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Hospital service areas (HSAs) and hospital referral regions (HRRs) are considered more appropriate units than geopolitical units for analyzing the performance of health care markets and policy implementation. GIS Automated Delineation of Hospital Service Areas represents the state-of-the-art approach in delineating HSAs and HRRs by using GIS-automated processes. It provides the best practices for defining such areas scientifically, in a geographically accurate manner, and without a steep learning curve. This book is intended to mainly serve professionals in geography, urban and regional planning, public health, and related fields. It is also useful for scholars in the above fields who have research interests related to GIS and spatial analysis applications in health care. It can be used as a supplemental text for upper-level undergraduate and graduate students in courses related to GIS and public health. Features: Introduces innovative state-of-the-art methods for delineation of HSAs (Dartmouth method, Huff model, network community detection methods) Provides best practices and one-stop solution for related data processing tasks (e.g., distance and travel time estimation, identifying the best-fitting distance decay function) Automates the methods in ArcGIS Pro toolkits Includes free ready-to-download GIS tools and sample data available on authors’ website Presents a methodology that is applicable to delineation of other service areas, catchment areas or functional regions for business analysis, planning, and public policy studies
This unique text engages students in learning about public health and health policy through a study of current controversies. The textbook uses a structured format to examine each controversy, with discussion questions, and additional learning resources. Many issues connect public health and health care, an important perspective given the Patient Protection and Affordable Care Act and health system changes at the state level. To get to the root of the controversy . and gain insight as to what must be done to advance the health issue, learners must grasp the breadth and scope of the issue and evidence-base for prevention, dissect out root causes and barriers, then propose strategies for progress. Some of the topics covered include: the acceptance of obesity as a cultural norm; e-cigarettes; binge drinking on college campuses; prescription drug abuse; antibiotic resistance; gun control; preventing concussions; climate change; and more. -- Publisher.
The gold-standard text in pediatric hospital medicine – updated and streamlined for today’s practice Hailed by reviewers and clinicians alike, Comprehensive Pediatric Hospital Medicine has become the specialty’s cornerstone text. Edited by five leading figures in pediatric hospital medicine, this acclaimed resource brings you the most up-to-date, evidence-based approaches to inpatient pediatric care from experts in their fields. Comprehensive Pediatric Hospital Medicine, Second Edition opens with an informative introductory section that defines hospital medicine and addresses general issues of hospitalist practice and administration. This includes important topics such as medical legal issues, communications, electronic health records, palliative care, ethical issues, careers, professional organizations, and more. The book then moves into commonly presenting signs and symptoms. This is followed by the largest section, a breakdown of diseases by system. The text concludes with a procedures section that provides hard-to-find instruction on the procedures most commonly performed on children in a hospital setting. The Disease chapters are templated to include Background, Pathophysiology, Differential Diagnosis, Diagnostic Evaluation, Management, Special Considerations, Key Points, References, algorithms, and more. The Procedures chapters include Indications, Contraindications, Anatomy, Equipment, Procedure, Preparation, Technique, Complications, and Special Considerations. If you’re in need of an up-to-date, comprehensive, and authoritative text that spans the emerging field of pediatric hospital medicine, your search ends here.
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.
What makes our healthcare system better? What makes it worse? Gary Fradin explores these issues in Consumerism and Value Creation in American Healthcare. He shows that employer based financing and various tax and subsidy programs decrease system value by adding costs without improving health. Supply side reforms aimed at changing physician behavior, he argues, never seem to achieve their desired results. But programs that teach consumers how to choose a hospital, a treatment or a test - and perhaps even more importantly, how to talk to their doctors wisely - can add tremendous value. Learn how appropriate consumer education can revolutionize our system, improve patient outcomes, decrease patient risks and lower overall system costs.
Managing Integrated Healthcare Systems: A Guide for Health Executives provides those managers engaged in and studying healthcare the understanding and the knowledge required to succeed in this dynamic industry.
Neonatal intensive care unit (NICU) teams in the US and around the world receive performance reports that locate their particular value for selected process and outcome measures within the range of values from all reporting NICUs. Understandably, many providers focus primarily, if not exclusively, on their particular value. When a value appears undesirable, providers often justify it in an apparent reflex response rather than critically analysing their data. Exceedingly few reflect on the width or implications of the range within which their performance lies. Standard medical education does not include these skills, yet unwarranted practice variation necessarily compromises a population’s overall quality of care. Researchers report wide variation in health care resource use with little connection to patient outcomes, challenging the belief that directing incrementally more resources at certain healthcare problems necessarily produces better results. This book provides requisite knowledge to enable readers without research expertise to understand the notion of unwarranted practice variation, how to recognize it, its ubiquity, and why it is generally undesirable – why narrowing is pervasiveness improves quality. The book begins by describing practice variation, its prevalence, and why it matters. Next, it examines alternative conceptualizations of NICU work. One view is task-oriented, while the other is aim-oriented. NICU teams rarely articulate their aims explicitly, so this book offers examples that guide thinking and action. Finally, this book asks, “Which rate is 'right'; what is the performance target?” The answer entails identifying the lowest resource use rate associated with desirable outcomes. This requires data describing efficient and predictably performing provision of current evidence-based care, along with relationships to a variety of outcomes. Provider conceptualization of healthcare quality also is often vague. The challenge lies in defining this notion operationally. This book does precisely that and gives readers tools to think critically about process, outcome, and quality measures, via some understanding of systems, risk-adjustment modelling, and discriminating signal from noise in process data.
The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.
This thorough revision contains new chapters on bioterrorism and emergency preparedness. Further bioterrorism issues have been woven through relevant chapters. New additions in epidemiology include anthrax and SARS. Additions in women's health consider new developments in hormone replacement therapy. A new emphasis has been placed on planning to include natural disasters as well as terrorism. Introduction to Public Health, Second Edition covers the basic elements of public health as well as essential data and statistics.