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The nine regional Atlases provide the data and analysis for specific hospital service areas with which these and other questions can be addressed. Strategies to address the question of the appropriate levels of supply must be developed in the absence of detailed understanding of the nature of health care needs, medical care outcomes, and what patients want. One such strategy begins by examining individual communities and comparing them to others. Such comparisons lead naturally to a search for "efficiently" operated health plans or communities--those with an adequate but not excessive supply of resources.
The interdisciplinary uses of traditional cartographic resources and modern GIS tools allow for the analysis and discovery of information across a wide spectrum of fields. A Research Guide to Cartographic Resources navigates the numerous American and Canadian cartographic resources available in print and online, offering researchers, academics and students with information on how to locate and access the large variety of resources, new and old. Dozens of different cartographic materials are highlighted and summarized, along with lists of map libraries and geospatial centers, and related professional associations. A Research Guide to Cartographic Resources consists of 18 chapters, two appendices, and a detailed index that includes place names, and libraries, structured in a manner consistent with most reference guides, including cartographic categories such as atlases, dictionaries, gazetteers, handbooks, maps, plans, GIS data and other related material. Almost all of the resources listed in this guide are categorized by geography down to the county level, making efficient work of the type of material required to meet the information needs of those interested in researching place-specific cartographic-related resources. Additionally, this guide will help those interested in not only developing a comprehensive collection in these subject areas, but get an understanding of what materials are being collected and housed in specific map libraries, geospatial centers and their related websites. Of particular value are the sections that offer directories of cartographic and GIS libraries, as well as comprehensive lists of geospatial datasets down to the county level. This volume combines the traditional and historical collections of cartography with the modern applications of GIS-based maps and geospatial datasets.
The prospect of caring for elderly relatives who may be too old, fragile, or forgetful to manage on their own looms large for millions of women and men who are unprepared for the difficulties such an experience can bring. Written by a daughter of aging parents, this book takes an honest, unflinching look at aging in America, weaving together personal stories with current medical information to trace exactly how social and health care policies are affecting daily lives. Judith Steinberg Turiel addresses such topics as healthy aging and independent living; mental impairment brought on by Alzheimer's, other dementias, and depression; women as caregivers; health care rationing; the power of prescription drug makers; end-of-life care; and prospects for Medicare. Her book clearly demonstrates the pressing need for quality health care for people of all ages—through universal, publicly funded health insurance.
Proof that high health care spending is linked directly to poverty. In Poverty and the Myths of Health Care Reform, Dr. Richard (Buz) Cooper argues that US poverty and high health care spending are inextricably entwined. Our nation's health care system bears a financial burden that is greater than in any other developed country in large part because impoverished patients use more health care, driving up costs across the board. Drawing on decades of research, Dr. Cooper illuminates the geographic patterns of poverty, wealth, and health care utilization that exist across neighborhoods, regions, and states—and among countries. He chronicles the historical threads that have led to such differences, examines the approaches that have been taken to combat poverty throughout US history, and analyzes the impact that structural changes now envisioned for clinical practice are likely to have. His research reveals that ignoring the impact of low income on health care utilization while blaming rising costs on waste, inefficiency, and unnecessary care has led policy makers to reshape clinical practice in ways that impede providers who care for the poor. The first book to address the fundamental nexus that binds poverty and income inequality to soaring health care utilization and spending, Poverty and the Myths of Health Care Reform is a must-read for medical professionals, public health scholars, politicians, and anyone concerned with the heavy burden of inequality on the health of Americans.
In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.