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Health-Care Utilization as a Proxy in Disability Determination
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.
St Mary's
An invaluable collection of major thinkers for students and teachers of film and philosophy.
Struggle to Serve
Godfrey focuses on one hospital and the communities it served but also provides an overview of local, provincial, and federal hospital policies, revising the sometimes rose-tinted picture of public and private acceptance and generosity. He explores the relationship between the hospital's urban and rural constituencies and its French- and English-speaking patients, demonstrating that increasing patient numbers and changing funding sources encouraged substantial growth in hospital services from 1895 to 1953. He details how one community's understanding of the role of the hospital changed over time to match that of hospital advocates, board members, and support groups such as the Ladies' Aid, demonstrating that hospital history is as much a study of politics and community persuasion as it is of internal therapeutic advances.
A Surgeon in the Army of the Potomac
Lured across the border by promises of opportunity and adventure, Francis M. Wafer - a young student from Queen's Medical College in Kingston - joined the Union's army of the Potomac as an assistant surgeon. From the battle of the Wilderness to the closing campaigns, Wafer was both participant and chronicler of the American Civil War. Cheryl Wells provides an edited and fully annotated collection of Wafer's diary entries during the war, his letters home, and the memoirs he wrote after returning to Canada. Wafer's writings are a fascinating and deeply personal account of the actions, duties, feelings, and perceptions of a noncombatant who experienced the thick of battle and its grave consequences. The only substantial account by a Canadian Civil War soldier who returned to Canada, A Surgeon in the Army of the Potomac fills a critical gap in American Civil War historiography and will have broad appeal among scholars and enthusiasts.
Bureau Memorandum
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Private Practice, Public Payment
Current debates over the role of doctors in a state-run health insurance program are nothing new to Canadians. Since 1911, when developments in Britain first focused attention on the issue in Canada, public health insurance has been a contentious subject with the medical profession. David Naylor traces the activity of medical interest groups in the debate, from its first volleys to the enactment of the Medical Care Act in 1966.
Registries for Evaluating Patient Outcomes
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or ...
Jessie Luther at the Grenfell Mission
While her journal concentrates on her efforts to teach weaving, carving, metal work, pottery, carpentry, basket weaving, and her best known accomplishment, the hooked mats that have become famous for their strong designs and meticulous craftsmanship, she also describes the local people and customs of St Anthony and life in the household of the Grenfell workers. After she left Newfoundland, Luther became one of the pioneers of occupational therapy in the United States, spending the rest of her professional life as director of occupational therapy at the Butler Hospital in Providence, Rhode Island. Edited by Ronald Rompkey, author of the most authoritative biography of Grenfell, Luther's journal provides an unusually intimate account of Wilfred Grenfell during these four years B his idiosyncracies, his attempts to meet the needs of the community, his rescue from a floating ice pan, his marriage B and brings to life the Newfoundlanders with whom she worked.
For Patients of Moderate Means
Between 1890 and 1910 scientific and technological innovation transformed the custodial Victorian charity hospital for the sick poor into the primary source of effective acute medical care for all members of society. For the next half century hospitals coped with relentlessly escalating demands for accessibility by both medical indigents and a new clientele of patients able and willing to pay for hospitalization. With limited statutory revenues and unpredictable voluntary support, hospitals taxed paying patients through ever-increasing user fees, offering in return privacy, comfort, service, and medical attendance in private and semi-private wards that were more appealing to middle-class patients than the stark and grudging service of the public wards.
