity by Institute of Medicine,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Catastrophic Events Pdf

During natural disasters, disease pandemics, terrorist attacks, and other public health emergencies, the health system must be prepared to accommodate a surge in the number of individuals seeking medical help. For the health community, a primary concern is how to provide care to individuals during such high demand, when the health system's resources are exhausted and there are more patients than the system can accommodate. The IOM's Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop June 10-11, 2009, to assess the capability of and tools available to federal, state, and local governments to respond to a medical surge. In addition, participants discussed strategies for the public and private sectors to improve preparedness for such a surge. The workshop brought together leaders in the medical and public health preparedness fields, including policy makers from federal agencies and state and local public health departments; providers from the health care community; and health care and hospital administrators. This document summarizes the workshop.