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Author: Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
In 1997, the Robert Wood Johnson Foundation initiated the Southern Rural Access Program (SRAP) to increase the number of primary care providers in underserved areas and to strengthen the capacity of rural communities to address their health care needs. The program awarded over $30 million in grants and ended in 2006. Two evaluations of the program took place in 1999 and 2004. This report presents the findings of a third follow-up to assess the program's achievements. The researchers used data from the American Medical Association's (AMA) Physician Masterfile to measure the increase in the number of primary care physicians and specialist physicians in areas targeted by the program from 2001 to 2005. The analyses revealed a greater growth of primary care physicians to population ratios in SRAP-targeted counties than in non-SRAP counties. In high poverty SRAP-targeted counties the physician numbers grew faster than in non-SRAP high poverty areas (4.4% compared to 1.7%). In addition, growth of specialist physicians was slower in SRAP-targeted counties than in non-SRAP counties. The researchers estimated that as of October 2005, SRAP was responsible for recruiting and retaining 73 of the primary care physicians practicing in 124 of the programs' rural counties. Although these results provide some indication of the effects of SRAP, the long-term significance of some of the program's initiatives, such as encouraging youth to pursue careers in medicine, will not become evident for a number of years.
Author: Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
In 1997, the Robert Wood Johnson Foundation initiated the Southern Rural Access Program (SRAP) to increase the number of primary care providers in underserved areas and to strengthen the capacity of rural communities to address their health care needs. The program awarded over $30 million in grants and ended in 2006. Two evaluations of the program took place in 1999 and 2004. This report presents the findings of a third follow-up to assess the program's achievements. The researchers used data from the American Medical Association's (AMA) Physician Masterfile to measure the increase in the number of primary care physicians and specialist physicians in areas targeted by the program from 2001 to 2005. The analyses revealed a greater growth of primary care physicians to population ratios in SRAP-targeted counties than in non-SRAP counties. In high poverty SRAP-targeted counties the physician numbers grew faster than in non-SRAP high poverty areas (4.4% compared to 1.7%). In addition, growth of specialist physicians was slower in SRAP-targeted counties than in non-SRAP counties. The researchers estimated that as of October 2005, SRAP was responsible for recruiting and retaining 73 of the primary care physicians practicing in 124 of the programs' rural counties. Although these results provide some indication of the effects of SRAP, the long-term significance of some of the program's initiatives, such as encouraging youth to pursue careers in medicine, will not become evident for a number of years.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: 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.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309208955 Category : Medical Languages : en Pages : 700
Book Description
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.
Author: Barbara Starfield Publisher: Religion in America ISBN: 9780195125436 Category : Medical Languages : en Pages : 454
Book Description
Primary Care now highlights two additional areas compared to the previous edition, equity in health services and health, and the overlap between clinical medicine and public health. It provides a basis for future directions in health policy.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309054311 Category : Medical Languages : en Pages : 122
Book Description
Enormous changes are occurring in the organization and financing of the U.S. health care systemâ€"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 futureâ€"as well as the roles they will fillâ€"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
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Author: 
Author: Council on Graduate Medical Education (U.S.)
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Author: National Academies of Sciences, Engineering, and Medicine
Author: University of North Carolina at Chapel Hill. Health Services Research Center
Author: American Public Health Association. Annual Meeting
Author: Council on Graduate Medical Education (U.S.)
Author: Institute of Medicine
Author: Barbara Starfield
Author: Institute of Medicine