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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.
Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health.
General practitioners and other primary care professionals have a leading role in contemporary health care, which Trisha Greenhalgh explores in this highly praised new text. She provides perceptive and engaging insights into primary health care, focussing on: its intellectual roots its impact on the individual, the family and the community the role of the multidisciplinary team contemporary topics such as homelessness, ethnic health and electronic records. Concise summaries, highlighted boxes, extensive referencing and a dedicated section on effective learning make this essential reading for postgraduate students, tutors and researchers in primary care. "Trish Greenhalgh, in her frequent columns in the British Medical Journal...more than any other medical journalist spoke to her fellow GPs in the language of experience, but never without linking this to our expanding knowledge from the whole of human science. When I compare the outlines of primary care so lucidly presented in this wonderful book, obviously derived from rich experience of real teaching and learning, with the grand guignol theatre of London medical schools when I was a student 1947-52, the advance is stunning." —From the foreword by Julian Tudor Hart "Trish Greenhalgh is one of the international stars of general practice and a very clever thinker. This new book is a wonderful resource for primary health care and general practice. Every general practice registrar should read this book and so should every general practice teacher and primary care researcher." —Professor Michael Kidd, Head of the Department of General Practice, University of Sydney and Immediate Past President of The Royal Australian College of General Practitioners "This important new book by one of primary care's most accomplished authors sets out clearly the academic basis for further developments in primary health care. Health systems will only function effectively if they recognise the importance of high quality primary care so I strongly recommend this book to students, teachers, researchers, practitioners and policy makers." —Professor Martin Marshall, Deputy Chief Medical Officer, Department of Health, UK
Quality is at the heart of the government's strategy for NHS development, and which is to be delivered through clinical governance. This book explores accreditation through practical case studies and research findings, and outlines how it can assure the quality of care. Systems of accreditation for measuring and improving quality are described, and show how they can be used easily and effectively to meet the challenges of the new NHS. It is clear, concise and relevant to all the current changes in healthcare provision. All those responsible for delivering a service based on clinical and cost effectiveness will find it essential reading. 'In the United Kingdom primary health care is based almost wholly on general practice. From April 1999 all general practices will belong to primary care groups. Questions of quality and accountability will be high on their agenda as part of the new arrangements for clinical governance. This book on accreditation in primary care is therefore most timely.' Sir Donald Irvine, President, General Medical Council, in the Introduction
'This is a book that challenges any existing complacency about the quality of healthcare offered to South Asian populations. It is written for a broad audience who have an interest or direct involvement in this important subject area and in my opinion will appeal to leaders, clinicians, nursing staff, managers, and the wider primary care community. Research, analysis and commentary are essential, but if South Asian people are to benefit from better services and improved care, then research in particular must be integrated with dissemination and development. This book engaged me, which is a hallmark of a good read. I most certainly recommend it, as I am sure it will engage you too. Inequity and inequality must be rigorously challenged and addressed. All members of the primary care team, including doctors and nurses; policy makers and shapers and healthcare academics and researchers will find this book essential reading.
What is the relationship between politics and health policy in the UK? How are the interests of the medical profession, civil society and the state weighed and balanced in the making of health policy? Health Policy and Politics offers a sophisticated critical analysis of policy-making in the National Health Service. The team of contributors comprises established academics who have been actively involved in both research and policy-making in this field. They examine the 'macro' level of policy-making at governmental level, and then consider professional institutional relationships and struggles, and interpersonal decision-making and power relations within small organizations and departments. Unique in the variety of perspectives and topics covered, the volume will be required reading for those teaching and studying on a range of courses in health, social care and public policy, and for health professionals within the NHS.
America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.
The impact of urbanization on the health of citizens in developing countries has received increasing attention recently. This book addresses the problems in an integrated way, looking in detail at both the problems themselves and the action and research necessary to alleviate them. It includes contributions from leading practitioners and advisors to many of the main international agencies and presents the latest thinking of those institutions. It also presents recent information on research findings, the management and financing of urban health services and trends in urban health policy. Case studies examine major initiatives in cities as diverse as Santiago, Dar es Salaam, Dhaka, Kampala and Bombay.
"Public Health for the 21st Century is a comprehensive consideration of the emerging challenges for public health policy makers. Its structure makes it accessible to those wishing to dip into specific areas as well as being both coherent and comprehensible to those who may wish to read the whole volume. It is a valuable addition to any public health library." Journal of Environmental Health Research "This is a timely and comprehensive review of the new public health. The book demonstrates a capacity and readiness of the public health community to engage the population to achieve the 'fully engaged scenario' that remains the major health challenge for the UK. Replacing 'political restlessness' with political resolve might be the key ingredient that has been missing." Tribune "The second edition of this text is a very welcome addition to the public health library. The sweep of its interests and the vision it encapsulates marks it out as a true standard bearer for public health into the 21st Century. Its approach is comprehensive and its subject matter compelling. In spite of the challenges ahead for public health, the book reminds us of the quality of those practicing and writing about the subject in the UK today." Mike Kelly, Director of the Centre for Public Health Excellence, The National Institute for Health and Clinical Excellence (NICE) This bestselling book has been substantially updated to take account of changing policy and practice. The introduction has been re-written to form a new chapter giving a comprehensive overview of the field of public health, making the book much more accessible to a wider audience. Throughout this book, the authors analyse and reflect upon the influence of history, research and procedures upon contemporary public health practice. The text explores the debates surrounding the meaning of public health and looks at the policy changes that are reshaping its context. Also examined are the contributions that epidemiology and health economics make to public health. Public Health for the 21st Century is essential reading for those involved in developing and implementing policies for health improvement, health protection and the reduction of inequalities in health. It also appeals to a wider audience of professionals, lay people and students who are interested in the wider health and well being of their communities.