Public Interest Report No. 7: Rx: A Healthy National Organization for American Physicians

1973 ◽  
Vol 4 (1) ◽  
pp. 75-79
Author(s):  
Robert N. Butler
Keyword(s):  
Public Health ◽  
Health Care ◽  
Public Interest ◽  
The United States ◽  
Professional Organization ◽  
Institute Of Medicine ◽  
American Public Health Association ◽  
Quality Health Care ◽  
Health Association ◽  
Quality Health

The American Medical Association, like all organizations, is not guaranteed a permanent life. The AMA has shown serious signs of obsolescence after years of poorly representing both doctors and their patients. AMA membership has fallen below 50 per cent of American physicians. It is possible that the AMA might be revamped and become a major force for constructive change. It is also possible that a new professional organization will emerge along with unionization. Specialty groups have evolved. An Institute of Medicine has gained considerable status. Various socially-conscious groups like the Medical Committee on Human Rights and the American Public Health Association have made important contributions toward the ultimate goal of providing quality health care in the United States.

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

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.

Mexico’s Superior Health Council and the American Public Health Association: The Transnational Archive of Porfirian Public Health, 1887–1910

2009 ◽  
Vol 89 (4) ◽  
pp. 573-602
Author(s):  
Paul Ross
Keyword(s):  
Public Health ◽  
Nineteenth Century ◽  
The United States ◽  
Western Hemisphere ◽  
International Strategy ◽  
Late Nineteenth Century ◽  
American Public Health Association ◽  
Porfirio Diaz ◽  
Health Council ◽  
Health Association

Abstract In the late nineteenth century, Mexico’s Superior Health Council devised a consistent and assertive international strategy around alignment with international scientific standards, the control of disease certification on Mexican soil by Mexican experts, transparent disease reporting, internationally demonstrated competence in campaigns against tropical disease, and participation in multilateral health agreements. The council came to command a central role in the regime of Porfirio Díaz (1877–1911), mainly because this international strategy enabled a successful defense of Mexican sovereignty. In the arena of public health, the council, led by Eduardo Licéaga, came close to realizing the Científicos’ dream of Mexican development “without U.S. investment.” This was largely because the council obtained independent access to European ideas and technologies prior to its engagement with the United States, which began in 1890 when the first Mexican delegation attended the annual meeting of the American Public Health Association (APHA). Through a persistent and creative diplomatic campaign, taking advantage of relationships cultivated through the APHA, Porfirio Díaz’s sanitary advisors persuaded many of their American counterparts that Mexican experts could be trusted partners in defending the health of the western hemisphere. The article describes the Atlantic world of Mexican medicine in the nineteenth century, the significance of public health within a context shaped by rising U.S. imperialism, the key role played by Licéaga, and Mexico’s participation in the APHA.

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 No quality health care without strong public health

2017 ◽  
Vol 189 (46) ◽  
pp. E1435-E1435 ◽  
Author(s):  
Trevor Hancock
Keyword(s):  
Public Health ◽  
Health Care ◽  
Quality Health Care ◽  
Quality Health

Ivana Krajcinovic, From Company Doctors to Managed Care: The United Mine Workers' Noble Experiment. Ithaca: ILR Press, 1997. ix + 212 pp. $37.50 cloth.

2000 ◽  
Vol 57 ◽  
pp. 173-175
Author(s):  
Michael Nash
Keyword(s):  
Health Care ◽  
The United States ◽  
Quality Health Care ◽  
Quality Health ◽  
United Mine Workers ◽  
Retirement Funds ◽  
The Many ◽  
Company Doctor ◽  
United Mine ◽  
Mine Workers

For much of the first half of the century the United Mine Workers (UMW) was the largest, most important, most powerful, and most progressive union in the United States. Among its many accomplishments was that it was one of the first to bargain for and win employer-financed health benefits. Health care was critically important to miners, many of whom were seriously injured on the job and by middle age were often disabled by black lung disease. In the isolated, rural mine patches, quality health care was rarely available. In the days before the organization of the UMW's Welfare and Retirement Funds, many miners found that the only health care that was available came from the company doctor. This medical practice was usually substandard and was one of the many ways the operators exercised power over the life of the miners, discouraging union and political organizing.

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