U.S. Health in International Perspective


Book Description

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.




Russian and Soviet Health Care from an International Perspective


Book Description

This collection compares Russian and Soviet medical workers – physicians, psychiatrists and nurses, and examines them within an international framework that challenges traditional Western conceptions of professionalism and professionalization through exploring how these ideas developed amongst medical workers in Russia and the Soviet Union. Ideology and everyday life are examined through analyses of medical practice while gender is assessed through the experience of women medical professionals and patients. Cross national and entangled history is explored through the prism of health care, with medical professionals crossing borders for a number of reasons: to promote the principles and advancements of science and medicine internationally; to serve altruistic purposes and support international health care initiatives; and to escape persecution. Chapters in this volume highlight the diversity of experiences of health care, but also draw attention to the shared concerns and issues that make science and medicine the subject of international discussion.




Crossing the Global Quality Chasm


Book Description

In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.




International Perspectives on Public Health and Palliative Care


Book Description

Public health approaches to palliative care have been growing in policy importance and practice acceptance. This innovative volume explores the major concepts, practice examples, and practice guidelines for this new approach. The goal of ‘comprehensive care’ – seamless support for patients as they transition between home based care and inpatient services – relies on the principles of health promotion and community development both to ensure services are available and importantly appropriate for patients’ needs. In developing contexts, where hospitals and hospices may be inaccessible, a public health approach provides not only continuity of care but greater access to good end of life care. This book provides both a historical and conceptual overview whilst offering practical case examples from affluent and developing contexts, in a range of clinical settings. Finally, it draws together research-based guidelines for future practice. Essential reading for public health researchers and practitioners with an interest in end of life care and global health as well as those involved in developing palliative care provision, International Perspectives on Public Health and Palliative Care is the first volume to present an overview of theory and practice in this emerging field.




International Perspectives on Social Work in Health Care


Book Description

Academics and practitioners discuss what managed care, cost containment, corporatization, and pre-payment portend for the field of social work, in papers from a January 1995 conference. Papers are arranged in sections on health policy and social work, social work practice issues in health, developments in health social work research, and social work administration in changing health care organizations, with section introductions. Topics include HIV programs for adolescents, the role of research in health and mental health social work, and hospital social work and community care. Annotation copyrighted by Book News, Inc., Portland, OR




Global Perspectives on Social Capital and Health


Book Description

This book is a follow up to Social Capital and Health (2008), edited by Kawachi, Subramanian & Kim. Global Perspectives on Social Capital and Health provides a timely update on emerging topics in a fast-growing field, and features contributions from an outstanding international team of scholars, selected from a diverse range of disciplinary backgrounds including: social epidemiology, medical geography, social psychology, social welfare and gerontology, pediatrics, political science, economics, and medical sociology. The book is organized in three parts: Part 1. Emerging directions in social capital research. This section highlights novel directions in social capital research. These include: a) novel settings for conducting research on social capital (workplaces, schools), b) new approaches for causal inference in social capital (instrumental variable analysis, twin fixed effects designs); c) cutting-edge directions for social capital research, including studies of the origins of community social capital, the use of social network analysis to investigate social capital, and novel methods for investigating the link between social capital and crime. Part 2. Social capital and health policy. The three chapters in this section highlight implications of social capital for interventions and health policy. Part 3. Social capital and health in global perspective The four chapters in this section look at research on social capital and health from a global perspective. The authors summarize the empirical studies on social capital and health conducted in each country/region, or each population group; discuss how the concept of social capital “translates” across different cultures; and identify challenges and future directions for research.




Health Economics


Book Description

This popular textbook provides a comprehensive but accessible coverage of health economic principles and applications. It provides an introduction for those with no previous knowledge of economics, but also more advanced material suitable for those with a background in economics. Now into its second edition, Barbara McPake and Charles Normand have incorporated developments in economic evaluation and economics of health systems from recent research and experience while retaining an accessible approach and style. The book starts with a section on basic economic principles as applied to health and health care, and goes on to discuss economic evaluation in health care, the economics of health systems and health care finance. Examples and illustrations are taken from a wide range of settings and world regions, reflecting the authors¿ belief that the same principles apply, and that it is useful to have some understanding of how different countries organise the health system. It provides an understanding of the performance of different health systems from the insurance based approaches in the United States to government funding that is common in Canada and most countries in Europe, and the mixed systems that operate in most low-income countries. This book is ideal for students in public health and related courses, for health care professionals and those studying health economics at a more advanced level.




Support Workers and the Health Professions in International Perspective


Book Description

Health care support workers (HSWs) play a fundamental role in international health care systems, and yet they remain largely invisible. Despite this, the number of HSWs is growing fast as governments strive to combat illness and address social care issues in a world of finite resources. This original collection analyses the global experience of HSWs in the UK, Japan, Australia, Brazil, Canada, Portugal, Sweden and The Netherlands. Leading academics examine issues including the interface of HSWs with the health professions, regulatory practice risks, employment challenges and the dilemmas of an ageing population. Crucial future policy recommendations are also made for a world becoming increasingly dependent on HSWs.




Explaining Divergent Levels of Longevity in High-Income Countries


Book Description

During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.




Which Country Has the World's Best Health Care?


Book Description

The preeminent doctor and bioethicist Ezekiel Emanuel is repeatedly asked one question: Which country has the best healthcare? He set off to find an answer. The US spends more than any other nation, nearly $4 trillion, on healthcare. Yet, for all that expense, the US is not ranked #1 -- not even close. In Which Country Has the World's Best Healthcare? Ezekiel Emanuel profiles eleven of the world's healthcare systems in pursuit of the best or at least where excellence can be found. Using a unique comparative structure, the book allows healthcare professionals, patients, and policymakers alike to know which systems perform well, and why, and which face endemic problems. From Taiwan to Germany, Australia to Switzerland, the most inventive healthcare providers tackle a global set of challenges -- in pursuit of the best healthcare in the world.