The Healthcare Imperative

Author : Institute of Medicine,Roundtable on Evidence-Based Medicine
Publisher : National Academies Press
Page : 852 pages
File Size : 50,7 Mb
Release : 2011-01-17
Category : Medical
ISBN : 9780309144339

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The Healthcare Imperative by Institute of Medicine,Roundtable on Evidence-Based Medicine Pdf

The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.

Author : Institute of Medicine,Roundtable on Evidence-Based Medicine
Publisher : National Academies Press
Page : 853 pages
File Size : 53,7 Mb
Release : 2010-12-17
Category : Medical
ISBN : 9780309186834

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The Healthcare Imperative by Institute of Medicine,Roundtable on Evidence-Based Medicine Pdf

The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.

Author : Pierre L. Yong,Robert S. Saunders,LeighAnne Olsen
Publisher : Unknown
Page : 0 pages
File Size : 40,9 Mb
Release : 2010
Category : Health care reform
ISBN : OCLC:961504641

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The Healthcare Imperative by Pierre L. Yong,Robert S. Saunders,LeighAnne Olsen Pdf

Author : Carrie R. Rich,J. Knox Singleton,Seema S. Wadhwa
Publisher : Routledge
Page : 226 pages
File Size : 51,8 Mb
Release : 2013
Category : Business & Economics
ISBN : 9780415530354

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Sustainability for Healthcare Management by Carrie R. Rich,J. Knox Singleton,Seema S. Wadhwa Pdf

"Sustainability is not unique to health, but is a unique vehicle for promoting healthy values. This book focuses readers on upstream decision-making in the healthcare delivery setting to think through the implications of our decisions from fiscal, societal and environmental perspectives. It aims to link health values with sustainability drivers in order to enlighten leadership about the value of sustainability as we move toward a new paradigm of health. Carrie R. Rich, J. Knox Singleton, and Seema Wadhwa explore leadership priorities, linking them to sustainability, through an imaginary health leader, Fred, the Chief Executive Officer (CEO) of Memorial Hospital, a community hospital based in the United States. Each chapter frames a leadership priority through a storyline that involves the main character. Practical applications featuring evidence-based sustainability accomplishments and the coordinating reflections of renowned healthcare leaders are woven throughout the book. Every chapter includes leadership tools, illustrations and tables with tips and data to make an evidence-based case in support of health sustainability. The book includes a healthcare sustainability syllabus as well as suggested reading and teaching resources. Bringing together the key components and concepts of environmentally sustainable healthcare operations, this book will be of great importance to researchers, students and professionals working in health and healthcare management."--Provided by publisher.

Author : Institute of Medicine,Committee on the Learning Health Care System in America
Publisher : National Academies Press
Page : 437 pages
File Size : 45,8 Mb
Release : 2013-05-10
Category : Medical
ISBN : 9780309282819

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Best Care at Lower Cost by Institute of Medicine,Committee on the Learning Health Care System in America Pdf

America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Author : OECD,World Health Organization,World Bank Group
Publisher : OECD Publishing
Page : 96 pages
File Size : 46,9 Mb
Release : 2018-07-05
Category : Electronic
ISBN : 9789264300309

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Delivering Quality Health Services: A Global Imperative by OECD,World Health Organization,World Bank Group Pdf

This report describes the current situation with regard to universal health coverage and global quality of care, and outlines the steps governments, health services and their workers, together with citizens and patients need to urgently take.

Author : Peter Spurgeon,Cary L. Cooper,Ronald J. Burke
Publisher : Edward Elgar Publishing
Page : 288 pages
File Size : 52,7 Mb
Release : 2012-01-01
Category : Medical
ISBN : 9781849809856

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The Innovation Imperative in Health Care Organisations by Peter Spurgeon,Cary L. Cooper,Ronald J. Burke Pdf

ÔHealthy organisations are twice as likely to get better results than unhealthy ones, and this could be a matter of life and death if your business is healthcare. Whatever way you look at it, HR has a key role to play and the authors once again points the way.Õ Ð Clare Chapman, Group People Director, BT (British Telecoms) ÔIf healthcare systems around the world are to respond to the growing demands of an ageing population and advances in technology, then healthcare workforces will need to managed with imagination, agility and innovation. This important book sets out some of these challenges in a thoughtful and accessible way, allowing the reader to tap into the research pedigree of its authors and to draw out lessons and evidence which will inform both strategy and practice.Õ Ð Stephen Bevan, Director, Centre for Workforce Effectiveness, The Work Foundation This insightful book discusses vital concepts of system sustainability in terms of productivity, quality improvement, innovation and cost control in the context of maximising the potential of staff in the health care sector through effective human resource management. Health systems in the western world face increasingly intense pressure to contain or reduce costs, while countries such as China and India move towards universal coverage. The contributors illustrate that radical gains in efficiency and innovative practice are required internationally in health care systems. They argue that the high proportion of health care system costs invested in staffing place the human resource function at the forefront of meeting this challenge. Sustained system change and productivity gains, more effective management of staff and work climate are essential elements of reform and are all covered in this book The book provides practical examples as to how health service managers can rise to the challenge of sustaining services against greater pressures than ever before. It will strongly appeal to academics and students of health service management and public sector management. Health service managers, HR professionals in health as well as clinical staff will also find plenty of informative information in this enriching compendium.

Author : Pierre L. Yong,Robert S. Saunders,LeighAnne Olsen
Publisher : Unknown
Page : 825 pages
File Size : 46,7 Mb
Release : 2010
Category : Health care reform
ISBN : OCLC:698261686

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The Healthcare Imperative by Pierre L. Yong,Robert S. Saunders,LeighAnne Olsen Pdf

The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.

Author : Jordan A. Parsons,Elizabeth Chloe Romanis
Publisher : Oxford University Press
Page : 240 pages
File Size : 40,5 Mb
Release : 2021-10-21
Category : Medical
ISBN : 9780192649850

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Early Medical Abortion, Equality of Access, and the Telemedical Imperative by Jordan A. Parsons,Elizabeth Chloe Romanis Pdf

Telemedicine has recently become a key focus of healthcare systems globally, heavily influenced by the COVID-19 pandemic and the increased need for remote care pathways. Implementing telemedicine can bring myriad benefits for both patients and providers, and has the potential to make a huge impact by improving access to abortion care. In both the United Kingdom and United States, abortion is heavily regulated—exceptionally so when compared to other routine healthcare. This regulation has had the impact of exacerbating the social and geographical circumstances that can make access to abortion services difficult. This book examines telemedical provision of early medical abortion, alongside the access barriers created by laws in the United Kingdom and United States. It critically appraises a series of developments in this rapidly evolving subject, providing an up-to-date and well-informed analysis. In doing so, it argues that there is a moral imperative to introduce, retain, or reinstate (as applicable) telemedical early medical abortion.

Author : Institute of Medicine,Committee on Quality of Health Care in America
Publisher : National Academies Press
Page : 360 pages
File Size : 52,6 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.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Ensuring Patient Access to Affordable Drug Therapies
Publisher : National Academies Press
Page : 235 pages
File Size : 50,7 Mb
Release : 2018-03-01
Category : Medical
ISBN : 9780309468084

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Making Medicines Affordable by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Ensuring Patient Access to Affordable Drug Therapies Pdf

Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the vexing challenge of a seemingly uncontrolled rise in the cost of health care. Total medical expenditures are rapidly approaching 20 percent of the gross domestic product and are crowding out other priorities of national importance. The use of increasingly expensive prescription drugs is a significant part of this problem, making the cost of biopharmaceuticals a serious national concern with broad political implications. Especially with the highly visible and very large price increases for prescription drugs that have occurred in recent years, finding a way to make prescription medicinesâ€"and health care at largeâ€"more affordable for everyone has become a socioeconomic imperative. Affordability is a complex function of factors, including not just the prices of the drugs themselves, but also the details of an individual's insurance coverage and the number of medical conditions that an individual or family confronts. Therefore, any solution to the affordability issue will require considering all of these factors together. The current high and increasing costs of prescription drugsâ€"coupled with the broader trends in overall health care costsâ€"is unsustainable to society as a whole. Making Medicines Affordable examines patient access to affordable and effective therapies, with emphasis on drug pricing, inflation in the cost of drugs, and insurance design. This report explores structural and policy factors influencing drug pricing, drug access programs, the emerging role of comparative effectiveness assessments in payment policies, changing finances of medical practice with regard to drug costs and reimbursement, and measures to prevent drug shortages and foster continued innovation in drug development. It makes recommendations for policy actions that could address drug price trends, improve patient access to affordable and effective treatments, and encourage innovations that address significant needs in health care.

Author : Sonja M. Kim
Publisher : University of Hawaii Press
Page : 241 pages
File Size : 49,7 Mb
Release : 2019-01-31
Category : History
ISBN : 9780824855482

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Imperatives of Care by Sonja M. Kim Pdf

In late nineteenth- and early twentieth-century Korea, public health priorities in maternal and infant welfare privileged the new nation’s reproductive health and women’s responsibility for care work to produce novel organization of services in hospitals and practices in the home. The first monograph on this topic, Imperatives of Care places women and gender at the center of modern medical transformations in Korea. It outlines the professionalization of medicine, nursing, and midwifery, tracing their evolution from new legal and institutional infrastructures in public health and education, and investigates women’s experiences as health practitioners and patients, medical activities directed at women’s bodies, and the related knowledge and goods produced for and consumed by women. Sonja M. Kim draws on archival sources, some not previously explored, to foreground the ways individual women met challenges posed by uneven developments in medicine, intervened in practices aimed at them, andseized the evolving options that became available to promote their personal, familial, and professional interests. She demonstrates how medicine produced, and in turn was produced by, gendered expectations caught between the Korean reformist agenda, the American Protestant missionary enterprise, and Japanese imperialism.

Author : Deborah Lupton
Publisher : SAGE
Page : 193 pages
File Size : 49,6 Mb
Release : 1995-06-15
Category : Social Science
ISBN : 9781446265840

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The Imperative of Health by Deborah Lupton Pdf

In this reappraisal of public health and health promotion in contemporary societies, Deborah Lupton explores public health and health promotion using contemporary sociocultural and political theory, particularly that building on Foucault′s writings on subjectivity, embodiment and power relations. The author examines the implications of the new social theories for the study of health promotion and health communication to analyze the symbolic nature of public health practices, and explores their underlying meanings and assumptions.

Author : James Stacey Taylor
Publisher : Routledge
Page : 197 pages
File Size : 54,7 Mb
Release : 2017-07-05
Category : Philosophy
ISBN : 9781351898157

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Stakes and Kidneys by James Stacey Taylor Pdf

It is well known that the numbers of organs that become available each year for transplantation fall far short of the numbers that are actually required. In this boldly argued book James Stacey Taylor contends that, given both this shortage and the desperate poverty that some people endure, it is morally imperative that the current methods of organ procurement be supplemented by a legal, regulated market for human transplant organs purchased from live vendors. Taylor pays particular attention to outlining the implications that recognizing the moral legitimacy of these market transactions in human body parts and reproductive capacities have for public policy.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Committee on Public Health Approaches to Reduce Vision Impairment and Promote Eye Health
Publisher : National Academies Press
Page : 587 pages
File Size : 41,8 Mb
Release : 2017-01-15
Category : Medical
ISBN : 9780309439985

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Making Eye Health a Population Health Imperative by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Committee on Public Health Approaches to Reduce Vision Impairment and Promote Eye Health Pdf

The ability to see deeply affects how human beings perceive and interpret the world around them. For most people, eyesight is part of everyday communication, social activities, educational and professional pursuits, the care of others, and the maintenance of personal health, independence, and mobility. Functioning eyes and vision system can reduce an adult's risk of chronic health conditions, death, falls and injuries, social isolation, depression, and other psychological problems. In children, properly maintained eye and vision health contributes to a child's social development, academic achievement, and better health across the lifespan. The public generally recognizes its reliance on sight and fears its loss, but emphasis on eye and vision health, in general, has not been integrated into daily life to the same extent as other health promotion activities, such as teeth brushing; hand washing; physical and mental exercise; and various injury prevention behaviors. A larger population health approach is needed to engage a wide range of stakeholders in coordinated efforts that can sustain the scope of behavior change. The shaping of socioeconomic environments can eventually lead to new social norms that promote eye and vision health. Making Eye Health a Population Health Imperative: Vision for Tomorrow proposes a new population-centered framework to guide action and coordination among various, and sometimes competing, stakeholders in pursuit of improved eye and vision health and health equity in the United States. Building on the momentum of previous public health efforts, this report also introduces a model for action that highlights different levels of prevention activities across a range of stakeholders and provides specific examples of how population health strategies can be translated into cohesive areas for action at federal, state, and local levels.