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The eHealth series is primarily meant for government ministries of health, information technology, and telecommunications, as well as others working in eHealth -- academics, researchers, eHealth professionals, nongovernmental organizations, and donors. The telemedicine module of the 2009 survey examined the current level of development of four fields of telemedicine: teleradiology, teledermatogy, telepathology, and telepsychology, as well as four mechanisms that facilitate the promotion and development of telemedicine solutions in the short- and long-term: the use of a national agency, national policy or strategy, scientific development, and evaluation. Telemedicine: Opportunities and Developments in Member States discusses the results of the telemedicine module, which was completed by 114 countries (59% of Member States).
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.
The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
At a time when telehealth is being used more widely than ever before, this new book from Kimberly Noel and Renee Fabus meets an urgent need for evidence around optimal telehealth training to support interprofessional practice. This textbook will be invaluable to all healthcare professionals who would like to incorporate telehealth into interprofessional education and practice. It discusses the role of social determinants of health, health literacy and aspects of health informatics in practice, and illustrates telehealth in different healthcare professions. Simply written and easy to follow, it takes the reader through what they need to know about telehealth, interprofessional telehealth competencies, virtual healthcare, teaching telehealth and virtual clinical examination skills. This text is suitable for students in medical school and the range of professional healthcare programs. - Written in straight-forward language and easy to follow - Contributions from international experts - Showcases best practices for adoption of telehealth technology that is safe, appropriate, data-driven, equitable and team-based - Exercises help link theory to practice - Resources and clinical cases
Health care delivery is shifting away from the clinic and into the home. Even prior to the COVID-19 pandemic, the use of telehealth, wearable sensors, ambient surveillance, and other products was on the rise. In the coming years, patients will increasingly interact with digital products at every stage of their care, such as using wearable sensors to monitor changes in temperature or blood pressure, conducting self-directed testing before virtually meeting with a physician for a diagnosis, and using smart pills to document their adherence to prescribed treatments. This volume reflects on the explosion of at-home digital health care and explores the ethical, legal, regulatory, and reimbursement impacts of this shift away from the 20th-century focus on clinics and hospitals towards a more modern health care model. This title is also available as Open Access on Cambridge Core.
The only current book on the topic, Telepsychiatry and Health Technologies: A Guide for Mental Health Professionals is a practical, comprehensive, and evidence-based guide to patient-centered clinical care delivered in whole or in part by technological devices and applications. Not a technology-centered "health informatics" book, but rather one that describes basic technological concerns and emphasizes clinical issues and workflows, it is designed for psychiatrists, psychologists, and other mental health clinicians who seek to learn the modes, models, and methods of telepsychiatry. More than 30 practitioners of telepsychiatry across the core mental health disciplines were involved in development of the text, contributing knowledge and clinical examples. Rich with case studies and hands-on guidance, the book introduces strategies, then clearly illustrates how to put them into practice. The editors believe that psychiatry increasingly will focus on the treatment of populations, and that technology offers the best hope of doing so efficiently and effectively.Careful thought went into the book's conception and design, resulting in a marriage of structure and content that meets the needs of today's clinicians: The editors employed a unique process of manuscript development, first outlining each chapter in its entirety, then assigning sections to contributors selected for their specific clinical experience and therapeutic expertise. The result is a text that flows logically and creates synergy across chapters without duplication. The book provides "how-to" guidance on setting up a new telepsychiatry practice or integrating technologies into a current practice, covering critically important topics such as data collection, security, and electronic health records. Technologies addressed include telephony, smartphones, apps, e-mail, secure texting, and videoconferencing, all of which are increasingly being used in the assessment and treatment of patients with psychiatric disorders. More than 30 case examples of patients or programs are included, illustrating the range of clinical techniques that can be used and the types of patient that can be treated using available technologies -- whether in person, online, or in a hybrid form of care combining both modalities. Every chapter concludes with a summary of major learning objectives or findings covered. Telepsychiatry and Health Technologies: A Guide for Mental Health Professionals is destined to become a core resource in the training of mental health professionals from all disciplines, as well as an indispensable reference for those already integrating new technologies into their practices.
The total U.S. civilian non-institutionalized population in 2009 was estimated to be slightly more than 301 million, of whom 15.1 per cent or 45.5 million, were estimated by the American Community Survey to be without health insurance or uninsured. The uninsured are far more likely than those with health insurance to report problems getting needed medical care, less likely to follow recommended treatments because of costs, have less access to care, receive less preventive care, and are more likely to be hospitalized for avoidable health problems. Moreover, it is widely believed that the uninsured, when they need care, are less able to pay for their care since they do not have health insurance. Therefore, it also can be further assumed that other payers take on the financial burden of their care through higher prices. This book examines the plight of the uninsured in the United States today, by State and Congressional District.