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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
This book reflects intersection between the lives, commitments, and strategies of two highly respected figures Dr. Paul Farmer and Fr. Gustavo Gutierrez joined in their option for the poor, their defense of life, and their commitment to liberation. Farmer has credited liberation theology as the inspiration for his effort to do "social justice medicine," while Gutierrez has recognized Farmer's work as particularly compelling example of the option for the poor, and the impact that theology can have outside the church. Draws on their respective writings, major addresses by both at Notre Dame, and a transcript of a dialogue between them.
Healthcare is a fragmented service with high variance in quality from hospital to hospital and physician to physician. Often, poor management of hospitals contributes to undesired outcomes. The ‘clinical silos’ from where services are delivered lacks an integrated approach to converge all related specialists around the patient. Patient satisfaction is never a unit of measurement of effectiveness in hospitals. Patients are not routinely engaged in decision making and often communication with relatives is established on the eve of a catastrophic event, either convince them to plead their helplessness. This book reveals the internal performance dimensions that are crucial to improve clinical outcomes. The performance enabling framework is an innovative model for any hospital to adapt. The book brings out with clarity what constitutes ‘value’ in the patients’ perspective. The book convincingly argues that appropriate treatment, which is non-negotiable combined with affordability and patient satisfaction are the three dimensions that will create value in healthcare services.
This book's purpose was to find out how people across the United States felt about their health care. In that effort, the author interviewed hundreds of people-male or female, retired or working, ill or well, health professional or not-and was shocked by the disdain with which most of those questioned view our health care system. Their opinions are a large part of this book. What has happened to a once-great health system often proclaimed by many as best in the world? The author consulted dozens of experts present both when the system as created as well as those working in the field today. The trail of blame, in their opinions, leads to politicians, doctors, lawyers, pharmaceutical giants, HMOs, hospitals, and other health providers who they declare have lined their pockets at the public's expense. This book tries to answer the questions, "HOW DID IT HAPPEN?" and "IF OUR HEALTH CARE SYSTEM IS BROKEN, HOW CAN WE FIX IT?"
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Hunters, medicine men, and missionaries continue to dominate images and narratives of the West, even though historians have recognized women’s role as colonizer and colonized since the 1980s. Kristin Burnett helps to correct this imbalance by presenting colonial medicine as a gendered phenomenon. Although the imperial eye focused on medicine men, Aboriginal women in the Treaty 7 region served as healers and caregivers – to their own people and to settler society – until the advent of settler-run hospitals and nursing stations. By revealing Aboriginal and settler women’s contributions to health care, Taking Medicine challenges traditional understandings of colonial medicine in the contact zone.
Healing with Herbs and Rituals is an herbal remedy-based understanding of curanderismo and the practice of yerberas, or herbalists, as found in the American Southwest and northern Mexico. Part One, "Folk Healers and Folk Healing," focuses on individual healers and their procedures. Part Two, "Green Medicine: Traditional Mexican-American Herbs and Remedies," details traditional Mexican-American herbs and cures. These remedies are the product of centuries of experience in Mexico, heavily influenced by the Moors, Judeo-Christians, and Aztecs, and include everyday items such as lemon, egg, fire, aromatic oil, and prepared water. Symbolic objects such as keys, candles, brooms, and Trouble Dolls are also used. Dedicated, in part, to curanderos throughout Mexico and the American Southwest, Healing with Herbs and Rituals shows us these practitioners are humble, sincere people who have given themselves to improving lives for many decades. Today's holistic health movement has rediscovered the timeless merits of the curanderos' uses of medicinal plants, rituals, and practical advice.
In this book, a physician, well-known for praying with his patients, and an award-winning professor of theology share their insights on how religious faith can provide help in the healing process of today's health care ministry. The authors avoid rehashing analytical theories on suffering and the "miracles" of healing they may have seen, instead examining how personal faith can enhance the immune system, how a spiritual outlook can help bear the burden of suffering and grief, and how forbearance and forgiveness are crucial in maintaining a healthy attitude toward life.
The Second Edition of Comparative Health Systems: A Global Perspective offers new perspectives in health administration, public health, and public policy that address evidence-based approaches to health system improvement; systems thinking at the policy level; integrated information management; macro and micro innovation, and systems sustainability. Part I offers introduces foundational concepts including health and disease; and policy and economics. Two new chapters explore innovation and sustainability; and the role and contributions of non-governmental organizations. In Part II, the health systems of 19 countries are each examined in their own chapter, that carefully explores the country’s geography and culture, the history of its health system, followed by a detailed evaluation of cost, quality, access and innovation.