U.S. Health in International Perspective PDF Download

Author: National Research Council
Publisher: National Academies Press
ISBN: 0309264146
Category : Social Science
Languages : en
Pages : 421

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Book Description
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
ISBN: 1587634333
Category : Medical
Languages : en
Pages : 385

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Book Description
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133181
Category : Medical
Languages : en
Pages : 536

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Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583

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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: Duncan C. Thomas
Publisher: Oxford University Press, USA
ISBN: 0191552682
Category : Medical
Languages : en
Pages : 450

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Book Description
A systematic treatment of the statistical challenges that arise in environmental health studies and the use epidemiologic data in formulating public policy, at a level suitable for graduate students and epidemiologic researchers.

Author: Roger D. Peng
Publisher: Springer Science & Business Media
ISBN: 0387781676
Category : Medical
Languages : en
Pages : 151

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Book Description
As an area of statistical application, environmental epidemiology and more speci cally, the estimation of health risk associated with the exposure to - vironmental agents, has led to the development of several statistical methods and software that can then be applied to other scienti c areas. The stat- tical analyses aimed at addressing questions in environmental epidemiology have the following characteristics. Often the signal-to-noise ratio in the data is low and the targets of inference are inherently small risks. These constraints typically lead to the development and use of more sophisticated (and pot- tially less transparent) statistical models and the integration of large hi- dimensional databases. New technologies and the widespread availability of powerful computing are also adding to the complexities of scienti c inves- gation by allowing researchers to t large numbers of models and search over many sets of variables. As the number of variables measured increases, so do the degrees of freedom for in uencing the association between a risk factor and an outcome of interest. We have written this book, in part, to describe our experiences developing and applying statistical methods for the estimation for air pollution health e ects. Our experience has convinced us that the application of modern s- tistical methodology in a reproducible manner can bring to bear subst- tial bene ts to policy-makers and scientists in this area. We believe that the methods described in this book are applicable to other areas of environmental epidemiology, particularly those areas involving spatial{temporal exposures.

Author: Alan E. Gelfand
Publisher: CRC Press
ISBN: 1498752128
Category : Mathematics
Languages : en
Pages : 876

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Book Description
This handbook focuses on the enormous literature applying statistical methodology and modelling to environmental and ecological processes. The 21st century statistics community has become increasingly interdisciplinary, bringing a large collection of modern tools to all areas of application in environmental processes. In addition, the environmental community has substantially increased its scope of data collection including observational data, satellite-derived data, and computer model output. The resultant impact in this latter community has been substantial; no longer are simple regression and analysis of variance methods adequate. The contribution of this handbook is to assemble a state-of-the-art view of this interface. Features: An internationally regarded editorial team. A distinguished collection of contributors. A thoroughly contemporary treatment of a substantial interdisciplinary interface. Written to engage both statisticians as well as quantitative environmental researchers. 34 chapters covering methodology, ecological processes, environmental exposure, and statistical methods in climate science.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309055342
Category : Medical
Languages : en
Pages : 497

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Book Description
How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

Author: Clemens Reimann
Publisher: John Wiley & Sons
ISBN: 1119965284
Category : Science
Languages : en
Pages : 380

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Book Description
Few books on statistical data analysis in the natural sciences are written at a level that a non-statistician will easily understand. This is a book written in colloquial language, avoiding mathematical formulae as much as possible, trying to explain statistical methods using examples and graphics instead. To use the book efficiently, readers should have some computer experience. The book starts with the simplest of statistical concepts and carries readers forward to a deeper and more extensive understanding of the use of statistics in environmental sciences. The book concerns the application of statistical and other computer methods to the management, analysis and display of spatial data. These data are characterised by including locations (geographic coordinates), which leads to the necessity of using maps to display the data and the results of the statistical methods. Although the book uses examples from applied geochemistry, and a large geochemical survey in particular, the principles and ideas equally well apply to other natural sciences, e.g., environmental sciences, pedology, hydrology, geography, forestry, ecology, and health sciences/epidemiology. The book is unique because it supplies direct access to software solutions (based on R, the Open Source version of the S-language for statistics) for applied environmental statistics. For all graphics and tables presented in the book, the R-scripts are provided in the form of executable R-scripts. In addition, a graphical user interface for R, called DAS+R, was developed for convenient, fast and interactive data analysis. Statistical Data Analysis Explained: Applied Environmental Statistics with R provides, on an accompanying website, the software to undertake all the procedures discussed, and the data employed for their description in the book.

Author: Richard O. Gilbert
Publisher: John Wiley & Sons
ISBN: 9780471288787
Category : Technology & Engineering
Languages : en
Pages : 354

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Book Description
This book discusses a broad range of statistical design and analysis methods that are particularly well suited to pollution data. It explains key statistical techniques in easy-to-comprehend terms and uses practical examples, exercises, and case studies to illustrate procedures. Dr. Gilbert begins by discussing a space-time framework for sampling pollutants. He then shows how to use statistical sample survey methods to estimate average and total amounts of pollutants in the environment, and how to determine the number of field samples and measurements to collect for this purpose. Then a broad range of statistical analysis methods are described and illustrated. These include: * determining the number of samples needed to find hot spots * analyzing pollution data that are lognormally distributed * testing for trends over time or space * estimating the magnitude of trends * comparing pollution data from two or more populations New areas discussed in this sourcebook include statistical techniques for data that are correlated, reported as less than the measurement detection limit, or obtained from field-composited samples. Nonparametric statistical analysis methods are emphasized since parametric procedures are often not appropriate for pollution data. This book also provides an illustrated comprehensive computer code for nonparametric trend detection and estimation analyses as well as nineteen statistical tables to permit easy application of the discussed statistical techniques. In addition, many publications are cited that deal with the design of pollution studies and the statistical analysis of pollution data. This sourcebook will be a useful tool for applied statisticians, ecologists, radioecologists, hydrologists, biologists, environmental engineers, and other professionals who deal with the collection, analysis, and interpretation of pollution in air, water, and soil.