Informing the Future Critical Issues in Health: Second Edition (2003) / Chapter Skim
Currently Skimming:
Health Care Delivery System and Performance Capabilities
Health Care Delivery System and Performance Capabilities
Pages 81-100
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From page 81... ...
Tire report presents a strategy acid actions plan for clevelopi~g a system that ensures tire delivery of care cleat is safe, effective, patient-ce~te~-ed, timely, efficient, and equitable over the next decade. It provides a set of ten general principles for improving how health professionals acid tidbit institutions care for patients.
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From page 82... ...
Broader-basec! actions also are needed, Lucia as setting national priorities for improving care delivery, creating better Stools for disseminating and applying knowledge to practice, fostering tire use of information technology in clinical care, creating payment policies that encourage innovation and reward improvement in performance, and enhancing educational programs to stre~gtI~en tire health care woricforce.
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From page 83... ...
Several of the areas, such as tire need for coordination among clinicians and institutions in patient caret cut across specific conditions and I~ealtl~ care settings. Collective actions in these priority areas could Whelp transformer tire entire heath care system.
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From page 84... ...
efforts to improve healths care.
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From page 85... ...
iclentifies a set of ei51lt core functions bleat EHRs sixfold be capable of performing-. Tire functions were selected off tire basis of their ability to improve patient safety, support effective care, assist ilk tire management of chronic diseases, acid improve efficiency.
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From page 86... ...
Heart Disease / (2~) Unintentional \ attunes ~ (22~)
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From page 87... ...
specifically, Else government sI~ouicl take full advantage of its unique position as pUIchaser, regulator, and provider of healths care, as well as its role as the leading sponsor of research, to improve care Motif in its owls programs and in tire private sector: Among, recommended actions, public care providers should serve as laboratories for developing funcIamentally new delivery systems, regulatory processes should be used to establish clinical data reporting requirements, purchasing strategies should provide rewards to providers Silo achieve higher levels of quality, ant! applied I~ealth research programs sI,ould be expancled to accelerate clevelopment of Icnowledge ant!
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From page 88... ...
I3y~,'y~r:~ '7~< Ft,'~7~ ~E CRI116~AL ~~S IN BEAT COW Tire gove~nment's main programs for providing casts befits Alice eligibility for medical benefits to people witty disabilities the Social Security Disability Insurance programed and the Supplemental Security Incense progran~ leave experiences! unexpectecIly rapid growths cluring the past two decades.
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From page 89... ...
guiclelines for malting decisions about which procedures to orcler or pay for; to inte~g-rate cross-cultural education into tire training of all Stealth professionals; and to recruit and train more minority health professionals, In adttition, public education programs should be stepped up to ensure that minority patients know how to access care ant! participate in treatment decisions.
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From page 90... ...
TI1e breadth and analytic deptI1 of tI1ese reports has helped to expand policy discussions beyond a moral imperative for insurance coverage. Key findiligS from tire reports include flee following: ~ Coverage Matters: l'~sura`~ce and Health Care (2001)
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From page 91... ...
Tire uninsured are significantly less lithely to receive needed health care, i~cluciing preventative services and care for chronic conditions. Tire health benefits of insurance are strongest widen coverage is continuous rattler than sporadic, and broad-based strategies to foste'- coverage across the entire uninsured population are more likely to improve health outco~nes than are "rescue" programs aimec!
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From page 94... ...
To Whelp r educe Else toll fir breast cancer as improved technologies make timid way into general use there remains a need to reacts many more women with screening efforts. Tire report recomn~e'~ds several steps to optimize tire use of proven technologies currently available sucks as expanding federal screening programs to include women without insurance arid determining whether there is (or soon will be)
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From page 95... ...
Highlights of tire reports' which carry the general title Setting the Course: A Strategic Visions for Im~nu'~ization, include the following: · Part 1: Sunny ofthe Chicago Workshop (2002) e~npl~asizes tire need for collaborative strategies to engage tire healths care, business, and govern~nent sectors in iclentifyillg OppO1 "unities to achieve public ilealtI~ im~nunizatio~ goals.
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From page 96... ...
monitoring and surve~ianceJ while also ~neetmg flew cle~nands associated witty delivering a I~igI~e~ p~-oportio~ of vaccines ifs tl~e private I~ealtl~ sector: Tire shift in immunization service settings leas created new stresses ant! tensions over tire appropriate roles of public health departments and the manner in which those roles should be financecI.
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From page 97... ...
in tire stealth care system. Vaccine manufacture is not profitable foil pharmaceutical companies widen compared to drugs wield broad markets, such as tire class of statins titan prevent heart disease.
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From page 98... ...
, rattler titan relying solely on conventional therapies. With taxis increased use comes the need for scientific investigation to determine flow wiclely CAMs are being user!
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From page 99... ...
Tire study will acIcIress such issues as tire financing, and stealth clelivery challenges posed to HIV I~ealti, centers at tire local, state, and national levels; ~netI~ocIs for reclucing tile barriers tIlat people sometimes face in obtaining quality HIV heath services; ant! tire role of tire private insurance it ustry is assuring appropriate access to HIV care ant!
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From page 100... ...
DHHS Loud also develop public Stealth surveillance for pre- and post-event factors relevant to addressing tire psychological consequences of terrorism and develop n~et~ods of applying the findings through appropriate interventions for groups of special interest. Academic health centers, professiona~ associations and societies for mental Stealth professionals, and state boards of education should ensure the education and training of Yenta health care providers, including community- and school-based mental Stealth care providers to respond to the psychological aftermath of terrorism, and should ensure the education and training of relevant health professionals.
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