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Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care
Publisher : Unknown
Page : 224 pages
File Size : 46,8 Mb
Release : 1993
Category : History
ISBN : LOC:00183963909
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee to Evaluate the Department of Veterans Affairs Mental Health Services
Publisher : National Academies Press
Page : 467 pages
File Size : 53,8 Mb
Release : 2018-03-29
Category : Medical
ISBN : 9780309466608
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care
Publisher : Unknown
Page : 298 pages
File Size : 50,8 Mb
Release : 1994
Category : Business & Economics
ISBN : UOM:39015042563893
Author : United States. Department of Veterans Affairs
Publisher : Unknown
Page : 22 pages
File Size : 45,8 Mb
Release : 2004
Category : Families of military personnel
ISBN : UIUC:30112055134156
Author : United States. Congress. Senate. Committee on Veterans' Affairs
Publisher : Unknown
Page : 360 pages
File Size : 41,6 Mb
Release : 1993
Category : History
ISBN : STANFORD:36105111205865
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Integrating Social Needs Care into the Delivery of Health Care to Improve the Nation's Health
Publisher : National Academies Press
Page : 195 pages
File Size : 55,8 Mb
Release : 2019-12-30
Category : Medical
ISBN : 9780309493468
Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.
Author : Institute of Medicine,Board on Health Care Services
Publisher : National Academies Press
Page : 159 pages
File Size : 43,7 Mb
Release : 2012-11-20
Category : Medical
ISBN : 9780309262057
In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Author : Institute of Medicine,Division of Health Care Services,VA Pharmacy Formulary Analysis Committee
Publisher : National Academies Press
Page : 280 pages
File Size : 42,5 Mb
Release : 2000-10-03
Category : Medical
ISBN : 9780309183536
The VA National Formulary generated controversy, which motivated congressional scrutiny and a directive to the VA to commission this report reviewing the experience with the National Formulary and formulary system. This Institute of Medicine committee was pleased to assist the Congress with this review, in part because the committee saw in the VHA example an opportunity to understand and anticipate problems that all publicly funded programs are likely to encounter in this new age of pharmaceuticals. The Congress asked the committee to review the restrictiveness of the National Formulary, its impact on the costs and quality of care in the VHA, and how it compared to formularies and drug management practices in the private sector and in other public programs, especially Medicaid. Detailed in the pages that follow, the committee's findings and conclusions on these questions are, the committee believes, highly instructive, though not always in the ways that we anticipated.
Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care
Publisher : Unknown
Page : 214 pages
File Size : 40,5 Mb
Release : 1993
Category : History
ISBN : PURD:32754064072980
Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care
Publisher : Unknown
Page : 288 pages
File Size : 50,5 Mb
Release : 1994
Category : Business & Economics
ISBN : PURD:32754078063850
Author : Claude Da Costa
Publisher : Nova Science Publishers
Page : 0 pages
File Size : 43,6 Mb
Release : 2013
Category : Veterans
ISBN : 1624173713
The Veterans Health Administration (VHA), within the Department of Veterans Affairs (VA), operates the nation's largest integrated direct health care delivery system, provides care to more than 5.5 million unique veteran patients, and employs more than 258,000 full-time equivalent employees. While Medicare, Medicaid, and the Children's Health Insurance Program (CHIP) are also publicly funded programs, most health care services under these programs are delivered by private providers in private facilities. In contrast, the VA health care system could be categorised as a veteran-specific national health care system, in the sense that the federal government owns the medical facilities and employs the health care providers. This book provides an analysis of veterans health care with a focus on frequently asked questions; basic eligibility for veterans' benefits; health care for survivors and dependants of veterans; FY2013 appropriations; and weaknesses in policies and oversight governing medical supplies.
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 : 54,9 Mb
Release : 1988-01-15
Category : Medical
ISBN : 9780309581905
"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 : 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 : 55,5 Mb
Release : 2003-02-01
Category : Medical
ISBN : 9780309133180
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.
Author : Claude Da Costa
Publisher : Unknown
Page : 159 pages
File Size : 48,7 Mb
Release : 2013
Category : Health & Fitness
ISBN : 1624173721
The Veterans Health Administration (VHA), within the Department of Veterans Affairs (VA), operates the nation's largest integrated direct health care delivery system, provides care to more than 5.5 million unique veteran patients, and employs more than 258,000 full-time equivalent employees. While Medicare, Medicaid, and the Children's Health Insurance Program (CHIP) are also publicly funded programs, most health care services under these programs are delivered by private providers in private facilities. In contrast, the VA health care system could be categorized as a veteran-specific national health care system, in the sense that the federal government owns the medical facilities and employs the health care providers. This book provides an analysis of veterans health care with a focus on frequently asked questions; basic eligibility for veterans' benefits; health care for survivors and dependents of veterans; FY2013 appropriations; and weaknesses in policies and oversight governing medical supplies.
Author : Institute of Medicine,Committee on Enhancing Federal Healthcare Quality Programs
Publisher : National Academies Press
Page : 206 pages
File Size : 49,9 Mb
Release : 2003-05-21
Category : Medical
ISBN : 9780309168885
The federal government operates six major health care programs that serve nearly 100 million Americans. Collectively, these programs significantly influence how health care is provided by the private sector. Leadership by Example explores how the federal government can leverage its unique position as regulator, purchaser, provider, and research sponsor to improve care - not only in these six programs but also throughout the nation's health care system. The book describes the federal programs and the populations they serve: Medicare (elderly), Medicaid (low income), SCHIP (children), VHA (veterans), TRICARE (individuals in the military and their dependents), and IHS (native Americans). It then examines the steps each program takes to assure and improve safety and quality of care. The Institute of Medicine proposes a national quality enhancement strategy focused on performance measurement of clinical quality and patient perceptions of care. The discussion on which this book focuses includes recommendations for developing and pilot-testing performance measures, creating an information infrastructure for comparing performance and disseminating results, and more. Leadership by Example also includes a proposed research agenda to support quality enhancement. The third in the series of books from the Quality of Health Care in America project, this well-targeted volume will be important to all readers of To Err Is Human and Crossing the Quality Chasm - as well as new readers interested in the federal government's role in health care.