The History And Evolution Of Healthcare In America
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The History And Evolution Of Healthcare In America
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Author : Thomas W. Loker
language : en
Publisher: iUniverse
Release Date : 2012-04
The History And Evolution Of Healthcare In America written by Thomas W. Loker and has been published by iUniverse this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-04 with Business & Economics categories.
From the beginning of mankind, health and health issues have played a major role in life, but the issues and care have evolved enormously from the time when the first settlers set foot in America to the present. In The History and Evolution of Healthcare in America, author Thomas W. Loker provides a historical perspective on the state of healthcare and offers fresh views on changes to Obamacare. Insightful and thorough, The History and Evolution of Healthcare in America offers a look at - what healthcare was like at the birth of the nation; - how the practice of providing healthcare has changed for both caregivers and receivers; - why the process has become so corrupt and expensive; - what needs to happen to provide both choice and effective and efficient care for all; - where we need to most focus efforts to get the biggest change; - what is needed to get control over this out-of-control situation. Loker narrates a journey through the history of American healthcare-where we've been, how we arrived where we are today, and determine where we might need to go tomorrow. The history illustrates how parts of the problem have been solved in the past and helps us understand what might be necessary to solve our remaining problems in the future.
The Economic Evolution Of American Health Care
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Author : David Dranove
language : en
Publisher: Princeton University Press
Release Date : 2009-01-10
The Economic Evolution Of American Health Care written by David Dranove and has been published by Princeton University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-01-10 with Medical categories.
The American health care industry has undergone such dizzying transformations since the 1960s that many patients have lost confidence in a system they find too impersonal and ineffectual. Is their distrust justified and can confidence be restored? David Dranove, a leading health care economist, tackles these and other key questions in the first major economic and historical investigation of the field. Focusing on the doctor-patient relationship, he begins with the era of the independently practicing physician--epitomized by Marcus Welby, the beloved father figure/doctor in the 1960s television show of the same name--who disappeared with the growth of managed care. Dranove guides consumers in understanding the rapid developments of the health care industry and offers timely policy recommendations for reforming managed care as well as advice for patients making health care decisions. The book covers everything from start-up troubles with the first managed care organizations to attempts at government regulation to the mergers and quality control issues facing MCOs today. It also reflects on how difficult it is for patients to shop for medical care. Up until the 1970s, patients looked to autonomous physicians for recommendations on procedures and hospitals--a process that relied more on the patient's trust of the physician than on facts, and resulted in skyrocketing medical costs. Newly emerging MCOs have tried to solve the shopping problem by tracking the performance of care providers while obtaining discounts for their clients. Many observers accuse MCOs of caring more about cost than quality, and argue for government regulation. Dranove, however, believes that market forces can eventually achieve quality care and cost control. But first, MCOs must improve their ways of measuring provider performance, medical records must be made more complete and accessible (a task that need not compromise patient confidentiality), and patients must be willing to seek and act on information about the best care available. Dranove argues that patients can regain confidence in the medical system, and even come to trust MCOs, but they will need to rely on both their individual doctors and their own consumer awareness.
The Role Of Telehealth In An Evolving Health Care Environment
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2012-11-20
The Role Of Telehealth In An Evolving Health Care Environment written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-11-20 with Medical categories.
In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Evidence Based Medicine And The Changing Nature Of Health Care
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2008-09-06
Evidence Based Medicine And The Changing Nature Of Health Care written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-09-06 with Medical categories.
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
The Future Of Public Health
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Author : Committee for the Study of the Future of Public Health
language : en
Publisher: National Academies Press
Release Date : 1988-01-15
The Future Of Public Health written by Committee for the Study of the Future of Public Health and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988-01-15 with Medical categories.
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
Access To Health Care In America
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 1993-02-01
Access To Health Care In America written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993-02-01 with Medical categories.
Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
A History Of Public Health
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Author : George Rosen
language : en
Publisher: JHU Press
Release Date : 2015-04
A History Of Public Health written by George Rosen and has been published by JHU Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04 with Medical categories.
For seasoned professionals as well as students, A History of Public Health is visionary and essential reading.
The Public Private Health Care State
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Author : Rosemary A. Stevens
language : en
Publisher: Routledge
Release Date : 2017-07-28
The Public Private Health Care State written by Rosemary A. Stevens and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-28 with Medical categories.
The distinctive mixing and continuous remixing of public and private roles is a defining feature of health care in the United States. The Public-Private Health Care State explores the interweaving of public and private enterprise in health care in the United States as a basis for thinking about health care in terms of its history and its continuing evolution today. Historian and policy analyst Rosemary Stevens has selected and edited seventeen essays from both her published and unpublished work to illustrate continuing themes, such as: the flexible meanings of the terms public and private, and how useful their ambiguity has been and is; the role of ideology as ratifying rather than preordaining change; and the common behavior of public leaders and corporate entities in the face of fiscal opportunity. The topics--covering the period of 1870 through the twenty-first century--represent Stevens' research interests in hospital history and policy, the medical profession, government policy, and paying for health care. The volume also considers her involvement with policy questions, which include health services research, health maintenance organizations, and physician workforce policy. Section I demonstrates the long history of state government involvement with private not-for-profit hospitals from the 1870s through the 1930s. Section II examines the federal role in health care from the 1920s through the 1970s, including the establishment of veterans' hospitals and the implementation of Medicaid. Section III shows how shifting governmental roles require constantly changing organizing rhetoric, whether for inventing a federal role for health services research and HMOs, regionalization in the 1970s, or defining civil rights and equity as mobilizing vehicles in the 1980s. Section IV examines growing concerns from the 1970s through the present about the traditional public role of the largely private medical profession. Section V returns to the ambiguous public-priv
Health Care In America
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Author : John C. Burnham
language : en
Publisher: JHU Press
Release Date : 2015-05-15
Health Care In America written by John C. Burnham and has been published by JHU Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-05-15 with Medical categories.
This comprehensive history of medicine and public health in America covers changes and developments over four centuries, from the arrival of the first Europeans to the twenty-first century.
Health Care In America
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Author : Susan Reverby
language : en
Publisher:
Release Date : 1979
Health Care In America written by Susan Reverby and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1979 with Medical categories.
The essays in this collection have been written by a new generation of social historians who seek to ground the internal developments in medicine and health care in a political, social, and cultural matrix. Drawing upon the methodology of the new social history, the authors use oral history, hospital records, city directories, rank and file writings, as well as more traditional historical sources to examine the groups, institutions, and social movements which brought about changes in the American health system at particular historical moments. The essays in this volume address three themes of central concern to the health field: the shifting boundaries between professional and lay control over the definition of health and disease; the social and economic consequences of the changing focus of health care delivery; and the complex relationship between workers, professionals, and health care institutions. -- from Book Jacket.