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Author: Marie L. Gray Publisher: 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.
Author: Marie L. Gray Publisher: 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.
Author: Donald J. Griffin Publisher: Jones & Bartlett Publishers ISBN: 1449649815 Category : Business & Economics Languages : en Pages : 201
Book Description
While the hospital is the centerpiece of the health care system, so much health care is delivered outside this setting. As the first text of its kind, Outside the Hospital introduces the reader to many types of healthcare services offered outside the traditional hospital setting. Divided into four parts (traditional care, diagnosing, acute-care treatment, and chronic care), the book offers 31 concise chapters that explore the basic operations of various health care settings such as physician offices, pharmacies, outpatient laboratories, chiropractic centers, dentistry, optometry, oncology centers, adult day care, hospice care, and more. Perfect as a companion to Hospitals: What They Are and How They Work, also by Don Griffin, this text is an ideal introduction to the health care workplace for aspiring health professionals. It is also an excellent reference for the practicing health professional. Features: Offers concise chapters on 31 types of health care services delivered outside the hospital setting. Offers key vocabulary words, chapter review questions, and materials for group discussion in each chapter. Is accompanied by downloadable instructor resources including chapter lecture slides, as well as a midterm and final exam.
Author: David P. Bixler Publisher: DIANE Publishing ISBN: 9780788147753 Category : Family & Relationships Languages : en Pages : 58
Book Description
As States implement the new welfare reform legislation and are required to move larger percentages of their caseloads into work-related activities, greater numbers of welfare recipients are likely to need child care. This report measures the extent to which the current supply of child care will be sufficient to meet the anticipated demand under the new welfare reform law and identifies other challenges that face low-income families in assessing child care. Analyzes child care supply data and estimated child care demand at four sites -- two urban and two nonurban -- in three states. Charts and tables.
Author: Jill Duerr Berrick Publisher: Oxford University Press ISBN: 0190295759 Category : Social Science Languages : en Pages : 208
Book Description
There is a profound crisis in the United States' foster care system, Jill Duerr Berrick writes in this expertly researched, passionately written book. No state has passed the federally mandated Child and Family Service Review; two-thirds of the state systems have faced class-action lawsuits demanding change; and most tellingly, well over half of all children who enter foster care never go home. The field of child welfare has lost its way and is neglecting its fundamental responsibility to the most vulnerable children and families in America. The family stories Berrick weaves throughout the chapters provide a vivid backdrop for her statistics. Amanda, raised in foster care, began having children of her own while still a teen and lost them to the system when she became addicted to drugs. Tracy, brought up by her schizophrenic single mother, gave birth to the first of eight children at age fourteen and saw them all shuffled through foster care as she dealt drugs and went to prison. Both they and the other individuals that Berrick features spent years without adequate support from social workers or the government before finally achieving a healthier life; many people never do. But despite the clear crisis in child welfare, most calls for reform have focused on unproven prevention methods, not on improving the situation for those already caught in the system. Berrick argues that real child welfare reform will only occur when the centerpiece of child welfare - reunification, permanency, and foster care - is reaffirmed. Take Me Home reminds us that children need long-term caregivers who can help them develop and thrive. When troubled parents can't change enough to permit reunification, alternative permanency options must be pursued. And no reform will matter for the hundreds of thousands of children entering foster care each year in America unless their experience of out-of-home care is considerably better than the one many now experience. Take Me Home offers prescriptions for policy change and strategies for parents, social workers, and judges struggling with permanency decisions. Readers will come away reinvigorated in their thinking about how to get children to the homes they need.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309262011 Category : Medical Languages : en Pages : 159
Book Description
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.
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment Publisher: ISBN: Category : Abortion Languages : en Pages : 1044
Author: Gayle Roux Publisher: Jones & Bartlett Publishers ISBN: 0763752258 Category : Medical Languages : en Pages : 623
Book Description
Issues and Trends in Nursing synthesizes the scientific, technical, ethical, and organizational issues that are essential for nurses to understand in order to work in today’s ever-evolving healthcare arena. Arranged into four major units to provide a comprehensive examination of issues impacting the nursing metaparadigm—person, environment, health, and nursing, this relevant, timely text covers issues pertinent to everyday practice, including safety, confidentiality, technology, regulatory compliance, and global health.
Author: Maureen P. Keeley Publisher: MDPI ISBN: 3038425184 Category : Social Science Languages : en Pages : 165
Book Description
This book is a printed edition of the Special Issue "Family Communication at the End of Life" that was published in Behavioral Sciences
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309339227 Category : Medical Languages : en Pages : 226
Book Description
According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource-highly trained personnel-inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.
Author: Marie L. Gray
Author: Marie L. Gray
Author: El-Mehairy
Author: Donald J. Griffin
Author: David P. Bixler
Author: Jill Duerr Berrick
Author: Institute of Medicine
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment
Author: Gayle Roux
Author: Maureen P. Keeley
Author: Institute of Medicine