Health Policy Issues

Public Health Policy: Issues, Theories, and Advocacyoffers students an engaging and innovative introduction to publichealth policy: its purpose, how it is originated, and how it isimplemented. The book describes the underlying theories andframeworks as well as practical analytical tools needed foreffective advocacy and communication. Drawing on themultidisciplinary nature of public health, the book uses conceptsand examples from epidemiology, law, economics, political science,and ethics to examine the policymaking process, explain positionspro or con, and develop materials for various audiences to furthera public health policy intervention. In addition, Public HealthPolicy shows how policymaking is a complex and integratedtop-down and bottoms-up process that embraces a myriad of publicand private stakeholders. Written by a highly experienced health policy researcher andteacher, the book is rich in resources that will enhance teachingand learning. Each chapter begins with an overview of the chapter,including core terms and concepts, and includes illustrativeexamples of how the highlighted component (law, ethics, economics,politics, epidemiology, and medicine) intersects with publichealth. Discussion questions at the end of every chapter, alongwith an interview from an expert from each of the component fields,give real-world perspectives on how that particular subject relatesto the overall topic. The book also contains 13 case studies thatillustrate the framework discussed in the first part of the book,and show how the different components link to create, sustain,evaluate, or obstruct the development of public health policy. Alsoincluded are primers on two essential policy tools: how to writeresearch policy briefs, and how to craft effective letters to aneditor, including examples of both drawn from the author'spublications in journals and newspapers.

"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.

Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.

Healthcare affects the lives of most Americans and absorbs a large portion of the United States' resources. It also is continually debated, prompting ongoing legislative changes and market restructuring. One of the best ways to understand healthcare, in all its complexity, is from an economic perspective -- that is, from the perspective of the financial self-interest of all involved parties. "Health Policy Issues: An Economic Perspective" takes just such an approach. Paul J. Feldstein describes the forces that press for change in healthcare and explains why the US health system has evolved to its current state. The book's 38 concise, issue-oriented chapters cover various aspects of the US health system, including the cost of medical care, health insurance, Medicare and Medicaid, physician and nursing shortages, medical school admittance, malpractice reform, prescription drug prices, and more. -- From publisher's description.

Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Evidence indicates that actions within four main themes (early child development fair employment and decent work social protection and the living environment) are likely to have the greatest impact on the social determinants of health and health inequities. A systematic search and analysis of recommendations and policy guidelines from intergovernmental organizations and international bodies identified practical policy options for action on social determinants within these four themes. Policy options focused on early childhood education and care; child poverty; investment strategies for an inclusive economy; active labour market programmes; working conditions; social cash transfers; affordable housing; and planning and regulatory mechanisms to improve air quality and mitigate climate change. Applying combinations of these policy options alongside effective governance for health equity should enable WHO European Region Member States to reduce health inequities and synergize efforts to achieve the United Nations Sustainable Development Goals.

The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

In April 2001, the Prime Minister established the Commission on the Future of Health Care in Canada. Its mandate was to review medicare, engage Canadians in a national dialogue on its future, and make recommendations to enhance the system's quality and sustainability. The 47 recommendations in this report outline actions that must be taken in 10 critical areas, starting by renewing the foundations of medicare and considering Canada's role in improving health around the world.