Download or read book The 2009 Health Confidence Survey written by Paul Fronstin and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper presents findings from the 2009 Health Confidence Survey (HCS), the 12th wave of an annual survey that examines a broad spectrum of health care issues, including Americans' satisfaction with health care today, their confidence in the future of the health care system and the Medicare program, and their attitudes toward health care reform. Findings from the 2009 Health Confidence Survey indicate that Americans have already formed strong opinions regarding various aspects of health reform, even before details have been released regarding various key factors. These issues include health insurance market reform, the availability of a public plan option, mandates on employers and individuals, subsidized coverage for the low-income population, changes to the tax treatment of job-based health benefits, and regulatory oversight of health care. These opinions may change as details surface, especially as they concern financing options. In the absence of such details, the 2009 HCS finds generally strong support for the concepts of health reform options that are currently on the table. Individuals with employment-based health benefits are confident that employers will continue to offer such benefits. They are much less confident that they would be able to afford coverage on their own, even if employers gave them the money they currently spend on health benefits. Those experiencing health cost increases tend to say these increases have negatively affected their household finances. In particular, they indicate that increased health care costs have resulted in a decrease in contributions to a retirement plan (32 percent) and other savings (53 percent) and in difficulty paying for basic necessities (29 percent) and other bills (37 percent). Many consumers report they are changing the way they use the health care system in response to rising health care costs. Roughly 80 percent of those with higher out-of-pocket expenses say these increased costs have led them to try to take better care of themselves and choose generic drugs more often. One-quarter also say they did not fill or skipped doses of their prescribed medications in response to increased costs.
Download or read book The Robert Wood Johnson Foundation Health Care Consumer Confidence Index written by and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Robert Wood Johnson Foundation Health Care Consumer Confidence Index (RWJF Index) is a monthly survey that evaluates consumer confidence in American health care. The RWJF Index is created from data collected by the Surveys of Consumers, a monthly survey of 500 households conducted by the Survey Research Center at the University of Michigan. Analysis of the data is provided by the University of Minnesotaâ€TMs State Health Access Data Assistance Center (SHADAC). The RWJF Index in May 2009 ranges from 0 to 200. Baseline was established at 100 in spring 2009. Highlights show: * Dramatic differences in confidence among insured and uninsured people. Insured people have health care confidence index of 104.1 points, compared with 57.3 points for the uninsured. There is virtually no difference in the indices for people who are privately insured (105.6 points), versus those insured through government insurance programs, such as Medicaid and Medicare (103.5 points). * People are afraid of losing their insurance in coming year. Nearly one in four people (23.6%) fear losing their health insurance at some point in the next 12 months. * Americans are worried about being able to afford future care. Nearly half of all Americans (46.0%) are worried that they will not be able to pay for their future health care needs. * People are skipping needed medical care. Nearly a quarter (22.4%) report that they or a family member delayed seeing a doctor when it was necessary because of concerns about cost over the past year. * Americans are having trouble paying their medical bills. One in four people (22.7%) report having had trouble paying medical bills during the past year.
Download or read book The Robert Wood Johnson Foundation Health Care Consumer Confidence Index written by and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Robert Wood Johnson Foundation Health Care Consumer Confidence Index (RWJF Index) found that Americansâ€TM confidence in their health insurance coverage and access to health care dropped in July. The RWJF Index fell 5.2 points last month to 97.2, down from the June confidence level of 102.3. Medicare-eligible seniors reported the highest RWJF Index score of any age group in July (106.8), but the survey also found the largest drop in confidence to be amongst individuals 65 years of age and older. Seniors reported a 10.4 point drop in their confidence level during the month. Individuals age 50-64 had the lowest confidence level. Last month the confidence level for that group fell 4.4 points from 95.1 points in June to 90.7 in July. Other highlights: * 51.9% of people are worried that they will not be able to pay for their future health care needs in the event of a serious illness. * 47.1% are worried that they will not be able to afford all of the routine health care services they need. * 35.6% are concerned they will not be able to afford future prescriptions. * 29.6% report being worried that they will go bankrupt from not being able to pay their medical bills. * 20.1% report that they or a family member delayed needed medical care in the past year due to cost. * 17.4% are worried they will lose coverage because they will not be able to afford the increasing costs of their current coverage. The Robert Wood Johnson Foundation Health Care Consumer Confidence Index (RWJF Index) is a monthly survey that evaluates consumer confidence in American health care. The RWJF index is created by the University of Minnesota's State Health Access Data Assistance Center (SHADAC) using data collected as part of the Surveys of Consumers, conducted by the Survey Research Center at the University of Michigan.
Download or read book 2010 Health Confidence Survey written by Paul Fronstin and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper presents results from the 2010 Health Confidence Survey (HCS), the 13th wave of an annual survey to assess the attitudes of the American public regarding the health care system in the United States. While confidence regarding various aspects of today's health care system is not high, it has neither fallen nor increased as a result of passage of health reform. Among its key findings: The HCS was conducted two months after the passage of health reform, and finds that dissatisfaction with the American health care system remains widespread. A majority of Americans rate the health care system as poor (27 percent) or fair (31 percent). Confidence about various aspects of today's health care system has remained fairly level despite passage of health reform. More than one-half report being extremely or very confident that they are able to get the treatments they need. Confidence in having enough choice about who provides medical care is largely unchanged from 2009 levels. The percentage of individuals who say they are extremely confident that they are able to afford health care without financial hardship increased from 11 percent to 16 percent between 2009 and 2010. Americans' ratings of their own health plan are generally favorable. Fifty-eight percent of those with health insurance coverage are extremely or very satisfied with their current plan, and 30 percent are somewhat satisfied. Satisfaction with health care quality continues to remain fairly high, with 59 percent of Americans saying they are extremely or very satisfied with the quality of the medical care they have received in the past two years. This is the highest level of satisfaction reported since the HCS was started in 1998. In contrast, just 22 percent are extremely or very satisfied with the cost of their health insurance, and only 19 percent are satisfied with the cost of health care services not covered by insurance. Confidence in the future availability of employment-based health benefits fell. In 2010, 52 percent of individuals with employment-based coverage reported that they were extremely or very confident that their (or their spouse's) employer or union would continue to offer health insurance, down from 59 percent in 2009. The decline may be due to passage of health reform, the continuing weak economy, or both. Many Americans see themselves as good consumers of the health care system. Three-quarters report that they always or often have their doctor or medical professional explain to them why a test was needed, and two-thirds say they ask their doctor about the risks of treatment or side effects of medications. Slightly more than one-half indicate they ask about the success rate of the treatment option. Many Americans have tried to find objective information about various aspects of health care. Nearly one-half tried to find information on the advantages and disadvantages of different treatment options, whereas 1 in 3 tried to find information about a doctor's training and the costs of different treatments. When it comes to the recently passed Patient Protection and Affordable Care Act of 2010 (PPACA), most Americans do not know when the legislation takes full effect. The PDF for the above title, published in the September 2010 issue of EBRI Notes, also contains the fulltext of another September 2010 EBRI Notes article abstracted on SSRN: “Retirement Income Adequacy for Today's Workers: How Certain, How Much Will It Cost, and How Does Eligibility for Participation in a Defined Contribution Plan Help?”
Download or read book Trends in Satisfaction and Confidence in Health Care by Insurance and Health Status written by Paul Fronstin and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In general, Americans support concepts that are on the table for health reform. For instance, a majority either strongly or somewhat support health insurance market reform, the availability of a public plan option, mandates on employers and individuals, and expansion of public programs to cover more of the uninsured. When the implications of health reform are raised in public opinion polls, support for health reform drops. This paper examines public opinion by insurance status and health status, using data from the 2009 EBRI/Mathew Greenwald & Associates Health Confidence Survey. It finds that the uninsured are more likely than individuals with insurance coverage to be dissatisfied with the quality of health care received and they are less confident in various aspects of health care. The gap in satisfaction and confidence has also grown over time. Similar differences in satisfaction and confidence are found by health status. While these sharp differences in attitudes are not surprising, shoring up the system for the uninsured and individuals with chronic conditions means changing the health care system for everyone - notably for those with insurance coverage and in good health. Ultimately, will the needs of the few outweigh the satisfaction of the many? The PDF for the above title, published in the September 2009 issue of EBRI Notes, also contains the fulltext of another September 2009 EBRI Notes article abstracted on SSRN: "Social Security Reform: How Different Options Might Affect Future Funding."
Download or read book Measures of Health Literacy written by Institute of Medicine and published by National Academies Press. This book was released on 2009-12-30 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health literacy-the ability for individuals to obtain, process, and understand basic health information and services to facilitate appropriate health decisions-is increasingly recognized as an important facet of health care and health outcomes. Although research on health literacy has grown tremendously in the past decade, there is no widely agreed-upon framework for health literacy as a determinant of health outcomes. Most instruments focus on assessing an individual's health literacy, yet the scope of health literacy reaches far beyond an individual's skills and abilities. Health literacy occurs in the context of the health care system, and therefore measures of health literacy must also assess the demands and complexities of the health care systems with which patients interact. For example, measures are needed to determine how well the system has been organized so that it can be navigated by individuals with different levels of health literacy and how well health organizations are doing at making health information understandable and actionable. To examine what is known about measures of health literacy, the Institute of Medicine convened a workshop. The workshop, summarized in this volume, reviews the current status of measures of health literacy, including those used in the health care setting; discusses possible surrogate measures that might be used to assess health literacy; and explores ways in which health literacy measures can be used to assess patient-centered approaches to care.
Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Download or read book Taking Action Against Clinician Burnout written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-02 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Download or read book Beyond the HIPAA Privacy Rule written by Institute of Medicine and published by National Academies Press. This book was released on 2009-03-24 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.
Download or read book Health Literacy written by Who Regional Office for Europe and published by . This book was released on 2013 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: As societies grow more complex and people are increasingly bombarded with health information and misinformation, health literacy becomes essential. People with strong health literacy skills enjoy better health and well-being, while those with weaker skills tend to engage in riskier behavior and have poorer health. With evidence from the recent European Health Literacy Survey, this report identifies practical and effective ways public health and other sector authorities and advocates can strengthen health literacy in a variety of settings, including educational settings, workplaces, marketplaces, health systems, new and traditional media and political arenas. The report can be used as a tool for spreading awareness, stimulating debate and research and, above all, for informing policy development and action.
Download or read book Health Care Turning Point written by Roger M. Battistella and published by MIT Press. This book was released on 2012-02-10 with total page 187 pages. Available in PDF, EPUB and Kindle. Book excerpt: An expert debunks popular misconceptions about health policy, including the merits of single-payer plans, and offers an alternative. In the battle over health care reform we can try to fashion new policies based on old ideas—or we can acknowledge today's demographic and economic realities. In Health Care Turning Point, health policy expert Roger Battistella argues that the conventional wisdom that dominates health policy debates is out of date. Battistella takes on popular misconceptions about the advantages of single-payer plans, the role of the market, and other health policy issues and outlines a pragmatic new approach. Few would disagree that the current system is broken. But, Battistella asserts provocatively, a government takeover of health insurance patterned after Medicare and Medicaid won't work either. Battistella argues that contrary to popular belief, single-payer coverage will not lower health spending but would encourage overconsumption and drive costs up. If consumers were responsible for buying their own health insurance (as they are for buying their own car and home insurance), he argues, they'd look for value and demand greater price and quality transparency from providers. The economic shibboleth that the principles of market competition don't apply to health care is nonsense, Battistella says. We won't achieve real health care reform until policy makers adjust to this reality and adopt a more pragmatic view.
Download or read book Finding What Works in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-20 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Download or read book The Nation s Health Care Bill written by Jerry Cromwell and published by RTI Press. This book was released on 2013-07-28 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the past 50 years, spending on health care services—by households, private businesses, and state and federal governments—increased dramatically and now approaches one out of every five dollars spent in the United States. The benefits of health care spending have not been distributed equally across the population, with less going to a growing number of uninsured people. Moreover, the United States does not realize proportional value for its spending on health care. It spends more per capita than any of six other industrialized countries but ranks below them on measures of health care quality, efficiency, and equity. Unable to sustain rising contributions to health insurance, employers are shifting more of the cost to workers, thereby increasing the number who cannot afford coverage. Federal, state, and local governments have taken on some of these costs by subsidizing the health services of elderly, disabled, and poor people. Health spending, once a small fraction of the federal budget, now exceeds spending on defense or Social Security. State and local governments now devote more of their own taxes to health care than to elementary and secondary education, despite the federal government’s paying for the majority of Medicaid spending. The data in this chartbook indicate that the financial burden of health care spending presents a disproportionate burden on uninsured and sick people, small businesses, and low-wage workers. In addition to the magnitude and maldistribution of health spending, society’s “opportunity costs” are high: Private businesses, households, and state and federal governments could have made other highly productive purchases had health spending not exceeded economy-wide growth. For the government, health care spending decreases the money available for other investments, such as education, infrastructure, and debt reduction. As health costs increase and the population ages, the historical reallocation of US productive capacity to health care is unsustainable. With pressing needs elsewhere, the country must make the health system more efficient, equitable, and affordable. Passage of the Patient Protection and Affordable Care Act (ACA) by Congress in 2010 was a comprehensive step to contain health care costs, particularly for families, while extending health care coverage to millions of uninsured people. The potential benefits of the ACA include better access to health professionals and prescription drugs, decreased medical debt and fewer subsequent bankruptcy filings, and lower labor costs for small businesses. Constrained health care spending will allow businesses and government to make more cost-effective investments elsewhere without raising prices or burdening taxpayers. With this chartbook as a baseline, users can monitor changes that result from the ACA and take future steps to enhance the cost-effectiveness of the US health care system.
Download or read book Handbook of EHealth Evaluation written by Francis Yin Yee Lau and published by . This book was released on 2016-11 with total page 487 pages. Available in PDF, EPUB and Kindle. Book excerpt: To order please visit https://onlineacademiccommunity.uvic.ca/press/books/ordering/
Download or read book Principles of Health Interoperability written by Tim Benson and published by Springer. This book was released on 2016-06-22 with total page 461 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an introduction to health interoperability and the main standards used. Health interoperability delivers health information where and when it is needed. Everybody stands to gain from safer more soundly based decisions and less duplication, delays, waste and errors. The third edition of Principles of Health Interoperability includes a new part on FHIR (Fast Health Interoperability Resources), the most important new health interoperability standard for a generation. FHIR combines the best features of HL7’s v2, v3 and CDA while leveraging the latest web standards and a tight focus on implementability. FHIR can be implemented at a fraction of the price of existing alternatives and is well suited for use in mobile phone apps, cloud communications and EHRs. The book is organised into four parts. The first part covers the principles of health interoperability, why it matters, why it is hard and why models are an important part of the solution. The second part covers clinical terminology and SNOMED CT. The third part covers the main HL7 standards: v2, v3, CDA and IHE XDS. The new fourth part covers FHIR and has been contributed by Grahame Grieve, the original FHIR chief.
Download or read book EBRI Notes written by and published by . This book was released on 2009 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Policy and Politics in Nursing and Healthcare Revised Reprint E Book written by Diana J. Mason and published by Elsevier Health Sciences. This book was released on 2013-10-01 with total page 829 pages. Available in PDF, EPUB and Kindle. Book excerpt: Featuring analysis of healthcare issues and first-person stories, Policy & Politics in Nursing and Health Care helps you develop skills in influencing policy in today’s changing health care environment. 145 expert contributors present a wide range of topics in policies and politics, providing a more complete background than can be found in any other policy textbook on the market. Discussions include the latest updates on conflict management, health economics, lobbying, the use of media, and working with communities for change. The revised reprint includes a new appendix with coverage of the new Affordable Care Act. With these insights and strategies, you’ll be prepared to play a leadership role in the four spheres in which nurses are politically active: the workplace, government, professional organizations, and the community. Up-to-date coverage on the Affordable Care Act in an Appendix new to the revised reprint. Comprehensive coverage of healthcare policies and politics provides a broader understanding of nursing leadership and political activism, as well as complex business and financial issues. Expert authors make up a virtual Nursing Who's Who in healthcare policy, sharing information and personal perspectives gained in the crafting of healthcare policy. Taking Action essays include personal accounts of how nurses have participated in politics and what they have accomplished. Winner of several American Journal of Nursing "Book of the Year" awards! A new Appendix on the Affordable Care Act, its implementation as of mid-2013, and the implications for nursing, is included in the revised reprint. 18 new chapters ensure that you have the most up-to-date information on policy and politics. The latest information and perspectives are provided by nursing leaders who influenced health care reform with the Patient Protection and Affordable Care Act of 2010.
