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Organizational Fragmentation and Care Quality in the U.S. Health Care System

Randal Cebul, James B. Rebitzer, Lowell J. Taylor, and Mark Votruba

in The Fragmentation of U.S. Health Care: Causes and Solutions

Published in print:
2010
Published Online:
May 2010
ISBN:
9780195390131
eISBN:
9780199775934
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195390131.003.003
Subject:
Law, Medical Law

The financing and provision of health care in the United States is distributed across many distinct organizations, each with its own objectives, obligations and capabilities. These fragmented ... More


Assessing Health-Care System Performance against the Four Core Aims of Health-Care Policy

Gunnar Almgren

in Health Care as a Right of Citizenship: The Continuing Evolution of Reform

Published in print:
2017
Published Online:
January 2019
ISBN:
9780231170130
eISBN:
9780231543316
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231170130.003.0007
Subject:
Political Science, Public Policy

Previous chapters have provided the historical context and the justification for a set of four core aims of health care policy in light of the requisites of citizenship in a democratic society, and ... More


Quality control, safety, and better practice

John Wright

in Public Health: An action guide to improving health

Published in print:
2010
Published Online:
May 2010
ISBN:
9780199238934
eISBN:
9780191716621
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199238934.003.16
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter discusses the following topics: aspects of quality in health; quality improvement methods; clinical audit; patient safety; evidence-based practice; clinical guidelines; and getting ... More


Health Services Research in Neurology

Lorene M. Nelson, Caroline M. Tanner, Stephen K. Van Den Eeden, and Valerie M. McGuire

in Neuroepidemiology: From principles to practice

Published in print:
2004
Published Online:
September 2009
ISBN:
9780195133790
eISBN:
9780199863730
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195133790.003.18
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter covers the principles of health services research, which is critical for understanding and reducing the burden of neurological disease across populations. The goal of neurologic health ... More


Introduction: The History, Policies, and Structures That Shape Health Care Regulation

Robert I. Field

in Health Care Regulation in America: Complexity, Confrontation, and Compromise

Published in print:
2006
Published Online:
September 2009
ISBN:
9780195159684
eISBN:
9780199864423
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195159684.003.0001
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter presents background on the nature of health policy and the role of regulation in translating policy into action. It describes the fundamental policy goals of improving quality, enhancing ... More


More than Ramps: A Guide to Improving Health Care Quality and Access for People with Disabilities

Lisa I. Iezzoni and Bonnie L. O'Day

Published in print:
2006
Published Online:
September 2009
ISBN:
9780195172768
eISBN:
9780199865710
Item type:
book
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195172768.001.0001
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

Nearly 20% of Americans live today with some disability, and this number will grow as the “baby boomers” age. Despite this, the U.S. health care system is ill equipped to provide optimal, safe, and ... More


Challenges to Interpersonal Communication

Lisa I. Iezzoni and Bonnie L. O'Day

in More than Ramps: A Guide to Improving Health Care Quality and Access for People with Disabilities

Published in print:
2006
Published Online:
September 2009
ISBN:
9780195172768
eISBN:
9780199865710
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195172768.003.0006
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter starts by describing the importance of interpersonal communication and relationships between patients and clinicians for ensuring high quality health care, drawing upon numerous studies ... More


Finding Care

Lisa I. Iezzoni and Bonnie L. O'Day

in More than Ramps: A Guide to Improving Health Care Quality and Access for People with Disabilities

Published in print:
2006
Published Online:
September 2009
ISBN:
9780195172768
eISBN:
9780199865710
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195172768.003.0004
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter explores how persons with disabilities find doctors and other health care professionals to provide primary and specialty care. It presents information about health care services used by ... More


Self-Management and Advocacy

Lisa I. Iezzoni and Bonnie L. O'Day

in More than Ramps: A Guide to Improving Health Care Quality and Access for People with Disabilities

Published in print:
2006
Published Online:
September 2009
ISBN:
9780195172768
eISBN:
9780199865710
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195172768.003.0011
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

Shifting the paradigm of care from traditional roles of clinicians directing patients to a model of collaboration in care has gained currency as a strategy for improving both health care quality and ... More


Roots of the Problem

Lisa I. Iezzoni and Bonnie L. O'Day

in More than Ramps: A Guide to Improving Health Care Quality and Access for People with Disabilities

Published in print:
2006
Published Online:
September 2009
ISBN:
9780195172768
eISBN:
9780199865710
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195172768.003.0001
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This introductory chapter provides demographic information about the prevalence of disability among U.S. residents and outlines population trends suggesting rising numbers of persons with ... More


Improving Patient-Clinician Communication

Lisa I. Iezzoni and Bonnie L. O'Day

in More than Ramps: A Guide to Improving Health Care Quality and Access for People with Disabilities

Published in print:
2006
Published Online:
September 2009
ISBN:
9780195172768
eISBN:
9780199865710
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195172768.003.0012
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter offers suggestions for improving open and effective patient-clinician communication. The first step involves training clinicians to recognize communication barriers. All members of ... More


Physician Pay for Performance: Alternative Perspectives

Brian R. Golden and Frank A. Sloan

in Incentives and Choice in Health Care

Published in print:
2008
Published Online:
August 2013
ISBN:
9780262195775
eISBN:
9780262283816
Item type:
chapter
Publisher:
The MIT Press
DOI:
10.7551/mitpress/9780262195775.003.0011
Subject:
Economics and Finance, Econometrics

This chapter examines the issue of paying more to physicians who perform better on some predetermined criteria. The debate is not about paying more for better service, but about whether the quality ... More


Clinical Competence and Technical Communication

Lisa I. Iezzoni and Bonnie L. O'Day

in More than Ramps: A Guide to Improving Health Care Quality and Access for People with Disabilities

Published in print:
2006
Published Online:
September 2009
ISBN:
9780195172768
eISBN:
9780199865710
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195172768.003.0008
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter explores communication between patients with disabilities and clinicians about “technical” matters—the purportedly objective “facts” that guide clinical decision making, such as ... More


Evidence-Based Medicine in Neurology

Lorene M. Nelson, Caroline M. Tanner, Stephen K. Van Den Eeden, and Valerie M. McGuire

in Neuroepidemiology: From principles to practice

Published in print:
2004
Published Online:
September 2009
ISBN:
9780195133790
eISBN:
9780199863730
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195133790.003.19
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter describes the principals and practice of evidence-based medicine (EBM), its limitations, and future directions for EBM. The goal of EBM is to provide high quality information in “real ... More


An Increased Threat of Lawsuits and Higher Premiums: The Consequences

A. Sloan Frank and M. Chepke Lindsey

in Medical Malpractice

Published in print:
2008
Published Online:
August 2013
ISBN:
9780262195720
eISBN:
9780262283809
Item type:
chapter
Publisher:
The MIT Press
DOI:
10.7551/mitpress/9780262195720.003.0003
Subject:
Economics and Finance, Public and Welfare

This chapter presents evidence on two of the five myths of medical malpractice listed in Chapter 1. It first addresses the myth that only “good” doctors are sued, showing that both high- and ... More


A Comparison of the Quality of Health Care in the United States and Japan: Treatment and Outcomes for Heart Attack Patients

Haruko Noguchi, Yuichiro Masuda, Masafumi Kuzuya, Akihiko Iguchi, Jeffery Geppert, and Mark McClellan

in Health Care Issues in the United States and Japan

Published in print:
2006
Published Online:
February 2013
ISBN:
9780226902920
eISBN:
9780226903248
Item type:
chapter
Publisher:
University of Chicago Press
DOI:
10.7208/chicago/9780226903248.003.0008
Subject:
Economics and Finance, Public and Welfare

This chapter evaluates the differences in treatment patterns and the relationship between treatment patterns and health care quality among acute myocardial infarction (AMI) patients in United States ... More


Healthcare Public Health: Improving health services through population science

Martin Gulliford and Edmund Jessop (eds)

Published in print:
2020
Published Online:
September 2020
ISBN:
9780198837206
eISBN:
9780191873966
Item type:
book
Publisher:
Oxford University Press
DOI:
10.1093/oso/9780198837206.001.0001
Subject:
Public Health and Epidemiology, Epidemiology, Public Health

Healthcare public health is concerned with the application of population sciences to the design, organization, and delivery of healthcare services, with the ultimate aim of improving population ... More


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