Policy Challenges in Modern Health Care

Author: David Mechanic
Publisher: Rutgers University Press
ISBN: 9780813535784
Format: PDF
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Health care delivery in the United States is an enormously complex enterprise, and its $1.6 trillion annual expenditures involve a host of competing interests. While arguably the nation offers among the most technologically advanced medical care in the world, the American system consistently under performs relative to its resources. Gaps in financing and service delivery pose major barriers to improving health, reducing disparities, achieving universal insurance coverage, enhancing quality, controlling costs, and meeting the needs of patients and families. Bringing together twenty-five of the nation's leading experts in health care policy and public health, this book provides a much-needed perspective on how our health care system evolved, why we face the challenges that we do, and why reform is so difficult to achieve. The essays tackle tough issues including: socioeconomic disadvantage, tobacco, obesity, gun violence, insurance gaps, the rationing of services, the power of special interests, medical errors, and the nursing shortage. Linking the nation's health problems to larger political, cultural, and philosophical contexts, Policy Challenges in Modern Health Care offers a compelling look at where we stand and where we need to be headed.

Challenging Medicine

Author: David Kelleher
Publisher: Routledge
ISBN: 1135195102
Format: PDF, ePub
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This highly topical and controversial book presents a lively re-appraisal of the current changes to the health service and analyzes their effects on the status and practice of health professionals. Modern medicine is a powerful institution. With the help of highly-developed drugs and surgical techniques, it promises to relieve suffering, improve the quality of life and extend the life-span. Conversely, it is expensive for the governments, insurance companies and individuals who pay for it and sometimes appears to be insensitive to the needs of those for whom it provides. And while recent restructuring of healthcare delivery services has provided medical practitioners with new challenges, there has been very little consideration of the range of pressures that they now face. Edited and written by experienced medical sociologists, this book draws together analysis of a number of diverse challenges to medicine, and provides original debate on the challenges posed from within medicine from nurses and managers and alternative practitioners, and from outside by self-help groups, the women’s movement and the media.

Health Policy for Health Care Professionals

Author: Peter L Bradshaw
Publisher: SAGE
ISBN: 1412931460
Format: PDF
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`This excellent, concise and even-handed book confronts the contradictions and dilemmas at the heart of today's NHS. The book is aimed at healthcare professionals and students of health policy, and covers its major themes over the past 60 years, with particular attention to Labour's policy agenda since 1997' - Healthmatters Health Policy for Health Care Professionals is a contemporary guide to the health service, its origins and current agenda, which focuses on the challenges faced by health service workers in implementing government policy at local level. The book's aim is to help health care professionals make assessments of health policy by giving them an understanding of the ideological basis of the British health care system and the challenges facing the modern National Health Service. Beginning with the development of the NHS and its place within the broader context of state welfare provision, the book looks at the options available to governments in formulating policy which responds to health needs. It examines the policies set by recent governments and the feasibility of achieving objectives set by the current NHS Plan. Looking to the future, the book also identifies key issues for health policy in the next decade. Recognizing the reality of working in today's NHS, the authors highlight the tension which often exists between the formation and implementation of health policy. The central concern of policy makers to act for the collective good frequently creates problems for practitioners trying to align services with individual patient need and choice. Health Policy for Health Care Professionals is an ideal text for anyone training for a career in the NHS and an excellent resource for qualified practitioners assessing and implementing policy.

The Truth About Health Care

Author: David Mechanic
Publisher: Rutgers University Press
ISBN: 0813541158
Format: PDF, ePub, Docs
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The United States spends greatly more per person on health care than any other country but the evidence shows that care is often poor and inappropriate. Despite expenditures of 1.7 trillion dollars in 2003, and growing substantially each year, services remain fragmented and poorly coordinated, and more than 46 million people are uninsured. Why can't America, with its vast array of resources, sophisticated technologies, superior medical research and educational institutions, and talented health care professionals, produce higher quality care and better outcomes? In The Truth about Health Care, David Mechanic explains how health care in America has evolved in ways that favor a myriad of economic, professional, and political interests over those of patients. While money has always had a place in medical care, "big money" and the quest for profits has become dominant, making meaningful reforms difficult to achieve. Mechanic acknowledges that railing against these influences, which are here to stay, can achieve only so much. Instead, he asks whether it is possible to convert what is best about health care in America into a well functioning system that better serves the entire population. Bringing decades of experience as an active health policy participant, researcher, teacher, and consultant to the public and private sectors, Mechanic examines the strengths and weaknesses of our system and how it has evolved. He pays special attention to areas often neglected in policy discussions, such as the loss of public trust in medicine, the tragic state of long-term care, and the relationship of mental health to health care. For anyone who has been frustrated by uncoordinated health networks, insurance denials, and other obstacles to obtaining appropriate care, this book will provide a refreshing and frank look at the system's current and future dilemmas. Mechanic's thoughtful roadmap describes how health plans, healthcare professionals, policymakers, and consumer groups can work together to improve access, quality, fairness, and health outcomes in America. About the Author:

Health Policy And Economics Opportunities And Challenges

Author: Smith, Peter
Publisher: McGraw-Hill Education (UK)
ISBN: 0335215742
Format: PDF, Kindle
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Health economics has made major contributions to the development of health policy in many countries. This book describes those successes and looks forward to the major contributions that health economics can bring to bear on emerging policy issues in health and health care. With contributions from internationally recognized researchers, this book addresses generic policy issues confronting health systems across the developed world. The coverage progresses from micro, patient level issues to macro, whole system issues including: Determining cost-effective treatments Fair distribution of health care Regulatory issues such as performance measurement and incentives Revenue distribution Decentralization and internationalization of health systems Health Policy and Economics identifies the major contributions that health economics makes to important policy issues in health and health care. It is key reading for policy makers and health managers as well as students and academics with an interest in health policy and health services research. Contributors: Ron L. Akehurst, Karen E. Bloor, Martin Buxton, Karl P. Claxton, Richard Cookson, Diane A. Dawson, Paul Dolan, Mike Drummond, Brian Ferguson, Hugh Gravelle, Maria Goddard, Katharina Hauck, John Hutton, Andrew M. Jones, Rowena Jacobs, Paul Kind, Rosella Levaggi, Guillem Lpez Casanovas, Alan K. Maynard, Nigel Rice, Anthony Scott, Rebecca Shaw, Trevor Sheldon, Andrew D. Street, Mark Sculpher, Matthew Sutton, Peter C. Smith, Adrian Towse, Aki Tsuchiya, Alan H. Williams.

Incentives and Choice in Health Care

Author: Frank A. Sloan
Publisher: MIT Press
ISBN: 0262693658
Format: PDF
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A vast body of empirical evidence has accumulated demonstrating that incentives affect health care choices made by both consumers and suppliers of health care services. Decisions in health care are affected by many types of incentives, such as the rate of return pharmaceutical manufacturers expect on their investments in research and development, or disincentives, such as increases in copayments patients must make when they visit physicians or are admitted to hospitals. In this volume, leading scholars in health economics review these new and important results and describe their own recent research assessing the role of incentives in health care markets and decisions people make that affect their personal health. The contexts include demand decisions -- choices made by individuals about health care services they consume and the health insurance policies they purchase -- and supply decisions made by medical students, practicing physicians, hospitals, and pharmaceutical manufacturers. Researchers and students of health economics and policy makers will find this book a valuable resource, both for learning economic concepts, particularly as they apply to health care, and for reading up-to-date summaries of the empirical evidence. General readers will find the book's chapters accessible, interesting, and useful for gaining an understanding of the likely effects of alternative health care policies. ContributorsHenry J. Aaron, Ernst R. Berndt, John Cawley, Julie M. Donohue, Donna Gilleskie, Brian R. Golden, Gautam Gowrisankaran, Chee-Ruey Hsieh, Hirschel Kasper, Thomas G. McGuire, Joseph P. Newhouse, Sean Nicholson, Mark V. Pauly, Anna D. Sinaiko, Frank Sloan

Human Health and Forests

Author: Carol J. Pierce Colfer
Publisher: Earthscan
ISBN: 1849771626
Format: PDF, Kindle
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Hundreds of millions of people live and work in forests across the world. One vital aspect of their lives, yet largely unexamined, is the challenge of protecting and enhancing the unique relationship between the health of forests and the health of people. This book, written for a broad audience, is the first comprehensive introduction to the issues surrounding the health of people living in and around forests, particularly in Asia, South America and Africa.Part I is a set of synthesis chapters, addressing policy, public health, environmental conservation and ecological perspectives on health and forests (including women and child health, medicinal plants and viral diseases such as Ebola, SARS and Nipah Encephalitis). Part II takes a multi-lens approach to lead the reader to a more concrete and holistic understanding. It features case studies from around the world that cover important issues such as the links between HIV/AIDS and the forest sector, and between diet and health. Part III looks at the specific challenges to health care delivery in forested areas, including remoteness and the integration of traditional medicine with modern health care. The generous use of boxes with specific examples adds layers of depth to the analyses. The book concludes with a synthesis designed for use by practitioners and policymakers to work with forest dwellers to improve their health and their ecosystems.This book is a vital addition to the knowledge base of all professionals, academics and students working on forests, natural resources management, health and development worldwide.Published with CIFOR and People and Plants International

Health Care in Uganda

Author: Paul Hutchinson
Publisher: World Bank Publications
ISBN: 9780821345313
Format: PDF, Kindle
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"The government of Uganda faces a multitude of challenges in the health care arena, from ensuring that health care services are delivered in the most equitable manner, to structuring the health care delivery system to be most effective, to waging campaigns against the leading causes of mortality and morbidity. The government needs the best information available on existing conditions, in order to devise strategies to successfully meet these challenges." This technical paper summarizes the results of three research efforts concerning current health care issues in Uganda. Its purpose is to summarize key actions and identify new challenges. In Part I, "Equity of Access to Health Services in Uganda: The Effects of Income, Gender, Proximity to Services, and Quality of Care," the author examines a number of factors that affect access to health services, including quality of services and income. Part II of this technical paper, "Decentralization of Health Services in Uganda: Moving Toward Improved Delivery of Services," summarizes the key actions that have been undertaken during the decentralization of Uganda's health sector and identifies challenges that are emerging during this process. Part III, "Malaria: A Priority Health Problem," summarizes the status of malaria control in Uganda and highlights some of the key issues that need to be addressed to further strengthen malaria control efforts. This paper should prove useful to those working in Uganda and in other countries facing similar policy changes, to anticipate the challenges as they seek to improve the quality of health and other public services.

Essential Readings in Health Policy and Law

Author: Joel B. Teitelbaum
Publisher: Jones & Bartlett Publishers
ISBN: 0763738514
Format: PDF, ePub, Mobi
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This compilation of carefully selected readings is meant to allow for deeper analysis of the issues covered in Essentials of Health Policy and Law, yet also serves as an excellent complement to any text on health policy.