Download or read book Managed Care and Non physician Providers in Rural Areas written by Kyusuk Chung and published by . This book was released on 1999 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Access to Health Care Services in Rural Areas written by Sheldon Weisgrau and published by DIANE Publishing. This book was released on 1999-03 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Includes: impact of hospital closures; do transition grants help rural hospitals? rural hospital networks: implications for rural health reform; variations in rural hospital costs: effects of market concentration & location; why do so few HMOs offer Medicare risk plans in rural areas? patterns of HMO service areas in rural counties; effects & effectiveness of telemedicine; & access of rural AFDC Medicaid beneficiaries to mental health services. Illustrated.
Download or read book Ensuring Access to Primary Health Services in Rural Areas written by Nelson A. Tilden and published by . This book was released on 1995 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Rural Health in the United States written by Thomas C. Ricketts and published by Oxford University Press. This book was released on 1999-10-07 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many of the 61 million people who live in rural America have limited access to health care. Almost a quarter of the nation's population lives in rural places yet only an eighth of our doctors work there. Sponsored by the U.S. Office of Rural Health Policy, this unique book provides the facts about this imbalance and interprets them in the context of government programs that promote the placement of doctors and the operation of hospitals in rural places while paying them less to treat Medicare and Medicaid beneficiaries. The authors' comprehensive analysis of rural health care delivery shows where there are differences in rates of death and disease between rural areas using maps, graphs, and plain-English descriptions. The book provides a thorough look at health care in rural America, giving a snapshot of how doctors, hospitals, and technology are unevenly distributed outside the nation's metropolitan areas.
Download or read book National Summary of State Medicaid Managed Care Programs written by and published by . This book was released on 1995 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Future of Nursing 2020 2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Role of Telehealth in an Evolving Health Care Environment written by Institute of Medicine and published by National Academies Press. This book was released on 2012-12-20 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Download or read book U S Healthcare and the Future Supply of Physicians written by Panos Minogiannis and published by Routledge. This book was released on 2019-01-25 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many different sectors of modern society influence the nation's healthcare system. Government, health insurance companies, managed care organizations, academic health centers, the pharmaceutical industry, and other groups all affect healthcare. In the areas of medical access, cost, and quality, the physician remains the key to the efficiency and effectiveness of healthcare services. Eli Ginzberg and Panos Minogiannis, in Ginzberg's final book, examine the supply of health personnel in the United States. They consider the ways it has been influenced by federal and state legislation, healthcare financing, the transformation of the hospital, managed care, and health trends in the last part of the twentieth century. Through this historical approach, the book identifies key moments in U.S. health policy history that have led to problems in the geographical distribution of medical personnel, gender and race representation in the health personnel pool, and subsequent attempts to resolve these problems. This volume pays special attention to current trends in healthcare and tries to forecast the direction of the debate over health personnel supply in the coming years. Chronic care conditions and the ageing of the population on the one hand and the penetration of managed care and the subsequent transformation of American hospitals on the other converge to present policymakers with tremendous challenges in financing healthcare. Ginzberg and Minogiannis argue that a more balanced production and distribution of U.S. health personnel will go far in easing the financial burden of healthcare and at the same time improve the quality of services provided to the American people.
Download or read book Rural Managed Care written by and published by . This book was released on 1997 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Download or read book America s Health Care Safety Net written by Institute of Medicine and published by National Academies Press. This book was released on 2000-09-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.
Download or read book Increasing Access to Health Workers in Remote and Rural Areas Through Improved Retention written by World Health Organization and published by World Health Organization. This book was released on 2010 with total page 79 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accompanying CD-Rom has same title as book.
Download or read book Three Realms of Managed Care written by Jack Glaser and published by Rowman & Littlefield. This book was released on 1997 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: Glaser and Hamel offer readers an opportunity to step back from the ethical issues connected with modern health care and reflect on what we are doing, how we are doing it, and what impact our actions (and omissions) are having on the common good. While offering a new ethical paradigm that takes into account the three realms of ethical complexity (societal issues, institutional issues, and individual issues), this book offers articles for reflection and self-examination on various aspects of managed care, taking into account specific issues such as rationing, financial incentives, and full disclosure.
Download or read book Best Practices in Rural Medicaid Managed Behavioral Health written by David Hartley (Ph.D.) and published by . This book was released on 1998 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: OVERVIEW: Most states are currently enrolling some or all of their Medicaid population in managed care, and many are choosing to separate the financing and management of mental health from physical health benefits. These arrangements are often referred to as mental health carve-outs. In 1997, staff at the Maine Rural Health Research Center completed a study of six rural states that had implemented managed mental health in their Medicaid programs. One major finding of that study was that states have not taken advantage of the experience of other states as they implement these programs (Lambert et al, 1998). With this series of papers, we hope to encourage states that are designing or modifying their Medicaid mental health programs to consider the "best practices" of other states. These papers are designed to develop practical and useful guidance for states and managed behavioral health firms on approaches and strategies for addressing the special needs and circumstances associated with implementing a mental health carve-out in rural areas. While managed behavioral health raises many of the same concerns currently being raised about managed medical care, such as provider choice, use of financial incentives to limit appropriate care, and interference with the physician-patient relationship, this series of papers is narrowly focused on those issues with a unique rural element. In our previous study, we identified several such issues. After consulting with national experts in the field of managed behavioral health, we selected four topics for inclusion in this series. Since insufficient access to a wide variety of services has been a constant theme in rural studies, and access to mental health providers has been especially hard to achieve, we begin the series with "Measuring and Monitoring Access". Those who read all four papers will find that access and under supply of providers and services are mentioned throughout the series. Similarly, the significant role of primary care practitioners in providing mental health services in the absence of mental health specialty providers is a recurring theme in this series. These recurring themes have resulted in some repetition in the series. Since some readers may not read the entire series, we feel that such redundancy is unavoidable. Each paper can be read as a separate piece. In each paper the authors have presented some background material by way of indicating what problems exist and why this topic was chosen for the series. We then present "best practices", specific programs, policies or practices that are currently being used in one or more states to address those problems. In many cases, the interviews and research conducted by the authors turned up practices that are being considered or recommended in one or more states. We have labeled these "recommended practices" because they have not yet been tried and proven, but appear promising. Because managed behavioral health is relatively new to Medicaid programs, neither our best practices nor our recommended practices have been rigorously evaluated. Several of the states cited in these papers for their best practices are having their practices formally evaluated as required for 1115 demonstration waivers. As results of those evaluations become available, our recommendations may be modified. On the other hand, early results of evaluations have not been directed toward rural issues. It is our hope that Program Directors, policy makers, and practitioners can make use of the information in these papers, in the absence of rural-focused evaluation results. Such users may wish to contact the respective authors for the most current information on a specific practice. We expect that these programs will continue to be works in progress, with constant innovation and modification to meet the changing needs of Medicaid enrollees, and to respond to other policy initiatives such as welfare reforms, children's health insurance plans (CHIPs), and other legislative, organizational, and financing changes.
Download or read book Rural Health Care Reform written by United States. Congress. House. Committee on Agriculture and published by . This book was released on 1994 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Future of the Nursing Workforce in the United States written by Peter Buerhaus and published by Jones & Bartlett Publishers. This book was released on 2009-10-06 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
Download or read book Rural Health Care Issues written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1997 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt:
