Pacific partnerships for health : charting a course for the 21st century / / Committee 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

• Pubblicazione: Washington, D.C., : National Academy Press, 1998
• Edizione: 1st ed.
• Descrizione fisica: xvi, 154 p. : ill., maps
• Disciplina: 362.1/0996
• Soggetto topico: Public health - Islands of the Pacific; Community health services - Islands of the Pacific
• Altri autori: FeasleyJill C. <1965-> LawrenceRobert S. <1938->
• Note generali: Bibliographic Level Mode of Issuance: Monograph
• Nota di bibliografia: Includes bibliographical references.
• Nota di contenuto: Pacific 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. ; U.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. ; Consideration 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. ; COMMONWEALTH 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. ; Other 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.
• Sommario/riassunto: The U.S.-Associated Pacific Basin consists of six island jurisdictions: American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, the Federated States of Micronesia, Republic of the Marshall Islands, and the Republic of Palau. This book examines one aspect of the ties and U.S. involvement with this part of the world-its role in the region's health care delivery system. Although the health status of the islanders and the challenges faced by the health care systems naturally vary within and among the jurisdictions, in general, almost all health indicators for the islanders are worse than those of mainland Americans. The health systems in the area must deal with conditions normally seen in developing countries (e.g., malnutrition, tuberculosis, dengue fever, and cholera) and in developed countries alike (e.g., diabetes, heart disease, and cancer). In examining the strengths and weaknesses of the area's systems, the volume provides a regional health overview and assessments of health care in individual jurisdictions, evaluates the Pacific Basin Medical Officers Training Program, and lays out a strategic plan for future health services in the U.S.-Associated Pacific Basin.
• Titolo autorizzato: Pacific partnerships for health
• ISBN: 9780309174435; 0309174430; 9780309591393; 0309591392; 9780585025575; 0585025576
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910965614703321
• Lo trovi qui: Univ. Federico II