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Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Contents: electronic government -- "serving the public on its terms" (electronic benefits transfer; environmental information; wireless public safety network; electronic export assistance; electronic safety, health assistance resource; criminal justice needs; employer tax filing and reporting; support international trade and much more); support mechanisms -- "the tools to operate an electronic government" (guarantee privacy and security; increase productivity of fed. workers; enhance info. technology learning, etc.); appendices (Executive Order 13011, Fed. Info. Technology; summary of action items, etc.).
America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.
A captivating narrative guidebook to inspire everyone, no matter their abilities, to get outside and experience the country’s natural landscapes. When Kellisa Kain was born premature with significant developmental and physical disabilities, she wasn’t expected to survive her first 24 hours. She defied the odds, and 20 years later she and her father, Christopher Kain, have pushiked using a specialized mobility chair across the entire United States. In Rugged Access for All: A Guide for Pushiking America’s Diverse Trails with Mobility Chairs and Strollers, Chris and Kellisa showcase some of the greatest trails across the US that can be completed while pushiking—hiking with someone in a wheelchair, mobility chair, or stroller. Part narrative, part guide, this book includes detailed trail descriptions, trail maps, tips for hiking with a stroller or mobility chair, and vibrant stories from Chris and Kellisa’s own experiences hiking in all 50 states. The featured trails vary in difficulty, from deserts to mountains and everything in between. Sometimes even a stroll around the block can have frustrating barriers to those with wheels, and this can lead to families staying inside too often. Rugged Access for All gives families the knowledge, confidence, and direction to travel and experience the wonders of nature, no matter what mobility challenges they may face.