The Promise And Power Of Academic Health Centers

Author : Institute of Medicine,Committee on the Roles of Academic Health Centers in the 21st Century
Publisher : National Academies Press
Page : 217 pages
File Size : 41,5 Mb
Release : 2004-07-03
Category : Medical
ISBN : 9780309088930

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Academic Health Centers by Institute of Medicine,Committee on the Roles of Academic Health Centers in the 21st Century Pdf

Academic health centers are currently facing enormous changes that will impact their roles in education, research, and patient care. The aging and diversity of the population will create new health care needs and demands, while rapid advances in technology will fundamentally alter the health care systems' capabilities. Pressures on health care costs, growth of the uninsured, and evidence of quality problems in health care will create a challenging environment that demands change. Academic Health Centers explores how AHCs will need to consider how to redirect each of their roles so they are able to meet the burgeoning challenges of health care and improve the health of the people they serve. The methods and approaches used in preparing health professionals, the relationship among the variety of their research programs and the design of clinical care will all need examination if they are to meet the changing demands of the coming decades. Policymakers will need to create incentives to support innovation and change in AHCs. In response, AHCs will need to increase the level of coordination and integration across their roles and the individual organizations that comprise the AHC if they are to successfully undertake the types of changes needed. Academic Health Centers lays out a strategy to start a continuing and long-term process of change.

Author : United States. Congress. House. Committee on Appropriations
Publisher : Unknown
Page : 1266 pages
File Size : 48,7 Mb
Release : 1968
Category : Public works
ISBN : UVA:X030740341

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Public Works Appropriations for 1969 for Water and Power Resources Development and the Atomic Energy Commission by United States. Congress. House. Committee on Appropriations Pdf

Author : United States. Congress. Senate. Committee on Appropriations
Publisher : Unknown
Page : 1716 pages
File Size : 44,8 Mb
Release : 1968
Category : Energy development
ISBN : UIUC:30112119930995

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Public Works for Water and Power Resources Development and Atomic Energy Commission Appropriations for Fiscal Year 1969 by United States. Congress. Senate. Committee on Appropriations Pdf

Author : David Crippen
Publisher : Springer Science & Business Media
Page : 351 pages
File Size : 45,9 Mb
Release : 2012-09-14
Category : Medical
ISBN : 9781461438663

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ICU Resource Allocation in the New Millennium by David Crippen Pdf

Intensive care medicine is one of the fastest growing services provided by hospitals and perhaps one of the most expensive. Yet in response to the global financial crisis of the last few years, healthcare funding is slowing or decreasing throughout the world. How we manage health care resources in the intensive care unit (ICU) now and in a future that promises only greater cost constraints is the subject of this book, the third in an informal series of volumes providing a global perspective on difficult issues arising in the ICU. Taking 12 developed countries as their focus, leading experts provide a country-by-country analysis of current ICU resource allocation. A second group of experts use the chapters as a departure point to analyze current ICU resource allocation at the level of the global medical village. The process is repeated, but with an eye toward the future – first country by country, then at the global level – that takes into account initiatives and reforms now underway. A fictional healthcare plan, the “Fair & Equitable Healthcare Plan,” is put forth to address weaknesses in existing approaches, and healthcare experts and ethicists are invited to respond to its often provocative provisions. Itself structured as a dialogue, the book is an excellent way to start or to continue serious discussion about the allocation of ICU healthcare resources now and in the years ahead.

Author : Henry Aaron
Publisher : Brookings Institution Press
Page : 132 pages
File Size : 46,6 Mb
Release : 2004-05-13
Category : Medical
ISBN : 0815798369

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The Future of Academic Medical Centers by Henry Aaron Pdf

Academic medical centers provide cutting edge acute care, train tomorrow's physicians, and carry out research that will expand the range of treatable and curable illnesses. But these centers themselves may need urgent care—experts generally agree that many are suffering acute—even life-threatening—financial distress. Many academic medical centers are suffering for several reasons: in-patient admissions are down, as many procedures that once required a hospital stay are now performed on an out-patient basis or in a physician's office ; managed care plans have negotiated discounted fees that cut hospital operating margins; the Balanced Budget Act of 1997 curtailed Medicare reimbursements, lowered margins and pushed some into the red; the revolution in information technology is imposing large new capital costs; and the character of medical education is receiving its most thorough review in decades. While there is a general consensus that medical centers are under pressure, experts disagree about the depth and pervasiveness of the current financial distress. Are they whining about financial pressures other, less-favored sectors find routine; or is the high quality American teaching hospital becoming an endangered species—that could face extinction if nothing is done. Because academic medical centers perform such important jobs, it is critical to determine the true nature and depth of their current financial problems—and then fashion analytically sound and politically sustainable solutions. This book brings together chief executive officers of major medical centers, university presidents, senior members of Congressional and executive office staffs, and leading analysts. These experts address the key issues and prescribe remedies both regulatory and legislative to ensure that the teaching hospital remains a picture of financial health. Contributors include Nancy Kane (Harvard School of Public Health), Jamie Reuter (Institute for Health Care Research Policy, Georgetown University), Peter van Etten (Juvenile Diabetes Foundation), Ralph Muller (University of Chicago Hospitals and Health System), James Robinson (School of Public Health, University of California, Berkeley), David Blumenthal (Institute for Health Policy, Massachusetts General Hospital), Edward Miller (Johns Hopkins University School of Medicine), Spencer Foreman (Montefiore Medical Center), Lawrence Lewin (Lewin Group), Gail Wilensky (Project HOPE), Robert Dickler (American Association of Medical Colleges), and Kenneth Shine (Institute of Medicine).

Author : John T. Kneebone,Eugene P. Trani
Publisher : University of Virginia Press
Page : 285 pages
File Size : 51,9 Mb
Release : 2020-09-22
Category : History
ISBN : 9780813944838

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Fulfilling the Promise by John T. Kneebone,Eugene P. Trani Pdf

Founded in Richmond in 1968, Virginia Commonwealth University (VCU) began with a mission to build a university to serve a city emerging from the era of urban crisis—desegregation, white flight, political conflict, and economic decline. With the merger of the Medical College of Virginia and the Richmond Professional Institute into the single state-mandated institution of VCU, the two entities were able to embrace their mission and work together productively. In Fulfilling the Promise, John Kneebone and Eugene Trani tell the intriguing story of VCU and the context in which the university was forged and eventually thrived. Although VCU’s history is necessarily unique, Kneebone and Trani show how the issues shaping it are common to many urban institutions, from engaging with two-party politics in Virginia and African American political leadership in Richmond, to fraught neighborhood relations, the complexities of providing public health care at an academic health center, and an increasingly diverse student body. As a result, Fulfilling the Promise offers far more than a stale institutional saga. Rather, this definitive history of one urban-setting state university illuminates the past and future of American public higher education in the post-1960s era.

Author : Michael W. Mulholland
Publisher : Lippincott Williams & Wilkins
Page : 274 pages
File Size : 49,7 Mb
Release : 2020-03-11
Category : Medical
ISBN : 9781975135492

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The Diversity Promise: Success in Academic Surgery and Medicine Through Diversity, Equity, and Inclusion by Michael W. Mulholland Pdf

Issues of diversity, equity, and inclusion are of utmost importance in today’s medical schools, and the University of Michigan is at the forefront of effecting change in this key area of medical education. Drs. Michael Mulholland and Erika Newman and the Department of Surgery at the University of Michigan School of Medicine developed the Michigan Promise with the goal of achieving better results and assisting other schools of medicine to make progress in this area, as well. The Diversity Promise: Success in Academic Surgery and Medicine Through Diversity, Equity, and Inclusion discusses the structure and implementation of this innovative program—information that is easily transferrable to any department in a school of medicine.

Author : Hamdy, Sherine,Nye, Coleman
Publisher : University of Toronto Press
Page : 305 pages
File Size : 50,7 Mb
Release : 2017-11-15
Category : Comics & Graphic Novels
ISBN : 9781487593476

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Lissa by Hamdy, Sherine,Nye, Coleman Pdf

As Anna and Layla reckon with illness, risk, and loss in different ways, they learn the power of friendship and the importance of hope.

Author : Institute of Medicine,Board on Health Sciences Policy,Roundtable on Translating Genomic-Based Research for Health
Publisher : National Academies Press
Page : 129 pages
File Size : 53,7 Mb
Release : 2013-06-20
Category : Medical
ISBN : 9780309269735

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The Economics of Genomic Medicine by Institute of Medicine,Board on Health Sciences Policy,Roundtable on Translating Genomic-Based Research for Health Pdf

The sequencing of the human genome and the identification of links between specific genetic variants and diseases have led to tremendous excitement over the potential of genomics to direct patient treatment toward more effective or less harmful interventions. Still, the use of whole genome sequencing challenges the traditional model of medical care where a test is ordered only when there is a clear indication for its use and a path for downstream clinical action is known. This has created a tension between experts who contend that using this information is premature and those who believe that having such information will empower health care providers and patients to make proactive decisions regarding lifestyle and treatment options. In addition, some stakeholders are concerned that genomic technologies will add costs to the health care system without providing commensurate benefits, and others think that health care costs could be reduced by identifying unnecessary or ineffective treatments. Economic models are frequently used to anticipate the costs and benefits of new health care technologies, policies, and regulations. Economic studies also have been used to examine much more specific issues, such as comparing the outcomes and cost effectiveness of two different drug treatments for the same condition. These kinds of analyses offer more than just predictions of future health care costs. They provide information that is valuable when implementing and using new technologies. Unfortunately, however, these economic assessments are often limited by a lack of data on which to base the examination. This particularly affects health economics, which includes many factors for which current methods are inadequate for assessing, such as personal utility, social utility, and patient preference. To understand better the health economic issues that may arise in the course of integrating genomic data into health care, the Roundtable on Translating Genomic-Based Research for Health hosted a workshop in Washington, DC, on July 17-18, 2012, that brought together economists, regulators, payers, biomedical researchers, patients, providers, and other stakeholders to discuss the many factors that may influence this implementation. The workshop was one of a series that the roundtable has held on this topic, but it was the first focused specifically on economic issues. The Economics of Genomic Medicine summarizes this workshop.

Author : Edward J Eckenfels
Publisher : Rutgers University Press
Page : 234 pages
File Size : 54,9 Mb
Release : 2008-08-01
Category : Medical
ISBN : 9780813545097

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Doctors Serving People by Edward J Eckenfels Pdf

Today's physicians are medical scientists, drilled in the basics of physiology, anatomy, genetics, and chemistry. They learn how to crunch data, interpret scans, and see the human form as a set of separate organs and systems in some stage of disease. Missing from their training is a holistic portrait of the patient as a person and as a member of a community. Yet a humanistic passion and desire to help people often are the attributes that compel a student toward a career in medicine. So what happens along the way to tarnish that idealism? Can a new approach to medical education make a difference? Doctors Serving People is just such a prescriptive. While a professor at Rush Medical College in Chicago, Edward J. Eckenfels helped initiate and direct a student-driven program in which student doctors worked in the poor, urban communities during medical school, voluntarily and without academic credit. In addition to their core curriculum and clinical rotations, students served the social and health needs of diverse and disadvantaged populations. Now more than ten years old, the program serves as an example for other medical schools throughout the country. Its story provides a working model of how to reform medical education in America.

Author : Paul Cerrato,John Halamka
Publisher : Academic Press
Page : 218 pages
File Size : 55,7 Mb
Release : 2017-08-24
Category : Medical
ISBN : 9780128116364

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Realizing the Promise of Precision Medicine by Paul Cerrato,John Halamka Pdf

Realizing the Promise of Precision Medicine: The Role of Patient Data, Mobile Technology, and Consumer Engagement explains the potential of personalized medicine and the value of those approaches in making that potential a reality. The book helps transform one-size-fits-all healthcare into a system that focuses on individual needs and the unique needs of each family member, discussing topics such as U.S. sponsored precision medicine initiative, genomics, the role of electronic health records and mobile medicine, patient engagement and empowerment, health information exchange and patient data protection. In addition, the book discusses the barriers and limitations of precision medicine and how to overcome them. Readers will find valuable insights into how big data, patient engagement, mobile technology, and genomics help individualize medical care and offer a pathway to help detect many undiscovered causes of diseases. Provides drawings and flow charts to help readers visualize the breadth and depth of precision medicine Includes sidebars with more details on specific topics for a complementary, deeper understanding of the main text Uses case studies to turn abstract concepts into flesh and blood examples of how personalized medicine benefits patients

Author : Andrew T. Simpson
Publisher : University of Pennsylvania Press
Page : 289 pages
File Size : 47,5 Mb
Release : 2019-10-04
Category : Business & Economics
ISBN : 9780812296518

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The Medical Metropolis by Andrew T. Simpson Pdf

In 2008, the University of Pittsburgh Medical Centers (UPMC) hoisted its logo atop the U.S. Steel Building in downtown Pittsburgh, symbolically declaring that the era of big steel had been replaced by the era of big medicine for this once industrial city. More than 1,200 miles to the south, a similar sense of optimism pervaded the public discourse around the relationship between health care and the future of Houston's economy. While traditional Texas industries like oil and natural gas still played a critical role, the presence of the massive Texas Medical Center, billed as "the largest medical complex in the world," had helped to rebrand the city as a site for biomedical innovation and ensured its stability during the financial crisis of the mid-2000s. Taking Pittsburgh and Houston as case studies, The Medical Metropolis offers the first comparative, historical account of how big medicine transformed American cities in the postindustrial era. Andrew T. Simpson explores how the hospital-civic relationship, in which medical centers embraced a business-oriented model, remade the deindustrialized city into the "medical metropolis." From the 1940s to the present, the changing business of American health care reshaped American cities into sites for cutting-edge biomedical and clinical research, medical education, and innovative health business practices. This transformation relied on local policy and economic decisions as well as broad and homogenizing national forces, including HMOs, biotechnology programs, and hospital privatization. Today, the medical metropolis is considered by some as a triumph of innovation and revitalization and by others as a symbol of the excesses of capitalism and the inequality still pervading American society.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Division of Behavioral and Social Sciences and Education,Board on Children, Youth, and Families,Committee on the Neurobiological and Socio-behavioral Science of Adolescent Development and Its Applications
Publisher : National Academies Press
Page : 493 pages
File Size : 51,6 Mb
Release : 2019-08-26
Category : Social Science
ISBN : 9780309490085

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The Promise of Adolescence by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Division of Behavioral and Social Sciences and Education,Board on Children, Youth, and Families,Committee on the Neurobiological and Socio-behavioral Science of Adolescent Development and Its Applications Pdf

Adolescenceâ€"beginning with the onset of puberty and ending in the mid-20sâ€"is a critical period of development during which key areas of the brain mature and develop. These changes in brain structure, function, and connectivity mark adolescence as a period of opportunity to discover new vistas, to form relationships with peers and adults, and to explore one's developing identity. It is also a period of resilience that can ameliorate childhood setbacks and set the stage for a thriving trajectory over the life course. Because adolescents comprise nearly one-fourth of the entire U.S. population, the nation needs policies and practices that will better leverage these developmental opportunities to harness the promise of adolescenceâ€"rather than focusing myopically on containing its risks. This report examines the neurobiological and socio-behavioral science of adolescent development and outlines how this knowledge can be applied, both to promote adolescent well-being, resilience, and development, and to rectify structural barriers and inequalities in opportunity, enabling all adolescents to flourish.

Author : United States. Congress. House. Committee on Appropriations. Subcommittee on the Departments of Labor, Health and Human Services, Education, and Related Agencies
Publisher : Unknown
Page : 1624 pages
File Size : 45,9 Mb
Release : 2000
Category : United States
ISBN : UCBK:C078410945

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Departments of Labor, Health and Human Services, Education, and Related Agencies Appropriations for 2001 by United States. Congress. House. Committee on Appropriations. Subcommittee on the Departments of Labor, Health and Human Services, Education, and Related Agencies Pdf

Author : John R. Thelin
Publisher : JHU Press
Page : 555 pages
File Size : 47,5 Mb
Release : 2019-04-02
Category : Education
ISBN : 9781421428840

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A History of American Higher Education by John R. Thelin Pdf

The definitive history of American higher education—now up to date. Colleges and universities are among the most cherished—and controversial—institutions in the United States. In this updated edition of A History of American Higher Education, John R. Thelin offers welcome perspective on the triumphs and crises of this highly influential sector in American life. Exploring American higher education from its founding in the seventeenth century to its struggle to innovate and adapt in the first decades of the twenty-first century, Thelin demonstrates that the experience of going to college has been central to American life for generations of students and their families. Drawing from archival research, along with the pioneering scholarship of leading historians, Thelin raises profound questions about what colleges are—and what they should be. Covering issues of social class, race, gender, and ethnicity in each era and chapter, this new edition showcases a fresh concluding chapter that focuses on both the opportunities and problems American higher education has faced since 2010. The essay on sources has been revised to incorporate books and articles published over the past decade. The book also updates the discussion of perennial hot-button issues such as big-time sports programs, online learning, the debt crisis, the adjunct crisis, and the return of the culture wars and addresses current areas of contention, including the changing role of governing boards and the financial challenges posed by the economic downturn. Anyone studying the history of this institution in America must read Thelin's classic text, which has distinguished itself as the most wide-ranging and engaging account of the origins and evolution of America's institutions of higher learning.