This analysis of the United States health care system reviews developments in organization and governance, health financing, health care provision, health reforms, and health system performance. The U.S. system has both considerable strengths and notable weaknesses. It has a large and well-trained health workforce, a wide range of high-quality medical specialists as well as secondary and tertiary institutions, a robust health sector research program, and, for selected services, among the best medical outcomes in the world. But it also suffers from incomplete coverage of its citizenry, health expenditure levels per person far exceeding all other countries, poor objective and subjective indicators of quality and outcomes, and an unequal distribution of resources and outcomes across the country and among different population groups. Because of the adoption of the Affordable Care Act in 2010, and subsequent revisions to it, the U.S. is facing a period of enormous change. There is a great need to improve coverage and improve equity, better ensure quality outcomes, and find ways to better control expenditures. Health Systems in Transition: USA provides an in-depth discussion of these issues and a thorough review of the U.S. health care system.
The book provides a thorough review of the U.S. health care system, including its organization and financing, care delivery, recent reforms, and an evaluation of the system's performance.
The theory of plate tectonics transformed earth science. The hypothesis that the earth’s outermost layers consist of mostly rigid plates that move over an inner surface helped describe the growth of new seafloor, confirm continental drift, and explain why earthquakes and volcanoes occur in some places and not others. Lynn R. Sykes played a key role in the birth of plate tectonics, conducting revelatory research on earthquakes. In this book, he gives an invaluable insider’s perspective on the theory’s development and its implications. Sykes combines lucid explanation of how plate tectonics revolutionized geology with unparalleled personal reflections. He entered the field when it was on the cusp of radical discoveries. Studying the distribution and mechanisms of earthquakes, Sykes pioneered the identification of seismic gaps—regions that have not ruptured in great earthquakes for a long time—and methods to estimate the possibility of quake recurrence. He recounts the various phases of his career, including his antinuclear activism, and the stories of colleagues around the world who took part in changing the paradigm. Sykes delves into the controversies over earthquake prediction and their importance, especially in the wake of the giant 2011 Japanese earthquake and the accompanying Fukushima disaster. He highlights geology’s lessons for nuclear safety, explaining why historic earthquake patterns are crucial to understanding the risks to power plants. Plate Tectonics and Great Earthquakes is the story of a scientist witnessing a revolution and playing an essential role in making it.
As fields and estates in post-World War II Northeast Philadelphia gave way to the construction of new houses, traditional neighborhoods changed as new communities and shopping districts emerged.
Americans deserve honest government. This text addresses the need for a comprehensive statement of ethical behavior for public officials and employees at every level of government. Recognizing the need for legal reforms that focus mainly on campaign contributions, the authors examine the broader question of how we should measure the routine, day-to-day ethics of men and women in public service. By focussing more on attitudes and practices, the authors suggest that the highest standard of both ethics and competence should be demanded of all our public servants. The book identifies situations in which officials ought to act cautiously and presents the ethical rules that should be applied to each situation. The text presents a philosophy of public service and then moves to particular situations to which this philosophy must be applied: campaign finance; the campaign itself; behavior of elected officials, appointed officials, and public employees; the role of lobbyists; compensation for public servants; moving to and from the public and private sectors; ethical guidelines for lawyers and judges; the private lives of public servants; and enforcement of ethics. The final chapter discusses the sometimes competing forces of ethics and competency. Ethical guidelines are gathered in the appendix and serve as a useful starting point for ethics in any public service setting. The combination of persuasive and thought-provoking proposals for governmental ethics reform along with practical guidelines on how to maintain the highest possible standards of ethical conduct makes this an important text for students in ethics and government courses, as well as an imperative reading for public officials, whether elected, appointed, or career.
Although not always unswervingly, from antiquity until today, Christians have engaged in charity. As settings changed, compassion evolved, laying in place an ongoing mosaic of Christian ideas and institutions surrounding care. From the antique and medieval to the modern and contemporary, each age offers unique actors and insights into how compassion is viewed and achieved. We consider repeating motifs and novel appearances in the arc of Christian compassion which enlighten and inspire. Encountered on the journey are the formation and sacrifice of ancient Christians; an emphasis on virtues taught through sparing and sharing; the nascent social welfare of the Byzantine church; the sacralization and mobilization of a medieval church; innovative ideas from reformers who advance the role of the state; and modern movements in justice, peace, humanitarianism, mutual aid, and community development.
Step-by-step guidance to create and sustain a just culture at your facility Earn 3 continuing education credits This practical resource explains the process of creating and sustaining a just culture in which staff members are encouraged to report adverse events to improve quality care. You'll get sure-fire strategies to gain buy-in from leadership, improve employee satisfaction, and turn mistakes and near-misses into useful data to improve processes and reporting. Help your nurses understand it's not the "who" but the "what" that went wrong. This book will help you: o Overcome potential roadblocks to culture change with successful strategies from accomplished patient safety, risk, and nursing experts o Motivate staff to report adverse events o Discover how a just culture increases patient safety, nurse satisfaction, and retention o Evolve your current culture into a just culture using the easy-to-understand, step-by-step instructions
Foucault and Feminist Philosophy of Disability is a distinctive contribution to growing discussions about how power operates within the academic field of philosophy. By combining the work of Michel Foucault, the insights of philosophy of disability and feminist philosophy, and data derived from empirical research, Shelley L. Tremain compellingly argues that the conception of disability that currently predominates in the discipline of philosophy, according to which disability is a natural disadvantage or personal misfortune, is inextricably intertwined with the underrepresentation of disabled philosophers in the profession of philosophy. Against the understanding of disability that prevails in subfields of philosophy such as bioethics, cognitive science, ethics, and political philosophy, Tremain elaborates a new conception of disability as a historically specific and culturally relative apparatus of power. Although the book zeros in on the demographics of and biases embedded in academic philosophy, it will be invaluable to everyone who is concerned about the social, economic, institutional, and political subordination of disabled people.
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