Catalogue Search | MBRL
Are you sure you want to remove the book from the shelf?
{{itemTitle}}
25,713
result(s) for
"U.S. health care"
Sort by:
What to do when your family can't afford health care
Explains what healthcare and insurance are and why they are so crucial, and also explains the many different low-cost insurance options that are available so that every family can get the care they need.
Book
From Residency to Retirement
From Residency to Retireme nt tells the stories
of twenty American doctors over the last half century, which saw a
period of continuous, turbulent, and transformative changes to the
U.S. health care system. The cohort's experiences are reflective of
the generation of physicians who came of age as presidents Carter
and Reagan began to focus on costs and benefits of health services.
Mizrahi observed and interviewed these physicians in six timeframes
ending in 2016. Beginning with medical school in the mid-1970s,
these physicians reveal the myriad fluctuations and uncertainties
in their professional practice, working conditions, collegial
relationships, and patient interactions. In their own words, they
provide a \"view from the front lines\" both in academic and
community settings. They disclose the satisfactions and strains in
coping with macro policies enacted by government and insurance
companies over their career trajectory. They describe their
residency in internal medicine in a large southern urban medical
center as a \"siege mentality\" which lessened as they began their
careers, in Getting Rid of Patients , the title of
Mizrahi's first book (1986). As these doctors moved on in their
professional lives more of their experiences were discussed in
terms of dissatisfaction with financial remuneration, emotional
gratification, and intellectual fulfillment. Such moments of career
frustration, however, were also interspersed with moments of
satisfaction at different stages of their medical careers.
Particularly revealing was whether they were optimistic about the
future at each stage of their career and whether they would
recommend a medical career to their children. Mizrahi's subjects
also divulge their private feelings of disillusionment and fear of
failure given the malpractice epidemic and lawsuits threatened or
actually brought against so many doctors. Mizrahi's work, covering
almost fifty years, provides rarely viewed insights into the lives
of physicians over a professional life span.
eBook
From Residency to Retirement
From Residency to Retireme nt tells the stories
of twenty American doctors over the last half century, which saw a
period of continuous, turbulent, and transformative changes to the
U.S. health care system. The cohort's experiences are reflective of
the generation of physicians who came of age as presidents Carter
and Reagan began to focus on costs and benefits of health services.
Mizrahi observed and interviewed these physicians in six timeframes
ending in 2016. Beginning with medical school in the mid-1970s,
these physicians reveal the myriad fluctuations and uncertainties
in their professional practice, working conditions, collegial
relationships, and patient interactions. In their own words, they
provide a \"view from the front lines\" both in academic and
community settings. They disclose the satisfactions and strains in
coping with macro policies enacted by government and insurance
companies over their career trajectory. They describe their
residency in internal medicine in a large southern urban medical
center as a \"siege mentality\" which lessened as they began their
careers, in Getting Rid of Patients , the title of
Mizrahi's first book (1986). As these doctors moved on in their
professional lives more of their experiences were discussed in
terms of dissatisfaction with financial remuneration, emotional
gratification, and intellectual fulfillment. Such moments of career
frustration, however, were also interspersed with moments of
satisfaction at different stages of their medical careers.
Particularly revealing was whether they were optimistic about the
future at each stage of their career and whether they would
recommend a medical career to their children. Mizrahi's subjects
also divulge their private feelings of disillusionment and fear of
failure given the malpractice epidemic and lawsuits threatened or
actually brought against so many doctors. Mizrahi's work, covering
almost fifty years, provides rarely viewed insights into the lives
of physicians over a professional life span.
eBook
Health Care Crisis by the Numbers
We summarize recent data on health and health care in the United States. Many millions suffer financial distress due to medical bills and forego needed care because of costs. Pay-for-performance programs have failed to achieve the results promised and in some cases have backfired. Health care firms expend huge amounts on marketing that provides no benefit to patients. Millions of health care workers, particularly women of color, are so poorly paid that they live in poverty, and gender-based pay inequities remain common in the health sector. Polls continue to show strong popular support for a single-payer reform, but politicians continue to resist it.
Journal Article
The Role of Primary Care in Improving Population Health
Policy Points Systems based on primary care have better population health, health equity, and health care quality, and lower health care expenditure. Primary care can be a boundary‐spanning force to integrate and personalize the many factors from which population health emerges. Equitably advancing population health requires understanding and supporting the complexly interacting mechanisms by which primary care influences health, equity, and health costs.
Journal Article
Trends in the Contribution of Emergency Departments to the Provision of Hospital-Associated Health Care in the USA
Traditional approaches to assessing the health of populations focus on the use of primary care and the delivery of care through patient-centered homes, managed care resources, and accountable care organizations. The use of emergency departments (EDs) has largely not been given consideration in these models. Our study aimed to determine the contribution of EDs to the health care received by Americans between 1996 and 2010 and to compare it with the contribution of outpatient and inpatient services using National Hospital Ambulatory Medical Care Survey and National Hospital Discharge Survey databases. We found that EDs contributed an average of 47.7% of the hospital-associated medical care delivered in the United States, and this percentage increased steadily over the 14-year study period. EDs are a major source of medical care in the United States, especially for vulnerable populations, and this contribution increased throughout the study period. Including emergency care within health reform and population health efforts would prove valuable to supporting the health of the nation.
Journal Article
The Next Generation of Payment Reforms for Population Health – An Actionable Agenda for 2035 Informed by Past Gains and Ongoing Lessons
Policy Points The predominantly fee‐for‐service reimbursement architecture of the US health care system contributes to waste and excess spending. While the past decade of payment reforms has galvanized the adoption of alternative payment models and generated moderate savings, uptake of truly population‐based payment systems continues to lag, and interventions to date have had limited impact on care quality, outcomes, and health equity. To realize the promise of payment reforms as instruments for delivery system transformation, future policies for health care financing must focus on accelerating the diffusion of value‐based payment, leveraging payments to redress inequities, and incentivizing partnerships with cross‐sector entities to invest in the upstream drivers of health.
Journal Article
A Population Health Impact Pyramid for Health Care
Policy Points To meaningfully impact population health and health equity, health care organizations must take a multipronged approach that ranges from education to advocacy, recognizing that more impactful efforts are often more complex or resource intensive. Given that population health is advanced in communities and not doctors’ offices, health care organizations must use their advocacy voices in service of population health policy, not just health care policy. Foundational to all population health and health equity efforts are authentic community partnerships and a commitment to demonstrating health care organizations are worthy of their communities’ trust.
Journal Article
The Workforce Needed to Address Population Health
Policy Points Although a single definition of the population health workforce does not yet exist, this workforce needs to have the skills and competencies to address the social determinants of health, to understand intersectionality, and to coordinate and work in concert with an array of skilled providers in social and health care to address multiple health drivers. On‐the‐job training programs and employer support are needed for the current health workforce to gain skills and competencies to address population health. Funding and leadership combined are critical for developing the population health workforce with the goal of supporting a broad set of workers beyond health and social care to include, for example, those in urban planning, law enforcement, or transportation professions to address population health.
Journal Article
COVID-19 and Vulnerable Populations: The Need to Support Improved Care for LGBTQ+ Individuals in the United States
During the COVID-19 pandemic, marginalized populations are at a higher risk for health complications. While this virus is capable of infecting anyone, existing health inequities in the United States have resulted in a much larger impact on marginalized communities. It is vital that healthcare providers, policymakers, and other decision makers are aware of the increased risks for vulnerable populations. LGBTQ+ individuals are considered a vulnerable population and have increased risks of severe complications from COVID-19. Currently, there still remains a gap in medical providers’ knowledge of the specific medical challenges that LGBTQ+ individuals face. Scientific data on how LGBTQ+ people are susceptible to more severe complications from a COVID-19 infection will hopefully supplement healthcare provider’s understanding of the challenges this community faces during this health crisis. In turn, these efforts can increase the likelihood that LGBTQ+ individuals receive affirming and competent care. At the same time, the impact of these efforts to increase health equity and healthcare services for LGBTQ+ individuals during the COVID-19 crisis must be evaluated to determine effectiveness and potential for scalability in the United States and across the world.
Journal Article