This reference brings together findings from more than 200 national opinion surveys conducted by the Kaiser Family Foundation, Harvard University's School of Public Health, and other institutes and polling and media organizations.
When the images of desperate, hungry, thirsty, sick, mostly Black people circulated in the aftermath of Hurricane Katrina, it became apparent to the whole country that race did indeed matter when it came to government assistance. In The Wrong Complexion for Protection, Robert D. Bullard and Beverly Wright place the government response to natural and human-induced disasters in historical context over the past eight decades. They compare and contrast how the government responded to emergencies, including environmental and public health emergencies, toxic contamination, industrial accidents, bioterrorism threats and show that African Americans are disproportionately affected. Bullard and Wright argue that uncovering and eliminating disparate disaster response can mean the difference between life and death for those most vulnerable in disastrous times.
During the five full years of his presidency (1964–1968), Lyndon Johnson initiated a breathtaking array of domestic policies and programs, including such landmarks as the Civil Rights Act, Head Start, Food Stamps, Medicare and Medicaid, the Immigration Reform Act, the Water Quality Act, the Voting Rights Act, Social Security reform, and Fair Housing. These and other “Great Society” programs reformed the federal government, reshaped intergovernmental relations, extended the federal government’s role into new public policy arenas, and redefined federally protected rights of individuals to engage in the public sphere. Indeed, to a remarkable but largely unnoticed degree,Johnson’s domestic agenda continues to shape and influence current debates on major issues such as immigration, health care, higher education funding, voting rights, and clean water, even though many of his specific policies and programs have been modified or, in some cases, dismantled since his presidency. LBJ’s Neglected Legacy examines the domestic policy achievements of one of America’s most effective, albeit controversial, leaders. Leading contributors from the fields of history, public administration, economics, environmental engineering, sociology, and urban planning examine twelve of LBJ’s key domestic accomplishments in the areas of citizenship and immigration, social and economic policy, science and technology, and public management. Their findings illustrate the enduring legacy of Johnson’s determination and skill in taking advantage of overwhelming political support in the early years of his presidency to push through an extremely ambitious and innovative legislative agenda, and emphasize the extraordinary range and extent of LBJ’s influence on American public policy and administration.
An accountable care organization (ACO) is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned group of patients. Accountable Care Organizations: Value Metrics and Capital Formation explores the historical ba
This revised edition of Introduction to Health Care Delivery: A Primer for Pharmacists, Fourth Edition, offers a current and comprehensive picture of the U.S. healthcare delivery system while emphasizing the perspective of the pharmacy profession. Each thoroughly updated chapter in the new edition of this practical text includes real-world case studies, learning objectives, chapter questions, questions for further discussion, and updated key topics and terms. New to the Fourth Edition is an updated Medicare/Medicaid chapter that reflects current regulations, a comprehensive glossary, and online instructor resources including case response scenarios.
Since the late 1960s, health care in the United States has been described as a system in crisis. No matter their position, those seeking to improve the system have relied on the rhetoric of crisis to build support for their preferred remedies, to the point where the language and imagery of a health care crisis are now deeply embedded in contemporary politics and popular culture. In Cries of Crisis, Robert B. Hackey analyzes media coverage, political speeches, films, and television shows to demonstrate the role that language and symbolism have played in framing the health care debate, shaping policy making, and influencing public perceptions of problems in the health care system. He demonstrates that the idea of crisis now means so many different things to so many different groups that it has ceased to have any shared meaning at all. He argues that the ceaseless talk of “crisis,” without a commonly accepted definition of that term, has actually impeded efforts to diagnose and treat the chronic problems plaguing the American health care system. Instead, he contends, reformers must embrace a new rhetorical strategy that links proposals to improve the system with deeply held American values like equality and fairness.
More than a million patient safety incidents occur every year, and medical error is the third leading cause of death in the United States. Illuminating the experiences of those affected by medical error—patients, their loved ones, and physicians and other medical professionals—Talking with Patients and Families about Medical Error delves deeply into the challenges of communicating honestly and openly about mistakes in medical practice. cc Based on guidelines from the Institute for Professional and Ethical Practice and the authors' own experiences, the practice-based approaches outlined here offer concrete guidance on • initiating discussions • dealing professionally and compassionately with patients' reactions • who should be included in the conversation • what information should be documented in the medical record • how to respond to questions about financial compensation Aimed at promoting resolution and healing, this book stresses the importance of clear, empathetic communication that will improve clinical and organizational responses to medical missteps and mismanagement. It emphasizes five features of the physician-patient relationship deserving of special attention: transparency, respect, accountability, continuity, and kindness (TRACK). Narrative examples of common situations demonstrate how conversations about medical error can lead to healing.
This text has been admired for as long as Family Medicine has been a recognized specialty. Edited by the legendary Robert E. Rakel, MD, this superb 7th edition continues to break new ground. Includes materials to help hone your clinical skills and prepare for the ABFP boards and SPEX exams. Highlights especially important points of diagnosis and therapy in the case section of book. Provides Best Evidence Recommendations boxes to promote greater reliability of information. Offers a free CD-rom containing video clips of diabetes testing, stress test and all the illustrations from the book! Contains new chapters on complementary and alternative medicine. Takes a fresh new approach to evidence based medicine in clinical practice. Uses a visually appealing, functional 4-color design and a full-color insert.
Five-Star Trails: Columbus is the most current and comprehensive guide to hiking the area and rates hikes on the following factors: scenery, trail condition, difficulty, appropriateness for children, and solitude. Each hikes also includes detailed landmarks, flora, fauna, and local history. In this Columbus guide, an impressive collection of routes ranges north, east, south, and west from the metro center, as well as within the urban setting. This capital city is rich in metro parks, natural areas and preserves, state parks, and state forests. And this diversity of hiking terrain invites all levels of abilities and skills. Thus, this guidebook is geared not only to avid trekkers seeking more challenge than a paved neighborhood path, but also to families and senior citizens. Outdoor enthusiasts of every stripe will have reason to grab this book and, well, take a hike. Sized for easy carrying or tossing into a backpack, this handy guide will quickly become a treasured resource among Columbus locals and visitors alike.
Introduction to Health Care Delivery:A Primer for Pharmacists, Fifth Edition provides students with a current and comprehensive overview of the U.S. health care delivery system from the perspective of the pharmacy profession. Each thoroughly updated chapter of this best-selling text includes real-world case studies, learning objectives, chapter review questions, questions for further discussion, and updated key topics and terms. New and expanded topics include public health, pharmacoepidemiology, cultural competence, and leadership. Patient-Provider dialogues are also included to help students apply key concepts. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.
The new edition of this popular textbook provides a comprehensive, accessible introduction to public opinion in the United States and describes how public opinion data are collected, how they are used, and the role they play in the U.S. political system. Bardes and Oldendick introduce students to the history of polling and explain the factors a good consumer of polls should know in order to evaluate public opinion data. Public Opinion: Measuring the American Mind is the only text to devote significant space to the history of polling, the use of polling in America today, and to explain the methods used for survey research. In addition, Bardes & Oldendick engage students by providing in-depth coverage of public opinion on issues—social welfare, gun control, death penalty, abortion, gay rights, civil rights, and foreign policy—over time and with an analysis of group differences for each subject. This lively, engaging text combines a comprehensive grounding in the nuts and bolts of the field with up-to-date, real-world examples.
By relying on private enterprise more than any other developed nation, American health care has all the appearances of the free-market in action. And for more than a hundred years, attempts to reform this system (including President Obama's Affordable Care Act) have been met with opposition from parties warning against the stifling effect of government intervention. What these warnings about federal intrusion overlook is the fact that the federal government has long been an indispensable player in guiding and supporting the current US health care system. Its role is so pervasive and of such longstanding importance that it is easy to overlook, but it actually created American health care as we know it today. Seminal public programs stand behind every segment of America's massive and hugely profitable health care industry. This is not to deny the instrumental roles of private entrepreneurship and innovation, but rather to describe the foundation on which they rest. The industry's underlying driving force is a massive partnership between the public and private spheres. The partnership is complex, and its effects are not always ideal. But for better or worse, it shapes every aspect of what we in the United States know as health care. Mother of Invention traces the government's role in building four key health care sectors into the financial powerhouses they are today: pharmaceuticals, hospitals, the medical profession, and private insurance. It traces their history, surveys their growth, and highlights some of their greatest success stories, which together reveal the indispensable role of public initiatives in contemporary private health care. Only by understanding what actually drives our system can we appreciate possibilities for meaningful reform or comprehend the true context--historically and politically--of the Obama plan.
The term "patient safety" rose to popularity in the late nineties, as the medical community -- in particular, physicians working in nonmedical and administrative capacities -- sought to raise awareness of the tens of thousands of deaths in the US attributed to medical errors each year. But what was causing these medical errors? And what made these accidents to rise to epidemic levels, seemingly overnight? Still Not Safe is the story of the rise of the patient-safety movement -- and how an "epidemic" of medical errors was derived from a reality that didn't support such a characterization. Physician Robert Wears and organizational theorist Kathleen Sutcliffe trace the origins of patient safety to the emergence of market trends that challenged the place of doctors in the larger medical ecosystem: the rise in medical litigation and physicians' aversion to risk; institutional changes in the organization and control of healthcare; and a bureaucratic movement to "rationalize" medical practice -- to make a hospital run like a factory. If these social factors challenged the place of practitioners, then the patient-safety movement provided a means for readjustment. In spite of relatively constant rates of medical errors in the preceding decades, the "epidemic" was announced in 1999 with the publication of the Institute of Medicine report To Err Is Human; the reforms that followed came to be dominated by the very professions it set out to reform. Weaving together narratives from medicine, psychology, philosophy, and human performance, Still Not Safe offers a counterpoint to the presiding, doctor-centric narrative of contemporary American medicine. It is certain to raise difficult, important questions around the state of our healthcare system -- and provide an opening note for other challenging conversations.
This book is one of the only texts to cover the history, methodology, and practice of bioethics. Compiling articles from well-established bioethical thinkers, Jecker et al. have created an edited volume unique in its scope of topics addressed. Bioethics will find use for both graduate students and professional students in law, medicine, nursing or other health-related fields who will face bioethical issues in future careers.
Part I of this book explores the economists debate over the relative costs of the two health care systems. Part II explores the debate about access and quality of outcomes in the U.S. and Canadian systems. Part III of this book incorporates surveys and debate on the U.S. and Canadian health care systems in terms of satisfaction, interest, and willingness to accept either the U.S. market-driven system or the Canadian single-payer system.
No specialty faces more diverse and challenging ethical dilemmas than palliative medicine. What is the best way to plan ahead for the end of life? How should physicians respond when patients refuse treatments likely to be beneficial, or demand treatments not likely to be? Who makes medical decisions for patients who are too ill to decide for themselves? Do patients have the "right to die" (and, if so, what exactly does that mean)? In this volume noted palliative care physician and bioethicist Robert C. Macauley addresses a broad range of issues from historical, legal, clinical, and ethical perspectives. Clinically nuanced and philosophically rigorous, Ethics in Palliative Care analyzes hot-button subjects like physician assisted dying and euthanasia, as well as often overlooked topics such as pediatric palliative care, organ donation, palliative care research, and moral distress. Drawing on real cases yet written in non-technical language, this complete guide will appeal to both medical professionals and lay readers.
This book provides a comprehensive introduction to significant U.S. health policy controversies, including Democratic and Republican responses to the coronavirus pandemic. It explores partisan divisions, major challenges, and policy preferences of key Democratic and Republican stakeholders. This volume provides readers with a broad overview of a variety of issues in contemporary health policy that span health care reform, health insurance, pharmaceuticals, public health, health care for underserved populations, and responses to the COVID-19 pandemic. The book explores the politics of each issue, drawing upon historical evidence, legislative research, public opinion polls, and the views of key decision makers from both Democratic and Republican perspectives. This coverage provides readers with a clear sense of how policymakers from each party think about the issues involved. This resource devotes special attention to the COVID-19 public health crisis, providing authoritative coverage of the actions, rhetoric, and policy choices of President Trump and his administration, governors across the nation, and leaders of Congress from both parties. This chapter, like all others in the book, is written so that it is accessible to readers from a variety of audience levels, including students and general readers.
Occupational devotion, as defined by Robert A. Stebbins, is a strong and positive attachment to a form of self-enhancing work, where the sense of achievement is high and the core activity, or set of tasks, is endowed with such intense appeal that the line between work and leisure is virtually erased. This volume examines conditions that attract people to their work in this profound way, and the many exceptional values and intrinsic rewards they realize there. The author sets out by discussing people who are devoted to their occupations, and describes the kinds of occupations in which such people are found, the nature of their commitment to their work, and the kind of values they strive to realize through work. Stebbins frames occupational devotion in four broad social contexts--history, religion, work, and leisure--then considers the further subdivisions of gender, social class, and social character. The heart of the book uses research findings on leisure to develop a powerful critique of the "workaholic" model. Stebbins shows instead that deeply felt worker enthusiasm is devoid of addictive or coerced behavior. Stebbins also explores the role of money. How important is it? What happens when money becomes a major if not dominant value, as has happened, for example, in the realm of professional sports? Finally, he examines the social implications of the compatibility of work and serious leisure, using exploratory research to identify their shared motivational factors. Between Work and Leisure aims to debunk the prevailing myth that work and leisure are wholly separate and, often as not, mutually antagonistic spheres of life. Stebbins shows that a close relationship between leisure and work offers the opportunity for people to find joy in work just as they do in leisure. This volume will be of interest to those interested in work and occupations, as well as those interested in the quality of their own lives.
Regulation shapes all aspects of America's fragmented health care industry, from the flow of dollars to the communication between physicians and patients. It is the engine that translates public policy into action. While the health and lives of patients, as well as almost one-sixth of the national economy depend on its effectiveness, health care regulation in America is bewilderingly complex. Government agencies at the federal, state, and local levels direct portions of the industry, but hundreds of private organizations do so as well. Some of these overseers compete with one another, some conflict, and others collaborate. Their interaction is as important to the provision of health care as are the laws and rules they implement. Health Care Regulation in America is a guide to this regulatory maze. It succinctly recaps the past and present conflicts that have guided the oversight of each industry segment over the past hundred years and explains the structure of regulation today. To make the system comprehensible, this book also presents the sweep of regulatory policy in the context of the interests, values, goals, and issues that guide it. Chapters cover the process of regulation and each key area of regulatory focus - professionals, institutions, financing arrangements, drugs and devices, public health, business relationships, and research. In a uniquely American way, the system thrives on confrontation between competing interests but survives by engendering compromise. Robert Field shows that health care regulation is an inexorable force that nurtures as well as restricts the enterprise of American health care. For the student, practitioner, executive, policy analyst, or concerned citizen, this book is an invaluable guide to the policy, politics, and practice of an industry that directly touches us all.
This case studies book is a unique, practical, cutting-edge, and indispensable go-to resource for front-line practitioners and educators in medicine. Each case study (chapter) is framed by a set of introductory learning objectives, an evaluation section, thought-provoking discussion questions, and references to further readings. Furthermore, the book is conveniently organized along the continuum of medical care delivery, providing quick access to ad-hoc solutions in safety- and quality-compromised situations, illustrating how skillful communication can be the key to a more effective prevention, intervention, and response to “close calls” and adverse events. The case studies book is unique and innovative in its interdisciplinary integration of the contemporary literature in communication science with current “hot buttons” of patient safety. It manifests a valuable interdisciplinary collaboration by translating the basic tenets of human communication science for practitioners of medicine, providing a conceptual, evidence-based foundation for formulating communication-based practice guidelines to advance patient safety and quality of care. The case studies put communication theory into practice to facilitate experiential learning, granting insights into the breadth and diverse aspects of safe and high quality healthcare delivery. Thought-provoking discussion questions and references for further reading make this book a valuable reference for medical practitioners across the world.
Within the context of long-range planning, this book examines the changing responsibilities of the state and family toward elders in different societies around the world. International Perspectives on State and Family Support for the Elderly presents a fresh range of lucid analyses of family caregiving policy from Canada, the United States, Sweden, the United Kingdom, Hong Kong, Austria, Denmark, Israel, and the People’s Republic of China. Different institutional structures, levels of economic development, and cultural values, among other factors, impact policy development in various countries. With the information examined in this book, readers can gain an understanding of elder care in other societies, which can help them in developing policies for their own countries.Authors of International Perspectives on State and Family Support for the Elderly address questions such as: Who is responsible for caring for the aged? What are the policy issues that determine how such care is handled in various countries? Are the underlying principles upon which policy is based changing? Who pays for the care of the aged? What is the balance of the roles of government, family, and community? Along with these questions, authors discuss: the importance of family care the well-being, payment, and rights of informal caregivers providing services for informal caregivers shifting the burden of care from formal organizations to families the effects of governmental frameworks on caregiving the impact of the political agenda on caregiving caregiving and the welfare stateInternational Perspectives on State and Family Support for the Elderly contains information for all professionals interested or involved in developing policy for the elderly. Demographers, sociologists, social workers, health care and public health professionals, gerontologists, and advanced students in these fields will find this book a helpful guide in their studies.
Much of what is written about colleges and universities ties rapidly rising tuition to dysfunctional behavior in the academy. Common targets of dysfunction include prestige games among universities, gold plated amenities, and bloated administration. This book offers a different view. To explain rising college cost, the authors place the higher education industry firmly within the larger economic history of the United States. The trajectory of college cost is similar to cost behavior in many other industries, and this is no coincidence. Higher education is a personal service that relies on highly educated labor. A technological trio of broad economic forces has come together in the last thirty years to cause higher education costs, and costs in many other industries, to rise much more rapidly than the inflation rate. The main culprit is economic growth itself. This finding does not mean that all is well in American higher education. A college education has become less reachable to a broad swathe of the American public at the same time that the market demand for highly educated people has soared. This affordability problem has deep roots. The authors explore how cost pressure, the changing wage structure of the US economy, and the complexity of financial aid policy combine to reduce access to higher education below what we need in the 21st century labor market. This book is a call to calm the rhetoric of blame and to instead find policies that will increase access to higher education while preserving the quality of our colleges and universities.
The demand for health information continues to increase, but the ability of health professionals to provide it clearly remains variable. The aim of this book is (1) to summarize and synthesize research on the selection and presentation of data pertinent to public health, and (2) to provide practical suggestions, based on this research summary and synthesis, on how scientists and other public health practitioners can better communicate data to the public, policy makers, and the press in typical real-world situations. Because communication is complex and no one approach works for all audiences, the authors emphasize how to communicate data "better" (and in some instances, contrast this with how to communicate data "worse"), rather than attempting a cookbook approach. The book contains a wealth of case studies and other examples to illustrate major points, and actual situations whenever possible. Key principles and recommendations are summarized at the end of each chapter. This book will stimulate interest among public health practitioners, scholars, and students to more seriously consider ways they can understand and improve communication about data and other types of scientific information with the public, policy makers, and the press. Improved data communication will increase the chances that evidence-based scientific findings can play a greater role in improving the public's health.
Human genetic technology has advanced rapidly in recent years to the point where amniocentesis is commonplace and in vitro fertilization has been successful. On the horizon looms the specter of human cloning and genetic engineering, raising a storm of new moral and ethical questions. These questions, asserts the author, are not the only ones to be considered; the impact and role of public policy are equally critical. What part should the state play in human genetic intervention? To what extent does a democratic society have the duty to take steps to reduce genetic disease and improve the quality of life through genetic engineering? If society has such responsibility, at what stage does societal good preempt individual rights? What is society's obligation toward future generations and is genetic manipulation justifiable on these grounds? After surveying the state of the art, the author grapples with these questions, contending that decisions ultimately will not be based on ethical and moral grounds –they will be fought out in the political arena.
Introduction to Health Care Delivery: A Primer for Pharmacists, Sixth Edition provides students with a current and comprehensive overview of the U.S. health care delivery system from the perspective of the pharmacy profession. Each thoroughly updated chapter of this best-selling text includes real-world case studies, learning objectives, chapter review questions, questions for further discussion, and updated key topics and terms. Patient-Provider dialogues are also included to help students apply key concepts. Introduction to Health Care Delivery: A Primer for Pharmacists, Sixth Edition will provide students with an understanding of the social, organizational, and economic aspects of health care delivery.
How can America become a healthy nation, Blank asks, when it is beset by poverty, illiteracy, and crime? No new health care system can succeed unless or until the links between social problems and sickness are understood-and addressed. On the national level, Blank calls for a more aggressive redistribution of social and public health resources to the poor and elderly; at the same time, he describes sanctions that would encourage individuals to be more careful about their own health, and limit or change destructive behavior.
Highlighting American cultural and political contexts, this book provides an in-depth assessment of the breadth and magnitude of the United States' errors in its response to the COVID-19 pandemic. An Unmitigated Disaster chronicles and explains the U.S. response to the COVID-19 pandemic. Emergency management expert Robert O. Schneider considers the quality of U.S. pandemic planning and preparedness; the quality and effectiveness of national, state, and local response efforts; and the performance of national leaders during this historic public health crisis. The book culminates in an assessment of how a predictable public health threat became an unprecedented health, economic, and security disaster. Schneider convincingly shows that conscious decisions were made by governmental authorities, beginning with the president, to ignore expert information and security intelligence in pursuit of other objectives. In other words, Schneider argues, if the U.S. was ill-prepared for or slow to respond to the crisis, it was because its leaders consciously chose to be ill-prepared or slow to respond. Readers will be fascinated by this behind-the-scenes exposé of a pandemic year.
In light of the dynamic nature of the healthcare industry sector, the analysis supporting business valuation engagements for healthcare enterprises, assets, and services must address the expected economic conditions and events resulting from the four pillars of the healthcare industry: reimbursement, regulation, competition, and technology. This title presents specific attributes of each of these enterprises, assets, and services and how research needs and valuation processes differentiate depending on the subject of the appraisal, the environment the property interest exists, and the nature of the practices.
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