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Author: Kenneth M. Ludmerer Publisher: Oxford University Press, USA ISBN: 0195181360 Category : Medical Languages : en Pages : 541
Book Description
A leading authority in the history of medicine provides an insightful look at medical education in America since 1910, warning of the negative impact of managed care on medical schools and the practice of medicine. 10 line illustrations.
Author: Kenneth M. Ludmerer Publisher: Oxford University Press, USA ISBN: 0195181360 Category : Medical Languages : en Pages : 541
Book Description
A leading authority in the history of medicine provides an insightful look at medical education in America since 1910, warning of the negative impact of managed care on medical schools and the practice of medicine. 10 line illustrations.
Author: Stuart Altman Publisher: Prometheus Books ISBN: 1616144572 Category : Political Science Languages : en Pages : 479
Book Description
Essential reading for every American who must navigate the US health care system. Why was the Obama health plan so controversial and difficult to understand? In this readable, entertaining, and substantive book, Stuart Altman—internationally recognized expert in health policy and adviser to five US presidents—and fellow health care specialist David Shactman explain not only the Obama health plan but also many of the intriguing stories in the hundred-year saga leading up to the landmark 2010 legislation. Blending political intrigue, policy substance, and good old-fashioned storytelling, this is the first book to place the Obama health plan within a historical perspective. The authors describe the sometimes haphazard, piece-by-piece construction of the nation’s health care system, from the early efforts of Franklin Roosevelt and Harry Truman to the later additions of Ronald Reagan and George W. Bush. In each case, they examine the factors that led to success or failure, often by illuminating little-known political maneuvers that brought about immense shifts in policy or thwarted herculean efforts at reform. The authors look at key moments in health care history: the Hill–Burton Act in 1946, in which one determined poverty lawyer secured the rights of the uninsured poor to get hospital care; the "three-layer cake" strategy of powerful House Ways and Means Committee Chairman Wilbur Mills to enact Medicare and Medicaid under Lyndon Johnson in 1965; the odd story of how Medicare catastrophic insurance was passed by Ronald Reagan in 1988 and then repealed because of public anger in 1989; and the fact that the largest and most expensive expansion of Medicare was enacted by George W. Bush in 2003. President Barack Obama is the protagonist in the climactic chapter, learning from the successes and failures chronicled throughout the narrative. The authors relate how, in the midst of a worldwide financial meltdown, Obama overcame seemingly impossible obstacles to accomplish what other presidents had tried and failed to achieve for nearly one hundred years.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309072808 Category : Medical Languages : en Pages : 360
Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309133181 Category : Medical Languages : en Pages : 536
Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309113695 Category : Medical Languages : en Pages : 202
Book Description
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Author: Jordan Goodman Publisher: Johns Hopkins University Press+ORM ISBN: 0801881579 Category : Science Languages : en Pages : 300
Book Description
A collection of essays that offers “a significant contribution to our understanding of the role of the state in human subjects research” (Journal of the History of Biology). Though notoriously associated with Germany, human experimentation in the name of science has been practiced in other countries, as well, both before and after the Nazi era. The use of unwitting or unwilling subjects in experiments designed to test the effects of radiation and disease on the human body emerged at the turn of the twentieth century, when the rise of the modern, coercive state and the professionalization of medical science converged. Useful Bodies explores the intersection of government power and medical knowledge in revealing studies of human experimentation—germ warfare and jaundice tests in Great Britain; radiation, malaria, and hepatitis experiments in the U.S.; and nuclear fallout trials in Australia. These examples of medical abuse illustrate the extent to which living human bodies have been “useful” to democratic states and emphasize the need for intense scrutiny and regulation to prevent future violations. Contributors: Brian Balmer, University College London; Miriam Boleyn-Fitzgerald, University of Wisconsin; Rodney A. Hayward, University of Michigan; Joel D. Howell, University of Michigan; Margaret Humphreys, Duke University; David S. Jones, Massachusetts General Hospital; Robert L. Martensen, Tulane University School of Medicine; Glenn Mitchell, University of Wollongong; Jenny Stanton, London School of Hygiene and Tropical Medicine; Gilbert Whittemore, independent scholar/attorney, Boston “Each chapter is a startling case study that examines the nature and degree of the state’s involvement in human experimentation.” —Issues in Law and Medicine “Well written and meticulously researched.” —Journal of the History of Medicine and Allied Sciences
Author: Committee for the Study of the Future of Public Health Publisher: National Academies Press ISBN: 0309581907 Category : Medical Languages : en Pages : 240
Book Description
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
Author: Roger Cooter Publisher: Routledge ISBN: 1136794719 Category : History Languages : en Pages : 776
Book Description
During the twentieth century, medicine has been radically transformed and powerfully transformative. In 1900, western medicine was important to philanthropy and public health, but it was marginal to the state, the industrial economy and the welfare of most individuals. It is now central to these aspects of life. Our prospects seem increasingly dependent on the progress of bio-medical sciences and genetic technologies which promise to reshape future generations. The editors of Medicine in the Twentieth Century have commissioned over forty authoritative essays, written by historical specialists but intended for general audiences. Some concentrate on the political economy of medicine and health as it changed from period to period and varied between countries, others focus on understandings of the body, and a third set of essays explores transformations in some of the theatres of medicine and the changing experiences of different categories of practitioners and patients.
Author: Brian D. Hodges Publisher: Cornell University Press ISBN: 0801465362 Category : Medical Languages : en Pages : 239
Book Description
Medical competence is a hot topic surrounded by much controversy about how to define competency, how to teach it, and how to measure it. While some debate the pros and cons of competence-based medical education and others explain how to achieve various competencies, the authors of the seven chapters in The Question of Competence offer something very different. They critique the very notion of competence itself and attend to how it has shaped what we pay attention to—and what we ignore—in the education and assessment of medical trainees. Two leading figures in the field of medical education, Brian D. Hodges and Lorelei Lingard, drew together colleagues from the United States, Canada, and the Netherlands to explore competency from different perspectives, in order to spark thoughtful discussion and debate on the subject. The critical analyses included in the book’s chapters cover the role of emotion, the implications of teamwork, interprofessional frameworks, the construction of expertise, new directions for assessment, models of self-regulation, and the concept of mindful practice. The authors juxtapose the idea of competence with other highly valued ideas in medical education such as emotion, cognition and teamwork, drawing new insights about their intersections and implications for one another.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309068371 Category : Medical Languages : en Pages : 312
Book Description
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
Author: Kenneth M. Ludmerer
Author: Kenneth M. Ludmerer
Author: Stuart Altman
Author: Institute of Medicine
Author: Institute of Medicine
Author: Institute of Medicine
Author: Jordan Goodman
Author: Committee for the Study of the Future of Public Health
Author: Roger Cooter
Author: Brian D. Hodges
Author: Institute of Medicine