Generalist Medicine And The U S Health System

Author: Stephen L. Isaacs
Publisher: John Wiley & Sons
ISBN: 0787976563
Size: 28.60 MB
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Generalist Medicine And The U S Health System. This comprehensive resource illuminates the past, present, and future of generalist medicine. Generalist Medicine and U.S. Health Policy contains new contributions from preeminent authorities and a selection of groundbreaking articles and reports from the past forty years. Generalist Medicine and U.S. Health Policy covers a broad range of topics that · Examines the current challenges of primary care and generalist medicine · Offers a chronological history of the growth of generalist medicine since the 1950s · Reviews the models of care on which generalist medicine is based · Analyzes the growth of three disciplines¾general internists, family physicians, and pediatricians · Looks at the supply and distribution of generalist physicians · Discusses the education and training of generalist physicians · Reports on the cost and quality of the care provided by generalist versus specialists

The Nation S Physician Workforce

Author: Committee on the U.S. Physician Supply
Publisher: National Academies
ISBN:
Size: 38.35 MB
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The Nation S Physician Workforce. Enormous changes are occurring in the organization and financing of the U.S. health care system--rapid changes that are being driven by market forces rather than by government initiatives. Although it is difficult to predict what they system will look like once it begins to stabilize, the changes will affect all components of the health care workforce, and the numbers and types of health care professionals that will be needed in the future--as well as the roles they will fill--will surely be much different than they were in the past. Despite numerous studies in the past 15 years showing that we might have more doctors than we need, the number of physicians in residency training continues to grow. At the same time, there is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is taking place at a time when, coincident with the result of failure of comprehensive health care reform, there is no coordinated and widely accepted physician workforce policy in the United States. The present study examines the following three questions: (1) Is there a physician policy in the United States? (2) If there a surplus, what is its likely impact on the cost, quality, and access to health care and on the efficient use of human resources? (3) What realistic steps can be taken to deal with a physician surplus? December

The Future Of Nursing

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309208955
Size: 59.32 MB
Format: PDF, Mobi
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The Future Of Nursing. The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles -- including limits on nurses' scope of practice -- should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

An Introduction To The Us Health Care System

Author: Steven Jonas, MD,MPH, FACPM
Publisher: Springer Publishing Company
ISBN: 9780826103154
Size: 69.69 MB
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An Introduction To The Us Health Care System. Completely expanded and updated to account for the latest changes in the U.S. health care system, this best-selling text remains the most concise and balanced introduction to the domestic health care system. Like its predecessors, it provides an accessible overview of the basic components of the system: healthcare personnel, hospitals and other institutions, the federal government, financing and payment mechanisms, and managed care. Finally, it provides an insightful look at the prospects for health care reform. Steven Jonas, a revered expert in public health, has enlisted his colleagues, Drs. Raymond and Karen Goldsteen, to add their expertise in public health and health policy and management to this outstanding volume. All students of health care administration and policy, as well as practicing healthcare professionals who simply want a relatively brief overview of the system, will find it useful.

Practice Under Pressure

Author: Timothy Hoff
Publisher: Rutgers University Press
ISBN: 9780813548357
Size: 15.80 MB
Format: PDF
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Practice Under Pressure. Through ninety-five in-depth interviews with primary care physicians (PCPs) working in different settings, as well as medical students and residents, Practice Under Pressure provides rich insight into the everyday lives of generalist physicians in the early twenty-first centuryùtheir work, stresses, hopes, expectations, and values. Timothy Hoff supports this dialogue with secondary data, statistics, and in-depth comparisons that capture the changing face of primary care medicineùlarger numbers of younger, female, and foreign-born physicians.

Third International Conference On System Science In Health Care

Author: W. van Eimeren
Publisher: Springer Science & Business Media
ISBN: 3642699391
Size: 40.17 MB
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Third International Conference On System Science In Health Care. In the early stages of planning the Third International Conference in System Science in Health Care, the steering committee members, most of whom had participated in the first conference in Paris (1976) and the second in Montreal (1980), made some basic decisions about organization of subject matter. The earlier meetings had been very successful in bringing together specialists from the health professions and the traditional sciences. In addition to physicians and nurses, these were representatives of the disciplines of the behavioral sciences, system theory, economics, engineering, and the emergency fields of management science and informatics -all concerned with the development of health resources in a broad system context. The reported research and experience of the many disciplines represented had dealt with one or more of three concerns: 1) a major health problem, such as cardiovascular disease, or an important popUlation at risk, such as the elderly or children or workers; 2) some generic aspect of organization and decision making, including trial and evaluation ofinnovative health strategies; and 3) the methodology of research and analysis in system of health service. The challenge to the conference organizers lay in the eliciting and arranging of experiences in such a way that the health services could be seen as purposeful,living, evolving systems.

U S Mental Health Delivery System Infrastructure

Author: Ramya Sundararaman
Publisher: DIANE Publishing
ISBN: 1437920101
Size: 51.47 MB
Format: PDF
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U S Mental Health Delivery System Infrastructure. Contents: (I) Introduction; (II) Background: Mental Illness in the United States; History of Mental Health Care Delivery in the United States; Advances in Mental Health Treatment; (III) Current Mental Health Care Delivery System: Providers and Settings; Financing Mental Health Care; Quality of Care; (IV) Issues and Options for Congress: Evidence-Based Practices; Access to Care; Financing Mental Health Care; Coordination of Care; Quality of Care; (V) Conclusion. Figures.

Hospital Based Emergency Care

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309133777
Size: 14.42 MB
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Hospital Based Emergency Care. Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

United States Health Care And The Future Supply Of Physicians

Author: Eli Ginzberg
Publisher: Transaction Publishers
ISBN: 9781412840590
Size: 52.18 MB
Format: PDF
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United States Health Care And The Future Supply Of Physicians. Many different sectors of modern society influence the nation's healthcare system. Government, health insurance companies, managed care organizations, academic health centers, the pharmaceutical industry, and other groups all affect healthcare. In the areas of medical access, cost, and quality, the physician remains the key to the efficiency and effectiveness of healthcare services. Eli Ginzberg and Panos Minogiannis, in Ginzberg's final book, examine the supply of health personnel in the United States. They consider the ways it has been influenced by federal and state legislation, healthcare financing, the transformation of the hospital, managed care, and health trends in the last part of the twentieth century. Through this historical approach, the book identifies key moments in U.S. health policy history that have led to problems in the geographical distribution of medical personnel, gender and race representation in the health personnel pool, and subsequent attempts to resolve these problems. This volume pays special attention to current trends in healthcare and tries to forecast the direction of the debate over health personnel supply in the coming years. Chronic care conditions and the ageing of the population on the one hand and the penetration of managed care and the subsequent transformation of American hospitals on the other converge to present policymakers with tremendous challenges in financing healthcare. Ginzberg and Minogiannis argue that a more balanced production and distribution of U.S. health personnel will go far in easing the financial burden of healthcare and at the same time improve the quality of services provided to the American people. "Ginzberg and Minogiannis provide a historical perspective [in U.S. Healthcare and the Future Supply of Physicians] on the current controversies, revealing the complex issues underlying them. Indeed, the authors point out that U.S. policymakers have often focused on the topic of the supply of physicians in addressing larger issues in health care. Questions of how to ensure equitable access to care, improve the quality of health care, contain costs, and best deliver services have shaped the assessments of how many physicians we should have." -Andrew Bindman and Margaret Wheeler, The New England Journal of Medicine Eli Ginzberg was A. Barton Hepburn Professor Emeritus at the Graduate School of Business and director of the Eisenhower Center for the Conservation of Human Resources at Columbia University. An activist scholar rather than academic-turned-activist, he is author of numerous books. Panos Minogiannis is with the Mailman School of Public Health at Columbia University and a research associate at the Eisenhower Center. Currently, he is health services coordinator in Athens for the 2004 Olympics.

Wiley Pathways Introduction To U S Health Care

Author: Stephen L. Isaacs
Publisher: John Wiley & Sons
ISBN:
Size: 52.83 MB
Format: PDF, Mobi
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Wiley Pathways Introduction To U S Health Care. You can get there Where do you want to go? You might already be working in a health care or business setting. You may be looking to expand your skills. Or, you might be setting out on a new career path. Wherever you want to go, Introduction to U.S. Health Care will help you get there. Easy-to-read, practical, and up-to-date, this text not only helps you learn fundamental concepts of the American health care system; it also helps you master the core competencies and skills you need to succeed in the classroom and beyond. The book's brief, modular format and variety of built-in learning resources enable you to learn at your own pace and focus your studies. With this book, you will be able to: * Understand the role of governing boards and the challenges they face. * Compare and contrast the primary-care and specialty-care models. * Explore recent health care reforms that affect the primary-care model. * Examine how we pay for health care. * Learn about the many different roles played by the health care workforce. * Discover how medical miracles are financed. * Trace the evolution of hospitals throughout the nation's history and through their current state. * Assess the reasons behind the growing reliance on ambulatory care. * Understand who needs long-term care, why, and what the choices are. * Explore the challenges of providing health services for society's most vulnerable groups. * Identify obstacles in caring for the uninsured. * Examine the types of managed care organizations, such as HMOs, PPOs, and POS plans. * Explore current and future challenges for the health care industry. * Understand the impact of new and emerging laws, regulations, and initiatives. Wiley Pathways helps you achieve your goals When it comes to learning about health care, not everyone is on the same path. But everyone wants to succeed. The new Wiley Pathways series in Health Care Management helps you achieve your goals with its brief, inviting format, clear language, and focus on core competencies and skills. The books in this series--Introduction to U.S. Health Care, Health Care Economics, Health Care Management, and Health Care Law and Ethics--offer a coordinated curriculum for learning health care management. Learn more at www.wiley.com/go/pathways.