Download or read book Empirical Investigations of Indigenous Healthcare in the U S written by Patrick R. Carlin and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this dissertation is to develop a better understanding of how health policy impacts Native American health. The federal government is responsible for providing healthcare to Native Americans enrolled in a federally-recognized tribe, but the provision of that healthcare is constantly evolving. The three essays in this dissertation aim to empirically assess how different institutional arrangements impact actual health outcomes. I am specifically interested in the Indian Self-Determination and Education Assistance Act (PL 638) which outlines how tribal governments can assume managerial control over healthcare resources previously managed by the federal government through the agency Indian Health Service (IHS). If tribal governments choose, they can enter into agreements called "compacts'' which effectively turn healthcare delivered through IHS from a direct service model to a block grant model. The three chapters empirically evaluate this policy and demonstrate the scope of capacity constraints in Native American healthcare whether delivered through IHS or by tribal governments. Chapter One describes what factors are most important in a tribal governments' decision to implement PL 638. I find that past negative interactions with the federal government and regional preferences are more predictive of PL 638 uptake than mortality outcomes. Chapter Two then uses a quasi-experimental setting to estimate the impact of PL 638 on Native American mortality rates. I find worsened mortality rates on average but do find improved outcomes in the Alaskan Region- a region with relatively more resources. This lends suggestive evidence that the dominate mechanisms are capacity and administrative constraints. These constraints can be severe. In fact, Chapter Three shows that the budget cycle of IHS leads to a disproportionate increase in mortality for Native Americans at the end of the fiscal year. Taken together, these essays add to a small but growing literature on indigenous health within health policy and health economics. They also highlight the need to overcome constraints faced by tribal governments when implementing policies to improve health disparities.

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Medicine Ways written by Clifford E. Trafzer and published by AltaMira Press. This book was released on 2001-03-14 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving the dire health problems faced by many Native American communities is central to their cultural, political, and economic well being. However, it is still too often the case that both theoretical studies and applied programs fail to account for Native American perspectives on the range of factors that actually contribute to these problems in the first place. The authors in Medicine Ways examine the ways people from a multitude of indigenous communities think about and practice health care within historical and socio-cultural contexts. Cultural and physical survival are inseparable for Native Americans. Chapters explore biomedically-identified diseases, such as cancer and diabetes, as well as Native-identified problems, including historical and contemporary experiences such as forced evacuation, assimilation, boarding school, poverty and a slew of federal and state policies and initiatives. They also explore applied solutions that are based in community prerogatives and worldviews, whether they be indigenous, Christian, biomedical, or some combination of all three. Medicine Ways is an important volume for scholars and students in Native American studies, medical anthropology, and sociology as well as for health practitioners and professionals working in and for tribes. Visit the UCLA American Indian Studies Center web site

Download or read book Indigenous People and Poverty in Latin America written by George Psacharopoulos and published by Ashgate Publishing. This book was released on 1996 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Indigenous people constitute a large portion of Latin America's population and suffer from severe and widespread poverty. They are more likely than any other groups of a country's population to be poor. This study documents their socioeconomic situation and shows how it can be improved through changes in policy-influenced variables such as education. The authors review the literature of indigenous people around the world and provide a statistical overview of those in Latin America. Case studies profile the indigenous populations in Bolivia, Guatemala, Mexico and Peru, examining their distribution, education, income, labour force participation and differences in gender roles. A final chapter presents recommendations for conducting future research.

Download or read book The walk without limbs Searching for indigenous health knowledge in a rural context in South Africa written by Gubela Mji and published by AOSIS. This book was released on 2019-12-12 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a country as diverse as South Africa, sickness and health often mean different things to different people – so much so that the different health definitions and health belief models in the country seem to have a profound influence on the health-seeking behaviour of the people who are part of our vibrant, multicultural society. This book is concerned with the integration of indigenous health knowledge (IHK) into the current Western--orientated Primary Health Care (PHC) model. The first section of the book highlights the challenges facing the training of health professionals using a curriculum that is not drawing its knowledge base from the indigenous context and the people of that context. Such professionals will later recognise that they are walking without limbs in matters pertaining to health. The area that was chosen for conducting the research was KwaBomvana in Xhora (Elliotdale), Eastern Cape province, South Africa. The people who reside there are called AmaBomvana. The area where the Bomvana peoples reside is served by Madwaleni Hospital and eight surrounding clinics. Qualitative ethnographic, feminist methods of data collection supported the research done for Section 1 of the book. Section 2 comprises the translation and implementation of PhD study outcomes and had contributions from various researchers. In the critical research findings of the PhD study, older Xhosa women identify the inclusion of social determinants of health as vital to the health problems they managed within their homes. For them, each disease is linked to a social determinant of health, and the management of health problems includes the management of social determinants of health. For them, it is about the health of the home and not just about the management of disease. They believe that healthy homes make healthy villages, and that the prevention of the development of disease is related to the strengthening of the home. Health and illness should be seen within both physical and spiritual contexts; without health, there can be no progress in the home. When defining health, the older Xhosa women add three critical components to the WHO health definition, namely, food security, healthy children and families, and peace and security in their villages. Prof. Mji further proposes that these three elements should be included in the next revision of the WHO health definition because they are not only important for the Bomvana people where the research was conducted, but also for the rest of humanity. In light of the promise of National Health Insurance and the revitalisation of PHC, this book proposes that these two major national health policies should take cognisance of the IHK utilised by the older Xhosa women. In addtion to what this research implies, these policies should also take note of all IHK from the indigenous peoples of South Africa, Africa and the rest of the world, and that there should be a clear plan as to how the knowledge can be supported within a health care systems approach.

Download or read book Social Epidemiology written by Lisa F. Berkman and published by Oxford University Press. This book was released on 2000-03-09 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book shows the important links between social conditions and health and begins to describe the processes through which these health inequalities may be generated. It reviews a range of methodologies that could be used by health researchers in this field and proposes innovative future research directions.

Download or read book Globalization and the Health of Indigenous Peoples written by Ahsan Ullah and published by Routledge. This book was released on 2016-11-18 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 70 countries worldwide, there is an estimated 370 million indigenous peoples, and their rich diversity of cultures, religions, traditions, languages and histories has been significant source of our scholarships. However, the health status of this population group is far below than that of non-indigenous populations by all standards. Could the persisting reluctance to understand the influence of self-governance, globalization and social determinants of health in the lives of these people be deemed as a contributor to the poor health of indigenous peoples? Within this volume, Ullah explores the gap in health status between indigenous and non-indigenous peoples by providing a comparative assessment of socio-economic and health indicators for indigenous peoples, government policies, and the ways in which indigenous peoples have been resisting and adapting to state policies. A timely book for a growing field of study, Globalization and the Health of Indigenous Peoples is a must read for academics, policy-makers, and practitioners who are interested in indigenous studies and in understanding the role that globalization plays for the improvement of indigenous peoples’ health across the world.

Download or read book Mankiller written by Wilma Mankiller and published by Macmillan + ORM. This book was released on 2019-01-29 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this spiritual, moving autobiography, Wilma Mankiller, former Chief of the Cherokee Nation and a recipient of the Presidential Medal of Freedom, tells of her own history while also honoring and recounting the history of the Cherokees. Mankiller's life unfolds against the backdrop of the dawning of the American Indian civil rights struggle, and her book becomes a quest to reclaim and preserve the great Native American values that form the foundation of our nation. Now featuring a new Afterword to the 2000 paperback reissue, this edition of Mankiller completely updates the author's private and public life after 1994 and explores the recent political struggles of the Cherokee Nation.

Download or read book The Politics of Identity written by Michelle Harris and published by UTS ePRESS. This book was released on 2013-01-01 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: The issue of Indigenous identity has gained more attention in recent years from social science scholars, yet much of the discussions still centre on the politics of belonging or not belonging. While these recent discussions in part speak to the complicated and contested nature of Indigeneity, both those who claim Indigenous identity and those who write about it seem to fall into a paradox of acknowledging its complexity on the one hand, while on the other hand reifying notions of ‘tradition’ and ‘authentic cultural expression’ as core features of an Indigenous identity. Since identity theorists generally agree that who we understand ourselves to be is as much a function of the time and place in which we live as it is about who we and others say we are, this scholarship does not progress our knowledge on the contemporary characteristics of Indigenous identity formations. The range of international scholars in this volume have begun an approach to the contemporary identity issues from very different perspectives, although collectively they all push the boundaries of the scholarship that relate to identities of Indigenous people in various contexts from around the world. Their essays provide at times provocative insights as the authors write about their own experiences and as they seek to answer the hard questions: Are emergent identities newly constructed identities that emerge as a function of historical moments, places, and social forces? If so, what is it that helps to forge these identities and what helps them to retain markers of Indigeneity? And what are some of the challenges (both from outside and within groups) that Indigenous individuals face as they negotiate the line between ‘authentic’ cultural expression and emergent identities? Is there anything to be learned from the ways in which these identities are performed throughout the world among Indigenous groups? Indeed why do we assume claims to multiple racial or ethnic identities limits one’s Indigenous identity? The question at the heart of our enquiry about the emerging Indigenous identities is when is it the right time to say me, us, we… them?

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Download or read book Broken Promises Evaluating the Native American Health Care System written by U. S. Commission on Civil Rights and published by CreateSpace. This book was released on 2013-02-15 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: The report reveals that the Native American health care system created by the federal government has used only limited and incremental responses to the health care challenges faced by Native Americans.

Download or read book Encyclopedia of Public Health written by Wilhelm Kirch and published by Springer Science & Business Media. This book was released on 2008-06-13 with total page 1611 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Encyclopedic Reference of Public Health presents the most important definitions, principles and general perspectives of public health, written by experts of the different fields. The work includes more than 2,500 alphabetical entries. Entries comprise review-style articles, detailed essays and short definitions. Numerous figures and tables enhance understanding of this little-understood topic. Solidly structured and inclusive, this two-volume reference is an invaluable tool for clinical scientists and practitioners in academia, health care and industry, as well as students, teachers and interested laypersons.

Download or read book Moral Hazard in Health Insurance written by Amy Finkelstein and published by Columbia University Press. This book was released on 2014-12-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. “Reads like a fireside chat among a group of distinguished, articulate health economists.” —Choice

Download or read book Emerging Trends in Indigenous Language Media Communication Gender and Health written by Oyesomi, Kehinde Opeyemi and published by IGI Global. This book was released on 2020-02-01 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: The importance of communication in health-related matters cannot be overemphasized. Despite modern global advancements, indigenous communication methods assume a large part of health practices in rural regions throughout the world, including areas in Africa and Asia. Indigenous language remains one of the strongest means of communication and a vital function in local communities across the globe. Emerging Trends in Indigenous Language Media, Communication, Gender, and Health is a collection of innovative research that vitalizes, directs, and shapes scholarship and global understanding in the aforementioned areas and provides sustainable policy trajectory measures for indigenous language media and health advocacy. This book will provide a better global understanding of the significance indigenous language still has in modern society. While highlighting topics including digitalization, sustainability, and health education, this book is ideally designed for researchers, anthropologists, sociologists, advocates, medical practitioners, world health organizations, media professionals, government officials, policymakers, practitioners, academicians, and students.

Download or read book Globalisation of Indian Healthcare Services written by Dr. M. Kishore Babu and published by Vandana Publications. This book was released on with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: India has a comprehensive Healthcare system comprising government and private service providers. Indian healthcare sector comprise of both allopathy & Alternative systems of medicine i.e. AYUSH. Indian Healthcare industry is worth Rs. 730 billion, and occupies 4 per cent of country’s GDP. In India, the Healthcare system is organised into primary, secondary and tertiary levels of delivery system. Healthcare ServicesDuring 2010-11, sales of the industry had grown by 25.4 per cent. During 2011-12 and 2012-13, transactions are expected to grow by a healthy 18.6 per cent and 20.5 per cent respectively. The National Health Policy (NHP)in light of the Directive Principles of the constitution of India recommends "universal, comprehensive primary health care services which are relevant to the actual needs and priorities of the community at a cost which people can afford". Globally, health expenditure as a proportion of Gross Domestic Product (GDP) ballooned in the second half of the 20th century, experiencing an almost threefold increase from 3 per cent in the 1950s to 8.5 per cent by 2014. According to the OECD, key drivers of greater health spending include: Rising incomes; Demographic trends; Ageing Population; Epidemiological trends; and Development and diffusion of new technologies and drugs. The four modes of cross-border delivery of services under GATS can be summarized as follows: Services supplied from one country to another; Consumers or firms making use of a service in another country; A foreign company setting up subsidiaries or branches to provide services in another country; and Individuals travelling from their own country to supply services in another country. Foreign Direct Investments (FDI) in the hospitals and diagnostic center segment has reached a new high in India. India is already charged in this route as evident from the 100% allowance of FDI in the hospital segment under automatic route, since January 2000. There is also an increasing interest among private equity funds, domestic and international financial institutions, venture capitalists, and banks to examine investment opportunities across an extensive range of segments. A developing country like India can adopt a mechanism for healthcare delivery for medical tourists to strengthen its economy by Creating an efficient and economic human resource pool (skilled medical and paramedical professionals), offer competitive costs and high quality of care to medical tourists.

Download or read book The Routledge Handbook of the Political Economy of Health and Healthcare written by David Primrose and published by Taylor & Francis. This book was released on 2024-02-28 with total page 726 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook provides a comprehensive and critical overview of the gamut of contemporary issues around health and healthcare from a political economy perspective. Its contributions present a unique challenge to prevailing economic accounts of health and healthcare, which narrowly focus on individual behaviour and market processes. Instead, the capacity of the human body to reach its full potential and the ability of society to prevent disease and cure illness are demonstrated to be shaped by a broader array of political economic processes. The material conditions in which societies produce, distribute, exchange, consume, and reproduce – and the operation of power relations therein – influence all elements of human health: from food consumption and workplace safety, to inequality, healthcare and housing, and even the biophysical conditions in which humans live. This volume explores these concerns across five sections. First, it introduces and critically engages with a variety of established and cutting-edge theoretical perspectives in political economy to conceptualise health and healthcare – from neoclassical and behavioural economics, to Marxist and feminist approaches. The next two sections extend these insights to evaluate the neoliberalisation of health and healthcare over the past 40 years, highlighting their individualisation and commodification by the capitalist state and powerful corporations. The fourth section examines the diverse manifestation of these dynamics across a range of geographical contexts. The volume concludes with a section devoted to outlining more progressive health and healthcare arrangements, which transcend the limitations of both neoliberalism and capitalism. This volume will be an indispensable reference work for students and scholars of political economy, health policy and politics, health economics, health geography, the sociology of health, and other health-related disciplines. Chapters 1 & 8 of this book is freely available as a downloadable Open Access PDF at http://www.taylorfrancis.com under a Creative Commons [CC BY NC ND] 4.0 license.

Download or read book The Matrix of Race written by Rodney D. Coates and published by SAGE Publications. This book was released on 2021-10-30 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: Topically organized and drawing on the most up-to-date theories and perspectives in the field, The Matrix of Race, Second Edition examines the intersecting, multilayered identities of contemporary society, and the powerful social institutions that shape our understanding of race. Leading scholars Rodney D. Coates, Abby L. Ferber, and David L. Brunsma use a storytelling approach to illustrate how racial inequality has produced drastically different opportunities, experiences, and outcomes within all aspects of life, from schools, housing, medicine, and workplaces to our criminal justice and political systems. Readers are equipped with a historical perspective, theoretical framework, and diverse view of race and racial ideologies so that they can confidently participate and contribute to dialogues and practices that will ultimately dismantle race and racial structures. This title is accompanied by a complete teaching and learning package.