Pacific partnerships for health : charting a course for the 21st century / Committee on Health Care Services in the U.S.-Associated Pacific Basin, Division of Health Care Services and Board on International Health, Institute of Medicine ; Jill C. Feasley and Robert S. Lawrence, editors.

Format:

Book

Contributor:

Feasley, Jill C., 1965-

Lawrence, Robert S., 1938-

Institute of Medicine (U.S.). Committee on Health Care Services in the U.S.-Associated Pacific Basin.

Institute of Medicine (U.S.). Board on International Health.

Language:

English

Subjects (All):

Public health--Islands of the Pacific.

Public health.

Community health services--Islands of the Pacific.

Community health services.

Physical Description:

xvi, 154 p. : ill., maps.

Edition:

1st ed.

Place of Publication:

Washington, D.C. : National Academy Press, 1998.

Language Note:

English

Summary:

The U.S.-Associated Pacific Basin consists of six island jurisdictions: American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, the Federated States of Micronesia, Republic of the Marshall Islands, and the Republic of Palau. This book examines one aspect of the ties and U.S. involvement with this part of the world-its role in the region's health care delivery system. Although the health status of the islanders and the challenges faced by the health care systems naturally vary within and among the jurisdictions, in general, almost all health indicators for the islanders are worse than those of mainland Americans. The health systems in the area must deal with conditions normally seen in developing countries (e.g., malnutrition, tuberculosis, dengue fever, and cholera) and in developed countries alike (e.g., diabetes, heart disease, and cancer). In examining the strengths and weaknesses of the area's systems, the volume provides a regional health overview and assessments of health care in individual jurisdictions, evaluates the Pacific Basin Medical Officers Training Program, and lays out a strategic plan for future health services in the U.S.-Associated Pacific Basin.

Contents:

Pacific Partnerships for Health

Copyright

Preface

Acknowledgments

Contents

Summary

THE INSTITUTE OF MEDICINE STUDY

CURRENT STATUS OF THE HEALTH CARE DELIVERY SYSTEMS

CHARTING A COURSE FOR THE 21ST CENTURY

Adopt and Support a Viable System of Community-Based Primary Care and Preventive Services

Improve the Island's Physical Infrastructure

Invest in Preventive and Primary Care and Public Health

Maintain or Establish Basic Health Care Standards

Develop a Regional Health Information System

Reform Health Care Facility Management

Promote Prudent Privatization

Rethink and Restrict Off-Island Tertiary Care Referrals

Improve Coordination Within and Among the Jurisdictions and the United States

Role of the United States

Roles of the Island Jurisdictions

Interface Between the United States and the Island Jurisdictions

Increase Community Involvement and Investment in Health Care

Establish Jurisdictional Health Authorities

Develop Health Improvement Benchmarking Process

Use Nongovernmental Community Organizations to Provide Health Care Services

Increase Community Involvement with Primary Care Sites

Promote Education and Training of the Health Care Workforce

Improve and Support Basic Education

Utilize Distance-Based Learning, Telemedicine, and Electronic Data Libraries

Provide Postgraduate and Continuing Medical Education Programs

Sponsor Training for Dentists

Sponsor Training for Nurses

Provide Health Administration and Systems Management Training to the Chief Health Administrator

1 Introduction

ORIGINS OF THIS REPORT

STUDY APPROACH

ORGANIZATION OF THIS REPORT

U.S. INVOLVEMENT WITH THE REGION

Historical Overview

Current Political Status of the U.S.-Associated Pacific Basin Jurisdictions

The Flag Territories

The Freely Associated States.

U.S. Military Interests in the Region

U.S. Economic Interests in the Region

U.S. Interests in the Region's Health Care Systems

2 Regional Health and Health Care Services Overview

REGIONAL HEALTH OVERVIEW

Demographic Characteristics of the Region

Population

Ethnicity

Economy

Epidemiological Characteristics of the Region

Mortality

Disease Prevalence

Disease Prevention and Health Promotion

REGIONAL HEALTH CARE SERVICES OVERVIEW

Structure of the Health Care Delivery System

Administration

Coordination

Data Management

Health Care Facilities

Community Involvement with Health Care Delivery

Off-Island Care

Financial Resources

Workforce

Physicians

Dental Professionals

Mid-Level Practitioners

Nurses

Health Assistants

Health Care Workforce Education and Training

Technology and Equipment

APPENDIX

Pacific Basin Medical Officers Training Program

Overview of PBMOTP

Student Recruitment and Retention

Curriculum

Career Ladder Program

Results

Continuing Education and Training for PBMOTP Medical Officers

Replication of PBMOTP

3 Charting a Course for the 21st Century: A Strategic Plan for Future Health Initiatives in the U.S.-Associated Pacific Basin

ADOPT A VIABLE SYSTEM OF COMMUNITY-BASED PRIMARY CARE AND PREVENTIVE SERVICES

IMPROVE COORDINATION WITHIN AND BETWEEN THE JURISDICTIONS AND THE UNITED STATES

ROLE OF THE UNITED STATES

Use of Block Grants That Require Meaningful Measures of Accountability.

Consideration of Multiple Uses of Military Facilities

Continuation of Funding of Research Projects in the Region

Establishment of an Interagency Governmental Committee on Pacific Health

IGCOPH Composition

IGCOHP Tasks

ROLE OF THE ISLAND JURISDICTIONS

INTERFACE BETWEEN THE UNITED STATES AND THE ISLAND JURISDICTIONS

Establishment of a Pacific Basin Health Coordinating Council

PBHCC Composition

PBHCC Tasks

PBHCC Funding

INCREASE COMMUNITY INVOLVEMENT AND INVESTMENT IN HEALTH CARE

Use Nongovernmental Community Organizations to Provide Health Services

PROMOTE THE EDUCATION AND TRAINING OF THE HEALTH CARE WORKFORCE

Use Distance-Based Learning, Telemedicine, and Electronic Data Libraries

Bibliography

Appendix A Committee Bioraphies

Appendix B Saipan Workshop Agenda

Saipan Workshop Attendees

Appendix C Organization of Institute of Medicine Site Visits to the Pacific Basin, 1997

D Assessments of Individual Jurisdictions' Health Care Services

AMERICAN SAMOA

Overview

Government

Infrastructure

Health Care Delivery System Organization

Health-Related Community Organizations

Health Care Resources

Other Health Care Personnel

Workforce Quality Assurance

Technology, Supplies, and Equipment

Future Health Care Issues.

COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS

Compact Impact

Future Health Care Issues

FEDERATED STATES OF MICRONESIA

Financial

Quality Assurance

Chuuk

Dentists

Kosrae

Pohnpei

Yap

GUAM (GUAHAN)

Employment

Federal Expenditures

Federal Grant Assistance

Military Spending

Tourism

Hospitals

Public Clinics

Private Clinics

Public Health Insurance

Private Health Insurance

Nurses.

Other Health Care Personnel

Traditional Health Practitioners

REPUBLIC OF THE MARSHALL ISLANDS

Marshall Islands Medical Care Program

Section 177 Health Care Program

Health-Care-Related Community Organizations

Traditional Health Care Practitioners

PALAU (BELAU)

Traditional Health Practices

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references.

Description based on publisher supplied metadata and other sources.

ISBN:

9780309174435

0309174430

9780309591393

0309591392

9780585025575

0585025576

OCLC:

923263263