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"This pamphlet supersedes DOD Pam 6-4/DA Pam 21-91/NAVEXOS P-1602/AFP 160-16/PHS Pub 508, 20 November 1956; DOD fact sheet 2-D, 4 January 1960; DA Pam 355-200-8, 1 February 1960"--P. 2. ; "20 August 1962." ; At head of title: Medical Administration. ; Cover title. ; Mode of access: Internet.

The United States has seen major advances in medical care during the past decades, but access to care at an affordable cost is not universal. Many Americans lack health care insurance of any kind, and many others with insurance are nonetheless exposed to financial risk because of high premiums, deductibles, co-pays, limits on insurance payments, and uncovered services. One might expect that the U.S. poverty measure would capture these financial effects and trends in them over time. Yet the current official poverty measure developed in the early 1960s does not take into account significant increases and variations in medical care costs, insurance coverage, out-of-pocket spending, and the financial burden imposed on families and individuals. Although medical costs consume a growing share of family and national income and studies regularly document high rates of medical financial stress and debt, the current poverty measure does not capture the consequences for families' economic security or their income available for other basic needs. In 1995, a panel of the National Research Council (NRC) recommended a new poverty measure, which compares families' disposable income to poverty thresholds based on current spending for food, clothing, shelter, utilities, and a little more. The panel's recommendations stimulated extensive collaborative research involving several government agencies on experimental poverty measures that led to a new research Supplemental Poverty Measure (SPM), which the U.S. Census Bureau first published in November 2011 and will update annually. Analyses of the effects of including and excluding certain factors from the new SPM showed that, were it not for the cost that families incurred for premiums and other medical expenses not covered by health insurance, 10 million fewer people would have been poor according to the SPM. The implementation of the patient Protection and Affordable Care Act (ACA) provides a strong impetus to think rigorously about ways to measure medical care economic burden and risk, which is the basis for Medical Care Economic Risk. As new policies - whether part of the ACA or other policies - are implemented that seek to expand and improve health insurance coverage and to protect against the high costs of medical care relative to income, such measures will be important to assess the effects of policy changes in both the short and long term on the extent of financial burden and risk for the population, which are explained ...

Printed for the use of the Committee on Veterans' Affairs. ; At head of title: 90th Congress, 1st session. House committee print. no. 4. ; Prepared by Robinson E. Adkins with assistance of others. ; Bibliography: p. 410-411. ; Mode of access: Internet.

The United States (US) currently has the most confirmed cases of COVID-19 of any country. Yet, adequate testing for the virus remains a major issue. Approximately 51.6 million Americans are over the age of 65 and 56 percent of adults over 65 are living with two or more chronic conditions (23 percent have 3 or more). Given the higher risk of death and complications associated with advanced age and underlying health conditions, COVID-19 has had an immense impact upon LTC in the United States. Yet, the level and intensity of impact has been sporadic in application. This is due in part to a highly disparate and fractured long-term care system and perennial systemic challenges that have been exacerbated by the pandemic. In terms of financing care, the US relies on a mix of public and private funding sources. Further, individual states and the federal government have overlapping responsibility for funding and regulation of care. Meanwhile, fragmentation between financing and ownership of health care entities versus long-term care entities hinders coordinated delivery of care across sectors; and social sectors and health care sectors are also not integrated. The challenges of the system's design suggest that both a near-term and long-term response is needed to mitigate the impact of COVID-19 on the approximately 13 million Americans who require long-term care. This report provides an overview of the current challenges facing LTC and outlines several potential policy responses to the pandemic as well as for life post-pandemic.

Health, United States, 2012 is the 36th report on the health status of the Nation and is submitted by the Secretary of the Department of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act. This report was compiled by the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS). The National Committee on Vital and Health Statistics served in a review capacity. The Health, United States series presents an annual overview of national trends in health statistics. The report contains a Chartbook that assesses the Nation's health by presenting trends and current information on selected measures of morbidity, mortality, health care utilization, health risk factors, prevention, health insurance, and personal health care expenditures. This year's Chartbook includes a Special Feature on Emergency Care. The report also contains 134 Trend Tables organized around four major subject areas: health status and determinants, health care utilization, health care resources, and health care expenditures. A companion product--Health, United States: In Brief--features information extracted from the full report. The complete report, In Brief, and related data products are available on the Health, United States website at: http://www.cdc.gov/ nchs/hus.htm. The 2012 Edition: Health, United States, 2012 includes a summary "At a Glance" table that displays selected indicators of health and their determinants, cross-referenced to charts and tables in the report. It also contains a Highlights section, a Chartbook, detailed Trend Tables, extensive appendixes, and an Index. Major sections of the 2012 report are described below. Chartbook: The 2012 Chartbook contains 29 charts, including 10 charts on this year's Special Feature on Emergency Care (Figures 20-29). This special feature explores emergency care in the United States by examining who uses the emergency department, reasons for visiting the emergency department, what type of services are provided there, and costs associated with emergency care. Trend Tables: The Chartbook is followed by 134 Trend Tables organized around four major subject areas: health status and determinants, health care utilization, health care resources, and health care expenditures. The tables present data for dditional years of data may be available in Excel spreadsheet files on the Health, United States website. Trend Tables for which additional data years are available are listed in Appendix III. Comparability across years in Health, United States is fostered by including similar Trend Tables in each volume, and timeliness is maintained by improving the content of tables to reflect key topics in public health. An important criterion used in selecting these tables is the availability of comparable national data over a period of several years. Appendixes: Appendix I. Data Sources describes each data source used in Health, United States and provides references for further information about the sources. Data sources are listed alphabetically within two broad categories: Government Sources, and Private and Global Sources. Appendix II. Definitions and Methods is an alphabetical listing of terms used in Health, United States. It also contains information on the methods used in the report. Appendix III. Additional Data Years Available lists tables for which additional years of trend data are available in Excel spreadsheet files on the Health, United States website. ; At a glance table and highlights -- Chartbookwith special feature on emergency care -- Trend tables -- Appendix I. Data sources -- Appendix II. Definitions and methods -- Appendix III. Additional data years available -- Index. ; National Center for Health Statistics. ; "Overall responsibility for planning and coordinating the content of this volume rested with the National Center for Health Statistics' (NCHS) Office of Analysis and Epidemiology, under the direction of Julia S. Holmes and Jennifer H. Madans."--acknowledgements, p. vii. ; May 2013. ; Mode of access: Internet as an Acrobat .pdf file (9.75 MB, 505 p). ; System requirements: Adobe Acrobat Reader. ; Includes bibliographical references and index. ; National Center for Health Statistics. Health, United States, 2012: With Special Feature on Emergency Care. Hyattsville, MD. 2013.

Front Cover -- Book Title -- Copyright -- Contents -- List of Figures and Tables -- Author's Note -- Foreword -- Preface -- 1. The WHO Ranking of Health Systems Redux: A Critical Appraisal -- 2. The Limited Value of Life Expectancy Comparisons in Ranking Health Systems -- 3. Infant Mortality as an Indicator of Health and Health Care -- 4. Measuring Medical Care Quality in the United States -- 5. Evaluating Access to America's Medical Care -- 6. Specialists and Medical Innovation: The Best of the Best -- 7. Maintaining Excellence While Reducing Costs: An American Solution -- Notes -- About the Author -- About the Hoover Institution's Working Group on Health Care Policy -- Index.

Intro -- Title Page -- Preface -- Acknowledgments -- Introduction -- CHAPTER 1 -- Joan -- Don -- Mr. Smith -- CHAPTER 2 -- How the system evolved -- HMOs develop -- Where we stand today -- Conclusion -- CHAPTER 3 -- Who are the uninsured? -- The consequences -- CHAPTER 4 -- Excessive spending in the current system -- Medical technology -- The role of regulation -- Conclusion -- Increasing rates of chronic illness -- Stress -- Depression -- Nutritional depletion -- Aging -- Disabled Americans -- CHAPTER 5 -- CHAPTER 6 -- Doctor-patient relationship -- Conclusion -- CHAPTER 7 -- Conventional medicine and CAM -- Why patients use CAM therapies -- CAM and detoxification -- What is the role of CAM in a transformational health system? -- CHAPTER 8 -- Ruth -- Sarah -- Dan -- Conclusion -- CHAPTER 9 -- The Institute for Functional Medicine -- The University of Arizona -- Program in Integrative Medicine -- American Academy of Environmental Medicine -- National Center for Complementary and Alternative Medicine -- Center for Mind-Body Medicine -- CHAPTER 10 -- Private health care vs. single-payer health care -- What, if any, would the role be of health savings accounts in a new health care system? -- CHAPTER 11 -- Vision -- Vision principles -- Values -- Metrics -- Strategies -- Projects -- Habits -- CHAPTER 12 -- The Good Health Plan -- Bibliography -- Notes -- Footnotes.

The author discusses the current status of family day care, including its demographics, organization, regulations, quality-control issues, and relevant research on its effects on children, families, and child-care workers. Family day care is a pervasive underground child-care system that merits far more attention by the social work profession in state and national child-care policy considerations. Social workers are in a unique position to help family-day-care providers enter mainstream child care in the United States.

Title Page; Copyright Page; Preface; Reviewers; Acknowledgments; Contents; Introduction; Transcultural Diversity and Health Care; The Need for Culturally Competent Health Care; Variant Characteristics of Culture; The Purnell Model for Cultural Competence; The Purnell Model; Barriers to Culturally Competent Health Care; Language and Health Literacy; Availability; Accessibility; Affordability; Appropriateness; Organizational Accountability; Adaptability; Acceptability; Awareness; Attitudes; Approachability; Alternative Practices; Additional Services; People of African American Heritage

"Health, United States, 2009 is the 33rd report on the health status of the Nation and is submitted by the Secretary of the Department of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act. This report was compiled by the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS). The National Committee on Vital and Health Statistics served in a review capacity. The Health, United States series presents national trends in health statistics. Each report includes an executive summary, highlights, a chartbook, trend tables, extensive appendixes, and an index."--preface. ; Complete report -- Executive summary -- Highlights -- Chartbook -- Trend tables -- Appendixes -- Index -- In brief edition -- 2009 special feature: medical technology. ; National Center for Health Statistics. ; Title from resource home page (National Center for Health Statistics, viewed March 29, 2010) ; "Overall responsibility for planning and coordinating the content of this edition of Health, United States rested with the Office of Analysis and Epidemiology, National Center for Health Statistics (NCHS), under the direction of Amy B. Bernstein, Diane M. Makuc, and Linda T. Bilheimer."--acknowledgements. ; "January 2010." ; "Disability is a complex concept and can include the presence of physical or mental impairments that limit a person's ability to perform an important activity and affect the use of, or need for, supports, accommodations, or interventions required to improve functioning. Information on disability in the U.S. population is critical to health planning and policy. Several current initiatives are under way to coordinate and standardize measurement of disability across federal data systems. This year's report introduces the first detailed trend table (Table 55) using data from the NCHS National Health Interview Survey (NHIS) to create disability measures consistent with two of the conceptual components that have been indentified in disability models and disability legislation: basic actions difficulty and complex activity limitation. Basic actions difficulty captures limitations or difficulties in movement and sensory, emotional, or mental functioning that are associated with some health problem. Complex activity limitation describes limitations or restrictions on a person's ability to participate fully in social role activities such as working or maintaining a household. Data on health insurance coverage from NHIS for persons with basic actions difficulty or complex activity limitation have been added to Tables 137-140. Health, United States also includes the following disability-related information for the civilian noninstitutionalized population: vision and hearing limitations for adults (Table 56), and disability-related information for Medicare enrollees (Table 144), Medicaid recipients (Table 145), and veterans with service-connected disabilities (Figure 3 and Table 147)." - p. iii-iv ; National Center for Health Statistics. Health, United States, 2009: With Special Feature on Medical Technology. Hyattsville, MD. 2010. ; Includes bibliographical references and index.