Institute of Medicine, Board on Health Care Services,'s A Shared Destiny (Insuring Health) PDF

By Institute of Medicine, Board on Health Care Services, Committee on the Consequences of Uninsurance

ISBN-10: 0309087260

ISBN-13: 9780309087261

ISBN-10: 0309505429

ISBN-13: 9780309505420

"A Shared future" is the fourth in a sequence of six experiences at the difficulties of uninsurance within the usa. This record examines how the standard, volume, and scope of group well-being prone should be adversely stricken by having a wide or transforming into uninsured inhabitants. It explores the overlapping monetary and organizational foundation of wellbeing and fitness prone supply to uninsured and insured populations, the results of neighborhood uninsurance on entry to wellbeing and fitness care in the neighborhood, and the capability spillover results on a community's economic system and the wellbeing and fitness of its voters. The committee believes - it truly is either unsuitable and hazardous to imagine that the patience of a large uninsured inhabitants within the usa harms merely people who are uninsured.

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Additional info for A Shared Destiny (Insuring Health)

Sample text

Mounting Pressures: Physicians Serving Medicaid Patients and the Uninsured, 1997-2001. Tracking Report No. 6. Results from the Community Tracking Study. Washington, DC: Center for Studying Health System Change. Cunningham, Peter, and Ha T. Tu. 1997. A Changing Picture of Uncompensated Care. Health Affairs 14(4):167-175. , and Peter Kemper. 1998. Ability to Obtain Medical Care for the Uninsured: How Much Does It Vary Across Communities? Journal of the American Medical Association 280(10): 921-927.

Stoddard. 2001. Physicians Pulling Back from Charity Care. Issue Brief No. 42, Findings from HSC. Washington, DC: Center for Studying Health System Change. , Misty L. Navarro, and Robert W. Derlet. 2000. Survey of Directors of Emergency Departments in California on Overcrowding. Western Journal of Medicine 172(6):385-388. Rosenbaum, Sara, Sara Wilensky, Peter Shin, and Dylan Roby. 2002. Managed Care and Community Health Centers: An Overview and Analysis. Washington, DC: The George Washington University School of Public Health and Health Services.

Studies that attempt to measure the impact of uninsurance on community-level outcomes face the challenge of factoring out or analytically accounting for these covariates of health insurances that can be expected to affect the outcomes of interest. Throughout this report, the extent and nature of any analytic controls for covarying community characteristics are included in the descriptions of studies cited. 2 graphically depicts the overlap and interplay of individual characteristics, including health insurance status, with community-level factors, including the local uninsured rate, with another factor, the quality of the health care system, to determine individual and population-wide access to appropriate health care and other health outcomes.

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A Shared Destiny (Insuring Health) by Institute of Medicine, Board on Health Care Services, Committee on the Consequences of Uninsurance


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