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In a health care environment undergoing major restructuring, health services researchers have an important contribution to make in evaluating the impact of change and in guiding policymakers, clinicians, corporate purchasers, and patients. This book examines the health services research work force and its education. Conclusions focus on the quantity and quality of the work force, prospects for the future, and directions for government policy.
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 worldâ€"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 no...
The little-known stories of the people responsible for what we know today as modern medical ethics. In Making Modern Medical Ethics, Robert Baker tells the counter history of the birth of bioethics, bringing to the fore the stories of the dissenters and whistleblowers who challenged the establishment. Drawing on his earlier work on moral revolutions and the history of medical ethics, Robert Baker traces the history of modern medical ethics and its bioethical turn to the moral insurrections incited by the many unsung dissenters and whistleblowers: African American civil rights leaders, Jewish Americans harboring Holocaust memories, feminists, women, and Anglo-American physicians and healthcar...
Assisted living facilities (ALF) are becoming an increasingly popular setting for providing long-term care through a combination of housing, personal support services, and health care. Consumer demand is expected to grow significantly as the number of elderly needing long-term care doubles over the next 20 years. This report: describes the residents' needs and the services provided in ALFs; determines the extent to which ALFs provide consumers with info. sufficient to help them choose a facility that is appropriate for their needs; describes state approaches to the oversight of ALFs; and identifies quality of care and consumer protection problems.
Despite the attention to the problem of protecting the health care interests of Americans, there is little consensus on what should be done politically or otherwise to address this problem. In Protecting American Health Care Consumers Eleanor DeArman Kinney, a nationally regarded expert on health policy and law, tackles the serious and ongoing debate among state and federal policymakers, health care providers, third-party payers, and consumers about how to provide procedural justice to patients in the present health care climate. To promote and ensure consumer protection in an increasingly adversarial and complicated health-care culture, Kinney first analyzes the procedures by which consumer...
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The need for quality improvement and for cost saving are driving both individual choices and health system dynamics. The health services research that we need to support informed choices depends on access to data, but at the same time, individual privacy and patient-health care provider confidentiality must be protected.