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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.
Global environmental change and recent worldwide infectious-disease outbreaks make the ecological perspective of medical anthropology more important a field of study than ever. In this premier teaching text, authors Ann McElroy and Patricia K. Townsend integrate biocultural, environmental, and evolutionary approaches to the study of human health, providing a complete and authoritative ecological perspective that is essential for interpreting medical anthropology. Research by biological anthropologists, archaeologists, and paleopathologists illuminates the history and prehistory of disease, along with coverage of contemporary health issues, both local and global. This sixth edition is thoroughly revised and updated, with expanded discussion on the interaction of environment and infectious disease; new material on climate change, globalization, and the effects of war on physical and mental health; and an entirely new chapter on ethics in community health and medical anthropology. Medical Anthropology in Ecological Perspective captures the essentials of the discipline and covers its ever-changing topics, trends, and developments in an engaging, accessible way.
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
Learn how to think beyond the theoretical in any environment. Ethics & Issues in Contemporary Nursing, 2nd Edition examines the latest trends, principles, theories, and models in patient care to help you learn how to make ethically sound decisions in complex and often controversial situations. Written from a global perspective, examples throughout the text reflect current national and international issues inviting you to explore cases considering socio-cultural influences, personal values, and professional ethics. Historical examples demonstrate how to think critically while upholding moral and professional standards, as well as the law. Key topics throughout explore advocacy and rights, diversity, nurse burnout, mass casualty events, effects of the COVID pandemic, health equity, social media, violence in the workplace, medication error prevention, opioid and other substance use, HIPAA, and healthcare reform. In addition, this title contains supplemental case studies and review questions to further challenge and prepare you to make morally sound decisions in any healthcare setting. NEW! Content on the latest developments in nursing includes coverage of The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity report, resiliency, burnout, and nurses in wartime. NEW! Focused linking of the content of each chapter with sections of professional nursing codes of ethics provides guidance for dealing with ethical dilemmas. NEW! Scenarios of the Pandemic boxes explore the impact of ethical dilemmas on nurses during the COVID pandemic. EXPANDED! Additional information enhances content on delegation, moral uncertainty, health care for transgender patients, the impact of technology on nursing care and decisions, global consciousness and vaccine hesitance, immigration, and refugee issues. UPDATED! Current coverage addresses key health policy issues. UPDATED! Nursing Ethics, Social Issues, and Health Disparities chapter features the latest developments in those areas. Straightforward and conversational writing style makes the content interesting and understandable. Case studies and review questions on the Evolve companion website help you apply the concepts learned from the text. More than 60 case presentations present scenarios from real-life situations. Think About It exercises help you explore different facets of cases. Ask Yourself questions challenge you to balance information in the text along with personal values and those of the nursing profession. Summary and chapter highlights present an overview of key chapter content. Discussion questions and activities allow you to further explore issues and ethics.
Rapid changes in healthcare and public health offer tremendous opportunities to focus on process improvement. Public health departments and agencies increasingly work collaboratively with hospitals and other community partners to promote knowledge and improve collective impact through public and private sector coalitions. Solving Population Health Problems through Collaboration brings together population health experts and leaders to examine evidence-based intervention strategies, case studies in health departments and hospitals, health equity issues, core competencies, public health campaigns, step-by-step collaboration advice, and much more. Each chapter is written by a population health leader shaped by his or her experience implementing change in a community’s health, to demonstrate innovative methods and tools for building and leading sustainable community coalitions to effect real change. Designed to prepare population health workers in public health and healthcare settings to develop strategies for improved population health, this book is required reading for public health managers and health administrators as well as students enrolled in population health courses.
This text engages students with the ethical decisions faced by health care professionals every day. Based on principles and applications in health care ethics and the law, this text extends beyond areas that are often included in discussions of political philosophy and the principles of justice.
Organized around the theme of child well-being, this book provides an overview of child welfare's past and present with consideration of its future. Using case examples and discussion questions, this text engages readers in a critical examination of the challenges and strategies used to date to suggest possible directions for promoting the well-being of all children. Meanwhile, the "whole child" integrative approach to child welfare uniquely examines strategies to address children's physical, emotional, social, and psychological needs. Child welfare policy and practices are integrated throughout, thereby illustrating the context in which child welfare practice occurs and how practice and policy are connected. Current issues guiding practice with children who are especially at-risk are also explored, including children with disabilities, immigrant children, and youth who may have been trafficked. Child Welfare is a rich resource for social work students, child welfare practitioners, and administrators alike.
Medical and health tourism is a significant area of growth in the export of medical, health and tourism services. Although spas and improved well-being have long been part of the tourist experience, health tourism now includes travel for medical purposes ranging from cosmetic and dental surgery through to transplants and infertility treatment. Many countries including China, Cuba, Hungary, India, Thailand, Malaysia and Singapore actively promote and compete for the medical tourist dollar, while many developed countries also provide niche private services. However, the field of medical tourism is increasingly being subject to scrutiny and debate, particularly as a result of concerns over regulatory, ethical and wider health issues. Drawing on a range of theoretical and methodological perspectives, this book is one of the first to critically address the substantial political, philosophical and ethical issues that arise out of the transnational practices of medical tourism. Through a series of chapters the book engages with key issues such as the role of regulatory and policy structures in influencing medical and health tourism related mobilities. These issues are investigated by considering range of developing and developed countries, medical systems and health economic perspectives. The book adopts a multi-layered perspective to not only investigate the business and marketing practices of medical and health tourism but places these within a broader framework of contemporary globalisation, policy and practice. By doing so it opens up debate of the ethical space in which medical and health tourism operates as well as reinforce the wide ranging perspectives that exist on the subject in both the public and academic imagination. This significant contribution will be of interest to students, academics in tourism and medical policy, trade and economic development fields.
This biography of James Edmund Reeves, whose legislative accomplishments cemented American physicians' control of the medical marketplace, illuminates landmarks of American health care: the troubled introduction of clinical epidemiology and development of botanic medicine and homeopathy, the Civil War's stimulation of sanitary science and hospital medicine, the rise of government involvement, the revolution in laboratory medicine, and the explosive growth of phony cures. It recounts the human side of medicine as well, including the management of untreatable diseases and the complex politics of medical practice and professional organizing. Reeves' life provides a reminder that while politics, economics, and science drive the societal trajectory of modern health care, moral decisions often determine its path.