"Jeffrey Simpson meets health care head on and explores the only four options we have to end this growing crisis: cuts in spending, tax increases, privatization, and reaping savings through increased efficiency. He examines the tenets of the Medicare system that Canadians cling to so passionately. Here, he finds that many other countries have more extensive public health systems, and Canadian health care produces only average value for money. In fact, our rigid system for some health care needs and a costly system for other needs - drugs, dentistry, and home care - is really the worst of both worlds. Chronic Condition breaks the silence about the huge changes and real choices that Canadians face"--From publisher description
Part One. 1. Hospital days -- Part Two. 2. Health care's early history -- 3. Medicare in Saskatchewan -- 4. The Father of Medicare -- 5. The Liberals and Medicare -- 6. The Canada Health Act -- Part Three. 7. How good is Medicare? -- 8. How much does Medicare cost? -- 9. Can efficiencies save Medicare? -- 10. Is private health care the answer? -- 11. Dr. Duval's opinion -- 12. Can we make ourselves healthier? -- 13. What does the public think? -- 14. What about other countries? -- Part Four. Remedies. 15. Doctors and nurses -- 16. Hospitals -- 17. Drugs -- 18. Conclusion.
Tension - between efforts to make medical practice more scientific and the suspicions of many clinicians - has caused one of the greatest practical and ethical challenges in the history of the health professions. This book reviews the history and conceptual origins of evidence-based practice and discusses key ethical issues that arise in clinical practice, public health and health policy
Toward a definition of health -- Individual models to promote health behavior -- Community models to promote health -- Assessing health and health behaviors -- Developing a health promotion/prevention plan -- Physical activity and health promotion -- Nutrition and health promotion -- Stress management and health promotion -- Social support and health -- Evaluating individual and community interventions -- Self-care for health promotion across the life span -- Health promotion in vulnerable populations -- Health promotion in community settings -- Promoting health through social and environmental change.
Draws connections among the new care-delivery models, the components of population health management, and the types of health IT that are required to support those components. The key concept that ties all of this together is that PHM requires a high degree of automation to reach everyone in a population, engage those patients in self-care, and maximize the chance that they will receive the proper preventive, chronic, and acute care.
Section 1: New Delivery Models -- 1 Population Health Management -- 2 Accountable Care Organizations -- 3 Patient-Centered Medical Homes -- Section 2: How to Get There -- 4 Clinically Integrated Networks -- 5 Meaningful Use and Population Health Management -- 6 Data Infrastructure -- 7 Predictive Modeling -- 8 Automation Solutions and the ROI of Change -- Section 3: Implementing Change -- 9 Care Coordination --10 Lean Care Management -- 11 Patient Engagement -- 12 Automated Post-Discharge Care -- 13 Social and Behavioral Determinants of Health -- 14 Cognitive Computing: The Future of Population Health Management