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Evaluating Challenges and Opportunities for Healthcare Reform

Author: Selladurai, Raj

Publisher: IGI Global

Published: 2020-02-07

Total Pages: 287

ISBN-13: 1799829502

Healthcare reform in the United States is a significant, strongly debated issue that has been argued since the early 1900s. Though this issue has been in circulation for decades, by integrating various new models and approaches, a more sustainable national healthcare system can perhaps be realized. Evaluating Challenges and Opportunities for Healthcare Reform presents comprehensive coverage of the development of new models of healthcare systems that seek to create sustainable and optimal healthcare by improving quality and decreasing cost. While highlighting topics including high-value care, patient interaction, and sustainable healthcare, this book is ideally designed for government officials, policymakers, lawmakers, scholars, physicians, healthcare leaders, academicians, practitioners, and students and can be used to help all interested stakeholders to make well-informed decisions related to healthcare reform and policy development for the United States and beyond, as well as to help all individuals and families in their decisions related to choices of optimal healthcare plans.

Health Professions Education

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-07-01

Total Pages: 191

ISBN-13: 030913319X

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The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Evidence-Based Medicine and the Changing Nature of Health Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2008-09-06

Total Pages: 202

ISBN-13: 0309113695

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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.

Assessing Health Care Reform

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1993-02-01

Total Pages: 85

ISBN-13: 0309049261

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This book establishes a framework for assessing health care reform proposals and their implementation. It helps clarify objectives, identifies issues to be addressed in proposals, distinguishes between short- and long-term expectations and achievements, and directs attention to important but sometimes neglected questions about the organization and provision of health care services. In addition, the volume presents a discussion and analysis of issues essential to achieving fundamental goals of health care reform: to maintain and improve health and well-being, to make basic health coverage universal, and to encourage the efficient use of limited resources. The book is a useful resource for anyone developing or assessing options for reform.

The Future of Public Health

Author: Committee for the Study of the Future of Public Health

Publisher: National Academies Press

Published: 1988-01-15

Total Pages: 240

ISBN-13: 0309581907

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"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.

Health-Care Utilization as a Proxy in Disability Determination

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-04-02

Total Pages: 161

ISBN-13: 030946921X

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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.

Care Without Coverage

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2002-06-20

Total Pages: 213

ISBN-13: 0309083435

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Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Engineering a Learning Healthcare System

Author: National Academy of Engineering

Publisher: National Academies Press

Published: 2011-06-14

Total Pages: 340

ISBN-13: 0309224772

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Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.

American Healthcare Reform

Author: Earl W. Ferguson

Publisher: AuthorHouse

Published: 2013-12-31

Total Pages: 109

ISBN-13: 1491843136

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Meaningful healthcare reform requires understanding of our complex healthcare system. This book was written to help clarify the difficult and poorly understood issues and problems of American healthcare. Its purpose is to help us move forward on the many difficult decisions that should be made to improve our healthcare system. Our unique combination of public-private funding and free-market capitalism system has been a major source of medical care advancements over the last half-century. The entrepreneurial spirit of risk takers who have invested billions of dollars to push forward innovative ideas and products has been key to its success. We should not lose that driving force for medical advancements and our economy. Our American healthcare system needs reform. We should fix it rationally with a scalpel, not destroy it with a meat cleaver. To optimize and appropriately guide that reform, we should first understand and concentrate on the real problems. Primarily we should fix our healthcare system by decreasing its administrative complexity and inefficiencies. The Affordable Care Act should be modified significantly to make it more acceptable as part of our national effort for more meaningful reform. Rational solutions through political compromises are not easy to find in our highly polarized political environment. It will be a long uphill climb, but it is a challenge that we must meet for our uniquely American healthcare system to survive.

Health System Efficiency

Author: Jonathan Cylus

Publisher: Health Policy

Published: 2016-12-15

Total Pages: 264

ISBN-13: 9789289050418

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In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.