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21st-Century Miracle Medicine
The future of healthcare may be very simple. You will sit in your living room chair and drink your tea, coffee, and beer. As you sip, the chair will absorb an encyclopedia of knowledge about your physical state of affairs. A life-management computer in your kitchen will integrate the data and then display it for you on your watch face. A daily physical work-up precisely tailored to your body will pop up on the display, showing you what you have to do over the next 24 hours to avoid all the major disease processes currently plaguing the world. This comprehensive data bank will draw on all the world's medical databases, which have been integrated to help you prevent disease. You will rise from...
Unequal Treatment
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior ...
Improving Health in the Community
How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.
Oversight on the Veterans' Administration's Outpatient Health-care System
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Using Performance Monitoring to Improve Community Health
This report summarizes the proceedings of a May 1995 workshop, which reviewed a variety of public and private activities in health-related performance monitoring. An opening presentation focused on the experiences in conducting and using an assessment of health status in New York City's Washington Heights/Inwood neighborhood. The subsequent presentation explored characteristics and limitations of health plan performance indicators and how they might be applied in a broader community context. The final presentation in this portion of the workshop reviewed the development of measures of public health practice for assessing the performance of local health departments and Illinois' application of such assessments in certification of its local health departments.
Afflicted
How medical education and practice can move beyond a narrow focus on biological intervention to recognize the lived experiences of illness, suffering, and death. In Afflicted, Nicole Piemonte examines the preoccupation in medicine with cure over care, arguing that the traditional focus on biological intervention keeps medicine from addressing the complex realities of patient suffering. Although many have pointed to the lack of compassion and empathy in medical practice, few have considered the deeper philosophical, psychological, and ontological reasons for it. Piemonte fills that gap, examining why it is that clinicians and medical trainees largely evade issues of vulnerability and mortalit...
Insult to Injury
Locking up men who beat their partners sounds like a tremendous improvement over the days when men could hit women with impunity and women fearing for their lives could expect no help from authorities. But does our system of requiring the arrest, prosecution, and incarceration of abusers lessen domestic violence or help battered women? In this already controversial but vitally important book, we learn that the criminal justice system may actually be making the problem of domestic violence worse. Looking honestly at uncomfortable facts, Linda Mills makes the case for a complete overhaul and presents a promising alternative. The evidence turns up some surprising facts about the complexities of...
Hearings, Reports and Prints of the Senate Committee on Labor and Public Welfare
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Perspectives on Forgiveness
Demands for forgiveness, even in the face of horrific crimes, were common to the late twentieth century and remain critical aspirations for persons and communities in the early twenty-first century. Research on forgiveness and revenge has nevertheless revealed that many people hold divergent moral and pragmatic beliefs about forgiving, and most survivors express longstanding skepticism about when forgiveness is appropriate and when it is not. By taking an interdisciplinary approach to these issues, the current volume considers the complexities of forgiveness and revenge in the modern world. The chapters address some of the most critical inquiries today: How is forgiveness facilitated or obstructed? What is the role of truth, restitution, reparation or retribution? When is forgiveness without restitution appropriate? Is forgiveness in the true sense of the term even possible? Through empirical, theoretical and literary analyses, this volume addresses the power of revenge and forgiveness in human affairs and offers a unique outlook on the benefits of interdisciplinary discussions for enhancing forgiveness and deterring revenge in multiple aspects of human life.
