[PDF] Report Of The Committee On Integration Of Health Services eBook

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 195 pages
File Size : 24,47 MB
Release : 2020-01-30
Category : Medical
ISBN : 0309493439

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Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

Author : National Academies of Sciences, Engineering, and Medicine
Publisher :
Page : 448 pages
File Size : 36,36 MB
Release : 2021-06-30
Category :
ISBN : 9780309685108

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High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels. Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 212 pages
File Size : 12,90 MB
Release : 2012-07-19
Category : Medical
ISBN : 0309255201

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Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 359 pages
File Size : 35,16 MB
Release : 2001-07-19
Category : Medical
ISBN : 0309132967

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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 536 pages
File Size : 15,24 MB
Release : 2003-02-01
Category : Medical
ISBN : 0309133181

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The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Author : National Research Council
Publisher : National Academies Press
Page : 202 pages
File Size : 44,96 MB
Release : 2011-06-22
Category : Medical
ISBN : 0309212405

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In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost. Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book's recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives. Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers.

Author : Kesavan Rajasekharan Nayar
Publisher : Lexington Books
Page : 181 pages
File Size : 48,33 MB
Release : 2014-07-02
Category : Political Science
ISBN : 0739192078

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The book undertakes a critical examination of health service development in India and provides an explanation of its underdevelopment. It analyzes the trajectory of health services development in India and dissects the roles of various actors which shape that process viz. the State, civil society, and the people. It helps you to arrive at a less ambiguous analytical paradigm regarding a complex scenario discernible in a country like India where diversities across regions and states make it difficult to advance a pan Indian framework, strategy, or theory.

Author : Irene Dankwa-Mullan
Publisher :
Page : pages
File Size : 13,57 MB
Release : 2012
Category :
ISBN :

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"The fıelds of primary care and public health in the U.S. have for the last century generally functioned independently of each other. This is not optimal; our current health challenges require improved efforts to work together in an integrated fashion to address the root causes of illness and prevent additional cases of disease, and to make the default choice a healthy one. Effective support of healthy behaviors will require coordination of the work of clinicians, particularly primary care clinicians, with public health agencies, schools, businesses, and community groups to better utilize community resources. In such an integrated system, primary care and public health work together to support individuals, families, patients and their caregivers, and to improve the health of individuals and populations (i.e., a true health system). How will health care in the U.S. evolve to become part of such a health system? On March 28, 2012, the IOM released the report 'Primary Care and Public Health: Exploring Integration to Improve Population Health' in which the Committee on Integrating Primary Care and Public Health reviewed promising models of primary care and public health integration, often with shared accountability for improved community and population health outcomes. From their review of numerous examples, the IOM committee developed a set of principles that they deem essential for successful integration of primary care and public health: 1. a shared goal of population health improvement; 2. community engagement in defıning and addressing population health needs; 3. aligned leadership; 4. sustainability, including shared infrastructure; and 5. sharing and collaborative use of data and analysis. The IOM report notes that integration can start with any of these principles and that starting is more important than waiting until all are in place. This online-only jointly-published supplement complements the recent IOM study. Four agencies of the U.S. DHHS--the Agency for Healthcare Research and Quality (AHRQ), CDC, Health Resources and Services Administration (HRSA), and the National Institute on Minority Health and Health Disparities (NIMHD) of the NIH-- sponsored this supplement to showcase and support additional efforts in this critical area. A guest editor from each agency worked with editors and reviewers from the American Journal of Preventive Medicine (AJPM) and the American Journal of Public Health (AJPH) to select papers from among more than 125 submitted manuscripts. The articles included in this supplement--a fırst-time joint publication by AJPH and AJPM--highlight how these two sectors intersect and the work ahead to achieve true integration."--American journal of preventive medicine, p. S89; American journal of public health, p. S307-S308.