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I can think of no one more fitting to provide the broad perspective on the City's health system, as well as a specific analysis of the current state of affairs. --James R. Tallone, Jr., President, United Hospital FundFor the three decades since passage of Medicare and Medicaid, health care service to the American people has expanded. Relatively few studies have assessed the extent to which access to health care have actually improved for specific groups, such as the poor and the middle class. This book is an in-depth assessment of the extent to which Medicare and Medicaid have met expectations of citizens. New York City is the focus because of its long-standing commitment to provide essential health care to all citizens irrespective of ability to pay, its hospital system composed of voluntary and public sectors, and its vast governmental and private funding.
The Handbook of Urban Studies provides the first comprehensive, up-to-date account of the urban condition, relevant to a wide readership from academics to researchers and policymakers. It provides a theoretically and empirically informed account embracing all the different disciplines contributing to urban studies. Leading authors identify key issues and questions and future trends for further research and present their findings so that, where appropriate, they are relevant to the needs of policymakers. Using the city as a unifying structure, the Handbook provides an holistic appreciation of urban structure and change, and of the theories by which we understand the structure, development and changing character
If not for the reproductive functions of women, would there be anything called women's health care? A review of medical literature, practice, and policy in this country would suggest that the answer is no. Offering a startling view of the current state of health care for women in the United States and laying the foundation for a new, widely defined women's medicine, Man-Made Medicine makes an urgent statement about gender bias in the medical establishment and its pernicious effects on the well-being of women and the care they receive. These essays by physicians, lawyers, activists, and scholars present a rare interdisciplinary approach to a complex set of issues. Gender stereotyping and bias in the collection, analysis, and reporting of scientific data and in the ways health-related news is covered by the media are examined. The exclusion of women from the health care policy-making process and the effect such exclusion has on the determination of priorities among potential areas of research are also explored. With discussions of the plight of specific populations of women whose health care needs are not being sufficiently met--for example, immigrants, prisoners, the mentally ill, or women with HIV/AIDS, disabilities, or reproductive health problems--this book considers matters of race and class within the parameters of gender as it builds a fundamental challenge to the existing health care system. A range of current reform proposals are also evaluated in terms of their potential impact on women. Suggesting no less than a radical rethinking of women's medicine, Man-Made Medicine gives essential direction to the discussions that will shape the future of health care in this country. It will be of great interest to a wide audience, including health care advocates, policymakers, scholars, and readers generally concerned with women's health issues. Contributors. Ellen Barry, Laurie Beck, Joan Bertin, Janet Calvo, Wendy Chavkin, Kay Dickersin, Abigail English, Elizabeth Fee, Carol Gill, Nancy Krieger, Joyce McConnell, Judy Norsigian, Ann Scales, Susan Stefan, Lauren Schnaper, Catherine Teare
The contributing authors of this volume--respected authorities on health care and social work--describe the shift from hospital based care to ambulatory patient and family focused community based services. Social Work in Ambulatory Care assists readers who need to develop, plan, and implement new social work roles for a changing health care system. Chapters focus on the implications of health care reform, based on policy or economic mandates, and provide specific examples of how social service providers can approach health care in a new era. As the authors describe the shift in health care to ambulatory care and the role of social work in this new environment, they cover areas of potential concern to social service providers. Readers will be challenged to plan new social work roles in the future--roles that help advance social work’s own definitions of health and wellness. Specific examples of creative roles for social work are described and several of the most important areas this guidebook analyzes are: the health care system under siege support groups managed care emergency room community based care For social workers in health settings, struggling with the questions of relevance, growth, and worth in a changing environment, Social Work in Ambulatory Care provokes new ideas about health care for the future.