Cover Page -- Title Page -- Copyright Page -- Contents -- Introduction -- 1: Health Care Reform Will Help America's Economy -- 2: Health Care Reform Will Cause a Rise in Unemployment -- 3: Health Care Reform Would Give the IRS More Power -- 4: The IRS Does Not Have the Power to Enforce a Health Care Mandate -- 5: Americans Want Universal Health Care, the Health Care Industry Does Not -- 6: Americans Are Not Happy with the Health Care System -- 7: The World Health Organization's Report Is Misleading -- 8: International Comparisons Must Be Considered in Health Care Reform -- 9: New Technologies Cause Health Care Costs to Rise -- 10: New Technologies Can Cut Health Care Costs -- 11: The Delivery of Health Care Must Be Redesigned -- 12: Proposed Health Care Reforms Will Lead to Rationing of Care -- 13: America Is Already Rationing Health Care -- Appendix -- What You Should Know About Health Care -- What You Should Do About Health Care -- Organizations to Contact -- Bibliography -- Index -- Picture Credits -- Back Cover
Cover Page -- Title Page -- Copyright Page -- Contents -- Foreword -- Introduction: The Uninsured in America -- Chapter 1: America's Health Care System -- Chapter 2: The Debate About Health Care Reform -- Chapter 3: Health Care Systems in Other Countries -- Chapter 4: The Patient Protection and Affordable Care Act -- Chapter 5: The Future of U.S. Health Care -- Notes -- Discussion Questions -- Organizations to Contact -- For More Information -- Index -- Picture Credits -- About the Author -- Back Cover
This work highlights the myriad problems Latinos face in becoming fully acculturated consumers of health care. Its series of chapters by expert contributors bridge the communication gap between mainstream medical professionals who need to understand the Latino worldview and Latinos that need to adapt to the puzzling complexity of providers and insurers that make up the American health care system.
Cover Page -- Half Title Page -- Title Page -- Copyright Page -- Contents -- Foreword -- Introduction -- Chapter 1: Access to Health Care Around the Globe -- 1. In Developed Countries, Most People Have Access to Health Care -- 2. In the United States, a New Law Will Help Lessen the High Number of Uninsured -- 3. In Canada, Wait Times for Health Care Are Unacceptably Long -- 4. In India, There Is Vast Inequality in Access to Health Care -- 5. In China, There Is a Plan to Reduce the Millions Without Health Care -- 6. In South Africa, Migrants Do Not Have Adequate Access to Health Care -- Periodical and Internet Sources Bibliography -- Chapter 2: The Quality of Health Care -- 1. Health Care in the United States Is Superior in Many Categories -- 2. The Health Care Experience in France Is Better than in the United States -- 3. The National Health Service in Great Britain Needs Reform -- 4. Cuba's Health Care System Works Well in Cuba and Elsewhere -- 5. Beyond Hysterics: The Health Care Model That Works -- 6. In Brazil, Health Care Is Universal but Not Necessarily High Quality -- Periodical and Internet Sources Bibliography -- Chapter 3: The Cost of Health Care -- 1. In Europe, Health Care Costs Are Rising Faster than Available Funding -- 2. Australia Should Emulate Singapore to Control Rising Health Care Costs -- 3. Canada's Single-Payer System Controls Costs Better than America's System -- 4. Taiwan's Health Care System Delivers Quality with Low Costs -- 5. In Africa, Fees for Health Care Keep People from Seeking Treatment -- Periodical and Internet Sources Bibliography -- Chapter 4: Disease-Related Challenges for Health Care -- 1. Despite Some Progress, HIV Remains a Global Health Challenge -- 2. The Worldwide Fight Against Malaria Is Far from Over -- 3. Drug-Resistant Tuberculosis Poses a Global Health Threat
The 20th volume of Advances in Health Care Management showcases how health care management research helps to further understand grand challenges in health care: what they are, why they exist, the consequences that they have, and what can be done to address them. Grand challenges are large, unresolved problems. "Grand health care challenges" include current events such as the COVID-19 pandemic, and ongoing challenges related to the quadruple aim of health care: improving the health of populations, reducing the cost of healthcare, improving patient care experiences, and improving the experience of working in health care. The book demonstrates that these challenges are amenable to organizational and managerial solutions, and therefore health care management research has many important lessons to contribute. For this volume, The Contributions of Health Care Management to Grand Health Care Challenges, we define health care management as the planning, direction, and coordination of health services and the management of health care professionals. Included chapters consider five grand challenges facing the health care sector: (1) caring for vulnerable populations; (2) maintaining the health care workforce; (3) translating innovation into practice; (4) sustaining organizations; and (5) navigating pandemics. Each challenge is discussed in its own section and addressed by two chapters that offer different perspectives and approaches to the challenge. Across chapters a variety of methodologies are used including ethnographic case studies, survey data analysis, interviews, literature review, and informed commentary. Together, the chapters in this volume synthesize current information in the field, direct future research efforts, and generate actionable insights for managers and policymakers.
Political theorists generally defend the moral importance of health care by appealing to its purported importance in promoting good health and saving lives. Recent research on the social determinants of health demonstrates, however, that health care actually does relatively little to promote good health or save lives in comparison with other social and environmental factors. This article assesses the implications of the social determinants of health literature for existing theories of health care justice, and outlines a new approach that can justify publicly subsidized comprehensive health care despite its limited contribution to good health. Even if health care plays a relatively limited role in promoting good health, it remains morally important because of the care it provides to individuals. As such, it can be justified in terms of care ethics. When health care is justified primarily in terms of care rather than health, however, the goals of a just health-care system shift. The measure of a just health-care system is no longer strictly its ability to generate good health outcomes but also its ability to provide individuals with accessible, good quality daily care. This different focus has important consequences for the way we think about the institutions of a just health-care system as well as for the delivery and allocation of medical goods and services. Adapted from the source document.
Intro -- VETERANS' HEALTH CARE: ELEMENTS AND ANALYSES -- VETERANS' HEALTH CARE: ELEMENTS AND ANALYSES -- CONTENTS -- PREFACE -- Chapter 1 HEALTH CARE FOR VETERANS': ANSWERS TO FREQUENTLY ASKED QUESTIONS -- SUMMARY -- INTRODUCTION -- ENROLLMENT IN VA HEALTH CARE -- Can All Veterans Enroll in VA Health Care? -- Which Veterans Can Enroll in VA Health Care? -- Is Enrollment Different for Returning Combat Veterans? -- Is Enrollment Different for Members of the Reserves? -- Is Enrollment Different for Members of the National Guard? -- How Do Veterans Enroll in VA Health Care? -- Are Veterans' Family Members Eligible for VA Health Care? -- MEDICAL BENEFITS -- What Are the Standard Medical Benefits? -- Does the VA Provide Gender-Specific Services for Women? -- Does the VA Provide Dental Care? -- Does the VA Provide Hearing Aids and Eyeglasses? -- Does the VA Provide Long-Term Care? -- Does the VA Pay for Medical Care at Non-VA Facilities? -- Does the VA Pay for Emergency Care at Non-VA Facilities? -- COSTS TO VETERANS AND INSURANCE COLLECTIONS -- Do Veterans Have to Pay for Their Care? -- Can the VA Bill Private Health Insurance? -- Can the VA Bill Medicare? -- APPENDIX. VA PRIORITY GROUPS AND THEIR ELIGIBILITY CRITERIA -- End Notes -- Chapter 2 "WHO IS A VETERAN?" - BASIC ELIGIBILITY FOR VETERANS' BENEFITS -- SUMMARY -- INTRODUCTION -- WHO IS A VETERAN? -- Active Service -- Length of Service -- Discharge Criteria -- Whether the Military Service Was during a Time of War -- NATIONAL GUARD AND RESERVE -- CIVILIAN GROUPS -- End Notes -- Chapter 3 HEALTH CARE FOR DEPENDENTS AND SURVIVORS OF VETERANS' -- SUMMARY -- OVERVIEW -- QUESTIONS AND ANSWERS -- Who Is Eligible to Receive CHAMPVA Benefits? -- What Happens if a CHAMPVA-Eligible Spouse Divorces or Remarries? -- When Does a Child Lose Eligibility? -- What Is the Difference Between CHAMPVA and TRICARE?
Intro -- HEALTH CARE QUALITY: SELECT RESEARCHAND ANALYSES -- HEALTH CARE QUALITY: SELECT RESEARCHAND ANALYSES -- CONTENTS -- PREFACE -- Chapter 1 HEALTH CARE QUALITY: ENHANCING PROVIDER ACCOUNTABILITY THROUGH PAYMENT INCENTIVES AND PUBLIC REPORTING -- SUMMARY -- INTRODUCTION -- THE ROLE OF QUALITY MEASUREMENT -- PAYMENT INCENTIVES FOR QUALITY -- The Role of Medicare -- Overview of Payment Incentives -- PUBLIC REPORTING OF PERFORMANCE INFORMATION -- The Theory Underlying Public Reporting -- Issues with Consumer Use of Performance Information -- The Effectiveness of Public Reporting -- End Notes -- Chapter 2 PHYSICIAN SUPPLY AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT -- SUMMARY -- INTRODUCTION -- SIZE OF THE PHYSICIAN POPULATION -- Measuring the Physician Population -- Determining the Appropriate Size of the Physician Population -- PPACA and the Size of the Physician Population -- PPACA Provisions Targeting the Number of Physicians Trained -- PPACA Provisions Targeting Physician Productivity -- COMPOSITION OF THE PHYSICIAN POPULATION -- Primary Care Supply and Factors Influencing Primary Care Supply -- PPACA and the Composition of the Physician Population -- PPACA Provisions Targeting Primary Care Supply -- Primary Care Content in Physician Training -- Primary Care Physician Payment -- Care Coordination by Primary Care Physicians -- PPACA Provisions Targeting Shortages in Specialties -- GEOGRAPHIC DISTRIBUTION OF THE PHYSICIAN POPULATION -- Health Professional Shortage Areas and Medically Underserved Areas/Populations -- Why Geographic Shortages May Exist -- PPACA and the Geographic Distribution of the Physician Population -- PPACA Provisions Targeting the NHSC -- PPACA Provisions Targeting the Diversity of the Physician Workforce -- PPACA Provisions Targeting Rural Practice -- PPACA Provisions Amending HPSA and MUP Designation Criteria
A unique and authoritative guide to the US safety-net health care system, Health Care at the Margins addresses how various populations and their difficult health and socio-economic issues are dealt with and impacted by the system. Drs. Gunnar Almgren and Taryn Lindhorst, experts in the fields of social work and public health, provide critical, much-needed insight into the safety-net system and how the recession, unemployment, and reform have accelerated its growth. Ideal for graduate students and early professionals in the health professions, this textbook:.: Includes narratives from patients
I present a historical study of the role played by the World Health Organization and UNICEF in the emergence and diffusion of the concept of primary health care during the late 1970s and early 1980s. I have analyzed these organizations' political context, their leaders, the methodologies and technologies associated with the primary health care perspective, and the debates on the meaning of primary health care.
IntroductionThe development of medicine in the last three decades has brought not only new diagnostic and therapeutic possibilities, but also new thinking about health in its interdisciplinary understanding. It is also a period in which wide-ranging actions for public health were undertaken through decisions made by politicians, economists and health care representatives. Measures expressed mathematically are used in health measurements, especially those concerning the entire population. There are three groups of measures of the health condition of the population: positive, negative and the so-called synthetic measures of health condition which combine, apart from health measures, many other elements. Aim The aim of the work is to analyze the economics of health care.Material and method Review of the available literature on the subject.ResultsA different approach related to the economic efficiency of access to public goods is the concept of investment in human capital. Grossman developed the theoretical foundations for such an understanding of the choices related to health and its protection in the 1970s. Grossman's theory is treated as a model of human capital. An important element of Grossman's model is the distinction between health treated as a product, i.e. a basic good, which is a source of utility for people, and medical care treated as a factor in the production of health. In Grossman's model, people both demand and produce health. Health is treated as a good produced by humans through various means, such as diet, healthy eating, a healthy lifestyle, and medical care. The efficiency of health production depends on the knowledge and education of the society. Medical care is only one input into health production. According to the presented model, each person at birth has a specific health resource that exhibits capital characteristics. This health is amortized with age, but it can also be increased (accumulated) by investing in it, e.g. by doing sports, eating healthy and also by protecting health. Grossman's model takes into account two important elements. First, health care is only one of the determinants of health. Second, people do not demand health care for its own sake: the utility of health consumption is derived not from health care itself, but from the health improvement it causes. In this perspective, health care is an economic good, it is human capital and if so, health can also be considered capital. They are often regarded as a fundamental good, being one of the real reasons for patients' expectations of healthcare, for which other, mostly tangible, products and services, such as healthcare, are simply methods of obtaining it. ConclusionsThe contemporary concept of health should be perceived on many levels, including not only biomedical and environmental determinants, but also social and professional functions performed by individuals. As a result of such perception, the value of human life should increase by expanding the meaning of health to include the concept of the ability to lead a meaningful, creative and satisfying life. There is an interrelated relationship between the development of the concept of health and the definition of public health and health policies. The evolution of the concept of health, its extension beyond purely biological-medical meaning, has led to the concept of public health and the involvement of governments in health policy. Financial expenses related to the implementation of state burdens in the implementation of health policy currently exceed the capabilities of many governments. "
OBJECTIVE: To disentangle the relationships among food insecurity, health care utilization, and health care expenditures. DATA SOURCES/STUDY SETTING: We use national data on 13 465 adults (age ≥ 18) from the 2016 Medical Expenditure Panel Survey (MEPS), the first year of the food insecurity measures. STUDY DESIGN: We employ two‐stage empirical models (probit for any health care use/expenditure, ordinary least squares, and generalized linear models for amount of utilization/expenditure), controlling for demographics, health insurance, poverty status, chronic conditions, and other predictors. PRINCIPAL FINDINGS: Our results show that the likelihood of any health care expenditure (total, inpatient, emergency department, outpatient, and pharmaceutical) is higher for marginal, low, and very low food secure individuals. Relative to food secure households, very low food secure households are 5.1 percentage points (P < .001) more likely to have any health care expenditure, and have total health care expenditures that are 24.8 percent higher (P = .011). However, once we include chronic conditions in the models (ie, high blood pressure, heart disease, stroke, emphysema, high cholesterol, cancer, diabetes, arthritis, and asthma), these underlying health conditions mitigate the differences in expenditures by food insecurity status (only the likelihood of any having any health care expenditure for very low food secure households remains statistically significant). CONCLUSIONS: Policy makers and government agencies are focused on addressing deficiencies in social determinants of health and the resulting impacts on health status and health care utilization. Our results indicate that chronic conditions are strongly associated with food insecurity and higher health care spending. Efforts to alleviate food insecurity should consider the dual burden of chronic conditions. Finally, future research can address specific mechanisms underlying the relationships between food security, health, and health care.
With the increasing expense of medical technology & the growing number of older people, proposed changes in health care tend now to be governed more by considerations of cost than by quality of services. This tension between cost & quality also affects public willingness to invest in social components of health care despite their importance in enhancing quality of life. The tension emerges in sharpest contrast as scarce resources are allocated by gatekeepers in health maintenance organizations & in the arrangements for long-term care. With respect to financing, what seems to be needed is a creative mix of voluntary inputs from the community, private initiatives, & new programs of public entitlements. With respect to quality of care, it must be recognized that gains in the quality of life require programs that encourage older people's continued involvement & participation in social life & in active & healthy lifestyles. The evolving balance between medical & social interventions is discussed. Modified HA