Emerging Innovations: Caring In Action

1999 ◽  
Vol 3 (1) ◽  
pp. 7-11
Author(s):  
Marilyn A. Ray,
Keyword(s):  
Health Care ◽  
International Association ◽  
The United States ◽  
Health Care Environment ◽  
Care Environment ◽  
Universal Health Care System ◽  
The Future ◽  
20Th Anniversary ◽  
Human Caring ◽  
Universal Health

This paper on the future of caring in the challenging health care environment was the end-note address of the 20th anniversary of the International Association for Human Caring held in Philadelphia, Pennsylvania, April, 1998. The focus of the future of caring is on social, transcultural, communal caring, which is a response to the economic corporatization of health care. The need now is for a universal health care system in the United States, to not only care for all citizens, but also to be an example for the rest of the world to heed the call of the Alma-Ata conference of 1978 to provide health care for all early in the new millennium.

scholarly journals Pharmacoeconomics of Cancer Therapy

1998 ◽  
Vol 5 (5) ◽  
pp. 415-424 ◽  
Author(s):  
Susan E. Beltz ◽  
Gary C. Yee
Keyword(s):  
Health Care ◽  
Treatment Decision ◽  
Health Care Expenditures ◽  
The United States ◽  
Health Care Environment ◽  
Design Data ◽  
Care Environment ◽  
Treatment Decision Making ◽  
Economic Analyses ◽  
The Cost

Background In 1990, annual costs of the diagnosis and treatment of cancer reached nearly $100 billion and currently constitutes approximately 10% of health care expenditures in the United States. As new and often more expensive therapies for cancer treatment become available, the health care decision- maker must consider the cost effectiveness of the therapy. Methods Key principles of economic analyses and the inherent differences among these analyses are reviewed. Results While pharmacoeconomic analyses are increasingly being used in treatment decision-making, several issues relating to study design, data collection, and research methods are controversial. Conclusions Pharmacoeconomics analyses are necessary in the current health care environment, but the assumptions used within the analyses warrant careful evaluation.

Impact of Managed Health Care on the United States: Implications for Universal Health Care System

2009 ◽  
Vol 19 (7) ◽  
pp. 805-819 ◽  
Author(s):  
Rachel Lepolstat ◽  
Katie Golbeck ◽  
Dana Kostelnik ◽  
Shruthi Mandyam ◽  
Darrel Montero ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care System ◽  
The United States ◽  
Universal Health Care ◽  
Managed Health Care ◽  
Universal Health Care System ◽  
Universal Health ◽  
Care System

The Future of Australasian Psychiatrists: Online or Out of Touch?

2000 ◽  
Vol 34 (4) ◽  
pp. 553-559 ◽  
Author(s):  
Peter M. Yellowlees
Keyword(s):  
Health Care ◽  
Personal Experience ◽  
New Technologies ◽  
Driving Forces ◽  
Asia Pacific ◽  
Health Care Environment ◽  
Care Environment ◽  
Communications Technologies ◽  
The Future ◽  
National Boundaries

Objective: The aim of this paper is to examine the delivery of mental health care which will be enabled by the various communications technologies over the next 5 to 10 years. Method: A literature review, reviews of multiple Internet websites and the author's personal experience and opinions are combined to provide a commentary on the group of new technologies for communication available within health, and how they will affect the practice of psychiatry and psychiatrists over the next decade. The driving forces for these changes are the rise of consumerism, technological change and financial necessity, and it is evident that patients will have in future much greater choice of access to their therapists than at present. The health-care environment of the future will be different to today, as will the roles of psychiatrists, who will increasingly have to work as members of teams in an expert capacity rather than in traditional one-to-one practice. Conclusions: It is concluded that it is essential for psychiatrists to become involved in online health care, and in particular to join their patients on the Internet, and that there are major opportunities for Australasian psychiatrists to provide high quality psychiatric care across national boundaries, particularly into the Asia-Pacific region.

scholarly journals Trends in the Aggressiveness of End-of-Life Cancer Care in the Universal Health Care System of Ontario, Canada

2011 ◽  
Vol 29 (12) ◽  
pp. 1587-1591 ◽  
Author(s):  
Thi H. Ho ◽  
Lisa Barbera ◽  
Refik Saskin ◽  
Hong Lu ◽  
Bridget A. Neville ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Emergency Department ◽  
Cancer Care ◽  
The United States ◽  
Universal Health Care ◽  
Universal Health Care System ◽  
Eol Care ◽  
Universal Health ◽  
Over Time

Purpose To describe trends in the aggressiveness of end-of-life (EOL) cancer care in a universal health care system in Ontario, Canada, between 1993 and 2004, and to compare with findings reported in the United States. Methods A population-based, retrospective, cohort study that used administrative data linked to registry data. Aggressiveness of EOL care was defined as the occurrence of at least one of the following indicators: last dose of chemotherapy received within 14 days of death; more than one emergency department (ED) visit within 30 days of death; more than one hospitalization within 30 days of death; or at least one intensive care unit (ICU) admission within 30 days of death. Results Among 227,161 patients, 22.4% experienced at least one incident of potentially aggressive EOL cancer care. Multivariable analyses showed that with each successive year, patients were significantly more likely to encounter some aggressive intervention (odds ratio, 1.01; 95% CI, 1.01 to 1.02). Multiple emergency department (ED) visits, ICU admissions, and chemotherapy use increased significantly over time, whereas multiple hospital admissions declined (P < .05). Patients were more likely to receive aggressive EOL care if they were men, were younger, lived in rural regions, had a higher level of comorbidity, or had breast, lung, or hematologic malignancies. Chemotherapy and ICU utilization were lower in Ontario than in the United States. Conclusion Aggressiveness of cancer care near the EOL is increasing over time in Ontario, Canada, although overall rates were lower than in the United States. Health system characteristics and patient or physician cultural factors may play a role in the observed differences.

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