LEADER 10766nam 2200613Ia 450 001 9910817015103321 005 20240416233931.0 010 $a0-309-59139-2 010 $a0-585-02557-6 035 $a(CKB)110986584752196 035 $a(SSID)ssj0000217392 035 $a(PQKBManifestationID)11191094 035 $a(PQKBTitleCode)TC0000217392 035 $a(PQKBWorkID)10202033 035 $a(PQKB)10484328 035 $a(MiAaPQ)EBC3376371 035 $a(Au-PeEL)EBL3376371 035 $a(CaPaEBR)ebr10055542 035 $a(OCoLC)923263263 035 $a(EXLCZ)99110986584752196 100 $a19980324d1998 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aPacific partnerships for health $echarting a course for the 21st century /$fCommittee on Health Care Services in the U.S.-Associated Pacific Basin, Division of Health Care Services and Board on International Health, Institute of Medicine ; Jill C. Feasley and Robert S. Lawrence, editors 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$d1998 215 $axvi, 154 p. $cill., maps 300 $aBibliographic Level Mode of Issuance: Monograph 311 $a0-309-05948-8 320 $aIncludes bibliographical references. 327 $aPacific Partnerships for Health -- Copyright -- Preface -- Acknowledgments -- Contents -- Summary -- THE INSTITUTE OF MEDICINE STUDY -- CURRENT STATUS OF THE HEALTH CARE DELIVERY SYSTEMS -- CHARTING A COURSE FOR THE 21ST CENTURY -- Adopt and Support a Viable System of Community-Based Primary Care and Preventive Services -- Improve the Island's Physical Infrastructure -- Invest in Preventive and Primary Care and Public Health -- Maintain or Establish Basic Health Care Standards -- Develop a Regional Health Information System -- Reform Health Care Facility Management -- Promote Prudent Privatization -- Rethink and Restrict Off-Island Tertiary Care Referrals -- Improve Coordination Within and Among the Jurisdictions and the United States -- Role of the United States -- Roles of the Island Jurisdictions -- Interface Between the United States and the Island Jurisdictions -- Increase Community Involvement and Investment in Health Care -- Establish Jurisdictional Health Authorities -- Develop Health Improvement Benchmarking Process -- Use Nongovernmental Community Organizations to Provide Health Care Services -- Increase Community Involvement with Primary Care Sites -- Promote Education and Training of the Health Care Workforce -- Improve and Support Basic Education -- Utilize Distance-Based Learning, Telemedicine, and Electronic Data Libraries -- Provide Postgraduate and Continuing Medical Education Programs -- Sponsor Training for Dentists -- Sponsor Training for Nurses -- Provide Health Administration and Systems Management Training to the Chief Health Administrator -- 1 Introduction -- ORIGINS OF THIS REPORT -- STUDY APPROACH -- ORGANIZATION OF THIS REPORT -- U.S. INVOLVEMENT WITH THE REGION -- Historical Overview -- Current Political Status of the U.S.-Associated Pacific Basin Jurisdictions -- The Flag Territories -- The Freely Associated States. 327 $aU.S. Military Interests in the Region -- U.S. Economic Interests in the Region -- U.S. Interests in the Region's Health Care Systems -- 2 Regional Health and Health Care Services Overview -- REGIONAL HEALTH OVERVIEW -- Demographic Characteristics of the Region -- Population -- Ethnicity -- Economy -- Epidemiological Characteristics of the Region -- Mortality -- Disease Prevalence -- Disease Prevention and Health Promotion -- REGIONAL HEALTH CARE SERVICES OVERVIEW -- Structure of the Health Care Delivery System -- Administration -- Coordination -- Data Management -- Health Care Facilities -- Community Involvement with Health Care Delivery -- Off-Island Care -- Financial Resources -- Workforce -- Physicians -- Dental Professionals -- Mid-Level Practitioners -- Nurses -- Health Assistants -- Health Care Workforce Education and Training -- Technology and Equipment -- APPENDIX -- Pacific Basin Medical Officers Training Program -- Overview of PBMOTP -- Student Recruitment and Retention -- Curriculum -- Career Ladder Program -- Results -- Continuing Education and Training for PBMOTP Medical Officers -- Replication of PBMOTP -- 3 Charting a Course for the 21st Century: A Strategic Plan for Future Health Initiatives in the U.S.-Associated Pacific Basin -- ADOPT A VIABLE SYSTEM OF COMMUNITY-BASED PRIMARY CARE AND PREVENTIVE SERVICES -- Improve the Island's Physical Infrastructure -- Invest in Preventive and Primary Care and Public Health -- Maintain or Establish Basic Health Care Standards -- Develop a Regional Health Information System -- Reform Health Care Facility Management -- Promote Prudent Privatization -- Rethink and Restrict Off-Island Tertiary Care Referrals -- IMPROVE COORDINATION WITHIN AND BETWEEN THE JURISDICTIONS AND THE UNITED STATES -- ROLE OF THE UNITED STATES -- Use of Block Grants That Require Meaningful Measures of Accountability. 327 $aConsideration of Multiple Uses of Military Facilities -- Continuation of Funding of Research Projects in the Region -- Establishment of an Interagency Governmental Committee on Pacific Health -- IGCOPH Composition -- IGCOHP Tasks -- ROLE OF THE ISLAND JURISDICTIONS -- INTERFACE BETWEEN THE UNITED STATES AND THE ISLAND JURISDICTIONS -- Establishment of a Pacific Basin Health Coordinating Council -- PBHCC Composition -- PBHCC Tasks -- PBHCC Funding -- INCREASE COMMUNITY INVOLVEMENT AND INVESTMENT IN HEALTH CARE -- Establish Jurisdictional Health Authorities -- Develop Health Improvement Benchmarking Process -- Use Nongovernmental Community Organizations to Provide Health Services -- Increase Community Involvement with Primary Care Sites -- PROMOTE THE EDUCATION AND TRAINING OF THE HEALTH CARE WORKFORCE -- Improve and Support Basic Education -- Use Distance-Based Learning, Telemedicine, and Electronic Data Libraries -- Provide Postgraduate and Continuing Medical Education Programs -- Sponsor Training for Dentists -- Sponsor Training for Nurses -- Provide Health Administration and Systems Management Training to the Chief Health Administrator -- Bibliography -- Appendix A Committee Bioraphies -- Appendix B Saipan Workshop Agenda -- Saipan Workshop Attendees -- Appendix C Organization of Institute of Medicine Site Visits to the Pacific Basin, 1997 -- D Assessments of Individual Jurisdictions' Health Care Services -- AMERICAN SAMOA -- Overview -- Government -- Economy -- Population -- Infrastructure -- Health Care Delivery System Organization -- Administration -- Health Care Facilities -- Health-Related Community Organizations -- Off-Island Care -- Health Care Resources -- Financial Resources -- Workforce -- Physicians -- Nurses -- Other Health Care Personnel -- Workforce Quality Assurance -- Technology, Supplies, and Equipment -- Future Health Care Issues. 327 $aCOMMONWEALTH OF THE NORTHERN MARIANA ISLANDS -- Overview -- Government -- Economy -- Population -- Infrastructure -- Health Care Delivery System Organization -- Administration -- Health Care Facilities -- Health-Related Community Organizations -- Off-Island Care -- Health Care Resources -- Financial Resources -- Compact Impact -- Workforce -- Physicians -- Nurses -- Workforce Quality Assurance -- Technology, Supplies, and Equipment -- Future Health Care Issues -- FEDERATED STATES OF MICRONESIA -- Overview -- Government -- Economy -- Population -- Infrastructure -- Health Care Delivery System Organization -- Administration -- Health Care Facilities -- Health-Related Community Organizations -- Off-Island Care -- Health Care Resources -- Financial -- Workforce -- Quality Assurance -- Technology, Supplies, and Equipment -- Future Health Care Issues -- Chuuk -- Infrastructure -- Health Care Facilities -- Workforce -- Physicians -- Dentists -- Mid-Level Practitioners -- Nurses -- Kosrae -- Infrastructure -- Health Care Facilities -- Workforce -- Physicians -- Dentists -- Mid-Level Practitioners -- Nurses -- Pohnpei -- Infrastructure -- Health Care Facilities -- Workforce -- Physicians -- Dentists -- Mid-Level Practitioners -- Nurses -- Yap -- Infrastructure -- Health Care Facilities -- Workforce -- Physicians -- Dentists -- Nurses -- Health Assistants -- GUAM (GUAHAN) -- Overview -- Government -- Economy -- Employment -- Federal Expenditures -- Federal Grant Assistance -- Military Spending -- Tourism -- Population -- Infrastructure -- Health Care Delivery System Organization -- Administration -- Health Care Facilities -- Hospitals -- Public Clinics -- Private Clinics -- Health-Related Community Organizations -- Health Care Resources -- Financial -- Compact Impact -- Public Health Insurance -- Private Health Insurance -- Workforce -- Physicians -- Nurses. 327 $aOther Health Care Personnel -- Traditional Health Practitioners -- Workforce Quality Assurance -- Technology, Supplies, and Equipment -- Future Health Care Issues -- REPUBLIC OF THE MARSHALL ISLANDS -- Overview -- Government -- Economy -- Population -- Infrastructure -- Health Care Delivery System Organization -- Administration -- Marshall Islands Medical Care Program -- Section 177 Health Care Program -- Health-Care-Related Community Organizations -- Off-Island Care -- Health Care Facilities -- Health Care Resources -- Financial -- Workforce -- Physicians -- Dentists -- Mid-Level Practitioners -- Nurses -- Traditional Health Care Practitioners -- Technology, Supplies, and Equipment -- Future Health Care Issues -- PALAU (BELAU) -- Overview -- Government -- Population -- Economy -- Infrastructure -- Health Care Delivery System Organization -- Administration -- Off-Island Care -- Health Care Facilities -- Health-Related Community Organizations -- Health Care Resources -- Financial -- Workforce -- Physicians -- Dentists -- Nurses -- Other Health Care Personnel -- Traditional Health Practices -- Quality Assurance -- Future Health Care Issues. 606 $aPublic health$zIslands of the Pacific 606 $aCommunity health services$zIslands of the Pacific 615 0$aPublic health 615 0$aCommunity health services 676 $a362.1/0996 701 $aFeasley$b Jill C.$f1965-$01641521 701 $aLawrence$b Robert S.$f1938-$01641042 712 02$aInstitute of Medicine (U.S.).$bCommittee on Health Care Services in the U.S.-Associated Pacific Basin. 712 02$aInstitute of Medicine (U.S.).$bBoard on International Health. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910817015103321 996 $aPacific partnerships for health$93993983 997 $aUNINA