James Lawrence Cabell, One of the Most Influential of America's Early Surgeons

2015 ◽  
Vol 81 (4) ◽  
pp. 331-335
Author(s):  
Joseph Dubose ◽  
Curt Tribble
Keyword(s):  
United States ◽  
Health Care ◽  
American Medical ◽  
The United States ◽  
James Madison ◽  
Quality Health Care ◽  
National Board ◽  
Quality Health ◽  
The University ◽  
The 19Th Century

Dr. James Lawrence Cabell was one of the most important, farsighted, and influential surgical educators and leaders in the United States in the 19th century. He was appointed as Chair of Surgery and Physiology at the University of Virginia by Thomas Jefferson's successor as Rector of the University, James Madison, and held that Chair for over 50 years, the longest tenure of any American medical academician. He was a founding member of the American Medical Association, the American Surgical Association, and the National Board of Health. He is best remembered as an articulate, incessant, and early proponent of public health and the delivery of quality health care in the United States. His legacy and that of his protégés has continued to influence health care in this country, especially in the realm of the prevention and treatment of infectious diseases, even into the present time.

Workers' compensation: Poor quality health care and the growing disability problem in the United States

2014 ◽  
Vol 58 (3) ◽  
pp. 245-251 ◽  
Author(s):  
Gary M. Franklin ◽  
Thomas M. Wickizer ◽  
Norma B. Coe ◽  
Deborah Fulton-Kehoe
Keyword(s):  
United States ◽  
Health Care ◽  
The United States ◽  
Poor Quality ◽  
Workers Compensation ◽  
Quality Health Care ◽  
Quality Health

Immigration and Contract Problems Experienced by Foreign-Educated Nurses

2012 ◽  
Vol 69 (3) ◽  
pp. 351-365 ◽  
Author(s):  
Patricia Pittman ◽  
Carolina Herrera ◽  
Joanne Spetz ◽  
Catherine R. Davis
Keyword(s):  
United States ◽  
Health Care ◽  
Low Income ◽  
The United States ◽  
Low Income Countries ◽  
Labor Rights ◽  
Care Practice ◽  
Quality Health Care ◽  
International Recruitment ◽  
The Impact

More than 8% of employed RNs licensed since 2004 in the United States were educated overseas, yet little is known about the conditions of their recruitment or the impact of that experience on health care practice. This study assessed whether the labor rights of foreign-educated nurses were at risk during the latest period of high international recruitment: 2003 to 2007. Using consensus-based standards contained in the Voluntary Code of Ethical Conduct for the Recruitment of Foreign-Educated Health Professionals to the United States, this study found 50% of actively recruited foreign-educated nurses experienced a negative recruitment practice. The study also found that nurses educated in low-income countries and nurses with high contract breach fees, were significantly more likely to report such problems. If, as experts believe may occur, the nursing shortage in the United States returns around 2014, oversight of international recruitment will become critically important to delivering high-quality health care to Americans.

scholarly journals Sustainable Health Equity

2018 ◽  
Vol 10 (3) ◽  
pp. 63
Author(s):  
Henry Kerich
Keyword(s):  
United States ◽  
Health Care ◽  
Health Equity ◽  
Health Care Professionals ◽  
Geographical Location ◽  
The United States ◽  
Public Confidence ◽  
Quality Health Care ◽  
National Initiative ◽  
Sustainable Health

Sustainable Health Equity (SHE) is a progressive national initiative that promotes the health of individual citizens and communities by modifying socio economic and environmental factors that correspond to social determinants of health. The sustainable health equity focuses on modalities to engage policy actors, stakeholders and decision makers to conceptualize an actionable public health policy. The collaborative national initiative is multifaceted which is principally to provide consistent health care that does not vary according to demographics like gender, age, ethnicity, socioeconomic and geographical location. Cultural congruent and universal health care are the pillars to health equity in the United States. The Stakeholders include government, researchers, civil societies, health care professionals, providers and the public. An actionable SHE policy will advance public confidence in the executive, judiciary, legislators and public officials. Multidisciplinary and multilevel engagement is essential in addressing health disparity in the United States. Strategies to foster political power, create awareness, advocate for high-quality health care progress evidence- based practices, research and equal allocation of material and resources. SHE prospective is inherent with the secretary of the Department of Health and Human Services unequivocal resonance in public service, and exemplary leadership.

Quality 101: What Every Audiologist and Speech-Language Pathologist Should Know But Is Afraid to Ask

2011 ◽  
Vol 7 (1) ◽  
pp. 4-7
Author(s):  
Tamala S. Bradham
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Quality Management ◽  
The United States ◽  
Management Program ◽  
Market Place ◽  
Improvement Program ◽  
Quality Health Care ◽  
Speech Language Pathologist ◽  
Quality Health

The United States has the highest per capita health care costs of any industrialized nation in the world. Increasing costs are reducing access to care and constitute an increasingly heavy burden on employers and consumers. Yet as much as 20 to 30 percent of these costs may be unnecessary, or even counterproductive, to improved health (Wennberg, Brownless, Fisher, Skinner, & Weinstein, 2008). Addressing these unwanted costs is essential in the survival of providing quality health care. This article reviews 11 dimensions that should be considered when starting a quality improvement program as well as one quality improvement tool, the Juran model, that is commonly used in the healthcare and business settings. Implementing a quality management program is essential for survival in today’s market place and is no longer an option. While it takes time to implement a quality management program, the costs are too high not to.

Eliminating Scope of Practice and Licensing Laws to Improve Health Care

2003 ◽  
Vol 31 (2) ◽  
pp. 236-246 ◽  
Author(s):  
Randall G. Holcombe
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
State Level ◽  
Scope Of Practice ◽  
State Governments ◽  
Quality Health Care ◽  
National Board ◽  
Quality Health ◽  
Medical Examiners ◽  
Licensing Laws

Entry into the practice of medicine is heavily regulated through scope of practice and licensing laws that make it illegal for nonlicensed individuals to perform many medical services. As institutions are structured at the beginning of the twenty-first century, most regulation takes place at the state level, through state departments of health that establish criteria for performing different types of medical activities, and that restrict allowable activities for various types of health care professionals. The regulations over the activities of physicians are more uniform across states than for other health care professionals because, although the regulation is done by individual state governments, the standards for physicians are set by the National Board of Medical Examiners, a group controlled by physicians themselves. The justification for this regulation is that it produces higher quality health care. Some would make an even stronger argument that regulation is necessary because patients do not have sufficient knowledge to distinguish effective practitioners from ineffective ones.

scholarly journals Promoting Health Equity through De-Implementation Research

2019 ◽  
Vol 29 (Suppl 1) ◽  
pp. 93-96 ◽  
Author(s):  
Christian D. Helfrich ◽  
Christine W. Hartmann ◽  
Toral J. Parikh ◽  
David H. Au
Keyword(s):  
Health Care ◽  
Implementation Strategies ◽  
The United States ◽  
Double Jeopardy ◽  
Socioeconomically Disadvantaged ◽  
Medical Overuse ◽  
Quality Health Care ◽  
Patient Race ◽  
Quality Health ◽  
Expected Benefits

 Ensuring equitable access to quality health care historically has focused on gaps in care, where patients fail to receive the high-value care that will benefit them, something termed unde­ruse. But providing high-quality health care sometimes requires reducing low-value care that delivers no benefit or where known harms outweigh expected benefits. These situations represent health care overuse. The process involved in reducing low-value care is known as de-implementation. In this article, we argue that de-implementation is critical for advanc­ing equity for several reasons. First, medical overuse is associated with patient race, ethnic­ity, and socioeconomic status. In some cases, the result is even double jeopardy, where racial and ethnic minorities are at higher risk of both overuse and underuse. In these cases, more tra­ditional efforts focused exclusively on underuse ignore half of the problem. Second, overuse of preventive care and screening is often greater for more socioeconomically advantaged pa­tients. Within insured populations, this means more socioeconomically disadvantaged pa­tients subsidize overuse. Finally, racial and eth­nic minorities may have different experiences of overuse than Whites in the United States. This may make efforts to de-implement over­use particularly fraught. We therefore provide several actions for closing current research gaps, including: adding subgroup analyses in studies of medical overuse; specifying and measuring potential mechanisms related to equity (eg, double jeopardy vs thermostat models of over­use); and testing de-implementation strategies that may mitigate bias.Ethn Dis. 2019;29(Suppl 1):93-96; doi:10.18865/ed.29.S1.93.

scholarly journals FSMB Census of Licensed Physicians in the United States, 2020

2021 ◽  
Vol 107 (2) ◽  
pp. 57-64 ◽  
Author(s):  
Aaron Young ◽  
Humayun J. Chaudhry ◽  
Xiaomei Pei ◽  
Katie Arnhart ◽  
Michael Dugan ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
District Of Columbia ◽  
The United States ◽  
Physician Workforce ◽  
Quality Health Care ◽  
National Public Health ◽  
Specialty Board ◽  
State Medical Boards ◽  
The Impact

ABSTRACT There are 1,018,776 licensed physicians in the United States and the District of Columbia, representing a physician workforce that is 20% larger than it was a decade ago, according to data from 2020 compiled by the Federation of State Medical Boards (FSMB). The licensed physician population has grown in number relative to the total population, but concerns about a doctor shortage remain as both the general and physician populations age. Late career physicians generally work fewer hours and retire at higher rates, while younger physicians place more emphasis on work-life balance that may also limit work hours, even as many older physicians have delayed retirement in recent years. The mean age of licensed physicians is now 51.7 years, a year higher than it was in 2010. The physician workforce is increasingly mixed in gender and type of physician, with more women and more individuals with Doctor of Osteopathic Medicine (DO) degrees, specialty board certification and international medical degrees than a decade ago. The ability to inventory a nation’s health care workforce across all specialties and jurisdictions is essential to the delivery of quality health care where it is needed most. This paper marks the FSMB’s sixth biennial census of licensed physicians in the United States and the District of Columbia and provides valuable information about the nation’s available physician workforce, including information about medical degree type, location of undergraduate medical education, specialty certification, number of active licenses, age and sex. As the impact of the COVID-19 pandemic on the United States is not yet fully known, this report should help state medical boards as they consider changes to their statutes and regulations to facilitate telemedicine and licensure portability after the pandemic ends and before another national public health emergency.

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