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"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
Public Health and the US Military is a cultural history of the US Army Medical Department focusing on its accomplishments and organization coincident with the creation of modern public health in the Progressive Era. A period of tremendous social change, this time bore witness to the creation of an ideology of public health that influences public policy even today. The US Army Medical Department exerted tremendous influence on the methods adopted by the nation’s leading civilian public health figures and agencies at the turn of the twentieth century. Public Health and the US Military also examines the challenges faced by military physicians struggling to win recognition and legitimacy as expert peers by other Army officers and within the civilian sphere. Following the experience of typhoid fever outbreaks in the volunteer camps during the Spanish-American War, and the success of uniformed researchers and sanitarians in confronting yellow fever and hookworm disease in Cuba and Puerto Rico, the Medical Department’s influence and reputation grew in the decades before the First World War. Under the direction of sanitary-minded medical officers, the Army Medical Department instituted critical public health reforms at home and abroad, and developed a model of sanitary tactics for wartime mobilization that would face its most critical test in 1917. The first large conceptual overview of the role of the US Army Medical Department in American society during the nineteenth and early twentieth centuries, this book details the culture and quest for legitimacy of an institution dedicated to promoting public health and scientific medicine.
"'Matchless Organization' describes the operations of the Confederate Army's Medical Department as managed by its successive surgeons general, especially Samuel Preston Moore"--
The Army Medical Department, 1865-1917, is the third of four planned volumes that treat the time of revolutionary change in the organization of the U.S. Army and in medicine. Mary C. Gillett traces major developments for the Medical Department-from its rebirth as a small scattered organization in the wake of the Civil War, through the trials of the Spanish-American War and the Philippine Insurrection, to the entrance of the United States into World War I.
Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
This book focuses on an organization, the U.S. Army Nurse Corps, which the author has been privileged to be affiliated with – in one way or another – for the greatest part of her adult life. As an active duty officer, the author had first-hand knowledge about the Army Nurse Corps inner workings and spent the last years of her Army career (from 1992) researching and writing the Corps history. One of her goals in researching and writing this history was to intrigue and provide a sense of gratification for the reader. After the conclusion of the Vietnam War, several wide-ranging and significant changes exerted myriad effects on the Army Nurse Corps. The most influential of these phenomena included the dismantling of the Selective Service System, the reorganization of the Army, the launch of the Health Services Command (HSC), the opening of the Academy of Health Sciences, the transformation of the Office of the Army Surgeon General, the inauguration of improvements in the Army Reserve and National Guard, and the evolution in the roles and status of women.
In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Specialty Volume of Textbooks of Military Medicine. TMM. Edited by Shawn Christian Nessen, Dave Edmond Lounsbury, and Stephen P. Hetz. Foreword by Bob Woodruff. Prepared especially for medical personnel. Provides the fundamental principles and priorities critical in managing the trauma of modern warfare. Contains concise supplemental material for military surgeons deploying or preparing to deploy to a combat theater.
The Principles and Practice of Narrative Medicine articulates the ideas, methods, and practices of narrative medicine. Written by the originators of the field, this book provides the authoritative starting place for any clinicians or scholars committed to learning of and eventually teaching or practicing narrative medicine.