Introduction to U.S. Health Policy

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Publisher : JHU Press
ISBN 13 : 1421402971
Total Pages : 659 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Introduction to U.S. Health Policy by : Donald A. Barr

Download or read book Introduction to U.S. Health Policy written by Donald A. Barr and published by JHU Press. This book was released on 2011-12-01 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care reform has dominated public discourse over the past several years, and the recent passage of the Affordable Care Act, rather than quell the rhetoric, has sparked even more debate. Donald A. Barr reviews the current structure of the American health care system, describing the historical and political contexts in which it developed and the core policy issues that continue to confront us today. This comprehensive analysis introduces the various organizations and institutions that make the U.S. health care system work—or fail to work, as the case may be. A principal message of the book is the seeming paradox of the quality of health care in this country—on the one hand it is the best medical care system in the world, on the other it is one of the worst among developed countries because of how it is organized. Barr introduces readers to broad cultural issues surrounding health care policy, such as access, affordability, and quality. He discusses specific elements of U.S. health care, including insurance, especially Medicare and Medicaid, the shift to for-profit managed care, the pharmaceutical industry, issues of long-term care, the plight of the uninsured, medical errors, and nursing shortages. The latest edition of this widely adopted text updates the description and discussion of key sectors of America’s health care system in light of the Affordable Care Act.

Guide to U.S. Health and Health Care Policy

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Publisher : CQ Press
ISBN 13 : 1483370453
Total Pages : 504 pages
Book Rating : 4.4/5 (833 download)

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Book Synopsis Guide to U.S. Health and Health Care Policy by : Thomas R. Oliver

Download or read book Guide to U.S. Health and Health Care Policy written by Thomas R. Oliver and published by CQ Press. This book was released on 2014-09-03 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guide to U.S. Health and Health Care Policy provides the analytical connections showing students how issues and actions are translated into public policies and institutions for resolving or managing health care issues and crises, such as the recent attempt to reform the national health care system. The Guide highlights the decision-making cycle that requires the cooperation of government, business, and an informed citizenry in order to achieve a comprehensive approach to advancing the nation’s health care policies. Through 30 topical, operational, and relational essays, the book addresses the development of the U.S. health care system and policies, the federal agencies and public and private organizations that frame and administer those policies, and the challenges of balancing the nation’s health care needs with the rising costs of medical research, cost-effective treatment, and adequate health insurance. Key Features: The 30 topical essays investigate the fundamental political, social, economic, and procedural initiatives that drive health and health care policy decisions affecting Americans at the local, regional, and national levels Essential themes traced throughout the chapters include providing access to health care, national and international intervention, nutrition and health, human and financial resource allocation, freedom of religion versus public policy, discrimination and health care policy, universal health care coverage, private health care versus publicly funded health care, and the immediate and long-term costs associated with disease prevention, treatment, and health maintenance A Glossary of Key Health Care Policy Terms and Events, a selected Master Bibliography, and a thorough Index are included. This must-have reference for political science and public policy students who seek to understand the issues affecting health care policy in the U.S. is suitable for academic, public, high school, government, and professional libraries.

An Introduction to Health Policy

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1461477352
Total Pages : 259 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis An Introduction to Health Policy by : Manish K. Sethi

Download or read book An Introduction to Health Policy written by Manish K. Sethi and published by Springer Science & Business Media. This book was released on 2013-08-04 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on the current climate of our nation’s finances and healthcare spending, it is clear that young doctors and medical students are likely to see a dramatic transformation of the manner in which America offers medical care to its citizens over the course of their careers. As such, it is pivotal that the next generation of America’s leaders on the front lines of medicine develop a sense of where healthcare has evolved from and future potential directions of change. An Introduction to Health Policy: A Primer for Physicians and Medical Students is the first of its kind: a book written by doctors for doctors in order to allow busy physicians and medical students to quickly develop an understanding of the key issues facing American healthcare. This book seeks to efficiently and effectively educate physicians and medical students in a clinical context that they can understand on the past, present, and potential future issues in healthcare policy and the evolution of American healthcare. The reader will walk away from the book with the ability to discuss the fundamental issues in American healthcare with ease.

Introduction to Health Policy

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Author :
Publisher : Gateway to Healthcare Management
ISBN 13 : 9781640550254
Total Pages : 0 pages
Book Rating : 4.5/5 (52 download)

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Book Synopsis Introduction to Health Policy by : Leiyu Shi

Download or read book Introduction to Health Policy written by Leiyu Shi and published by Gateway to Healthcare Management. This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book introduces students to health policy making, health policy issues, research/evaluation methods, and international perspectives on health policy. Shi uses real-world cases and examples to reinforce theories and concepts throughout the book and addresses all healthcare settings, including public health, managed care, ambulatory care, extended care, and the hospital setting.

Introduction to US Health Policy

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Publisher : JHU Press
ISBN 13 : 1421420716
Total Pages : 451 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Introduction to US Health Policy by : Donald A. Barr

Download or read book Introduction to US Health Policy written by Donald A. Barr and published by JHU Press. This book was released on 2016-10-18 with total page 451 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fourth edition of the essential guide to the contemporary US health care system. Winner of the CHOICE Outstanding Academic Title of the Choice ACRL Health care reform has been a dominant theme in public discourse for decades now. The passage of the Affordable Care Act was a major milestone, but rather than quell the rhetoric, it has sparked even more heated debate. In the latest edition of Introduction to US Health Policy, Donald A. Barr reviews the current structure of the American health care system, describing the historical and political contexts in which it developed and the core policy issues that continue to confront us today. Barr’s comprehensive analysis explores the various organizations and institutions that make the US health care system work—or fail to work. He describes in detail the paradox of US health care—simultaneously the best in the world and one of the worst among developed countries—while introducing readers to broad cultural issues surrounding health care policy, such as access, affordability, and quality. Barr also discusses specific elements of US health care with depth and nuance, including insurance, especially Medicare and Medicaid. He scrutinizes the shift to for-profit managed care while analyzing the pharmaceutical industry, issues surrounding long-term care, the plight of the uninsured, the prevalence of medical errors, and the troublesome issue of nursing shortages. The thoroughly updated edition of this widely adopted text focuses on the Affordable Care Act. It explains the steps taken to carry out the Act, the changes to the Act based on recent Supreme Court decisions, the success of the Act in achieving the combined goals of improved access to care and constraining the costs of care, and the continuing political controversy regarding its future. Drawing on an extensive range of resources, including government reports, scholarly publications, and analyses from a range of private organizations, Introduction to US Health Policy provides scholars, policymakers, and health care providers with a comprehensive platform of ideas that is key to understanding and influencing the changes in the US health care system.

Health Care in the United States

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Publisher : John Wiley & Sons
ISBN 13 : 0470574976
Total Pages : 379 pages
Book Rating : 4.4/5 (75 download)

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Book Synopsis Health Care in the United States by : Howard P. Greenwald

Download or read book Health Care in the United States written by Howard P. Greenwald and published by John Wiley & Sons. This book was released on 2010-03-04 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Care in the United States combines an explanation of population health with a comprehensive introduction to health services delivery. The author, an expert on health care policy and management, shows how the U.S. health services system is organized, managed, financed, and evaluated. Filled with numerous examples and tables, this important resource illustrates key concepts, trends, and features of the system. It places special emphasis on recent health care reform legislation and its implications for the future. Health Care in the United States reviews the historical origins of health care, its resource requirements, costs, quality, and contributions to both individual and social well-being. By combining basic concepts in population health with coverage of health services, the book offers extraordinary breadth of information in a highly accessible, easy-to-read text. Along with an in-depth look at the origins and possible impact of recent health reform legislation, the book explains the ongoing dilemmas that face the health care system and highlights health and disease in the modern world, the fundamentals of epidemiology, and health behavior. Health Care in the United States also explains the special challenges of managing health service personnel and organizations. The author reviews key innovations in financing and delivery, explaining the outcomes of cost sharing, HMO enrollment, and rationing of services. This vital resource is written for students and professionals in health care management and policy, as well as public health, medical sociology, medical anthropology, social work, political science, and most, if not all, clinical fields.

Jonas' Introduction to the U.S. Health Care System, Ninth Edition

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Publisher : Springer Publishing Company
ISBN 13 : 0826174043
Total Pages : 463 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Jonas' Introduction to the U.S. Health Care System, Ninth Edition by : Raymond L. Goldsteen, DrPH

Download or read book Jonas' Introduction to the U.S. Health Care System, Ninth Edition written by Raymond L. Goldsteen, DrPH and published by Springer Publishing Company. This book was released on 2020-05-04 with total page 463 pages. Available in PDF, EPUB and Kindle. Book excerpt: Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. This revised ninth edition of the best-selling introductory text to the U.S. health care system is fully updated to reflect changes to health care services, delivery, and financing resulting from new policies affecting the Affordable Care Act (ACA). Valued for its concise and balanced survey of the U.S. health care system, this book describes how the American health care system currently functions, the major factors that led to its present day structure, and a forecasting of how the industry is likely to change over the course of the next few years. This practical text highlights an array of influences shaping the future of health care, such as the use of big data and analytics, new policies and trends tied to pharmaceuticals and medical devices, and innovations to mental health and substance abuse. With an emphasis on policy development, the authors underscore the fluidity of the system and examine the debates and conflicts that have shaped health care changes and influenced American values and belief systems. This accessible text defines the most essential elements of the health care system, including its components, organization, services, and financing. An ideal text for undergraduate courses, graduate survey courses, and courses introducing the subject to medical students, it describes the ongoing evolution of the system, taking into consideration future directions given proposed changes to the ACA and other health laws by Congress, the Trump administration, and the political landscape in general. Organized to facilitate an understanding of concepts at work, Jonas’ Introduction to the U.S. Health Care System equips public health and health administration students as well as medical, nursing, and allied health professionals with a deeper understanding of the field in which they will practice, so they can position themselves to navigate upcoming changes that affect health care quality, value, and access. New to the Ninth Edition: Updated to address changes to health care services, delivery, and financing in the United States An expanded section on future trends in health care A full description of the health care reform politics under the Obama and Trump administrations and those being promoted in political campaigns New chapter on medicines, devices, and health care technology Increased coverage of mental health and substance abuse, long-term care, and other institutionalized populations Digital ancillaries include access to the eBook, an annual update on U.S. health policy, and new student exercises utilizing publicly available data Key Features: The most concise and balanced introduction to the U.S. health care system Provides a framework for examining how each structure and stakeholder within the health system interacts and how changes to policy would affect them Numerous cartoons, graphs, and tables break up the text and serve as meaningful context with pertinent data Each chapter utilizes learning objectives and discussion questions to guide student reading Includes a full suite of Instructor ancillaries including an Instructor’s Manual, PowerPoints, Test Bank, and other exercises

Health Policy

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Author :
Publisher : Zed Books
ISBN 13 : 9781856492645
Total Pages : 240 pages
Book Rating : 4.4/5 (926 download)

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Book Synopsis Health Policy by : Gill Walt

Download or read book Health Policy written by Gill Walt and published by Zed Books. This book was released on 1996-08-15 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing an introduction to the way health policies are made and who influences them, this book combines a comparative analytical framework for understanding health policy with a wide range of examples of actual policy choices from North and South. In its exploration of power, the book focuses on the role of the state in the context of interest groups and other actors. It looks at the nature of political systems and the extent to which participation is encouraged. It also explores issues of global influence, asking how far the North shapes health policies in the South. In its exploration of processes, the book asks how issues get on to the policy agenda, what the processes of formulation are and who the influential actors are.

An Introduction to the US Health Care Industry

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Publisher : JHU Press
ISBN 13 : 1421438666
Total Pages : 372 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis An Introduction to the US Health Care Industry by : David S. Guzick

Download or read book An Introduction to the US Health Care Industry written by David S. Guzick and published by JHU Press. This book was released on 2020-10-13 with total page 372 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why does US health care have such high costs and poor outcomes? Dr. David S. Guzick offers this critique of the American health care industry and argues that it could work more effectively by rebalancing care, cost, and access. For decades, the United States has been faced with a puzzling problem: Despite spending much more money per capita on health care than any other developed nation, its population suffers from notoriously poorer health. In comparison with 10 other high-income nations, in fact, the US has the lowest life expectancy at birth, the highest rates of infant and neonatal mortality, and the most inequitable access to physicians when adjusted for need. In An Introduction to the US Health Care Industry, Dr. David S. Guzick takes an in-depth look at this troubling issue. Bringing to bear his unique background as a physician, economist, former University of Rochester medical school dean, and former president of the University of Florida Health System, Dr. Guzick shows that what we commonly refer to as the US health care "system" is actually an industry forged by a unique collection of self-interested and disjointed stakeholders. He argues that the assumptions underlying well-functioning markets do not align with health care. The resulting market imperfections, combined with entrenched industry stakeholders, have led to a significant imbalance of care, cost, and access. Using a nontechnical framework, Dr. Guzick introduces readers to the economic principles behind the function—and dysfunction—of our health care industry. He shows how the market-based approach could be expected to remedy these problems while detailing the realities of imperfections, regulations, and wealth inequality on those functions. He also analyzes how this industry developed, presenting the conceptual underpinnings of the health care industry while detailing its history and tracing the creation and entrenchment of the current federation of key stakeholders—government, insurance companies, hospitals, doctors, employers, and drug and device manufacturers. In the final section of the book, Dr. Guzick looks to the future, describing the prevention, innovation, and alternative financing models that could help to rebalance the priorities of care, cost, and access that Americans need. An online supplement on COVID-19 is available, as is a discussion guide for instructors. To access this supplemental material, please visit www.jhupbooks.press.jhu.edu.

Essentials of Health Policy and Law

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Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449604730
Total Pages : 309 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Essentials of Health Policy and Law by : Joel Bern Teitelbaum

Download or read book Essentials of Health Policy and Law written by Joel Bern Teitelbaum and published by Jones & Bartlett Publishers. This book was released on 2013 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: Given the prominent role played by policy and law in the health of all Americans, the aim of this book is to help readers understand the broad context of health policy and law. The essential policy and legal issues impacting and flowing out of the health care and public health systems, and the way health policies and laws are formulated. Think of this textbook as an extended manual.introductory, concise, and straightforward.to the seminal issues in U.S. health policy and law, and thus as a jumping off point for discussion, reflection, research, and analysis.

Access to Health Care in America

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Publisher : National Academies Press
ISBN 13 : 0309047420
Total Pages : 240 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Access to Health Care in America by : Institute of Medicine

Download or read book Access to Health Care in America written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Making Health Policy

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335246346
Total Pages : 234 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Making Health Policy by : Buse, Kent

Download or read book Making Health Policy written by Buse, Kent and published by McGraw-Hill Education (UK). This book was released on 2012-05-01 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: Used across the public health field, this is the leading text in the area, focusing on the context, participants and processes of making health policy.

Jonas’ Introduction to the U.S. Health Care System, 8th Edition

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 0826131751
Total Pages : 274 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Jonas’ Introduction to the U.S. Health Care System, 8th Edition by : Raymond L. Goldsteen, DrPH

Download or read book Jonas’ Introduction to the U.S. Health Care System, 8th Edition written by Raymond L. Goldsteen, DrPH and published by Springer Publishing Company. This book was released on 2016-06-28 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praise for the Seventh Edition: There are many books on the U.S. healthcare system, but few have the longevity of this one. It is easy to read and straightforward in its approach to difficult subjects such as the rise of the Tea Party and how that movement has impacted healthcare. This update is certainly needed as the landscape has changed dramatically since the previous edition was published. Doody's Medical Reviews The eighth edition of this best-selling text, valued for its concise and balanced introduction to the U.S. health care system, is entirely updated to reflect alterations to health care services, delivery, and financing resulting from the Affordable Care Act (ACA). The text describes how our health care system currently functions, the key forces that led to its structure, and the influences likely to shape the industry during the next 5 to 10 years. With an emphasis on policy development, the authors underscore the fluidity of the system and examine the debates and conflicts that have shaped health care changes and influenced American values and belief systems. Other new areas of focus include an assessment of who uses health care and in what way, health care trends, and a forecast for the health care system of the future. The text elucidates the basic building blocks of the health care system, including its components, organization, services, and financing. It describes the ongoing evolution of the system since the passage of the ACA, development of accountable care organizations (ACOs), and uneven acceptance of Medicaid expansion by states. Organized to facilitate understanding of concepts at work, the text provides health care students with a clear road map of the field in which they will practice, so they can position themselves to navigate the upcoming changes. New to the Eighth Edition: Entirely updated to address changes in health care services, delivery, and financing resulting from the ACA Describes influences that will shape the industry in years to come Emphasizes policy development Assesses current consumers of health care and how they use it Examines the debates and conflicts that have structured health care change Monitors health care trends Discusses the continuing evolution of our system since the ACA Explores the development of ACOs Reinforces information with illustrative tables and figures Key Features: Remains the most concise and balanced introduction to the U.S. health care system Ideal for use in undergraduate courses, in graduate survey courses, and in courses introducing the subject to medical students Includes review questions at the conclusion of each chapter Provides a full suite of ancillary materials for the educator, including an Instructor's Manual, PowerPoints, and a test bank

Health Care in America: Separate and Unequal

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Author :
Publisher : Routledge
ISBN 13 : 1317468899
Total Pages : 320 pages
Book Rating : 4.3/5 (174 download)

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Book Synopsis Health Care in America: Separate and Unequal by : Kant Patel

Download or read book Health Care in America: Separate and Unequal written by Kant Patel and published by Routledge. This book was released on 2015-01-28 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American health care system is a unique mix of public and private programs that critics argue has produced a two-tier system - one for the rich and the other for the poor - that delivers dramatically unequal care and leaves millions of Americans seriously underinsured or with no coverage at all. This book examines the root causes of the inequalities of the American health care system and discusses various policy alternatives. It systematically documents the demands on and the performance of our health care system for different population groups as defined on the basis of gender (women), age (children), race and ethnicity (African Americans, Hispanics, Native Americans), and residence in high poverty areas (rural and inner city locales).For each population, the book documents: historical and demographic profile, data on health status, aspects of inequality including access; quality of care; and endemic, cultural, and lifestyle issues affecting health; policies, laws, and programs relevant to health care; and, indicators of improvement or negative trends.

An Introduction to the US Health Care System, Sixth Edition

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Publisher : Springer Publishing Company
ISBN 13 : 9780826103154
Total Pages : 328 pages
Book Rating : 4.1/5 (31 download)

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Book Synopsis An Introduction to the US Health Care System, Sixth Edition by : Steven Jonas, MD,MPH, FACPM

Download or read book An Introduction to the US Health Care System, Sixth Edition written by Steven Jonas, MD,MPH, FACPM and published by Springer Publishing Company. This book was released on 2007-05-25 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely expanded and updated to account for the latest changes in the U.S. health care system, this best-selling text remains the most concise and balanced introduction to the domestic health care system. Like its predecessors, it provides an accessible overview of the basic components of the system: healthcare personnel, hospitals and other institutions, the federal government, financing and payment mechanisms, and managed care. Finally, it provides an insightful look at the prospects for health care reform. Steven Jonas, a revered expert in public health, has enlisted his colleagues, Drs. Raymond and Karen Goldsteen, to add their expertise in public health and health policy and management to this outstanding volume. All students of health care administration and policy, as well as practicing healthcare professionals who simply want a relatively brief overview of the system, will find it useful.

Evidence-Based Medicine and the Changing Nature of Health Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309113695
Total Pages : 202 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Evidence-Based Medicine and the Changing Nature of Health Care by : Institute of Medicine

Download or read book Evidence-Based Medicine and the Changing Nature of Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2008-09-06 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

History and Health Policy in the United States

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Publisher : Rutgers University Press
ISBN 13 : 0813539870
Total Pages : 376 pages
Book Rating : 4.8/5 (135 download)

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Book Synopsis History and Health Policy in the United States by : Rosemary A. Stevens

Download or read book History and Health Policy in the United States written by Rosemary A. Stevens and published by Rutgers University Press. This book was released on 2006-06-01 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: In our rapidly advancing scientific and technological world, many take great pride and comfort in believing that we are on the threshold of new ways of thinking, living, and understanding ourselves. But despite dramatic discoveries that appear in every way to herald the future, legacies still carry great weight. Even in swiftly developing fields such as health and medicine, most systems and policies embody a sequence of earlier ideas and preexisting patterns. In History and Health Policy in the United States, seventeen leading scholars of history, the history of medicine, bioethics, law, health policy, sociology, and organizational theory make the case for the usefulness of history in evaluating and formulating health policy today. In looking at issues as varied as the consumer economy, risk, and the plight of the uninsured, the contributors uncover the often unstated assumptions that shape the way we think about technology, the role of government, and contemporary medicine. They show how historical perspectives can help policymakers avoid the pitfalls of partisan, outdated, or merely fashionable approaches, as well as how knowledge of previous systems can offer alternatives when policy directions seem unclear. Together, the essays argue that it is only by knowing where we have been that we can begin to understand health services today or speculate on policies for tomorrow.