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Medical Management of Vulnerable and Underserved Patients: Principles, Practice, Populations, Second Edition

Medical Management of Vulnerable and Underserved Patients: Principles, Practice, Populations, Second Edition
Author: Talmadge E. King
Publisher: McGraw Hill Professional
Total Pages: 577
Release: 2016-06-17
Genre: Medical
ISBN: 007183401X
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The leading reference and text on the increasingly relevant and important topic of caring for underserved patients and those with highly unique health requirements A Doody’s Core Title for 2019! The timely publication of Medical Management of Vulnerable and Underserved Patients: Principles, Practice and Populations, Second Edition is designed to clarify current issues and instruct you in best practices and compliance with legislation, such as the Affordable Care Act, when caring for patients living with chronic diseases in poor and minority populations. How do these laws affect you, your practice, and patient care? Medical Management of Vulnerable and Underserved Patients is ideally suited for clinical and educational programs and policy-oriented institutions concerned with addressing health disparities and caring for the underserved and vulnerable patient. Comprehensive in scope and authored by many of the leading names in the field, the book takes complex concepts and issues and helps you understand them, resulting in a “roadmap” to guide real-world applications and compliance with the terms of the law. Each chapter integrates key concepts, core competencies, and common pitfalls and concludes with useful lists of web resources and stimulating discussion questions. From the reviews of the First Edition: "This book is an ambitious and important contribution to the care of our most wounded patients. For those of us who regularly care for vulnerable patients, it provides an excellent resource and supportive guide. However, it should also become part of the standard library for all medical students and practicing physicians. All physicians have much to learn from the practical, evidence-based approaches to the societal issues we all face in practice. Ultimately, this is a book that could help all clinicians take better care of all patients, especially those who may need extra help and support as they navigate our complex health care system." -- New England Journal of Medicine The Second Edition features: Fully revised to reflect passage and impact of the Affordable Care Act on care of underserved patients Expanded with major new chapters, from Health Quality to Rural Healthcare, and additional content relevant to nursing Focused on evidence-based practice with a patient-centered approach Full color format Boxed main points and Practical "Pearls,” such as how to write a disability letter PowerPoint slides and question sets, exercises, and cases to aid instruction

Medical Management of Vulnerable & Underserved Patients: Principles, Practice, Population

Medical Management of Vulnerable & Underserved Patients: Principles, Practice, Population
Author: Talmadge E. King
Publisher: McGraw Hill Professional
Total Pages: 473
Release: 2006-08-31
Genre: Medical
ISBN: 0071781390
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No other book on the subject Chronic diseases, especially those associated with poor nutrition, obesity, and addiction have grown to epidemic proportion in many poor and minority populations Covers all essential topics, including Navigating Language Barriers, Understanding Disability, Patient Education, Substance Abusers, the Care of Gay and Lesbian Patients, Reproductive Issues in Poor Women, and much more

Systems Practices for the Care of Socially At-Risk Populations

Systems Practices for the Care of Socially At-Risk Populations
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 95
Release: 2016-05-07
Genre: Medical
ISBN: 0309391970
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The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor health outcomes (e.g., individuals with low socioeconomic position, racial and ethnic minorities, gender and sexual minorities, socially isolated persons, and individuals residing in disadvantaged neighborhoods) may be more likely to fare poorly on quality rankings and to receive financial penalties, and less likely to receive financial rewards. The drivers of these disparities are poorly understood, and differences in interpretation have led to divergent concerns about the potential effect of VBP on health equity. Some suggest that underlying differences in patient characteristics that are out of the control of providers lead to differences in health outcomes. At the same time, others are concerned that differences in outcomes between providers serving socially at-risk populations and providers serving the general population reflect disparities in the provision of health care. Systems Practices for the Care of Socially At-Risk Populations seeks to better distinguish the drivers of variations in performance among providers disproportionately serving socially at-risk populations and identifies methods to account for social risk factors in Medicare payment programs. This report identifies best practices of high-performing hospitals, health plans, and other providers that serve disproportionately higher shares of socioeconomically disadvantaged populations and compares those best practices of low-performing providers serving similar patient populations. It is the second in a series of five brief reports that aim to inform the Office of the Assistant Secretary of Planning and Evaluation (ASPE) analyses that account for social risk factors in Medicare payment programs mandated through the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.

Legal and Ethical Aspects of Care

Legal and Ethical Aspects of Care
Author: Nessa Coyle
Publisher: Oxford University Press
Total Pages: 137
Release: 2016
Genre: Medical
ISBN: 0190258063
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Effective palliative care that rests on a sound ethical foundation requires ongoing discussions about patient and family values and preferences. This is especially important when addressing care at end-of-life including artificial nutrition and hydration, withdrawal of life-sustaining therapies and palliative sedation as well as requests for assistance in hastening death. The eighth volume in the HPNA Palliative Nursing Manuals series, Legal and Ethical Aspects of Palliative Care, provides an overview of critical communication skills and formal organizational mechanisms, such as ethics committees and interdisciplinary rounds, required for decisions in ethical dilemmas which respect diversity in the views of colleagues, as well as patients. The content of the concise, clinically focused volumes in the HPNA Palliative Nursing Manuals series is one resource for nurses preparing for specialty certification exams and provides a quick-reference in daily practice.

Improving Access to Oral Health Care for Vulnerable and Underserved Populations

Improving Access to Oral Health Care for Vulnerable and Underserved Populations
Author: National Research Council
Publisher: National Academies Press
Total Pages: 296
Release: 2012-01-22
Genre: Medical
ISBN: 0309209463
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Access to oral health care is essential to promoting and maintaining overall health and well-being, yet only half of the population visits a dentist each year. Poor and minority children are less likely to have access to oral health care than are their nonpoor and nonminority peers. Older adults, people who live in rural areas, and disabled individuals, uniformly confront access barriers, regardless of their financial resources. The consequences of these disparities in access to oral health care can lead to a number of conditions including malnutrition, childhood speech problems, infections, diabetes, heart disease, and premature births. Improving Access to Oral Health Care for Vulnerable and Underserved Populations examines the scope and consequences of inadequate access to oral health services in the United States and recommends ways to combat the economic, structural, geographic, and cultural factors that prevent access to regular, quality care. The report suggests changing funding and reimbursement for dental care; expanding the oral health work force by training doctors, nurses, and other nondental professionals to recognize risk for oral diseases; and revamping regulatory, educational, and administrative practices. It also recommends changes to incorporate oral health care into overall health care. These recommendations support the creation of a diverse workforce that is competent, compensated, and authorized to serve vulnerable and underserved populations across the life cycle. The recommendations provided in Improving Access to Oral Health Care for Vulnerable and Underserved Populations will help direct the efforts of federal, state, and local government agencies; policy makers; health professionals in all fields; private and public health organizations; licensing and accreditation bodies; educational institutions; health care researchers; and philanthropic and advocacy organizations.

The Well-Woman Visit

The Well-Woman Visit
Author: David Chelmow
Publisher: Cambridge University Press
Total Pages: 317
Release: 2017-06-15
Genre: Medical
ISBN: 1316509982
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The book provides guidance for conducting a well-woman visit, based on the American College of Obstetricians and Gynecologists Well Woman Task Force recommendations. The scope of problems, the rationale for screening or prevention, and the factors that alter screening are explained, then the recommendations are summarized, and advice is offered on their application.

Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961
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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.

Preparing for an Influenza Pandemic

Preparing for an Influenza Pandemic
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 206
Release: 2007-12-28
Genre: Medical
ISBN: 0309110467
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During an influenza pandemic, healthcare workers will be on the front lines delivering care to patients and preventing further spread of the disease. As the nation prepares for pandemic influenza, multiple avenues for protecting the health of the public are being carefully considered, ranging from rapid development of appropriate vaccines to quarantine plans should the need arise for their implementation. One vital aspect of pandemic influenza planning is the use of personal protective equipment (PPE)-the respirators, gowns, gloves, face shields, eye protection, and other equipment that will be used by healthcare workers and others in their day-to-day patient care responsibilities. However, efforts to appropriately protect healthcare workers from illness or from infecting their families and their patients are greatly hindered by the paucity of data on the transmission of influenza and the challenges associated with training and equipping healthcare workers with effective personal protective equipment. Due to this lack of knowledge on influenza transmission, it is not possible at the present time to definitively inform healthcare workers about what PPE is critical and what level of protection this equipment will provide in a pandemic. The outbreaks of severe acute respiratory syndrome (SARS) in 2003 have underscored the importance of protecting healthcare workers from infectious agents. The surge capacity that will be required to reduce mortality from a pandemic cannot be met if healthcare workers are themselves ill or are absent due to concerns about PPE efficacy. The IOM committee determined that there is an urgent need to address the lack of preparedness regarding effective PPE for use in an influenza pandemic. Preparing for an Influenza Pandemic : Personal Protective Equipment for Healthcare Workers identifies that require expeditious research and policy action: (1) Influenza transmission research should become an immediate and short-term research priority so that effective prevention and control strategies can be developed and refined. The current paucity of knowledge significantly hinders prevention efforts. (2) Employer and employee commitment to worker safety and appropriate use of PPE should be strengthened. Healthcare facilities should establish and promote a culture of safety. (3) An integrated effort is needed to understand the PPE requirements of the worker and to develop and utilize innovative materials and technologies to create the next generation of PPE capable of meeting these needs.

Medicine Science and Dreams

Medicine Science and Dreams
Author: David A. Schwartz
Publisher: Springer Science & Business Media
Total Pages: 358
Release: 2010-10-17
Genre: Medical
ISBN: 9048195381
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Physician-scientists are unusual creatures. While we are drawn to the clinical challenges of our patients, we are also drawn to the opportunities that our patients’ medical problems bring to science. This book contains the unique experiences and encounters that drew 20 accomplished physician-scientists to this profession. These personal stories are those of people and circumstances that have had profound effects on our career decisions, our creative opportunities, and our lives. These stories also serve to highlight the lessons learned along the way and the distinct attributes of these women and men of medicine and science. Our combined hope is that our collective biographies will enhance the public understanding of our profession, will move people from medicine to science and from science to medicine, and will inspire those who are contemplating this extraordinary profession. “It is a rare gift to benefit from the collective wisdom of so many individuals at the same time. These physician scientists have provided readers with helpful advice and thoughtful encouragement. The interesting and thought provoking essays in Medicine Science and Dreams can be read and digested one at a time or all at once in sequence. They provide lessons to be learned by any physician-scientist, whether just starting out or in the middle of a research career. Schwartz has done readers a great service and has added to the legacy of these prominent and successful physician-scientists.” Book review in JAMA, September 7, 2011—Vol 306, No. 9 by Derek S. Wheeler, MD

Rethinking Culture in Health Communication

Rethinking Culture in Health Communication
Author: Elaine Hsieh
Publisher: John Wiley & Sons
Total Pages: 464
Release: 2021-04-08
Genre: Language Arts & Disciplines
ISBN: 1119496136
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Rethinking Culture in Health Communication An interdisciplinary overview of health communication using a cultural lens—uniquely focused on social interactions in health contexts Patients, health professionals, and policymakers embody cultural constructs that impact healthcare processes. Rethinking Culture in Health Communication explores the ways in which culture influences healthcare, introducing new approaches to understanding social relationships and health policies as a dynamic process involving cultural values, expectations, motivations, and behavioral patterns. This innovative textbook integrates theories and practices in health communication, public health, and medicine to help students relate fundamental concepts to their personal experiences and develop an awareness of how all individuals and groups are shaped by culture. The authors present a foundational framework explaining how cultures can be understood from four perspectives—Magic Consciousness, Mythic Connection, Perspectival Thinking, and Integral Fusion—to examine existing theories, social norms, and clinical practices in health-related contexts. Detailed yet accessible chapters discuss culture and health behaviors, interpersonal communication, minority health and healthcare delivery, cultural consciousness, social interactions, sociopolitical structure, and more. The text features examples of how culture can create challenges in access, process, and outcomes of healthcare services and includes scenarios in which individuals and institutions hold different or incompatible ethical views. The text also illustrates how cultural perspectives can shape the theoretical concepts emerged in caregiver-patient communication, provider-patient interactions, social policies, public health interventions, and other real-life settings. Written by two leading health communication scholars, this textbook: Highlights the sociocultural, interprofessional, clinical, and ethical aspects of health communication Explores the intersections of social relationships, cultural tendencies, and health theories and behaviors Examines the various forms, functions, and meanings of health, illness, and healthcare in a range of cultural contexts Discusses how cultural elements in social interactions are essential to successful health interventions Includes foundational overviews of health communication and of culture in health-related fields Discusses culture in health administration, moral values in social policies, and ethics in medical development Incorporates various aspects and impacts of the COVID-19 pandemic as a cultural phenomenon through the lens of health communication Rethinking Culture in Health Communication is an ideal textbook for courses in health communication, particularly those focused on interpersonal communication, as well as in cross-cultural communication, cultural phenomenology, medical sociology, social work, public health, and other health-related fields.