Pubbl/distr/stampa	Washington, D.C., : National Academy Press, 1993
Descrizione fisica	x, 229 p. : ill
Disciplina	362.1/0973
Altri autori (Persone)	MillmanMichael L
Soggetto topico	Health services accessibility - United States - Evaluation Medical care - United States
Soggetto genere / forma	Electronic books.
ISBN	1-280-21156-3 9786610211562 0-309-58466-3 0-585-02545-2
Formato	Materiale a stampa
Livello bibliografico	Monografia
Lingua di pubblicazione	eng
Record Nr.	UNINA-9910455127403321

Edizione	[1st ed.]
Pubbl/distr/stampa	Washington, D.C., : National Academy Press, 1993
Descrizione fisica	x, 229 p. : ill
Disciplina	362.1/0973
Altri autori (Persone)	MillmanMichael L
Soggetto topico	Health services accessibility - United States - Evaluation Medical care - United States
ISBN	9786610211562 9781280211560 1280211563 9780309584661 0309584663 9780585025452 0585025452
Formato	Materiale a stampa
Livello bibliografico	Monografia
Lingua di pubblicazione	eng
Nota di contenuto	Access 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. Trends 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. 4 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. Distance 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.
Record Nr.	UNINA-9910960091603321

Autore	Reagan Michael D
Edizione	[First edition.]
Pubbl/distr/stampa	Boca Raton, FL : , : Routledge, , [2018]
Descrizione fisica	1 online resource (334 p.)
Disciplina	362.1/0973 362.10973
Collana	Dilemmas in American Politics
Soggetto topico	Medical policy - United States Medical care - United States
Soggetto genere / forma	Electronic books.
ISBN	0-367-31824-5 0-429-96543-5 0-429-49688-5 1-283-30106-7 9786613301062 0-8133-4701-7 1-4294-8755-0
Formato	Materiale a stampa
Livello bibliografico	Monografia
Lingua di pubblicazione	eng
Nota di contenuto	Cover; Title Page; Copyright; Contents; List of Tables and Photos; List of Acronyms; 1: The Basic Dilemma: Is Health Care a Right or a Market Commodity?; What's Wrong with the Market Model?; Is There an Ethical "Right" to Health Care?; 2: The Accidental System; The Early Years,; HMOs and Prospective Payment,; The Public Sector: Niche Health Care,; Where Are Current Trends Leading?; 3: The Stakeholders and the Policy Process; The Clinton Health Plan Debacle and Its Aftermath,; Federalism Is Alive and Well in Health Care,; The Cast of Characters and Their Strategies, 4: Beneath the Dilemmas, the TrilemmaHow Do We Define Quality Care?; Health Care Costs: How High the Moon?; Is the Insured Population Increasing? No,; So, What's the Trilemma?; 5: Medicare and Medicaid: The Entitlement Dilemmas; What Does Medicare Cost the Taxpayers? The Seniors?; Medicare: The Policy Dilemmas,; Medicaid: Medicare's Poor Relation,; 6: Good Health at Lower Cost: How Do Other Nations Do It?; Canada: Mixed Funding and Provincial Responsibility,; United Kingdom: Socialism with Private Beds,; Germany: Public Framework, Private Operation,; To Each Its Own, 7: Managed Care: Boon or Bane? Both! 107A Managed Care Profile,; The Case for Managed Care,; The Case Against Managed Care,; The Bottom Line? A Mixed Verdict,; 8: Controlling Costs: Mission Impossible?; Cost Cutting-Business Style,; Better Treatments Lead to Lower Costs,; Can the United States Change Its Culture of Medicine?; 9: A Sensible Wild Idea: Universalize Medicare; Americans Will Live with the Dilemma-But Not Forever,; Light at the End of the Health Care Tunnel?; A Simple Idea: Universalize Medicare,; Notes; Index
Record Nr.	UNINA-9910451944603321

Pubbl/distr/stampa	Washington, D.C., : Institute of Medicine, : National Academy Press, c2000
Descrizione fisica	1 online resource (308 p.)
Disciplina	362.1/0973
Altri autori (Persone)	LewinMarion Ein AltmanStuart H
Soggetto topico	Medical assistance - United States Medical care - Needs assessment - United States Medically uninsured persons - United States Poor - Medical care - United States
Soggetto genere / forma	Electronic books.
ISBN	0-309-50449-X 0-585-31744-5
Formato	Materiale a stampa
Livello bibliografico	Monografia
Lingua di pubblicazione	eng
Nota di contenuto	""Cover""; ""Front Matter""; ""Preface""; ""Acknowledgments""; ""Reviewers""; ""Contents""; ""TABLES, FIGURES, AND BOXES""; ""Executive Summary""; ""1 Background and Overview""; ""2 The Core Safety Net and the Safety Net System""; ""3 Forces Affecting Safety Net Providers in a Changing Health Care Environment""; ""4 How Safety Net Providers Are Adapting to the New Environment""; ""5 The Impact of Change on Vulnerable Populations""; ""6 Safety Net Populations with Special Health and Access Needs""; ""7 Findings and Recommendations""; ""Appendixes""; ""A Committee Biographies"" ""B Workshop Agenda""""C Workshop Participants""; ""D California Regional Meeting Agenda""; ""E California Regional Meeting Participants""; ""F New York Regional Meeting Agenda""; ""G New York Regional Meeting Participants""; ""H Rural Conference Call Participants""; ""I Acronyms""; ""Index""
Record Nr.	UNINA-9910455383203321

Autore	Dougherty Charles J. <1949->
Pubbl/distr/stampa	New York, : Oxford University Press, 1988
Descrizione fisica	1 online resource (238 p.)
Disciplina	362.1/0973
Soggetto topico	Medical care - United States Medical care - Utilization - United States Medical policy - United States
Soggetto genere / forma	Electronic books.
ISBN	1-280-52341-7 9786610523412 0-19-974867-5 1-4294-0099-4
Formato	Materiale a stampa
Livello bibliografico	Monografia
Lingua di pubblicazione	eng
Record Nr.	UNINA-9910452063903321