Health Care In America Separate And Unequal Medicine Healthcare

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Unequal Treatment

Unequal Treatment Pdf/ePub eBook Author: Institute of Medicine,Board on Health Sciences Policy,Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care
Editor: National Academies Press
ISBN: 9780309133081
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Unequal Treatment by Institute of Medicine,Board on Health Sciences Policy,Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care Summary

Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients’ and providers’ attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve providerâ€"patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Communities in Action

Communities in Action Pdf/ePub eBook Author: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Committee on Community-Based Solutions to Promote Health Equity in the United States
Editor: National Academies Press
ISBN: 0309452996
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Communities in Action by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Committee on Community-Based Solutions to Promote Health Equity in the United States Summary

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Understanding Racial and Ethnic Differences in Health in Late Life

Understanding Racial and Ethnic Differences in Health in Late Life Pdf/ePub eBook Author: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life
Editor: National Academies Press
ISBN: 9780309165860
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Understanding Racial and Ethnic Differences in Health in Late Life by National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life Summary

As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

Just Medicine

Just Medicine Pdf/ePub eBook Author: Dayna Bowen Matthew
Editor: NYU Press
ISBN: 1479888567
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Just Medicine by Dayna Bowen Matthew Summary

Just Medicine offers us a new, effective, and innovative plan to regulate implicit biases and eliminate the inequalities they cause, and to save the lives they endanger. Over 84,000 black and brown lives are needlessly lost each year due to health disparities, the unfair, unjust, and avoidable differences between the quality and quantity of health care provided to Americans who are members of racial and ethnic minorities and care provided to whites. Health disparities have remained stubbornly entrenched in the American health care system—and in Just Medicine Dayna Bowen Matthew finds that they principally arise from unconscious racial and ethnic biases held by physicians, institutional providers, and their patients. Implicit bias is the single most important determinant of health and health care disparities. Because we have missed this fact, the money we spend on training providers to become culturally competent, expanding wellness education programs and community health centers, and even expanding access to health insurance will have only a modest effect on reducing health disparities. We will continue to utterly fail in the effort to eradicate health disparities unless we enact strong, evidence-based legal remedies that accurately address implicit and unintentional forms of discrimination, to replace the weak, tepid, and largely irrelevant legal remedies currently available. Our continued failure to fashion an effective response that purges the effects of implicit bias from American health care, Matthew argues, is unjust and morally untenable. In this book, she unites medical, neuroscience, psychology, and sociology research on implicit bias and health disparities with her own expertise in civil rights and constitutional law.

Unequal Coverage

Unequal Coverage Pdf/ePub eBook Author: Heide Castañeda
Editor: NYU Press
ISBN: 1479834408
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Unequal Coverage by Heide Castañeda Summary

The Affordable Care Act’s impact on coverage, access to care, and systematic exclusion in our health care system The Affordable Care Act set off an unprecedented wave of health insurance enrollment as the most sweeping overhaul of the U.S. health insurance system since 1965. In the years since its enactment, some 20 million uninsured Americans gained access to coverage. And yet, the law remained unpopular and politically vulnerable. While the ACA extended social protections to some groups, its implementation was troubled and the act itself created new forms of exclusion. Access to affordable coverage options were highly segmented by state of residence, income, and citizenship status. Unequal Coverage documents the everyday experiences of individuals and families across the U.S. as they attempted to access coverage and care in the five years following the passage of the ACA.It argues that while the Affordable Care Act succeeded in expanding access to care, it did so unevenly, ultimately also generating inequality and stratification. The volume investigates the outcomes of the ACA in communities throughout the country and provides up-close, intimate portraits of individuals and groups trying to access and provide health care for both the newly insured and those who remain uncovered. The contributors use the ACA as a lens to examine more broadly how social welfare policies in a multiracial and multiethnic democracy purport to be inclusive while simultaneously embracing certain kinds of exclusions. Unequal Coverage concludes with an examination of the Affordable Care Act’s uncertain legacy under the new Presidential administration and considers what the future may hold for the American health care system. The book illustrates lessons learned and reveals how the law became a flashpoint for battles over inequality, fairness, and the role of government. More books on the health care debate

Separate Beds

Separate Beds Pdf/ePub eBook Author: Maureen K. Lux
Editor: University of Toronto Press
ISBN: 144266312X
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Separate Beds by Maureen K. Lux Summary

Separate Beds is the shocking story of Canada’s system of segregated health care. Operated by the same bureaucracy that was expanding health care opportunities for most Canadians, the “Indian Hospitals” were underfunded, understaffed, overcrowded, and rife with coercion and medical experimentation. Established to keep the Aboriginal tuberculosis population isolated, they became a means of ensuring that other Canadians need not share access to modern hospitals with Aboriginal patients. Tracing the history of the system from its fragmentary origins to its gradual collapse, Maureen K. Lux describes the arbitrary and contradictory policies that governed the “Indian Hospitals,” the experiences of patients and staff, and the vital grassroots activism that pressed the federal government to acknowledge its treaty obligations. A disturbing look at the dark side of the liberal welfare state, Separate Beds reveals a history of racism and negligence in health care for Canada’s First Nations that should never be forgotten.

Social Epidemiology

Social Epidemiology Pdf/ePub eBook Author: Lisa F. Berkman,Ichiro Kawachi
Editor: Oxford University Press
ISBN: 0199879672
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Social Epidemiology by Lisa F. Berkman,Ichiro Kawachi Summary

The authors of this groundbreaking text define social epidemiology as the study of the social determinants of health, implying that an important goal of public health is to identify and address factors in the social environment that may be related to health outcomes. In the first systematic account of this field, they focus on the major social variables that influence health, including socioeconomic position, income distribution, race/ethnicity, gender, social networks/social support, social capital and community cohesion, work environment, life transitions, and affective psychological states. Individual chapters describe the conceptualization and measurement of each social variable, as well as the empirical evidence linking them to a broad range of mental, physical, and behavioral health outcomes. The volume draws on the expertise of an internationally renowned group of scholars, representing the diversity of disciplines relevant to this emerging field, from sociology and psychology to physiology and medicine. The approaches covered by the chapters span the range from formulating and testing hypotheses about the links between social conditions and health to designing and implementing interventions and social policies to improve population health. The challenge of persistent social inequalities in health across the globe makes this a timely publication. The book will be an indispensable introduction to the field for students, researchers, practitioners, and policy analysts.

Which Country Has the World's Best Health Care?

Which Country Has the World's Best Health Care? Pdf/ePub eBook Author: Ezekiel J Emanuel
Editor: PublicAffairs
ISBN: 1541797728
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Which Country Has the World's Best Health Care? by Ezekiel J Emanuel Summary

The preeminent doctor and bioethicist Ezekiel Emanuel is repeatedly asked one question: Which country has the best healthcare? He set off to find an answer. The US spends more than any other nation, nearly $4 trillion, on healthcare. Yet, for all that expense, the US is not ranked #1 -- not even close. In Which Country Has the World's Best Healthcare? Ezekiel Emanuel profiles eleven of the world's healthcare systems in pursuit of the best or at least where excellence can be found. Using a unique comparative structure, the book allows healthcare professionals, patients, and policymakers alike to know which systems perform well, and why, and which face endemic problems. From Taiwan to Germany, Australia to Switzerland, the most inventive healthcare providers tackle a global set of challenges -- in pursuit of the best healthcare in the world.

Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination Pdf/ePub eBook Author: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Editor: National Academies Press
ISBN: 030946921X
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Health-Care Utilization as a Proxy in Disability Determination by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities Summary

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Health Care for Some

Health Care for Some Pdf/ePub eBook Author: Beatrix Hoffman
Editor: University of Chicago Press
ISBN: 0226348059
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Health Care for Some by Beatrix Hoffman Summary

In Health Care for Some, Beatrix Hoffman offers an engaging and in-depth look at America’s long tradition of unequal access to health care. She argues that two main features have characterized the US health system: a refusal to adopt a right to care and a particularly American approach to the rationing of care. Health Care for Some shows that the haphazard way the US system allocates medical services—using income, race, region, insurance coverage, and many other factors—is a disorganized, illogical, and powerful form of rationing. And unlike rationing in most countries, which is intended to keep costs down, rationing in the United States has actually led to increased costs, resulting in the most expensive health care system in the world. While most histories of US health care emphasize failed policy reforms, Health Care for Some looks at the system from the ground up in order to examine how rationing is experienced by ordinary Americans and how experiences of rationing have led to claims for a right to health care. By taking this approach, Hoffman puts a much-needed human face on a topic that is too often dominated by talking heads.

Race After Technology

Race After Technology Pdf/ePub eBook Author: Ruha Benjamin
Editor: John Wiley & Sons
ISBN: 1509526439
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Race After Technology by Ruha Benjamin Summary

From everyday apps to complex algorithms, Ruha Benjamin cuts through tech-industry hype to understand how emerging technologies can reinforce White supremacy and deepen social inequity. Benjamin argues that automation, far from being a sinister story of racist programmers scheming on the dark web, has the potential to hide, speed up, and deepen discrimination while appearing neutral and even benevolent when compared to the racism of a previous era. Presenting the concept of the “New Jim Code,” she shows how a range of discriminatory designs encode inequity by explicitly amplifying racial hierarchies; by ignoring but thereby replicating social divisions; or by aiming to fix racial bias but ultimately doing quite the opposite. Moreover, she makes a compelling case for race itself as a kind of technology, designed to stratify and sanctify social injustice in the architecture of everyday life. This illuminating guide provides conceptual tools for decoding tech promises with sociologically informed skepticism. In doing so, it challenges us to question not only the technologies we are sold but also the ones we ourselves manufacture. If you adopt this book for classroom use in the 2019-2020 academic year, the author would be pleased to arrange to Skype to a session of your class. If interested, enter your details in this sign-up sheet: https://buff.ly/2wJsvZr

Ask a Manager

Ask a Manager Pdf/ePub eBook Author: Alison Green
Editor: Ballantine Books
ISBN: 0399181822
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Ask a Manager by Alison Green Summary

From the creator of the popular website Ask a Manager and New York’s work-advice columnist comes a witty, practical guide to 200 difficult professional conversations—featuring all-new advice! There’s a reason Alison Green has been called “the Dear Abby of the work world.” Ten years as a workplace-advice columnist have taught her that people avoid awkward conversations in the office because they simply don’t know what to say. Thankfully, Green does—and in this incredibly helpful book, she tackles the tough discussions you may need to have during your career. You’ll learn what to say when • coworkers push their work on you—then take credit for it • you accidentally trash-talk someone in an email then hit “reply all” • you’re being micromanaged—or not being managed at all • you catch a colleague in a lie • your boss seems unhappy with your work • your cubemate’s loud speakerphone is making you homicidal • you got drunk at the holiday party Praise for Ask a Manager “A must-read for anyone who works . . . [Alison Green’s] advice boils down to the idea that you should be professional (even when others are not) and that communicating in a straightforward manner with candor and kindness will get you far, no matter where you work.”—Booklist (starred review) “The author’s friendly, warm, no-nonsense writing is a pleasure to read, and her advice can be widely applied to relationships in all areas of readers’ lives. Ideal for anyone new to the job market or new to management, or anyone hoping to improve their work experience.”—Library Journal (starred review) “I am a huge fan of Alison Green’s Ask a Manager column. This book is even better. It teaches us how to deal with many of the most vexing big and little problems in our workplaces—and to do so with grace, confidence, and a sense of humor.”—Robert Sutton, Stanford professor and author of The No Asshole Rule and The Asshole Survival Guide “Ask a Manager is the ultimate playbook for navigating the traditional workforce in a diplomatic but firm way.”—Erin Lowry, author of Broke Millennial: Stop Scraping By and Get Your Financial Life Together

Crossing the Quality Chasm

Crossing the Quality Chasm Pdf/ePub eBook Author: Institute of Medicine,Committee on Quality of Health Care in America
Editor: National Academies Press
ISBN: 9780309132961
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Crossing the Quality Chasm by Institute of Medicine,Committee on Quality of Health Care in America Summary

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.

The Health Gap

The Health Gap Pdf/ePub eBook Author: Michael Marmot
Editor: Bloomsbury Publishing USA
ISBN: 1632860791
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The Health Gap by Michael Marmot Summary

In Baltimore's inner-city neighborhood of Upton/Druid Heights, a man's life expectancy is sixty-three; not far away, in the Greater Roland Park/Poplar neighborhood, life expectancy is eighty-three. The same twenty-year avoidable disparity exists in the Calton and Lenzie neighborhoods of Glasgow, and in other cities around the world. In Sierra Leone, one in 21 fifteen-year-old women will die in her fertile years of a maternal-related cause; in Italy, the figure is one in 17,100; but in the United States, which spends more on healthcare than any other country in the world, it is one in 1,800 (and now, with the new administration chipping away at Obamacare, the statistics stand to grow even more devastating). Why? Dramatic differences in health are not a simple matter of rich and poor; poverty alone doesn't drive ill health, but inequality does. Indeed, suicide, heart disease, lung disease, obesity, and diabetes, for example, are all linked to social disadvantage. In every country, people at relative social disadvantage suffer health disadvantage and shorter lives. Within countries, the higher the social status of individuals, the better their health. These health inequalities defy the usual explanations. Conventional approaches to improving health have emphasized access to technical solutions and changes in the behavior of individuals, but these methods only go so far. What really makes a difference is creating the conditions for people to have control over their lives, to have the power to live as they want. Empowerment is the key to reducing health inequality and thereby improving the health of everyone. Marmot emphasizes that the rate of illness of a society as a whole determines how well it functions; the greater the health inequity, the greater the dysfunction. Marmot underscores that we have the tools and resources materially to improve levels of health for individuals and societies around the world, and that to not do so would be a form of injustice. Citing powerful examples and startling statistics (“young men in the U.S. have less chance of surviving to sixty than young men in forty-nine other countries”), The Health Gap presents compelling evidence for a radical change in the way we think about health and indeed society, and inspires us to address the societal imbalances in power, money, and resources that work against health equity.

DAC Guidelines and Reference Series Poverty and Health

DAC Guidelines and Reference Series Poverty and Health Pdf/ePub eBook Author: OECD,World Health Organization
Editor: OECD Publishing
ISBN: 9264100202
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DAC Guidelines and Reference Series Poverty and Health by OECD,World Health Organization Summary

This book on poverty and health, jointly published by the OECD and WHO, sets out the essential components of a broad-scope “pro-poor” health approach for action within the health system and beyond it. It is for development practitioners in the area of health issues.

Invisible Visits

Invisible Visits Pdf/ePub eBook Author: Tina K. Sacks
Editor: Oxford University Press
ISBN: 0190840218
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Invisible Visits by Tina K. Sacks Summary

Although the United States spends almost one-fifth of all its resources funding healthcare, the American system continues to be dogged by persistent inequities in the treatment of racial and ethnic minorities and women.ÂInvisible VisitsÂanalyzes how middle-class Black women navigate the complexities of dealing with doctors in this environment. It challenges the idea that race and gender discrimination-particularly in healthcare settings-is a thing of the past, and questions the persistent myth that discrimination only affects poor racial minorities. In so doing, the book expands our understanding of how Black middle-class women are treated when they go to the doctor, why they continue to face inequities in securing proper medical care, and what strategies they use to fight for the best treatment (as well as the consequential toll on their health). Drawing from original research, the author shines a light on how women perceive the persistently negative stereotypes that follow them into the exam room, and proceeds to illustrate why simply providing more cultural-competency or anti-bias training to doctors will not be enough to overcome the problem. For Americans to truly address these challenges, the deeply embedded discrimination in our prized institutions-including those in the healthcare sector-must be acknowledged.

Health Care in America: Separate and Unequal

Health Care in America: Separate and Unequal Pdf/ePub eBook Author: Kant Patel,Mark E Rushefsky
Editor: Routledge
ISBN: 1317468899
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Health Care in America: Separate and Unequal by Kant Patel,Mark E Rushefsky Summary

The American health care system is a unique mix of public and private programs that critics argue has produced a two-tier system - one for the rich and the other for the poor - that delivers dramatically unequal care and leaves millions of Americans seriously underinsured or with no coverage at all. This book examines the root causes of the inequalities of the American health care system and discusses various policy alternatives. It systematically documents the demands on and the performance of our health care system for different population groups as defined on the basis of gender (women), age (children), race and ethnicity (African Americans, Hispanics, Native Americans), and residence in high poverty areas (rural and inner city locales).For each population, the book documents: historical and demographic profile, data on health status, aspects of inequality including access; quality of care; and endemic, cultural, and lifestyle issues affecting health; policies, laws, and programs relevant to health care; and, indicators of improvement or negative trends.

Corrections

Corrections Pdf/ePub eBook Author: Mary K. Stohr,Anthony Walsh
Editor: SAGE Publications
ISBN: 1506365272
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Corrections by Mary K. Stohr,Anthony Walsh Summary

Written by former practitioners who are experts in the field, Corrections: The Essentials, Third Edition, addresses the most important topics in corrections in a brief, yet comprehensive format. Authors Mary K. Stohr and Anthony Walsh introduce students to the history and development of correctional institutions, while offering a unique perspective on ethics and diversity. The Third Edition provides insights into the future of corrections as well as updated coverage of the most important issues impacting the field today. New to the Third Edition Updated and expanded coverage of ethical considerations, special populations, and the history of corrections provides students with the context for understanding policy decisions and their consequences, both past and present. More coverage on disparities in sentencing and drug courts encourages students to think critically about U.S. drug policies and the effectiveness of those policies. Additional content on federal procedures and private prisons shows real examples of private prisons, their profit motives, and the effect they have had on the correctional system. The most current data, facts, figures, and research are included throughout the book to provide students with insights into today’s world of corrections. A Complete Teaching & Learning Package Contact your rep to request a demo, explore bundling options, answer your questions, and find the perfect combination of tools and resources below to fit your unique course needs. SAGE Premium Video Included in the Interactive eBook! Corrections News Clips bring extra coverage of current events into the book, connecting brief 2 to 4 minute news clips to core chapter content. Learn more about SAGE Premium Video. Interactive eBook Your students save when you bundle the print version with the Interactive eBook (Bundle ISBN: 978-1-5443-2642-9), which includes access to SAGE Premium Video and other multimedia tools. Learn more about the Interactive eBook. SAGE coursepacks FREE! Easily import our quality instructor and student resource content into your school’s learning management system (LMS) and save time. Learn more about instructor resources. SAGE edge FREE online resources for students that make learning easier. See how your students benefit.

Issues in Healthcare Management, Economics, and Education: 2011 Edition

Issues in Healthcare Management, Economics, and Education: 2011 Edition Pdf/ePub eBook Author: N.A
Editor: ScholarlyEditions
ISBN: 1464965447
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Issues in Healthcare Management, Economics, and Education: 2011 Edition by N.A Summary

Issues in Healthcare Management, Economics, and Education: 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Healthcare Management, Economics, and Education. The editors have built Issues in Healthcare Management, Economics, and Education: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Healthcare Management, Economics, and Education in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Healthcare Management, Economics, and Education: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Health Care in the United States

Health Care in the United States Pdf/ePub eBook Author: Howard P Greenwald
Editor: John Wiley & Sons
ISBN: 9780470574973
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Health Care in the United States by Howard P Greenwald Summary

Health Care in the United States combines an explanation of population health with a comprehensive introduction to health services delivery. The author, an expert on health care policy and management, shows how the U.S. health services system is organized, managed, financed, and evaluated. Filled with numerous examples and tables, this important resource illustrates key concepts, trends, and features of the system. It places special emphasis on recent health care reform legislation and its implications for the future. Health Care in the United States reviews the historical origins of health care, its resource requirements, costs, quality, and contributions to both individual and social well-being. By combining basic concepts in population health with coverage of health services, the book offers extraordinary breadth of information in a highly accessible, easy-to-read text. Along with an in-depth look at the origins and possible impact of recent health reform legislation, the book explains the ongoing dilemmas that face the health care system and highlights health and disease in the modern world, the fundamentals of epidemiology, and health behavior. Health Care in the United States also explains the special challenges of managing health service personnel and organizations. The author reviews key innovations in financing and delivery, explaining the outcomes of cost sharing, HMO enrollment, and rationing of services. This vital resource is written for students and professionals in health care management and policy, as well as public health, medical sociology, medical anthropology, social work, political science, and most, if not all, clinical fields.