164 books match the query 'Medical care' and 10 start with h

cover of Healing by Heart: Clinical and Ethical Case Stories of Hmong Families and Western Providers

Healing by Heart

Clinical and Ethical Case Stories of Hmong Families and Western Providers

Kathleen A. Culhane-Pera

Vanderbilt University Press, 2003

Healing by Heart is a book of stories--stories of people's search for culturally responsive health care from U.S. providers. It offers resources to providers and institutions committed to delivering culturally responsive health care, paying special attention to building successful relationships with traditional Hmong patients and families. It makes available extensive information about the health-related beliefs, practices, and values of the Hmong people, including photographs of traditional healing methods.

Ranging in age from young infants to older adults, the patients in the stories present a wide range of health problems. The clinicians are from family practice, internal medicine, pediatrics, emergency medicine, surgery, obstetrics-gynecology, psychiatry/psychology, and hospice.

Each of the fourteen case stories is accompanied by discussion questions as well as two or three commentaries. The commentaries--written by patients, family members, shaman, Western clinicians (including Hmong physicians, nurses, and social workers), medical anthropologists, health care ethicists, social workers, psychologists, and clergy--are rich in personal reflections on cross-cultural health care experiences. Readers are rewarded with a combination of perspectives, including those of Hmong authors who have not previously published in English and scholars with years of professional experience working with the Hmong in Laos, Thailand, and the United States.

The editors offer a model for delivering culturally responsive health care with special attention to matters of cross-cultural health care ethics. The model identifies questions health care providers can focus on as they seek to understand the health-related moral commitments and practices prevalent in the cultural groups they serve, ethical questions that arise frequently and with great poignancy in cross-cultural health care relationships, and points to consider when a patient's treatment wish challenges the provider's professional integrity.

By sharing stories of suffering, confusion, and success, Healing by Heart couples an accessible method of learning about others with concrete recommendations about how to enhance cross-cultural health care relationships.
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cover of Health Care Issues in the United States and Japan

Health Care Issues in the United States and Japan

Edited by David A. Wise and Naohiro Yashiro

University of Chicago Press, 2006

Recent data show wide disparity between Japan and the United States in the effectiveness of their health care systems. Japan spends close to the lowest percentage of its gross domestic product on health care among OECD countries, the United States spends the highest, yet life expectancies in Japan are among the world’s longest. Clearly, a great deal can be learned from a comprehensive comparative analysis of health care issues in these two countries.

In Health Care Issues in the United States and Japan, contributors explore the structural characteristics of the health care systems in both nations, the economic incentives underlying the systems, and how they operate in practice. Japan’s system, they show, is characterized by generous insurance schemes, a lack of gatekeepers, and fee-for-service mechanisms. The United States’ structure, on the other hand, is distinguished by for-profit hospitals, privatized health insurance, and managed care. But despite its relative success, an aging population and a general shift from infectious diseases to more chronic maladies are forcing the Japanese to consider a model more closely resembling that of the United States.

In an age when rising health care costs and aging populations are motivating reforms throughout the world, this timely study will prove invaluable.

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cover of Health Care at Risk: A Critique of the Consumer-Driven Movement

Health Care at Risk

A Critique of the Consumer-Driven Movement

Timothy Stoltzfus Jost

Duke University Press, 2007

In Health Care at Risk Timothy Stoltzfus Jost, a leading expert in health law, weighs in on consumer-driven health care (CDHC), which many policymakers and analysts are promoting as the answer to the severe access, cost, and quality problems afflicting the American health care system. The idea behind CDHC is simple: consumers should be encouraged to save for medical care with health savings accounts, rely on these accounts to cover routine medical expenses, and turn to insurance only to cover catastrophic medical events. Advocates of consumer-driven health care believe that if consumers are spending their own money on medical care, they will purchase only services with real value to them. Jost contends that supporters of CDHC rely on oversimplified ideas about health care, health care systems, economics, and human nature.

In this concise, straightforward analysis, Jost challenges the historical and theoretical assumptions on which the consumer-driven health care movement is based and reexamines the empirical evidence that it claims as support. He traces the histories of both private health insurance in the United States and the CDHC movement. The idea animating the drive for consumer-driven health care is that the fundamental problem with the American health care system is what economists call “moral hazard,” the risk that consumers overuse services for which they do not bear the cost. Jost reveals moral hazard as an inadequate explanation of the complex problems plaguing the American health care system, and he points to troubling legal and ethical issues raised by CDHC. He describes how other countries have achieved universal access to high-quality health care at lower cost, without relying extensively on cost sharing, and he concludes with a proposal for how the United States might do the same, incorporating aspects of CDHC while recognizing its limitations.

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cover of Health Issues Among Incarcerated Women

Health Issues Among Incarcerated Women

Edited by Ronald L. Braithwaite, Kimberly Jacob Arriola, and Cassandra Newkirk

Rutgers University Press, 2006

The female inmate population in the United States has exploded in the past two decades, increasing nearly six-fold. The U.S. correctional system, however, has not expanded its health care to provide for this growing population of women. This comprehensive reader addresses the physical and mental needs of women inmates and suggests that they cannot be properly treated unless their lifestyles before, during, and after incarceration are considered.

This book abounds with statistics that outline the unique needs of the female inmate population. For instance, a significant proportion of female inmates suffer physical and sexual violence before serving time. Incarcerated teenagers are more likely than others from their age group to have engaged in behaviors that increased their risk for contracting sexually transmitted diseases like HIV. Because African American women are more likely than their counterparts to encounter prison time, their needs warrant specific attention.

Bringing together twenty original essays, this volume will be invaluable for lobbyists and policy makers as well as for graduate students and faculty in the fields of criminal justice and public health.

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cover of Health Work with the Poor: A Practical Guide

Health Work with the Poor

A Practical Guide

Kiefer, Christie W

Rutgers University Press, 2000

Christie Kiefer vividly brings home the meaning of poverty in peoples’ lives as he examines both their access to—and their lack of—health care.

            Aimed at both students and professionals in the field, this book argues that individuals serving the poor have the means and obligation to address the root causes of ill health of the poor, not just the symptoms. These causes, Kiefer argues, are overwhelmingly social and political. In a ringing indictment of the factors that perpetuate poverty, he declares that the work of healing at its best must include advocacy.

            Health Work with the Poor offers to both health workers and activists a wealth of practical information. Kiefer’s trenchant analysis of the factors that help cause and perpetuate poverty offers students the needed intellectual framework not only to accomplish short-term change but also to strive toward long-term social advocacy. Each chapter ends with a set of discussion questions—a real boon for instructors. Appendices on Internet resources for the study of poverty and on a proposed program detailing how to teach health workers in a way that promotes social awareness make this book a valuable resource for courses on poverty and health. It will also be an indispensable manual for all those who work with the poor.

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cover of Health in Ruins: The Capitalist Destruction of Medical Care at a Colombian Maternity Hospital

Health in Ruins

The Capitalist Destruction of Medical Care at a Colombian Maternity Hospital

César Ernesto Abadía-Barrero

Duke University Press, 2022

In Health in Ruins César Ernesto Abadía-Barrero chronicles the story of El Materno—Colombia’s oldest maternity and neonatal health center and teaching hospital—over several decades as it faced constant threats of government shutdown. Using team-based and collaborative ethnography to analyze the social life of neoliberal health policy, Abadía-Barrero details the everyday dynamics around teaching, learning, and working in health care before, during, and after privatization. He argues that health care privatization is not only about defunding public hospitals; it also ruins rich traditions of medical care by denying or destroying ways of practicing medicine that challenge Western medicine. Despite radical cuts in funding and a corrupt and malfunctioning privatized system, El Materno’s professors, staff, and students continued to find ways to provide innovative, high-quality, and noncommodified health care. By tracking the violences, conflicts, hopes, and uncertainties that characterized the struggles to keep El Materno open, Abadía-Barrero demonstrates that any study of medical care needs to be embedded in larger political histories.
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cover of Health in a Fragile State: Science, Sorcery, and Spirit in the Lower Congo

Health in a Fragile State

Science, Sorcery, and Spirit in the Lower Congo

John M. Janzen

University of Wisconsin Press, 2019

Based on extensive field research in the Manianga region of the Lower Congo, Health in a Fragile State is an anthropological account of public health and health care after the collapse of the Congolese state in the 1980s and 1990s. This work brings into focus John M. Janzen's earlier books on African health and healing, revealing the collaborative effort by local, national, and international agencies to create viable alternative institutions to those that represented the centralized state. This book documents and analyzes the realignment of existing institutions and the creation of new ones that shape health and healing.
Janzen explores the manner in which power and information, including science, are legitimized in the preservation and improvement of health. Institutional validity and knowledge empower citizens and health practitioners to gain the upper hand over the region's principal diseases, including malaria, tuberculosis, typhoid, and HIV/AIDS.
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cover of Healthy Markets?: The New Competition in Medical Care

Healthy Markets?

The New Competition in Medical Care

Mark A. Peterson, ed.

Duke University Press, 1999

When federal and state policy makers’ efforts to enact sweeping health care reform in the mid-1990s ended in stalemate, the private sector unleashed initiatives that have affected virtually every aspect of health care. With updated essays first published in issues of the Journal of Health Politics, Policy and Law, Healthy Markets? offers the most comprehensive and critical examination yet found in a single volume of the economic, political, and social implications of this recent market transformation of health care in the United States.
With original contributions from leading social science health policy analysts, this volume addresses the full context of health system change. Believing that the analysis of health care change is too important to be left to economists alone, Mark A. Peterson has collected a mulitdisciplinary group of experts who revisit the contentious debate over the market approaches to health care and consider the disparate effects of these approaches on cost, quality, and coverage of both managed care and Medicaid and Medicare. While market enthusiasts applaud the enhanced efficiency, reduced excess capacity, and abatement of the decades-long health care cost explosion, a backlash has emerged among many providers and the public against the perceived excesses of the market: diminished access to care, commercialization of the physician-patient relationship, and exacerbated inequality. Contributors assess these varied responses while examining the impact that market-based applications are likely to have for future health policy making, the significance of the U.S. experience for policy makers abroad, and the lessons that these changes might provide for thinking sensibly about the future of our health care system.
This volume will be useful for public policy analysts, economists, social scientists, health care providers and administrators, and others interested in the future—and in understanding the past—of American health care.

Contributors. Gary S. Belkin, Lawrence D. Brown, Robert G. Evans, Martin Gaynor, Paul B. Ginsburg, Marsha Gold, Theodore R. Marmor, Cathie Jo Martin, Jonathan B. Oberlander, Mark V. Pauly, Mark A. Peterson, Thomas Rice, Deborah A. Stone, William B. Vogt, Kenneth E. Thorpe

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cover of Home before Morning: The Story of an Army Nurse in Vietnam

Home before Morning

The Story of an Army Nurse in Vietnam

Lynda Van Devanter

University of Massachusetts Press, 2001

A powerful and harrowing memoir of a young nurse’s experience in the Vietnam War

Lynda Van Devanter was the girl next door, the cheerleader who went to Catholic schools, enjoyed sports, and got along well with her four sisters and parents. After high school she attended nursing school and then did something that would shatter her secure world for the rest of her life: in 1969, she joined the army and was shipped to Vietnam. When she arrived in Vietnam her idealistic view of the war vanished quickly. She worked long and arduous hours in cramped, ill-equipped, understaffed operating rooms. She saw friends die. Witnessing a war close-up, operating on soldiers and civilians whose injuries were catastrophic, she found the very foundations of her thinking changing daily.

After one traumatic year, she came home, a Vietnam veteran. Coming home was nearly as devastating as the time she spent in Asia. Nothing was the same -- including Lynda herself. Viewed by many as a murderer instead of a healer, she felt isolated and angry. The anger turned to depression; like many other Vietnam veterans she suffered from delayed stress syndrome. Working in hospitals brought back chilling scenes of hopelessly wounded soldiers. A marriage ended in divorce. The war that was fought physically halfway around the world had become a personal, internal battle.

Home before Morning is the story of a woman whose courage, stamina, and personal history make this a compelling autobiography. It is also the saga of others who went to war to aid the wounded and came back wounded -- physically and emotionally -- themselves. And, it is the true story of one person's triumphs: her understanding of, and coming to terms with, her destiny.
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cover of Hot Spot: A Doctor's Diary From the Pandemic

Hot Spot

A Doctor's Diary From the Pandemic

Dr. Alex Jahangir

Vanderbilt University Press, 2022

When Nashville identified its first case of coronavirus in March 2020, the city was between Public Health Department directors and as unprepared as the rest of the world for what was to come. Dr. Alex Jahangir, a trauma surgeon acting at that time as chair of the Metro Nashville Board of Health, unexpectedly found himself head of the city's COVID-19 Task Force and responsible for leading it through uncharted waters.

What followed was a year of unprecedented challenge and scrutiny. Jahangir, who immigrated to the US from Iran at age six, grew up in Nashville. He thought he knew the city well. But the pandemic laid bare ethnic, racial, and cultural tensions that daily threatened to derail what should have been a collective effort to keep residents healthy and safe.

Hot Spot is Jahangir's narrative of the first year of COVID, derived from his op notes (the journal-like entries surgeons often keep following operations) and expanded to include his personal reflections and a glimpse into the inner sanctums of city and state governance in crisis.
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