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The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native populationâ€"their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.
High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels. Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs.
The 6th edition of this established text is streamlined to a more manageable format, with the Appendices moved to the web-site and a significant shortening of the main text. There is a greater focus on the global analysis of industry and competition; and analysis of the internal environment. In consultation with feedback from their adopters, the authors have concentrated on the fundamentals of strategy analysis and the underlying sources of profit. This reflects waning interest among senior executives in the pursuit of short-term shareholder value. As ever students are provided with the guidance they need to strategic planning, analysis of the health services environment (internal and external) and lessons on implementation; with additional discussionssion of organizational capability, deeper treatment of sustainability and corporate social responsibility and more coverageof the sources of organizational inertia and competency traps. This edition is rich in new examples from real-world health care organizations. Chapters are brought to life by the 'Introductory Incidents', 'Learning Objectives', 'Perspectives', 'Strategy Capsules', useful chapter summaries; and questions for class discussion. All cases and examples have been updated or replaced. In this edition the teaching materials and web supplements have been greatly enhanced, with power-point slides, to give lecturers a unique resource.
"Barbara Mora's (Paiute/Diné) mother, who passed away from diabetes complications, struggled to confront the reality of the disease. "My mother would not deal with diabetes; it was a big scary topic," Mora says. "She only saw the horrible things: amputations, dialysis and death." When Mora was diagnosed with diabetes 14 years ago, she chose to deal with the disease differently. As the fourth generation on her mother's side to suffer from diabetes, many of Mora's family members did not want her to talk about it. "I thought no, I'm not going to go quietly," Mora says. "I'm going to find out everything I need to know about diabetes." After her mother's death, and her father's subsequent passing, Mora felt herself slipping into depression. Rather than falling victim to diabetes and depression, Mora relied on the Diné tradition of praying each morning to restore her spirit. Then she channeled her emotional and spiritual journey with diabetes from denial to depression to staying active and healthy with the disease in the book Using Our Wit and Wisdom to Live Well with Diabetes." from ://indiancountrytodaymedianetwork.com/2011/05/14/native-life-provides-online-health-support-network-34013.
The federal government operates six major health care programs that serve nearly 100 million Americans. Collectively, these programs significantly influence how health care is provided by the private sector. Leadership by Example explores how the federal government can leverage its unique position as regulator, purchaser, provider, and research sponsor to improve care - not only in these six programs but also throughout the nation's health care system. The book describes the federal programs and the populations they serve: Medicare (elderly), Medicaid (low income), SCHIP (children), VHA (veterans), TRICARE (individuals in the military and their dependents), and IHS (native Americans). It then examines the steps each program takes to assure and improve safety and quality of care. The Institute of Medicine proposes a national quality enhancement strategy focused on performance measurement of clinical quality and patient perceptions of care. The discussion on which this book focuses includes recommendations for developing and pilot-testing performance measures, creating an information infrastructure for comparing performance and disseminating results, and more. Leadership by Example also includes a proposed research agenda to support quality enhancement. The third in the series of books from the Quality of Health Care in America project, this well-targeted volume will be important to all readers of To Err Is Human and Crossing the Quality Chasm - as well as new readers interested in the federal government's role in health care.
Provide quality care for clients from culturally diverse backgrounds! Transcultural Nursing, 9th Edition shows you how to apply assessment and intervention strategies to individuals from a variety of different cultures. Based on Giger and Davidhizer's unique transcultural model, this text helps you deliver culturally sensitive care with use of the six key aspects of cultural assessment: communication, time, space, social organization, environmental control, and biologic variations. Practical, real-world coverage shows how an understanding of cultural variations and individual patient needs will help you promote safe and effective care. - UPDATED! Content throughout reflects the latest research and thinking related to transcultural nursing, as well as updated Census data. - UPDATED! Cultural chapters reflect the shifting experiences of cultural groups in our society. - NEW! Jamaican Americans chapter addresses the unique cultural and healthcare needs of this population. - UNIQUE! Individual chapters on the six key aspects of cultural assessment allow you to also apply the Transcultural Assessment Model to cultures not covered in the text. - Twenty-four chapters on specific cultural groups apply this assessment model to the clients most commonly encountered in United States healthcare settings. - Case studies and critical decision-making questions in each chapter help you apply the assessment framework in practice. - Client care plans in culture-specific chapters demonstrate how to apply principles to specific client needs. - Coverage includes information on biological differences among individuals of different racial groups; differences in drug interaction and metabolism specific to various ethnic groups; and clustering of certain pathologies in specific racial groups. - Discussions of spirituality throughout the text present a holistic approach to culture and beliefs that provides a more integrated approach to assessment. - Review questions in each chapter (with answers found in the back of the text) help reinforce knowledge.