Christian Tömmel

importance of health care delivery system

Accessed March 2, 2002. MyNAP members SAVE 10% off online. Psychiatric Services 52(1):87–91. The economic burden of schizophrenia: conceptual and methodological issues, and cost estimates. Brodie M, Foehr U, Rideout V, Baer N, Miller C, Flournoy R, Altman D. 2001. Impact of disseminating quality improvement programs for depression in managed primary care: a randomized controlled trial. Sturm R, Wells K. 2000. Some of the motivation comes from the increasing pressure on nonprofit hospitals to justify their tax-exempt status through the provision of services that benefit the community, largely the provision of charity care; yet, many are seeing that investments in community health improvement are greater in value than the provision of medical care for preventable diseases (Barnett and Torres, 2001). Box 5–4 lists the preventive services currently covered by Medicare. The health care delivery system has been criticized for its “culture of blame” in which culpability for failure has been attributed to the human elements of the system: People make errors; therefore people must change their behavior to reduce errors. There is little ability to use data systems, shared protocols, or peer pressure to improve quality and reduce variations in health care practices. 2002a. Prepared for the Henry J. Kaiser Family Foundation by the Economic and Social Research Institute. Collect and report data on health care access and utilization by patients’ race, ethnicity, socioeconomic status, and, where possible, primary language. Stage at diagnosis in breast cancer: race and socioeconomic factors. Washington, DC: NASBO and National Governors’ Association. The U.S. Preventive Services Task Force (USPSTF), a panel of experts convened by the U.S. Public Health Service, has endorsed a core set of clinical preventive services for asymptomatic individuals with no known risk factors. Journal of the American Medical Association 280(15):1311–1316. Although this committee was not constituted to investigate or make recommendations regarding the serious economic and structural problems confronting the health care system in the United States, it concluded that it must examine certain issues having serious implications for the public health system’s effectiveness in promoting the nation’s health. Rabinowitz J, Bromet EJ, Lavelle J, Hornak KJ, Rosen B. An employer may choose from several different ways to put money into a health benefits account for each employee and offer the employee a menu of coverage options, with different funding levels and employee financial responsibility for each. Health care utilization among Hispanics: findings from the 1994 Minority Health Survey. In the health care delivery system, patients and research subjects have the right to control what is done for or to them, respectively. The committee discusses the extent of this separation and the particular need for better collaboration, especially in regard to assuring access to health care services, disease surveillance activities, and partnerships toward broader health promotion efforts. Health Resources and Services Administration and the North Carolina Rural Health Research and Policy Analysis Program, the Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill. The pattern for adults is similar (DHHS, 2000b: 63–64). Health Services Research 34(6):1331–1350. In many jurisdictions, this default is already occurring, consuming resources and impairing the ability of governmental public health agencies to perform other essential tasks. Children’s Health under Medicaid: A National Review of Early Periodic Screening, Diagnosis and Treatment. American Journal of Managed Care 6:355–364. Wagner and colleagues (1996) identified five elements required to improve outcomes for chronically ill patients: Reorganization of practices to meet the needs of patients who require more time, a broad array of resources, and closer follow-up. Fennell, in International Encyclopedia of the Social & Behavioral Sciences, 2001. Systems and protocols for linking health care providers and governmental public health agencies are vital for detecting emerging health threats and supporting appropriate decisions by all parties.

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, Owner: Christian Tömmel (Registered business address: Germany), processes personal data only to the extent strictly necessary for the operation of this website. All details in the privacy policy.