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A shared destiny : community effects of uninsurance / Committee on the Consequences of Uninsurance, Board on Health Care Services, Institute of Medicine.

Van Pelt Library RA413.7.U53 I584 2003
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Format:
Book
Author/Creator:
Institute of Medicine (U.S.). Committee on the Consequences of Uninsurance.
Language:
English
Subjects (All):
Medically uninsured persons--United States.
Medically uninsured persons.
United States.
Health insurance--United States.
Health insurance.
Medical care--United States.
Medical care.
Physical Description:
xvi, 275 pages : illustrations, maps. ; 23 cm
Other Title:
Insuring health
Place of Publication:
Washington, D.C. : National Academy Press, [2003]
Contents:
A Systems Approach to the Problems of Uninsurance 17
Definition of "Community" 19
Conceptualizing Community Effects of Uninsurance 20
Methods 25
Working Hypotheses About Community Effects 26
2 Context for Community Effects: Uninsurance and the Financing and Delivery of Health Services 34
Historical and Organizational Context of Health Care for Uninsured Americans 35
Safety Net Services, Providers of Last Resort, and Mainstream Health Care 42
Who Pays for Care for Uninsured Persons? 53
3 Community Effects on Access to Care 82
Access to Care 83
Primary Care 86
Emergency Medical Services and Trauma Care 92
Specialty Care 99
Hospital-Based Care 101
4 Economic and Social Implications of Uninsurance Within Communities 120
The Context: Increasing Health Care Costs and Taxpayer Support 121
Budget Implications for States and Localities 123
Economic Base and the Potential for Development 129
Social Consequences of Uninsurance: First Thoughts 132
5 Community Health and Uninsurance 138
Geographic and Socioeconomic Disparities in Health 140
Public Health and Community Uninsurance 143
6 Summary: Conclusions and Research Agenda 164
A Research Agenda for Community Effects 165
A Conceptual Framework for Assessing the Consequences of Uninsurance for Communities 175
B Geographic Differences in Uninsured Rates 180
The Impact of Uninsured Populations on the Availability of Hospital Services and Financial Status of Hospitals in Urban Areas / Darrell J. Gaskin, Jack Needleman 205
The Impact of Uninsured Discharges on the Availability of Hospital Services and Hospital Margins in Rural Areas / Jack Needleman, Darrell. J. Gaskin 221.
Notes:
Includes bibliographical references (pages 254-275).
ISBN:
0309087260
OCLC:
52543099

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