Download or read book Puerto Rico s Health Care Delivery System Its Current Health Care Reform Efforts and Access to Rural Health Care Services in Puerto Rico written by United States. Congress. House. Committee on Education and Labor. Subcommittee on Labor-Management Relations and published by . This book was released on 1995 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Puerto Rico s Health Care Delivery System Its Current Health Care Reform Efforts and Access to Rural Health Care Services in Puerto Rico written by United States. Congress. House. Committee on Education and Labor. Subcommittee on Labor-Management Relations and published by . This book was released on 1995 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Monthly Catalog of United States Government Publications written by and published by . This book was released on with total page 1450 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Monthly Catalogue United States Public Documents written by and published by . This book was released on 1995 with total page 1638 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Unmanageable Care written by Jessica M. Mulligan and published by NYU Press. This book was released on 2014-08-08 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at an HMO and records what it’s really like to manage care. Set at a health insurance company dubbed Acme, this book chronicles how the privatization of the health care system in Puerto Rico transformed the experience of accessing and providing care on the island. Through interviews and participant observation, the book explores the everyday contexts in which market reforms were enacted. It follows privatization into the compliance department of a managed care organization, through the visits of federal auditors to a health plan, and into the homes of health plan members who recount their experiences navigating the new managed care system. In the 1990s and early 2000s, policymakers in Puerto Rico sold off most of the island’s public health facilities and enrolled the poor, elderly and disabled into for-profit managed care plans. These reforms were supposed to promote efficiency, cost-effectiveness, and high quality care. Despite the optimistic promises of market-based reforms, the system became more expensive, not more efficient; patients rarely behaved as the expected health-maximizing information processing consumers; and care became more chaotic and difficult to access. Citizens continued to look to the state to provide health services for the poor, disabled, and elderly. This book argues that pro-market reforms failed to deliver on many of their promises. The health care system in Puerto Rico was dramatically transformed, just not according to plan.
Download or read book Managed Lives Privatizing Public Health in Puerto Rico written by Jessica Mulligan and published by . This book was released on 2007 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the 1990s, the newly elected statehood party reinvented the healthcare system using a managed care model in Puerto Rico. In a period of two years, the government sold off public hospitals, closed local health centers and enrolled eligible beneficiaries with private insurance companies. The reformers sought to modernize the practices of providers, produce healthier and more health savvy Puerto Ricans, and rationalize health care delivery through corporate management techniques.
Download or read book Health Care Inequities in Puerto Rico written by Alexandra C Rivera-Gonza̹lez and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are significant health care inequities in the United States (US) territory of Puerto Rico. The local health system operates under continuous challenges, such as financial restrictions and shifts in the physician workforce. Population characteristics like pervasive island-wide poverty, substantial health care need, and poor economic conditions further burden its health care system. When coupled with frequent and increasing back-to-back public health emergencies, such as natural disasters and infectious disease outbreaks, these factors have led to an ongoing health care crisis in Puerto Rico. The multiple factors affecting health care access in Puerto Rico have rarely been studied and continue to be unclear, especially following recent major disasters such as hurricanes, earthquakes, and the COVID-19 pandemic. To help fill these knowledge gaps, this dissertation studies health care access and utilization in Puerto Rico and how they are affected by environmental, system, provider, and patient-level factors. The dissertation will be composed of three separate but interrelated papers addressing health care dilemmas in Puerto Rico by studying (1) federal health policy impact on health care access across different Medicaid funding structures, (2) physician prevalence and availability trends in Puerto Rico, and (3) crisis hotline use patterns across population characteristics.
Download or read book Health Care Reform Expansion of Medicare benefits to include prescription drugs June 22 1993 Health care service delivery infrastructure in inner city and rural communities June 24 1993 Implementation of a national health budget July 13 1993 written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1993 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Development of a Health Information System in the Puerto Rico Sixth Health Care Reform written by Deborah A. Nieves and published by . This book was released on 2001 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Public Health Reports written by and published by . This book was released on 1975 with total page 620 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Reform Issues relating to medical malpractice May 20 1993 written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1993 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Reform written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1993 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book CIS Index to Publications of the United States Congress written by Congressional Information Service and published by . This book was released on 1996 with total page 776 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Disparate Health Care in Puerto Rico written by Ximena Benavides and published by . This book was released on 2020 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt: For close to a decade now, Puerto Rico has been saddled with a public debt crisis and has been forced, as a result, to borrow the funds needed to cover nationwide expenses like health care. When Puerto Rico stopped repaying its mounting debt in 2016, the U.S. Congress formed the federal PROMESA Board to oversee Puerto Rico's finances and to determine its future fiscal policies. Nevertheless, the PROMESA Board's attempt to control public debt by reducing budget deficits has further weakened an already devastated health care system. The island, often a target of natural disaster in the form of hurricanes, is financially insolvent and beset by other national, health-related obstacles such as poor infrastructure; heavy disparities between private and public health care programs as a result of a failed privatization and regionalized system; and a scarcity of doctors owing to continued migration to better pay on the mainland. By reflecting on the consequences of a health care system the origins of which are in legal transplants and which has been the target of multiple unsatisfactory institutional arrangements -- legacies of the colonial relationship between the island and the U.S. mainland -- this Article attempts to explain why Puerto Rico's health care system remains in crisis and inquires with respect to which policy-based tools might be used to address such crisis. This Article concludes that all policy attempts to date have failed and will continue to do so for as long as a foundational problem persists - that is, the unconstitutional, disparate treatment of U.S. citizens living in Puerto Rico compared to those Americans living on the mainland. Finally, this Article advances a primary policy recommendation that policymakers must first address the equal protection of the law -- in general and as it applies to healthcare -- rather than the political battle for statehood, the federal control and planning over Puerto Rico's finances, or additional temporary federal funds and disaster relief.
Download or read book Developments in Aging written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 1994 with total page 938 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book EBRI Notes written by and published by . This book was released on 1995 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Cumulated Index Medicus written by and published by . This book was released on 1989 with total page 1416 pages. Available in PDF, EPUB and Kindle. Book excerpt:
