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"Quality of Health Care - history"
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Separate beds : a history of Indian hospitals in Canada, 1920s-1980s
\"Separate Beds is the shocking story of Canada's system of segregated health care. Operated by the same bureaucracy that was expanding health care opportunities for most Canadians, the 'Indian Hospitals' were underfunded, understaffed, overcrowded, and rife with coercion and medical experimentation. Established to keep the Aboriginal tuberculosis population isolated, they became a means of ensuring that other Canadians need not share access to modern hospitals with Aboriginal patients. Tracing the history of the system from its fragmentary origins to its gradual collapse, Maureen K. Lux describes the arbitrary and contradictory policies that governed the 'Indian Hospitals, ' the experiences of patients and staff, and the vital grassroots activism that pressed the federal government to acknowledge its treaty obligations. A disturbing look at the dark side of the liberal welfare state, Separate Beds reveals a history of racism and negligence in health care for Canada's First Nations that should never be forgotten.\"-- Provided by publisher.
Book
Donabedian’s Lasting Framework for Health Care Quality
In a landmark article published 50 years ago, Avedis Donabedian proposed using the triad of structure, process, and outcome to evaluate the quality of health care. That triad, along with his eventual seven pillars of quality, continues to inform efforts to improve care.
Though historians are often hesitant to declare any event a “first,” one might safely claim that the contemporary health care quality movement had its “founding moment” in October 1965. Less than 3 months after the Medicare and Medicaid programs were enacted, the newly created Health Services Research Section of the U.S. Public Health Service convened a meeting in Chicago of leaders from many health-related fields. These leaders considered the influence of social and economic research on public health, the organization of community health agencies, and the quality of health services.
One of these experts, Avedis Donabedian, a professor of medical . . .
Journal Article
Health in the Soviet Union and in the post-Soviet space: from utopia to collapse and arduous recovery
Health is one of the areas where nostalgia for the Soviet Union is still common among Russians and people living in countries in the post-Soviet space. Most Russian adults alive today witnessed the dramatic deterioration of health care in the 10 years after the end of the Soviet Union.
Journal Article
Russian medicine: trying to catch up on scientific evidence and human values
At the beginning of the 20th century, medicine as an academic discipline and a vocational training was quite similar in Russia and in western Europe. Most professors in Russian medical faculties had some international training. Pirogov, Sechenov, Mechnikoff, and Pavlov, just to name a few, were not only exceptional scientists but typical with their international training and research experience. Yet medicine as a service to the public was underdeveloped.
Journal Article
Public health in Russia: a sad state of affairs
The sad state of affairs in the Russian public health system has nothing to do with President Vladimir Putin, which, of course, is too bad. After all, wouldn't it be wonderful if he could be blamed for that as well?
Journal Article
Quality Improvement for Whom?
Improving the quality of almost anything is a laudable goal. However, when it comes to the improvement of health care, a critical question to ask is, who actually benefits from the improvement? Is it the patient, the clinician, the financial officer and the health care corporation, the population at large, other entities, no one, or everyone?To understand how the current quality improvement in health care movement started, it is important to review a bit of history. In 1999 the Institute of Medicine (IOM) published a hugely influential report, To Err Is Human, which revealed that up to 98,000 US citizens were dying each year as a result of medical errors. Although most of the error caused deaths occurred in hospitals, other settings such as doctor’s offices, outpatient surgical centers, and nursing homes were also involved. In addition, the cost of medical errors resulting in injuries was estimated to be between $17 billion and $29 billion, with health care costs accounting for more than 50% of the total.
Journal Article
US Medicare, Medicaid, and nurse practitioners all turn 50
Much accomplished, much more to be done
Journal Article
THE ROLE OF HOSPITAL HETEROGENEITY IN MEASURING MARGINAL RETURNS TO MEDICAL CARE: A REPLY TO BARRECA, GULDI, LINDO, AND WADDELL
In Almond et al. (2010), we describe how marginal returns to medical care can be estimated by comparing patients on either side of diagnostic thresholds. Our application examines at-risk newborns near the very low birth weight threshold at 1500 g. We estimate large discontinuities in medical care and mortality at this threshold, with effects concentrated at \"low-quality\" hospitals. Although our preferred estimates retain newborns near the threshold, when they are excluded the estimated marginal returns decline, although they remain large. In low-quality hospitals, our estimates are similar in magnitude regardless of whether these newborns are included or excluded.
Journal Article