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Puerto Ricos Health Care Delivery System Its Current Health Care Reform Efforts And Access To Rural Health Care Services In Puerto Rico
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Author :United States. Congress. House. Committee on Education and Labor. Subcommittee on Labor-Management Relations Publisher : ISBN 13 : Total Pages :204 pages Book Rating :4.3/5 (91 download)
Book Synopsis Puerto Rico's Health Care Delivery System, Its Current Health Care Reform Efforts, and Access to Rural Health Care Services in Puerto Rico by : United States. Congress. House. Committee on Education and Labor. Subcommittee on Labor-Management Relations
Download or read book Puerto Rico's Health Care Delivery System, Its Current Health Care Reform Efforts, and Access to Rural Health Care Services in Puerto Rico written by United States. Congress. House. Committee on Education and Labor. Subcommittee on Labor-Management Relations and published by . This book was released on 1995 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Education and Labor. Subcommittee on Labor-Management Relations Publisher : ISBN 13 : Total Pages :204 pages Book Rating :4.3/5 (121 download)
Book Synopsis Puerto Rico's Health Care Delivery System, Its Current Health Care Reform Efforts, and Access to Rural Health Care Services in Puerto Rico by : United States. Congress. House. Committee on Education and Labor. Subcommittee on Labor-Management Relations
Download or read book Puerto Rico's Health Care Delivery System, Its Current Health Care Reform Efforts, and Access to Rural Health Care Services in Puerto Rico written by United States. Congress. House. Committee on Education and Labor. Subcommittee on Labor-Management Relations and published by . This book was released on 1995 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Unmanageable Care by : Jessica M. Mulligan
Download or read book Unmanageable Care written by Jessica M. Mulligan and published by NYU Press. This book was released on 2014-08-08 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at an HMO and records what it's really like to manage care. Set at a health insurance company dubbed Acme, this book chronicles how the privatization of the health care system in Puerto Rico transformed the experience of accessing and providing care on the island. Through interviews and participant observation, the book explores the everyday contexts in which market reforms were enacted. It follows privatization into the compliance department of a managed care organization, through the visits of federal auditors to a health plan, and into the homes of health plan members who recount their experiences navigating the new managed care system. In the 1990s and early 2000s, policymakers in Puerto Rico sold off most of the island's public health facilities and enrolled the poor, elderly and disabled into for-profit managed care plans. These reforms were supposed to promote efficiency, cost-effectiveness, and high quality care. Despite the optimistic promises of market-based reforms, the system became more expensive, not more efficient; patients rarely behaved as the expected health-maximizing information processing consumers; and care became more chaotic and difficult to access. Citizens continued to look to the state to provide health services for the poor, disabled, and elderly. This book argues that pro-market reforms failed to deliver on many of their promises. The health care system in Puerto Rico was dramatically transformed, just not according to plan.
Book Synopsis Disparate Health Care in Puerto Rico by : Ximena Benavides
Download or read book Disparate Health Care in Puerto Rico written by Ximena Benavides and published by . This book was released on 2020 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt: For close to a decade now, Puerto Rico has been saddled with a public debt crisis and has been forced, as a result, to borrow the funds needed to cover nationwide expenses like health care. When Puerto Rico stopped repaying its mounting debt in 2016, the U.S. Congress formed the federal PROMESA Board to oversee Puerto Rico's finances and to determine its future fiscal policies. Nevertheless, the PROMESA Board's attempt to control public debt by reducing budget deficits has further weakened an already devastated health care system. The island, often a target of natural disaster in the form of hurricanes, is financially insolvent and beset by other national, health-related obstacles such as poor infrastructure; heavy disparities between private and public health care programs as a result of a failed privatization and regionalized system; and a scarcity of doctors owing to continued migration to better pay on the mainland. By reflecting on the consequences of a health care system the origins of which are in legal transplants and which has been the target of multiple unsatisfactory institutional arrangements -- legacies of the colonial relationship between the island and the U.S. mainland -- this Article attempts to explain why Puerto Rico's health care system remains in crisis and inquires with respect to which policy-based tools might be used to address such crisis. This Article concludes that all policy attempts to date have failed and will continue to do so for as long as a foundational problem persists - that is, the unconstitutional, disparate treatment of U.S. citizens living in Puerto Rico compared to those Americans living on the mainland. Finally, this Article advances a primary policy recommendation that policymakers must first address the equal protection of the law -- in general and as it applies to healthcare -- rather than the political battle for statehood, the federal control and planning over Puerto Rico's finances, or additional temporary federal funds and disaster relief.
Book Synopsis Managed Lives: Privatizing Public Health in Puerto Rico by : Jessica Mulligan
Download or read book Managed Lives: Privatizing Public Health in Puerto Rico written by Jessica Mulligan and published by . This book was released on 2007 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the 1990s, the newly elected statehood party reinvented the healthcare system using a managed care model in Puerto Rico. In a period of two years, the government sold off public hospitals, closed local health centers and enrolled eligible beneficiaries with private insurance companies. The reformers sought to modernize the practices of providers, produce healthier and more health savvy Puerto Ricans, and rationalize health care delivery through corporate management techniques.
Book Synopsis Health Care Inequities in Puerto Rico by : Alexandra C Rivera-Gonza̹lez
Download or read book Health Care Inequities in Puerto Rico written by Alexandra C Rivera-Gonza̹lez and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are significant health care inequities in the United States (US) territory of Puerto Rico. The local health system operates under continuous challenges, such as financial restrictions and shifts in the physician workforce. Population characteristics like pervasive island-wide poverty, substantial health care need, and poor economic conditions further burden its health care system. When coupled with frequent and increasing back-to-back public health emergencies, such as natural disasters and infectious disease outbreaks, these factors have led to an ongoing health care crisis in Puerto Rico. The multiple factors affecting health care access in Puerto Rico have rarely been studied and continue to be unclear, especially following recent major disasters such as hurricanes, earthquakes, and the COVID-19 pandemic. To help fill these knowledge gaps, this dissertation studies health care access and utilization in Puerto Rico and how they are affected by environmental, system, provider, and patient-level factors. The dissertation will be composed of three separate but interrelated papers addressing health care dilemmas in Puerto Rico by studying (1) federal health policy impact on health care access across different Medicaid funding structures, (2) physician prevalence and availability trends in Puerto Rico, and (3) crisis hotline use patterns across population characteristics.
Book Synopsis The Development of a Health Information System in the Puerto Rico Sixth Health Care Reform by : Deborah A. Nieves
Download or read book The Development of a Health Information System in the Puerto Rico Sixth Health Care Reform written by Deborah A. Nieves and published by . This book was released on 2001 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Coordinating Health Care Reform with the U.S. Territories and Possessions by :
Download or read book Coordinating Health Care Reform with the U.S. Territories and Possessions written by and published by . This book was released on 1995 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Book Synopsis Social Vulnerability and the Role of Puerto Rico's Healthcare Workers After Hurricane Maria by : Skye Niles
Download or read book Social Vulnerability and the Role of Puerto Rico's Healthcare Workers After Hurricane Maria written by Skye Niles and published by . This book was released on 2018 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : ISBN 13 : Total Pages :428 pages Book Rating :4.F/5 ( download)
Book Synopsis Health Care Reform by : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Download or read book Health Care Reform written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1993 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Hispanics and the Future of America by : National Research Council
Download or read book Hispanics and the Future of America written by National Research Council and published by National Academies Press. This book was released on 2006-02-23 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309452961 Total Pages :583 pages Book Rating :4.3/5 (94 download)
Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Unequal Treatment by : Institute of Medicine
Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Author :United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : ISBN 13 : Total Pages :428 pages Book Rating :4.0/5 (18 download)
Book Synopsis Health Care Reform: Expansion of Medicare benefits to include prescription drugs, June 22, 1993 ; Health care service delivery infrastructure in inner-city and rural communities, June 24, 1993 ; Implementation of a national health budget, July 13, 1993 by : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Download or read book Health Care Reform: Expansion of Medicare benefits to include prescription drugs, June 22, 1993 ; Health care service delivery infrastructure in inner-city and rural communities, June 24, 1993 ; Implementation of a national health budget, July 13, 1993 written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1993 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : ISBN 13 : Total Pages :420 pages Book Rating :4.0/5 ( download)
Book Synopsis Health Care Reform: Issues relating to medical malpractice, May 20, 1993 by : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Download or read book Health Care Reform: Issues relating to medical malpractice, May 20, 1993 written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1993 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Returning Home from Iraq and Afghanistan by : Institute of Medicine
Download or read book Returning Home from Iraq and Afghanistan written by Institute of Medicine and published by National Academies Press. This book was released on 2010-03-31 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.
