A Systems Science Approach to Understand and Address Access Barriers to Rural Dermatology Care - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook A Systems Science Approach to Understand and Address Access Barriers to Rural Dermatology Care write by Melissa Emily Cyr. This book was released on 2019. A Systems Science Approach to Understand and Address Access Barriers to Rural Dermatology Care available in PDF, EPUB and Kindle. "Skin cancer incidence has reached concerning proportions in the United States (US) over the last several decades, underscoring the need for increased prevention, screening, and early treatment. While malignant melanoma is associated with the highest skin cancer mortality rates, health outcomes vary greatly. Certain disadvantaged populations such as elderly, economically and geographically disadvantaged, or racial and ethnic minorities experience greater risks of diagnostic delays and death. While early detection and treatment yields a more favorable prognosis, dermatology access delays are highly problematic throughout the US. One challenge in studying this problem is that access to care is poorly defined and conceptualized. Although current frameworks suggest that care accessibility is a dynamic multidimensional process, no studies to date have holistically examined access to dermatology care as a means for improvement. This dissertation presents three conceptually-driven studies that developed new knowledge to contribute to these literature gaps. First, a comprehensive summary of the recent literature on access barriers to US specialty care literature revealed that despite geographic and demographic differences between urban and rural areas, many barriers were common to both populations. The second involved the development, pilot testing, and refinement of a novel measurement tool to identify patient-perceived barriers to dermatology care. Lastly, study three was a mixed-methods study that was conducted to capture and understand the multiple dimensions of patient- and system-centric access barriers to rural dermatology care, revealing that in rural areas with limited appointment availability, primary care provider generated referral diagnoses can be an important determinant of dermatology care receipt and health outcomes, especially among at-risk populations. Combined findings from these three studies can help inform the development of more robust interventions to improve future rural dermatology care access, skin cancer screening, and treatment"--Author's abstract.
The Role of Telehealth in an Evolving Health Care Environment
The Role of Telehealth in an Evolving Health Care Environment - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook The Role of Telehealth in an Evolving Health Care Environment write by Institute of Medicine. This book was released on 2012-12-20. The Role of Telehealth in an Evolving Health Care Environment available in PDF, EPUB and Kindle. In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Access to Health Care
Access to Health Care - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Access to Health Care write by Martin Gulliford. This book was released on 2013-05-13. Access to Health Care available in PDF, EPUB and Kindle. To what extent can we have truly universal, comprehensive and timely health services, equally available to all? Access to Health Care considers the meaning of 'access' in health care and examines the theoretical issues that underpin these questions. Contributors draw on a range of disciplinary perspectives to investigate key aspects of access, including: · geographical accessibility of services · socio-economic equity of access · patients' help-seeking behaviour · organisational problems and access · methods for evaluating access. Access is considered in both a UK and international context. The book includes chapters on contrasting health policies in the United States and European Union. Access to Health Care provides both health care researchers as well as health professionals, managers and policy analysts, with a clear and wide-ranging overview of topical and controversial questions in health policy and health services organization and delivery.
Pain Management and the Opioid Epidemic
Pain Management and the Opioid Epidemic - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Pain Management and the Opioid Epidemic write by National Academies of Sciences, Engineering, and Medicine. This book was released on 2017-09-28. Pain Management and the Opioid Epidemic available in PDF, EPUB and Kindle. Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
The Future of Nursing 2020-2030
The Future of Nursing 2020-2030 - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook The Future of Nursing 2020-2030 write by National Academies of Sciences Engineering and Medicine. This book was released on 2021-09-30. The Future of Nursing 2020-2030 available in PDF, EPUB and Kindle. The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
