LEADER 01179nam2 22003011i 450 001 RML0315189 005 20231121125753.0 100 $a20121121d1979 ||||0itac50 ba 101 | $agrc$afre 102 $afr 181 1$6z01$ai $bxxxe 182 1$6z01$an 200 1 $a˜Tome 2.: œLivres 2. et 3. $fPorphyre$gtexte établi et traduit par Jean Bouffartigue et Michel Patillon 210 $aParis $cLes Belles Lettres $d1979 215 $a256 p. ([72]-124, [152]-192 doppie)$d20 cm 300 $aTesto orig. con trad. franc. a fronte 461 1$1001RML0315186$12001 $aDe l'abstinence$fPorphyre 700 1$aPorphyrius$b, Tyrius$3RMLV203436$0183422 702 1$aPatillon$b, Michel$3RMLV158483 702 1$aBouffartigue$b, Jean$3RMLV191703 801 3$aIT$bIT-01$c20121121 850 $aIT-FR0017 899 $aBiblioteca umanistica Giorgio Aprea$bFR0017 912 $aRML0315189 950 2$aBiblioteca umanistica Giorgio Aprea$d 52CIS BLG Porph.Abs.2$e 52VM 0000857695 VM barcode:00080305. - Inventario:14067 MAGVM$fB $h20101125$i20121204 977 $a 52 996 $aLivres 2. et 3$93390009 997 $aUNICAS LEADER 09583nam 2200697Ia 450 001 9910960091603321 005 20251017110058.0 010 $a9786610211562 010 $a9781280211560 010 $a1280211563 010 $a9780309584661 010 $a0309584663 010 $a9780585025452 010 $a0585025452 035 $a(CKB)111004366661670 035 $a(SSID)ssj0000096440 035 $a(PQKBManifestationID)11114390 035 $a(PQKBTitleCode)TC0000096440 035 $a(PQKBWorkID)10081437 035 $a(PQKB)10729085 035 $a(MiAaPQ)EBC3376298 035 $a(Au-PeEL)EBL3376298 035 $a(CaPaEBR)ebr10055389 035 $a(CaONFJC)MIL21156 035 $a(OCoLC)923262697 035 $a(Perlego)4737603 035 $a(DNLM)723664 035 $a(BIP)5268 035 $a(EXLCZ)99111004366661670 100 $a19921218d1993 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aAccess to health care in America /$fCommittee on Monitoring Access to Personal Health Care Services, Institute of Medicine ; Michael Millman, editor 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$d1993 215 $ax, 229 p. $cill 300 $aBibliographic Level Mode of Issuance: Monograph 311 08$a9780309047425 311 08$a0309047420 320 $aIncludes bibliographical references and index. 327 $aAccess to Health Care in America -- Copyright -- Contents -- Summary -- GENERAL CONCLUSIONS ON THE STATE OF ACCESS -- DEFINING ACCESS -- THE COMMITTEE'S INDICATORS AND PROGRESS TOWARD ACCESS OBJECTIVES -- Objective 1: Promoting Successful Birth Outcomes -- Objective 2: Reducing the Incidence of Vaccine-Preventable Childhood Diseases -- Objective 3: Early Detection and Diagnosis of Treatable Diseases -- Objective 4: Reducing the Effects of Chronic Disease and Prolonging Life -- Objective 5: Reducing Morbidity and Pain through Timely and Appropriate Treatment -- RECOMMENDATIONS -- 1 Introduction -- BACKGROUND -- DEVELOPING A SET OF INDICATORS -- RELATIONSHIP OF ACCESS MONITORING TO OTHER RELEVANT ACTIVITIES -- MAJOR DATA SOURCES: THEIR USES AND LIMITATIONS -- Strengths and Weaknesses -- Vital Statistics -- Surveys -- Hospital Discharge Data -- Tumor Registries -- Reportable Diseases -- Claims Data -- CROSSCUTTING ISSUES -- Race/Ethnicity -- Timeliness -- REFERENCES -- 2 A Model for Monitoring Access -- DEFINING ACCESS -- MEASURING ACCESS -- Indicators -- Utilization Indicators -- Outcome Indicators -- Utilization and Its Relationship to Health Care -- Mediating Factors -- Barriers to Access -- Structural Barriers -- Financial Barriers -- Personal and Cultural Barriers -- The Relationship of Access Barriers to Indicators -- REFERENCES -- 3 Using Indicators to Monitor National Objectives for Health Care -- OBJECTIVE 1: PROMOTING SUCCESSFUL BIRTH OUTCOMES -- Utilization Indicator: Adequacy of Prenatal Care -- Measuring the Indicator -- Trends in the Data -- Recommendations -- Outcome Indicator: Infant Mortality -- Measuring the Indicator -- Trends in the Data -- Recommendations -- Outcome Indicator: Low Birthweight -- Measuring the Indicator -- Trends in the Data -- Recommendations -- Outcome Indicator: Congenital Syphilis -- Measuring the Indicator. 327 $aTrends in the Data -- Recommendations -- OBJECTIVE 2: REDUCING THE INCIDENCE OF VACCINE-PREVENTABLE CHILDHOOD DISEASES -- Utilization Indicator: Preschool Immunization -- Measuring the Indicator -- Trends in the Data -- Recommendations -- Outcome Indicator: Incidence of Vaccine-Preventable Childhood Diseases -- Measuring the Indicator -- Trends in the Data -- Recommendations -- OBJECTIVE 3: EARLY DETECTION AND DIAGNOSIS OF TREATABLE DISEASES -- Utilization Indicators: Breast and Cervical Cancer Screening Procedures -- Measuring the Indicator -- Trends in the Data -- Recommendations -- Outcome Indicator: Incidence of Late-Stage Breast and Cervical Cancers -- Measuring the Indicator -- Trends in the Data -- Recommendations -- OBJECTIVE 4: REDUCING THE EFFECTS OF CHRONIC DISEASES AND PROLONGING LIFE -- Utilization Indicator: Continuing Care for Chronic Diseases -- Measuring the Indicator -- Trends in the Data -- Recommendations -- Utilization Indicator: Use of High-Cost Discretionary Care -- Measuring the Indicator -- Trends in the Data -- Recommendations -- Outcome Indicator: Avoidable Hospitalization for Chronic Diseases -- Measuring the Indicator -- Trends in the Data -- Recommendations -- Outcome Indicator: Access-Related Excess Mortality -- Measuring the Indicator -- Trends in the Data -- Recommendations -- OBJECTIVE 5: REDUCING MORBIDITY AND PAIN THROUGH TIMELY AND APPROPRIATE TREATMENT -- Utilization Indicator: Percentage of Healthy Individuals Who Do Not Contact a Physician During an Acute Episode of Illness -- Measuring the Indicator -- Trends in the Data -- Recommendation -- Utilization Indicator: Dental Services -- Measuring the Indicator -- Trends in the Data -- Recommendations -- Outcome Indicator: Avoidable Hospitalization for Acute Conditions -- Measuring the Indicator -- Trends in the Data -- Recommendation -- REFERENCES. 327 $a4 Future Indicators -- ACCESS TO HEALTH CARE FOR PEOPLE WITH DISABILITIES -- FAMILY VIOLENCE -- EMERGENCY SERVICES -- POST-ACUTE-CARE SERVICES FOR THE ELDERLY -- PRESCRIPTION DRUGS -- REFERENCES -- 5 Recommendations -- RECOMMENDATIONS -- Crosscutting Recommendations -- State and Local Monitoring -- The Federal Role -- Racial and Ethnic Differences -- FUTURE STEPS -- Objective 1: Promoting Successful Births -- Indicator: Prenatal Care -- Indicator: Infant Mortality -- Indicator: Low Birthweight -- Indicator: Congenital Syphilis -- Objective 2: Reducing the Incidence of Vaccine-Preventable Childhood Diseases -- Indicator: Preschool Immunization -- Indicator: Incidence of Vaccine-Preventable Childhood Diseases -- Objective 3: Early Detection and Diagnosis of Treatable Diseases -- Indicator: Breast and Cervical Cancer Screening Procedures -- Indicator: Incidence of Late-Stage Breast and Cervical Cancers -- Objective 4: Reducing the Effects of Chronic Diseases and Prolonging Life -- Indicator: Continuing Care for Chronic Diseases -- Indicator: High-Cost Discretionary Care -- Indicator: Avoidable Hospitalization for Chronic Diseases -- Indicator: Access-Related Excess Mortality -- Objective 5: Reducing Morbidity and Pain through Timely and Appropriate Treatment -- Indicator: Acute Medical Care -- Indicator: Dental Services -- Indicator: Avoidable Hospitalization for Acute Conditions -- REFERENCE -- APPENDIXES -- A Developing Indicators of Access to Care: The Case for HIV Disease -- ROBERT WOOD JOHNSON FOUNDATION AIDS HEALTH SERVICES PROGRAM AND EVALUATION -- ISSUES IN ASSESSING ACCESS TO PERSONAL HEALTH CARE -- Financial Barriers -- Insurance Coverage -- Provider Reimbursement Rates -- Investment in Resources for Treating HIV Disease -- Structural Barriers -- Lack of a Primary Source of Care -- Lack of Appropriate Service Providers. 327 $aDistance from care Providers -- Extended Waiting Times for Providers -- Personal Barriers -- Attitudinal Barriers -- VIABILITY OF DEVELOPING ACCESS INDICATORS FROM EXISTING DATA SETS -- Decreased Mortality Using Case-Finding -- Reduced Mortality Using Medical Management -- Reduced Morbidity and Improved Function -- CONCLUSION -- REFERENCES -- B Developing Indicators of Access to Care: Waiting Lists for Drug Abuse Treatment -- METHODS -- THE NUMBER OF PERSONS ON WAITING LISTS -- ''THERE ARE NO REAL WAITING LISTS FOR TREATMENT -- WAITING LISTS UNDERESTIMATE UNMET DEMAND -- SHOULD THERE BE WAITING LISTS? -- EMPIRICAL STUDIES OF WAITING LIST BEHAVIOR -- DISCUSSION -- FINAL COMMENT -- REFERENCES -- C Developing Indicators of Access to Care: The Case for Migrants and the Homeless -- MIGRANT HEALTH STATUS -- HEALTH STATUS OF THE HOMELESS -- RECOMMENDATIONS -- REFERENCES -- D "Ambulatory-Care-Sensitive" Conditions and "Referral-Sensitive" Surgeries -- Index. 330 $aAmericans 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 indicators--measures of utilization and outcome--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. 606 $aHealth services accessibility$zUnited States$xEvaluation 606 $aMedical care$zUnited States 615 0$aHealth services accessibility$xEvaluation. 615 0$aMedical care 676 $a362.1/0973 701 $aMillman$b Michael L$01814230 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910960091603321 996 $aAccess to health care in America$94367931 997 $aUNINA