Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




Reason for Being


Book Description

In Reason for Being, the creative theologian and sociologist Jacques Ellul—whom John Goldingay described as “unexcelled as a theological exegete of the Old Testament” among twentieth-century thinkers—invites readers directly to the heart of his engagement with the biblical text. Intended as his concluding “last word,” Ellul here distills a half-century of careful meditations on Ecclesiastes into a moving treatise on wisdom, vanity, and the presence of God. Ellul follows the narrator, Qohelet, on an ironic path to the limits of human wisdom, a path which ends with wisdom’s recognition of its own vanity. This would lead to despair over the meaninglessness of our accomplishments and our very lives—if not for the surprising presence of God, who shows up when we least expect it. In the poetic prose of translator Joyce Main Hanks, Ellul’s Reason for Being resounds as an arresting interrogation, an invitation to honest self-examination, and a challenge to free dialogue with God here and now.




Being Realistic about Reasons


Book Description

Is what we have reason to do a matter of fact? If so, what kind of truth is involved, how can we know it, and how do reasons motivate and explain action? In this concise and lucid book T.M. Scanlon offers answers, with a qualified defence of normative cognitivism - the view that there are normative truths about reasons for action.




Being the Cause: A User Guide to Responsible Living


Book Description

"This is the best self-improvement book on the market!" is the summation for all of the five star ratings on Amazon. Although countless self-help books have been written, none have been able to translate psychological theory into practical, day-to-day application as well as this one does. By integrating Eastern and Western philosophy with science and religion, "Being the Cause" provides a concise, easy-to-read guide for living. Dr. Durst promotes the concept that we are 100% responsible for everything in our experience and for our reactions to life's events. Assuming the "Cause" position ("I am responsible for my life and experiences") rather than an "Effect" position, (They are are doing it to me") is a break through moment for people. This focus provides not only increased knowledge, but also the impetus to change. In so doing, it directs us to greater insight, satisfaction and fulfillment.




Social Isolation and Loneliness in Older Adults


Book Description

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.










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.




Taking Action Against Clinician Burnout


Book Description

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.




The Categories


Book Description

Reproduction of the original.