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The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.
Transforming Health Sciences Library Spaces presents first-hand case studies and practical advice on transforming health sciences library spaces in the 21st century. Collected here are the experiences and thoughts of librarians on the transformation of health sciences library spaces. They provide insights into planning, budgeting, collecting, and integrating user feedback, collaborating with leadership and architects and thriving in the good times and the tight times. The book has three main sections: The Realities of Making Virtual Work Library Spaces that Work for Users Library Spaces Working with What They’ve Got These tackle crucial issues including: Identifying and overhauling dated spaces that lack flexibility Gathering information on usage behavior and user feedback in relation to our spaces. Working with feedback to increase satisfaction, and use of the library space with little funds. Removing a large percentage of the physical collection and deciding what to replace it with. Maximizing relationships with stakeholders such as leadership and external departments to transform the library space. Understanding what going 100% virtual means in practice. Managing usage of materials not traditionally well suited to online access.
A keyword listing of serial titles currently received by the National Library of Medicine.