Description : The Health Care Safety Net in a Post-Reform World examines how national health care reform will impact safety net programs that serve low-income and uninsured patients. The “safety net” refers to the collection of hospitals, clinics, and doctors who treat disadvantaged people, including those without insurance, regardless of their ability to pay. Despite comprehensive national health care reform, over twenty million people will remain uninsured. And many of those who obtain insurance from reform will continue to face shortages of providers in their communities willing or able to serve them. As the demand for care grows with expanded insurance, so will the pressure on an overstretched safety net. This book, with contributions from leading health care scholars, is the first comprehensive assessment of the safety net in over a decade. Rather than view health insurance and the health care safety net as alternatives to each other, it examines their potential to be complementary aspects of a broader effort to achieve equity and quality in health care access. It also considers whether the safety net can be improved and strengthened to a level that can provide truly universal access, both through expanded insurance and the creation of a well-integrated and reasonably supported network of direct health care access for the uninsured. Seeing safety net institutions as key components of post-health care reform in the United States—as opposed to stop-gap measures or as part of the problem—is a bold idea. And as presented in this volume, it is an idea whose time has come.
Description : Public health efforts have resulted in tremendous improvements in the health of individuals and communities. The foundation for effective public health interventions rests, in large part, on a well-trained workforce. Unfortunately there is a major shortage of public health physicians who are prepared to face today's public health challenges. Training Physicians for Public Health Careers focuses on the critical roles that physicians play in maintaining and strengthening the public health system, identifies what these physicians need to know to engage in effective public health actions, explores the kinds of training programs that can be used to prepare physicians for public health roles, and examines how these training programs can be funded. Medical schools, schools of public health, health care and public health care professionals, medical students and students of public health will find this of special interest.
Description : This is the companion to the comprehensive review of national health systems presented in Volume I. In that volume, the author analyzed the resources, organization, financing, management, and delivery of health services in 68 countries at diverse levels of economic development and political ideology. In Volume II, the principal issues in health systems across countries are carefully examined. These issues are categorized according to the several components by which national health systems may be analyzed. In the general field of health resources, Roemer discusses physicians and traditional healers, nurses, pharmacists, auxiliary health personnel, the background and distribution of hospitals and health centers, and the production and consumption of drugs. The sections of this important work elucidate the various issues surrounding the world's health systems. The scope and functions of Ministries of Health and social security programs for health care in different types of health systems are reviewed. The book recognizes the contributions of voluntary health agencies, as well as the characteristics of major services in the private sector of national economies. The serious implications of private profit in health systems and the benefits and difficulties of private/public sector relationships are also examined. This authoritative volume presents a global analyzation of economic and management support for national health systems including a discussion of world-wide expenditures according to the source of financing and the purposes for which money is spent. Special attention is also given to experiences in the delivery of health service including ambulatory and primary care, and equivalent analyses are made of world-wide delivery of hospital services, regionalization, and long-term care. Volume II concludes with a review of international health activities from the 19th century International Sanitary Conferences up to the present era of the World Health Organization. This critical work probes the political factors involved in this evolution. The last chapter summarizes major social trends in society, along with major trends in the health system components: resources, programs, economic support, management, and delivery of services.
Description : The New Public Health has established itself as a solid textbook throughout the world. Translated into 7 languages, this work distinguishes itself from other public health textbooks, which are either highly locally oriented or, if international, lack the specificity of local issues relevant to students' understanding of applied public health in their own setting. This 3e provides a unified approach to public health appropriate for all masters' level students and practitioners—specifically for courses in MPH programs, community health and preventive medicine programs, community health education programs, and community health nursing programs, as well as programs for other medical professionals such as pharmacy, physiotherapy, and other public health courses. Changes in infectious and chronic disease epidemiology including vaccines, health promotion, human resources for health and health technology Lessons from H1N1, pandemic threats, disease eradication, nutritional health Trends of health systems and reforms and consequences of current economic crisis for health Public health law, ethics, scientific d health technology advances and assessment Global Health environment, Millennium Development Goals and international NGOs