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Physician Staffing for the VA -- Preface -- Acknowledgments -- Contents -- Executive Summary -- OVERVIEW OF THE STUDY -- Purpose and Scope -- Organization and Conduct of the Study -- Some Undergirding Assumptions -- DEFINING, BUILDING, AND RECONCILING ALTERNATIVE APPROACHES TO PHYSICIAN STAFFING -- Three General Approaches to Determining Physician Requirements -- The Empirically Based Physician Staffing Models -- Expert Judgment Models -- Reconciling the Approaches -- Using the Reconciliation Strategy to Calculate Physician FTEE -- External Norms -- OVERALL ADEQUACY OF PHYSICIAN STAFFING IN THE VA: COMMITTEE PERSPECTIVE -- VA CENTRAL OFFICE AND THE VAMC: PROMOTING A DIALOGUE -- AFFILIATIONS WITH MEDICAL SCHOOLS -- NONPHYSICIAN PRACTITIONERS -- FURTHER DEVELOPMENT OF THE METHODOLOGY -- CONCLUDING REMARKS -- 1 Overview of the Study -- PURPOSE AND SCOPE -- ORGANIZATION AND CONDUCT OF THE STUDY -- THE COMMITTEE PERSPECTIVE -- REFERENCES -- 2 Background -- CURRENT ALLOCATION OF PHYSICIANS IN THE VA -- Total Physicians, By Specialty -- How Physician FTEE Levels Currently Are Determined -- SOME UNDERGIRDING ASSUMPTIONS -- The Methodology Focuses on Physician FTEE for VAMCs -- This Is Not a Needs-Based Approach -- Assuring the Quality of Care -- The Methodology Must Be Relevant to the Present, Flexible for the Future -- REFERENCES -- 3 Overview of the Analysis -- A CENTRAL PROBLEM: DETERMINING PHYSICIAN FTEE REQUIRED FOR PATIENT CARE AND RESIDENT EDUCATION -- DETERMINING PHYSICIAN REQUIREMENTS FOR OTHER MISSION-RELATED ACTIVITIES -- RECONCILING THE APPROACHES -- MANAGEMENT USES OF PHYSICIAN STAFFING MODELS -- PROJECTING FUTURE VA PATIENT WORKLOAD -- THE VAMC-MEDICAL SCHOOL AFFILIATION RELATIONSHIP -- NONPHYSICIAN PRACTITIONERS AND VA PHYSICIAN REQUIREMENTS -- COMMITTEE CONCLUSIONS AND RECOMMENDATIONS -- REFERENCE.

FrontMatter -- Reviewers -- Acknowledgments -- Contents -- Summary -- 1 Fundamentals: The Health of the Public Is Threatened -- 2 Physicians in Public Health: Their Roles, Knowledge Needed, and Numbers -- 3 Physician Training -- 4 Funding -- 5 Conclusion -- Appendixes -- Appendix A: Recommendations from The Future of the Public's Health in the 21st Century -- Appendix B: Glossary and Acronyms -- Appendix C: Agendas of Open Session Committee Meetings -- Appendix D: Committee Biographies.

REFORMING PHYSICIAN PAYMENT -- Copyright -- Contents -- PREFACE -- CONFERENCE SUMMARY -- Conference Agenda -- Major Conference Themes -- A Climate for Change -- A Need for Change -- Non-economic Influences on Physician Behavior -- Payment Objectives -- Paucity of Data and Research Findings -- Potential Contributions by the Institute of Medicine -- COMMISSIONED PAPERS -- POLITICS AS USUAL AND CUSTOMARY? PHYSICIAN PAYMENT IN TRANSITION -- THE PERPLEXING TARGET OF POLICY -- THE RISE AND DECLINE OF USUAL AND CUSTOMARY -- FORCES FOR CHANGE -- PROSPECTS FOR CHANGE -- CHALLENGES OF CHANGE -- References -- CHANGING PHYSICIAN BEHAVIOR: In Search of the Little Blue Button -- SUMMARY -- INTRODUCTION -- PRIMARY INFLUENCES -- ENVIRONMENTAL CHANGES -- NEW RESEARCH INITIATIVES -- References -- THE IMPACT OF CHANGES IN PAYMENT METHODS ON THE SUPPLY OF PHYSICIANS' SERVICES -- INTRODUCTION -- THE PAYMENT SYSTEM AND PHYSICIANS' SPECIALTY AND LOCATION DECISIONS -- Location Choices -- Specialty Choice -- PHYSICIANS' PRODUCTIVITY -- Defining Efficiency and Productivity -- Productivity in Solo, Fee-for-Service Practice -- Productivity in Group, Fee-for-Service Practices -- Productivity in Pre-Paid Group Practice -- PARTICIPATION IN HEALTH INSURANCE PROGRAMS -- CONCLUSIONS -- References -- THIRD PARTY CARRIER PERSPECTIVE ON PHYSICIAN PAYMENT -- PAYMENT IS A MEANS, NOT AN END -- The Patient -- The Physician -- The Payor -- The Public -- The Carrier -- THERE ARE FUNDAMENTAL DIFFERENCES BETWEEN INSTITUTION-CARRIERS AND PROFESSIONAL-CARRIER RELATIONSHIPS -- Specialization -- Location -- Target Income -- Controls -- Competition -- Dissatisfaction -- A PAYMENT SYSTEM SHOULD BE IN REASONABLE SYNCHRONIZATION WITH THE EVOLUTION OF THE SOCIAL AND DELIVERY SYSTEMS -- PAYMENT SYSTEMS ARE DESIGNED FOR SPECIFIC BENEFIT, ADMINISTRATIVE, AND LEGAL CIRCUMSTANCES.

MENTAL HEALTH SERVICES IN GENERAL HEALTH CARE: VOLUME 1 -- Copyright -- Contents -- I INTRODUCTION -- II BACKGROUND AND OVERVIEW -- DEFINITIONS OF PRIMARY HEALTH CARE AND MENTAL HEALTH SERVICES -- NATURE AND SCOPE OF MENTAL HEALTH PROBLEMS IN PRIMARY CARE -- MODELS FOR COORDINATED MENTAL HEALTH AND PRIMARY CARE SERVICES -- IDENTIFICATION AND MANAGEMENT OF MENTAL HEALTH PROBLEMS IN PRIMARY CARE SETTINGS -- EDUCATION AND TRAINING -- ISSUES OF FINANCING AND COST-OFFSET -- REFERENCES -- III KEYNOTE PRESENTATIONS -- THE PROVISION OF MENTAL HEALTH SERVICES IN PRIMARY CARE SETTINGS -- References -- OPENING REMARKS -- POLICY ISSUES ON PROVISION OF MENTAL HEALTH SERVICES IN PRIMARY CARE SETTINGS: A FEDERAL VIEW -- THE NATURE AND SCOPE OF MENTAL HEALTH PROBLEMS IN PRIMARY CARE: VARIABILITY AND METHODOLOGY -- References -- A NEIGHBORHOOD HEALTH CENTER MODEL OF INTEGRATED AND LINKED HEALTH AND MENTAL HEALTH SERVICES -- THE MODEL -- BENEFITS OF THE MODEL -- ISSUES ASSOCIATED WITH THE MODEL -- CONCLUSIONS AND IMPLICATIONS -- REFERENCES -- DELIVERY OF MENTAL HEALTH SERVICES IN A FEE-FOR-SERVICE PEDIATRIC PRACTICE -- TREATMENT OF EMOTIONAL PROBLEMS BY PRIMARY PHYSICIANS IN AN HMO -- References -- QUESTIONS AND COMMENTS ON TREATMENT OF EMOTIONAL PROBLEMS BY PRIMARY PHYSICIANS IN AN HMO -- TRAINING OF FAMILY PHYSICIANS IN MENTAL HEALTH SKILLS: IMPLICATIONS OF RECENT RESEARCH -- OBSERVATIONS ON THE IMPACT OF PSYCHIATRIC DISORDER UPON PRIMARY MEDICAL CARE -- INTRODUCTION -- SETTING -- METHODS -- RESULTS -- DISCUSSION -- References -- LITERATURE REVIEW ON MANAGEMENT OF EMOTIONALLY DISTURBED PATIENTS IN PRIMARY CARE SETTINGS -- SUICIDE PREVENTION BY FAMILY PHYSICIANS: OPPORTUNITIES AND LIMITATIONS -- THE PRIMARY CARE PHYSICIAN: MENTAL HEALTH SKILLS -- THE ROLE OF THE PSYCHIATRIST IN PRIMARY CARE SETTINGS: ISSUES AND PROBLEMS.

Intro -- CONTENTS -- INTRODUCTION -- 1. HISTORY AND INVESTIGATIONS Asking the Questions -- HOWARD ZINN, historian -- ELAINE SCARRY, literary scholar -- NOAM CHOMSKY, linguist -- 2. LABOR AND ECONOMY Working It Out -- ROBERT REICH, political scholar -- JULIET SCHOR, economist -- AARON FEUERSTEIN, corporate leader -- NAOMI KLEIN, journalist -- 3. DIVERSITY AND EQUALITY Balancing the Scales -- LANI GUINIER, legal scholar -- KATHA POLLITT, writer -- 4. BRUTALITY, BLOODSHED, AND RESOLUTION A Violent Inheritance -- MARTHA MINOW, legal scholar -- SWANEE HUNT, diplomat -- JENNIFER LEANING, physician -- 5. RELIGION AND ETHICS In Search of Global Values -- HARVEY COX, theologian -- PETER SINGER, ethicist -- 6. DISTANCE AND PROXIMITY Closing the Gap -- PAUL FARMER, physician -- AMY GOODMAN, journalist -- SOURCES -- ACKNOWLEDGMENTS -- INDEX.

BIOMEDICAL AND BEHAVIORAL RESEARCH SCIENTISTS: THEIR TRAINING AND SUPPLY -- Copyright -- PREFACE -- ACKNOWLEDGMENTS -- Contents -- EXECUTIVE SUMMARY -- THE COMMITTEE'S INVESTIGATION -- FINDINGS -- RECOMMENDATIONS -- NRSA Support Levels -- Needed Research -- Other Recommendations -- CHAPTER 1 THE ROLE OF NRSA PROGRAMS IN THE EDUCATION PIPELINE -- OVERVIEW -- THE EDUCATION/EMPLOYMENT PIPELINE -- The Pipeline into the Basic Biomedical Sciences -- The Pipeline into Behavioral Sciences -- THE STRUCTURE OF NRSA TRAINING PROGRAMS -- Training Grants -- Fellowships -- NRSA Training for Physician/Scientists -- A STATISTICAL OVERVIEW OF NRSA TRAINING PROGRAMS -- NRSA Training Programs in FY 1987 -- GRANT APPLICATIONS AND AWARDS BY TRAINEES/FELLOWS -- HISTORICAL TRENDS -- CHAPTER 2 THE CURRENT MARKET FOR BIOMEDICAL AND BEHAVIORAL SCIENTISTS -- OVERVIEW -- THE CHANGING LABOR MARKET FOR BIOMEDICAL AND BEHAVIORAL SCIENTISTS, 1973-1987 -- Refreshment Rates -- Attrition -- Net Mobility -- RECENT TRENDS IN THE LABOR MARKET FOR BIOMEDICAL SCIENTISTS -- Growth in Employment -- Postdoctoral Appointments -- Trends in Job Openings and Ph.D. Production -- RECENT TRENDS IN THE LABOR MARKET FOR BEHAVIORAL SCIENCES -- Clinical Psychology -- Nonclinical Psychology -- Other Behavioral Sciences -- RECENT TRENDS IN THE LABOR MARKET FOR PHYSICIAN/SCIENTISTS -- COMPOSITION OF THE LABOR FORCE -- Race and Sex -- Citizenship -- CHAPTER 3 THE FUTURE LABOR MARKET FOR BIOMEDICAL AND BEHAVIORAL RESEARCH PERSONNEL -- OVERVIEW -- PRIOR COMMITTEE PROJECTIONS AND CURRENT METHODOLOGY -- THE MODEL -- THE FUTURE LABOR MARKET FOR BIOMEDICAL SCIENTISTS -- Growth in Employment -- Attrition -- Future Demand and Supply -- THE FUTURE LABOR MARKET FOR BEHAVIORAL SCIENTISTS -- Nonclinical Psychology -- Other Behavioral Scientists -- THE FUTURE LABOR MARKET FOR PHYSICIAN/SCIENTISTS.

Trained as a physician and alienist (psychiatrist), John Conolly (1794–1866) first published this work in 1856. It describes the abolition of mechanical restraints in the treatment of mentally ill patients at the Hanwell County Asylum in Middlesex, where Conolly worked as resident physician. He argues for a system of non-restraint to be implemented as standard in all asylums, focusing on understanding patients as individuals and treating them with care and compassion. Conolly had introduced at Hanwell an innovative programme for patients that was based around positive activities, personal freedom, privacy, good-quality food, exercise, and, most importantly, the absence of any physical restraint. Though controversial at first, Conolly's enlightened methods and writings helped further the cause of humane treatment. This work remains a key text in the history of asylum reform and changing attitudes to mental illness

Intro -- FrontMatter -- Contents -- 1 Introduction -- 2 Proceedings: Day 1: February 25, 2013 -- 3 Proceedings: Day 2: February 26, 2013 -- Appendix A: Workshop Agenda -- Appendix B: Biographical Sketches of Workshop Speakers and Planning Committee Members -- Appendix C: Workshop Participants.