Bled

2018 ◽  
Author(s):  
Lisa Jean Moore
Keyword(s):  
United States ◽  
Health Care ◽  
Quality Control ◽  
Horseshoe Crab ◽  
The United States ◽  
Standard Test ◽  
Nonhuman Animal ◽  
Laboratory Studies ◽  
Health Care Demand ◽  
Horseshoe Crabs

In 1964, Limulus amoebocyte lysate (LAL), developed from horseshoe crab blood, was discovered as an effective pryogen test. Limulus blood reacts to endotoxins by forming a gel. The LAL test, constructed from horseshoe crab amoebocytes, has become the standard test in the United States, Europe, and Asia to test pharmaceutical injectables and pharmaceutical insertables for biomedical and veterinary uses. Without it, endotoxins could contaminate all of our laboratory studies, our bodies, and other nonhuman animal bodies. We’ve made horseshoe crabs indispensable to our human and veterinary biomedicine. We need their blood, and as health care demand grows, we will need more and more. I explain how blood donations are detrimental to the crabs. Furthermore, I explain how the LAL test is a not lifesaving test but is instead used for quality control. Even with all of this information and the viability of a synthetic alternative, the bureaucracy surrounding the procedure for switching to the synthetic alternative will prevent the switch from happening until most of the crabs have died. They are not valued like humans are; they are instead valued for their use to humans and will be valued that way until they are used up.

Home Care for Sale

2021 ◽  
pp. 48-76
Author(s):  
Richard Schweid
Keyword(s):  
United States ◽  
Health Care ◽  
Quality Control ◽  
Home Care ◽  
Home Health Care ◽  
The United States ◽  
Federal Regulations ◽  
Gray Market ◽  
Emotional Demands ◽  
And Training

This chapter begins by assessing the psychological and emotional demands of home care work. It then explains how home care, like other aspects of health care in the United States, is a marketplace commodity. Because need is so great, this commodification of home health care has proved tremendously profitable to the agencies serving as middlemen. In theory, these agencies impose a certain quality control, carefully screening and training the aides they send out to work. Unfortunately, this is not always the case. Those agencies that work on a strictly private-pay basis and do not accept Medicaid clients are not subject to the federal regulations and are not legally required to provide aides with any training whatsoever. Moreover, the high cost of using agencies has generated a vast gray market for aides who work freelance and privately, without working for an agency or under any supervision other than that of the client and the client's family.

QUALITY CONTROL AND THE COMMUNITY PHYSICIAN IN ENGLAND: AN AMERICAN PERSPECTIVE

1976 ◽  
Vol 6 (1) ◽  
pp. 79-102 ◽  
Author(s):  
Dianne Miller Wolman
Keyword(s):  
United States ◽  
Health Care ◽  
Quality Control ◽  
Control Function ◽  
Health Planning ◽  
Monitoring And Evaluation ◽  
The United States ◽  
Health Providers ◽  
Community Physician ◽  
The Government

The quality of health care is becoming an issue of increasing public importance in both England and the United States. As the government role in providing health care grows and citizen demands increase, the effective and efficient use of health care resources and their equitable distribution become crucial. Although government responsibilities, particularly for health care, differ in both countries, as do traditions of quality control, cross-national comparisons are nonetheless useful. An examination of the role of the new English community medicine specialist and his potential for quality control may indicate what tools and powers should be introduced into a health planning and quality control system in the United States. The study concludes that at the district level of the National Health Service, where the basic planning, monitoring, and evaluation of services are to take place, the District Community Physician has very limited tools to carry out his quality control function. Although he has a formal position in the unified decision-making structure, it is unlikely that he will be able to effect any substantial reallocation of resources without the voluntary support and cooperation of the consultants, general practitioners, and other health providers.

scholarly journals A Census of Actively Licensed Physicians in the United States, 2012

2013 ◽  
Vol 99 (2) ◽  
pp. 11-24 ◽  
Author(s):  
Aaron Young ◽  
Humayun J. Chaudhry ◽  
Jon V. Thomas ◽  
Michael Dugan
Keyword(s):  
United States ◽  
Health Care ◽  
The United States ◽  
Health Care Market ◽  
Health Care Demand ◽  
Data Set ◽  
Market Participants ◽  
Patient Protection ◽  
State Medical Boards ◽  
Demand For Health

ABSTRACTThe Patient Protection and Affordable Care Act, signed into law in 2010 and upheld by the U.S. Supreme Court last year, is expected to provide health care coverage to as many as 32 million Americans by 2019. As demand for health care expands, the need for accurate data about the current and future physician workforce will remain paramount. This census of actively licensed physicians in the United States and the District of Columbia represents data received from state medical boards in 2012 by the Federation of State Medical Boards. It demonstrates that the total population of licensed physicians (878,194) has expanded by 3% since 2010, is slightly older, has more women, and includes a substantive increase in physicians who graduated from a medical school in the Caribbean. As state medical boards begin to collect a Minimum Data Set about practicing physicians and their practice patterns in the years ahead, this information will inform decisions by policymakers, regulators and health care market participants to better align health care demand with supply.

Health Outcomes and Health Care Utilization Among Obstetric Deliveries With Concurrent CKD in the United States

2020 ◽  
Vol 75 (1) ◽  
pp. 148-150 ◽  
Author(s):  
Andrea L. Oliverio ◽  
Lindsay K. Admon ◽  
Laura H. Mariani ◽  
Tyler N.A. Winkelman ◽  
Vanessa K. Dalton
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Utilization ◽  
Health Outcomes ◽  
The United States ◽  
Care Utilization

Quality Control of Data in a Large-Scale Cancer Register Program

1966 ◽  
Vol 05 (02) ◽  
pp. 67-74 ◽  
Author(s):  
W. I. Lourie ◽  
W. Haenszeland
Keyword(s):  
United States ◽  
Quality Control ◽  
Cancer Patients ◽  
Large Scale ◽  
The United States ◽  
Newly Diagnosed ◽  
Related Data ◽  
Cancer Register ◽  
Independent Review ◽  
End Results

Quality control of data collected in the United States by the Cancer End Results Program utilizing punchcards prepared by participating registries in accordance with a Uniform Punchcard Code is discussed. Existing arrangements decentralize responsibility for editing and related data processing to the local registries with centralization of tabulating and statistical services in the End Results Section, National Cancer Institute. The most recent deck of punchcards represented over 600,000 cancer patients; approximately 50,000 newly diagnosed cases are added annually.Mechanical editing and inspection of punchcards and field audits are the principal tools for quality control. Mechanical editing of the punchcards includes testing for blank entries and detection of in-admissable or inconsistent codes. Highly improbable codes are subjected to special scrutiny. Field audits include the drawing of a 1-10 percent random sample of punchcards submitted by a registry; the charts are .then reabstracted and recoded by a NCI staff member and differences between the punchcard and the results of independent review are noted.

The Special Perils of Being Old and Sick in Prison

2020 ◽  
Vol 32 (5) ◽  
pp. 276-284
Author(s):  
William J. Jefferson
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
Health Care Providers ◽  
The United States ◽  
United States Constitution ◽  
Care Providers ◽  
Medical Practitioners ◽  
Medical Needs ◽  
Access To Medical Care

The United States Supreme Court declared in 1976 that deliberate indifference to the serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain…proscribed by the Eighth Amendment. It matters not whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards intentionally denying or delaying access to medical care or intentionally interfering with treatment once prescribed—adequate prisoner medical care is required by the United States Constitution. My incarceration for four years at the Oakdale Satellite Prison Camp, a chronic health care level camp, gives me the perspective to challenge the generally promoted claim of the Bureau of Federal Prisons that it provides decent medical care by competent and caring medical practitioners to chronically unhealthy elderly prisoners. The same observation, to a slightly lesser extent, could be made with respect to deficiencies in the delivery of health care to prisoners of all ages, as it is all significantly deficient in access, competencies, courtesies and treatments extended by prison health care providers at every level of care, without regard to age. However, the frailer the prisoner, the more dangerous these health care deficiencies are to his health and, therefore, I believe, warrant separate attention. This paper uses first-hand experiences of elderly prisoners to dismantle the tale that prisoner healthcare meets constitutional standards.

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