Author: United States. Congress. Senate. Committee on FinancePublisher:
ISBN:
Category : Medical
Languages : en
Pages : 152
Book Description
Access to Health Care in Rural and Inner City Communities Under Health Care Reform
Author: United States. Congress. Senate. Committee on FinancePublisher:
ISBN:
Category : Medical
Languages : en
Pages : 152
Book Description
Access to Health Care in America
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309047420
Category : Medical
Languages : en
Pages : 240
Book Description
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.
Health-Care Utilization as a Proxy in Disability Determination
Author: National Academies of Sciences, Engineering, and MedicinePublisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161
Book Description
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.
Modern Epidemiology
Author: Kenneth J. RothmanPublisher: Lippincott Williams & Wilkins
ISBN: 9780781755641
Category : Medical
Languages : en
Pages : 776
Book Description
The thoroughly revised and updated Third Edition of the acclaimed Modern Epidemiology reflects both the conceptual development of this evolving science and the increasingly focal role that epidemiology plays in dealing with public health and medical problems. Coauthored by three leading epidemiologists, with sixteen additional contributors, this Third Edition is the most comprehensive and cohesive text on the principles and methods of epidemiologic research. The book covers a broad range of concepts and methods, such as basic measures of disease frequency and associations, study design, field methods, threats to validity, and assessing precision. It also covers advanced topics in data analysis such as Bayesian analysis, bias analysis, and hierarchical regression. Chapters examine specific areas of research such as disease surveillance, ecologic studies, social epidemiology, infectious disease epidemiology, genetic and molecular epidemiology, nutritional epidemiology, environmental epidemiology, reproductive epidemiology, and clinical epidemiology.
Rural Health in the United States
Author: Thomas C. RickettsPublisher: Oxford University Press
ISBN: 0199759723
Category : Medical
Languages : en
Pages : 233
Book Description
Many of the 61 million people who live in rural America have limited access to health care. Almost a quarter of the nation's population lives in rural places yet only an eighth of our doctors work there. Sponsored by the U.S. Office of Rural Health Policy, this unique book provides the facts about this imbalance and interprets them in the context of government programs that promote the placement of doctors and the operation of hospitals in rural places while paying them less to treat Medicare and Medicaid beneficiaries. The authors' comprehensive analysis of rural health care delivery shows where there are differences in rates of death and disease between rural areas using maps, graphs, and plain-English descriptions. The book provides a thorough look at health care in rural America, giving a snapshot of how doctors, hospitals, and technology are unevenly distributed outside the nation's metropolitan areas.
Non-Urban Care
Author: Marie L. GrayPublisher:
ISBN:
Category : Rural health services
Languages : en
Pages : 0
Book Description
Individuals living within rural communities experience more health inequities and adverse health outcomes compared to their urban counterparts (Artiga & Hinton, 2018; Henning-Smith et al., 2017; Wolfe et al., 2020). One of the most consistent findings within health disparity literature is that place matters (Baciu et al., 2017; Bolin et al., 2015; Douthit et al., 2015). Within urban cities life expectancy can differ as much as 25 years from one neighborhood to the next (Baciu et al., 2017; Evans et al., 2012; Zimmerman & Woolf, 2014); within rural communities, these health inequities are getting greater due to access to health services decreasing and hospital and practitioner facility closures all over rural United States (U.S.; Douthit et al., 2015; U.S. Government Accountability Office, 2018). Additionally, mental health concerns and substance use rates are climbing among rural individuals of all ages (Center for Disease Control [CDC], 2018; Leaders, 2019). Using the Andersen Behavioral Health Service Use Model (BHSUM), which measures equitable access to care, and to inform the development of policies to promote equitable access to health care, the purpose of this study was to identify how predisposing, enabling, and needs-based factors influence healthcare physician availability, access to preventative care, and unplanned hospitalization/ER visits. I conducted a series of bivariate associations and regression analyses to assess the associations of predisposing, enabling, and needs-based factors with health-seeking behaviors among rural-dwelling adults. Results revealed significant associations between age, activities of daily living (ADL), need for mental health services, and need for substance use services with physician availability, access to preventative care, and unplanned hospitalization/ER visits. Findings highlight the need for policy provisions and more affordable/accessible long term supports and services in the home and community. This study adds to the literature by 1) conceptualizing mental health as a needs-based factors in addition to physical needs-based factors, and 2) emphasizing the role of prevention to promote health-seeking behaviors in middle and late adulthood.
Communities in Action
Author: National Academies of Sciences, Engineering, and MedicinePublisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583
Book Description
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.
Achieving Rural Health Equity and Well-Being
Author: National Academies of Sciences, Engineering, and MedicinePublisher: National Academies Press
ISBN: 0309469058
Category : Medical
Languages : en
Pages : 95
Book Description
Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.
Increasing Access to Health Workers in Remote and Rural Areas Through Improved Retention
Author: World Health OrganizationPublisher: World Health Organization
ISBN: 9241564016
Category : Medical
Languages : en
Pages : 79
Book Description
Accompanying CD-Rom has same title as book.
America's Children
Author: Institute of Medicine and National Research CouncilPublisher: National Academies Press
ISBN: 0309173930
Category : Medical
Languages : en
Pages : 216
Book Description
America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.