Health Policies on Target?

Health Policies on Target? PDF Author: Harry P. A. van de Water
Publisher:
ISBN: 9789067435581
Category : Health
Languages : en
Pages : 159

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Health Policies on Target?

Health Policies on Target? PDF Author: Harry P. A. van de Water
Publisher:
ISBN: 9789067435581
Category : Health
Languages : en
Pages : 159

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Book Description


Variation in Health Care Spending

Variation in Health Care Spending PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030928869X
Category : Medical
Languages : en
Pages : 207

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Book Description
Health care in the United States is more expensive than in other developed countries, costing $2.7 trillion in 2011, or 17.9 percent of the national gross domestic product. Increasing costs strain budgets at all levels of government and threaten the solvency of Medicare, the nation's largest health insurer. At the same time, despite advances in biomedical science, medicine, and public health, health care quality remains inconsistent. In fact, underuse, misuse, and overuse of various services often put patients in danger. Many efforts to improve this situation are focused on Medicare, which mainly pays practitioners on a fee-for-service basis and hospitals on a diagnoses-related group basis, which is a fee for a group of services related to a particular diagnosis. Research has long shown that Medicare spending varies greatly in different regions of the country even when expenditures are adjusted for variation in the costs of doing business, meaning that certain regions have much higher volume and/or intensity of services than others. Further, regions that deliver more services do not appear to achieve better health outcomes than those that deliver less. Variation in Health Care Spending investigates geographic variation in health care spending and quality for Medicare beneficiaries as well as other populations, and analyzes Medicare payment policies that could encourage high-value care. This report concludes that regional differences in Medicare and commercial health care spending and use are real and persist over time. Furthermore, there is much variation within geographic areas, no matter how broadly or narrowly these areas are defined. The report recommends against adoption of a geographically based value index for Medicare payments, because the majority of health care decisions are made at the provider or health care organization level, not by geographic units. Rather, to promote high value services from all providers, Medicare and Medicaid Services should continue to test payment reforms that offer incentives to providers to share clinical data, coordinate patient care, and assume some financial risk for the care of their patients. Medicare covers more than 47 million Americans, including 39 million people age 65 and older and 8 million people with disabilities. Medicare payment reform has the potential to improve health, promote efficiency in the U.S. health care system, and reorient competition in the health care market around the value of services rather than the volume of services provided. The recommendations of Variation in Health Care Spending are designed to help Medicare and Medicaid Services encourage providers to efficiently manage the full range of care for their patients, thereby increasing the value of health care in the United States.

The Target Income Hypothesis and Related Issues in Health Manpower Policy

The Target Income Hypothesis and Related Issues in Health Manpower Policy PDF Author: National Institutes of Health (U.S.). Bureau of Health Manpower
Publisher:
ISBN:
Category : Dentists
Languages : en
Pages : 106

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Taking Aim

Taking Aim PDF Author: Mark C. Donovan
Publisher: Georgetown University Press
ISBN: 9780878408290
Category : Health & Fitness
Languages : en
Pages : 164

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Book Description
Donovan does not say what he is up to these days, but over a decade ago he was doing HIV-prevention outreach with injection drug users, and wondered why the policymakers bemoaning the number of children with HIV restriction prevention among the very people who were parenting those children. He found that contradictions of policy are usually intertwined with the complexities of representational government. Annotation copyrighted by Book News Inc., Portland, OR

Encyclopedia of Public Health

Encyclopedia of Public Health PDF Author: Wilhelm Kirch
Publisher: Springer Science & Business Media
ISBN: 1402056133
Category : Medical
Languages : en
Pages : 1611

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Book Description
The Encyclopedic Reference of Public Health presents the most important definitions, principles and general perspectives of public health, written by experts of the different fields. The work includes more than 2,500 alphabetical entries. Entries comprise review-style articles, detailed essays and short definitions. Numerous figures and tables enhance understanding of this little-understood topic. Solidly structured and inclusive, this two-volume reference is an invaluable tool for clinical scientists and practitioners in academia, health care and industry, as well as students, teachers and interested laypersons.

Communities in Action

Communities in Action PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583

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Book Description
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.

WHO Guideline on the Use of Safety-Engineered Syringes for Intramuscular, Intradermal and Subcutaneous Injections in Health Care Settings

WHO Guideline on the Use of Safety-Engineered Syringes for Intramuscular, Intradermal and Subcutaneous Injections in Health Care Settings PDF Author: World Health Organization
Publisher:
ISBN: 9789241549820
Category : Medical
Languages : en
Pages : 0

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Book Description
This guideline provides global, evidence-based recommendations on the use of safety-engineered injection devices to prevent the re-use of syringes and/or prevent needle-stick injuries in health care workers (HCWs). The ultimate aim is to make injection practices safer for patients and HCWs, and to prevent the injection-related transmission of deadly viruses, particularly HIV, hepatitis C and hepatitis B. The procedures covered are intramuscular (IM), intradermal (ID) and subcutaneous (SC) injections, including the syringes needed for the reconstitution of medication or vaccines when required. Other procedures, such as intravenous injections and infusions, blood collection for laboratory testing, and capillary blood sampling, will be covered by another guideline to be issued separately by WHO. The policy recommendation aims to support Member States (MS) and development partners in making informed decisions on the appropriateness of introducing safety-engineered syringes for all injections in health care settings.

Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161

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Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Variation in Health Care Spending

Variation in Health Care Spending PDF Author: Joseph P. Newhouse
Publisher:
ISBN: 9780309289597
Category : Electronic books
Languages : en
Pages : 206

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Conference Papers: Target-Setting to Reduce Health Inequalities and Poverty (6 December 2005)

Conference Papers: Target-Setting to Reduce Health Inequalities and Poverty (6 December 2005) PDF Author:
Publisher: Combat Poverty Agency
ISBN:
Category :
Languages : en
Pages : 105

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Book Description