Save My Kid

2020 ◽  
Author(s):  
Amanda M. Gengler
Keyword(s):  
United States ◽  
Critically Ill ◽  
Healthcare System ◽  
Treatment Process ◽  
The United States ◽  
Illness Experience ◽  
Critically Ill Children ◽  
Medical Decisions ◽  
Emotional Culture ◽  
The Us

In “Save My Kid,” sociologist Amanda Gengler examines how families of critically ill children navigate the US healthcare system. Not all families are equipped with resources for critically ill kids, but the toolkits that are available to them shape their approach to seeking care and negotiating the treatment process, as well as their ability to maintain some degree of emotional stability in the midst of profound distress. ”Save My Kid” uncovers the powerful role emotional goals—deeply rooted in the emotional culture around illness and medicine in the United States—can play in driving medical decisions, healthcare interactions, and the end of children’s lives if and when they come. This book draws out the often unrecognized, everyday inequalities that unfold throughout the illness experience while shedding important light on the emotional foundations on which they rest.

Pediatric Obesity in Acute and Critical Care

2008 ◽  
Vol 19 (1) ◽  
pp. 38-46
Author(s):  
Andrea M. Kline
Keyword(s):  
United States ◽  
Critical Care ◽  
Critically Ill ◽  
Pediatric Obesity ◽  
The United States ◽  
Critically Ill Children ◽  
Surgical Strategies ◽  
Specific Effects ◽  
Critically Ill Child

Pediatric obesity has reached epidemic proportions in the United States. Significant obesity-related comorbidities are being noted at earlier ages and often have implications for the acute and critically ill child. This article will review the latest in epidemiologic trends of pediatric obesity and examine how it affects multisystem body organs. The latest data evaluating the specific effects of obesity on acute and critically ill children will be reviewed. Available nonpharmacologic, pharmacologic, and surgical strategies to combat pediatric obesity will be discussed.

scholarly journals The Cross-national Applicability of Lean Implementation Measures and Hospital Performance Measures: A Case Study of Finland and the United States

2021 ◽  
Author(s):  
Elina Reponen ◽  
Thomas G Rundall ◽  
Stephen M Shortell ◽  
Janet C Blodgett ◽  
Ritva Jokela ◽  
...  
Keyword(s):  
United States ◽  
Healthcare System ◽  
Performance Measures ◽  
Service Provision ◽  
The United States ◽  
Hospital Performance ◽  
Lean Implementation ◽  
The Us ◽  
Cross National

Abstract Background Healthcare organizations around the world are striving to achieve transformational performance improvement, often through adopting process improvement methodologies such as Lean management. Indeed, Lean management has been implemented in hospitals in many countries. But despite a shared methodology and the potential benefit of benchmarking lean implementation and its effects on hospital performance, cross-national Lean benchmarking is rare. Healthcare organisations in different countries operate in very different contexts, including different healthcare system models, and these differences may be perceived as limiting the ability of improvers to benchmark Lean implementation and related organisational performance. However, there is no empirical research available on the international relevance and applicability of Lean implementation and hospital performance measures. To begin to understand the opportunities and limitations related to cross-national benchmarking of Lean in hospitals, we conducted a cross-national case study of the relevance and applicability of measures of Lean implementation in hospitals and hospital performance. Methods We report an exploratory case study of the relevance of Lean implementation measures and the applicability of hospital performance measures using quantitative comparisons of data from Hospital District of XX XX University Hospital in Finland and a sample of 75 large academic hospitals in the United States. Results The relevance of Lean-related measures was high across the two countries: almost 90% of the items developed for a US survey were relevant and available from XX. A majority of the US-based measures for financial performance (66.7%), service provision/utilisation (100.0%), and service provision/care processes (60.0%) were available from XX. Differences in patient satisfaction measures prevented comparisons between XX and the US. Of 18 clinical outcome measures, only four (22%) were not comparable. Clinical outcome measures were less affected by the differences in healthcare system models than measures related to service provision and financial performance. Conclusions Lean implementation measures are highly relevant in healthcare organisations operating in the United States and Finland, as is the applicability of a variety of performance improvement measures. Cross-national benchmarking in Lean healthcare is feasible, but a careful assessment of contextual factors, including the healthcare system model, and their impact on the applicability and relevance of chosen benchmarking measures is necessary. The differences between the US and Finnish healthcare system models is most clearly reflected in financial performance measures and care process measures.

Variation in Pediatric Palliative Care Allocation Among Critically Ill Children in the United States

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Siobhán O’Keefe, ◽  
Aline B. Maddux ◽  
Kimberly S. Bennett ◽  
Jeanie Youngwerth ◽  
Angela S. Czaja
Keyword(s):  
United States ◽  
Palliative Care ◽  
Critically Ill ◽  
The United States ◽  
Pediatric Palliative Care ◽  
Critically Ill Children ◽  
Care Allocation

Venous thromboembolism: Annualised United States models for total, hospital-acquired and preventable costs utilising long-term attack rates

2012 ◽  
Vol 108 (08) ◽  
pp. 291-302 ◽  
Author(s):  
Matthew E. Borrego ◽  
Alex L. Woersching ◽  
Robert Federici ◽  
Ross Downey ◽  
Jay Tiongson ◽  
...  
Keyword(s):  
United States ◽  
Sensitivity Analysis ◽  
Venous Thromboembolism ◽  
Healthcare System ◽  
Cost Model ◽  
The United States ◽  
Total Hospital ◽  
The Us ◽  
Hospital Acquired

SummaryHealthcare reform is upon the United States (US) healthcare system. Prioritisation of preventative efforts will guide necessary transitions within the US healthcare system. While annual deep-vein thrombosis (DVT) costs have recently been defined at the US national level, annual pulmonary embolism (PE) and venous thromboembolism (VTE) costs have not yet been defined. A decision tree and cost model were developed to estimate US health care costs for total PE, total hospital-acquired PE, and total hospital-acquired “preventable” PE. The previously published DVT cost model was modified, updated and combined with the PE cost model to elucidate the same three categories of costs for VTE. Direct and indirect costs were also delineated. For VTE in the base model, annual cost ranges in 2011 US dollars for total, hospital-acquired, and hospital-acquired “preventable” costs and were $13.5-$27.2, $9.0-$18.2, and $4.5-$14.2 billion, respectively. The first sensitivity analysis, with higher incidence rates and costs, demonstrated annual US total, hospital-acquired, and hospital-acquired “preventable” VTE costs ranging from $32.1-$69.3, $23.7-$51.5, and $11.9-$39.3 billion, respectively. The second sensitivity analysis with long-term attack rates (LTAR) for recurrent events and post-thrombotic syndrome and chronic pulmonary thromboembolic hypertension demonstrated annual US total, hospital-acquired, and hospital-acquired “preventable” VTE costs ranging from $15.4-$34.4, $10.3-$25.4, and $5.1-$19.1 billion, respectively. PE costs comprised a majority of the VTE costs. Prioritisation of effective VTE preventative strategies will reduce significant costs, morbidity and mortality within the US healthcare system. The cost models may be utilised to estimate other countries’ costs or VTE-specific disease states.

Use of EEG in critically ill children and neonates in the United States of America

2017 ◽  
Vol 264 (6) ◽  
pp. 1165-1173 ◽  
Author(s):  
Marina Gaínza-Lein ◽  
Iván Sánchez Fernández ◽  
Tobias Loddenkemper
Keyword(s):  
United States ◽  
Critically Ill ◽  
United States Of America ◽  
The United States ◽  
Critically Ill Children

scholarly journals Health literacy: What we know and don’t know - A literature perspective

2020 ◽  
Vol 9 (6) ◽  
pp. 12
Author(s):  
Kim D. ◽  
O’Connor S.J. ◽  
Williams J.H. ◽  
Opoku-Agyeman W. ◽  
Chu D.I. ◽  
...  
Keyword(s):  
United States ◽  
Health Literacy ◽  
Healthcare System ◽  
General Health ◽  
The United States ◽  
Knowledge And Skills ◽  
The Past ◽  
The Us ◽  
And Performance ◽  
Inadequate Health Literacy

Health literacy has become an important topic to discuss in the US healthcare system. Almost nine out of ten adults in the United States lack the knowledge and skills required to manage their health and prevent disease. While studies have shown the importance of health literacy, not may have explored its’ history and conceptual roots. Hence, the purpose of this study is to address the gap in the literature by reviewing studies related to the past, present, and the effect of health literacy. The results have shown that inadequate health literacy does affect patients’ general health and performance of the US healthcare system.

An American Perspective of the Dental and Public Health Initiatives in Cuba

2021 ◽  
pp. 232020682110301
Author(s):  
Colleen Watson ◽  
Laura Rhein ◽  
Stephanie M. Fanelli
Keyword(s):  
Public Health ◽  
United States ◽  
Health Status ◽  
Health System ◽  
Healthcare System ◽  
National Health ◽  
National Health System ◽  
The United States ◽  
Healthcare Systems ◽  
The Us

Aim: To compare following the Cuban Revolution, Cuba’s economy and civil society was transformed by the initiation of a program of nationalization and political consolidation. The Cuban government operates a national health system and assumes fiscal and administrative responsibility for the healthcare of its citizens. Other industrialized nations continue to surpass the US in health-related outcomes indicating areas of improvement in its healthcare system. Assessing the successes and failures as well as the advantages and disadvantages of other countries’ healthcare systems may be instrumental in the development of modifications to the organization and delivery system of healthcare in the US. This paper aims to report the information attained from previous literature as well as from first-hand observations from a public health trip to Cuba in order to compare the healthcare systems in Cuba and the United States. Materials and Methods: A group of New York University College of Dentistry faculty and students traveled to Cuba in April 2019 for professional research and professional meetings (CFR 515.564). While in Cuba, the researchers took written notes of the lecture-based material and conversations. Upon return to the United States, published literature was searched for the collection of any additional data and all qualitative data and quantitative data was compiled and organized. Since 1959, Cuba has made continuous adjustments and improvements to its universal, free and accessible healthcare system. Results: There have been notable improvements to the country’s public health status, such as the implementation of an immunization program and subsequent eradication of communicable diseases, such as polio and rubella. Additionally, the implementation of the National Program on Dentistry guarantees dental care to all Cuban children under the age of 19. Today, the Cuban National Health System (NHS) initiatives have evolved to combat the novel coronavirus (COVID-19) pandemic. Conclusion: Recognizing the advantages as well as the disadvantages of the Cuba’s National Health System (NHS) would be useful for future policymakers in the United States. Cuban approaches to health could be tailored to the United States environment to improve healthcare effectiveness and population health status in the future.

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