Informing the Future Critical Issues in Health, Third Edition (2005) / Chapter Skim
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Making America’s Health Care As Good As It Should Be
Making America’s Health Care As Good As It Should Be
Pages 3-10
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These studies include comprehensively assessing the problem of uninsurance and its impact on individual, community, and national health; continuing to articulate next steps in the drive to improve the quality of health care; and calling attention to the importance of health literacy and health workforce diversity as key determinants of the quality and successful outcome of health care. HEALTH INSURANCE FOR ALL Insuring America's Health: Principles and The report makes the compelling Recommendations (2004)
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Any major reform proposal will need mechanisms to control spending and encour age use of efficacious and cost-effective services. Everyone should contribute financially through taxes, premiums, and cost sharing -- because all members of society will benefit from universal coverage.
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Variations in patient cost sharing and provider payment levels could be used to encourage appropriate service use. Other important barriers stand between patients and good health care: two that are not widely understood and appreciated are health literacy and the lack of diversity in the health care workforce.
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Increasing racial and ethnic diversity among health professionals is impor tant because evidence indicates that such diversity is associated with improved access to care for racial and ethnic minority patients, greater patient choice and satisfaction, and better educational experiences for health professions students, among many other benefits. In the Nation's Compelling Interest: Ensuring Diversity in the Health-Care Workforce (2004)
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documents the critical role that nurses play in hospi Threats to patient safety occur in tals, nursing homes, and other health-care set four main areas -- management tings. The report provides comprehensive guid practices that lead to failure to ance on how to redesign their jobs and the sys follow safety practices, unsafe tems within which they work so that they can workforce deployment, unsafe provide the highest quality of care.
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The principles of Crossing the Quality Chasm have been difficult to cali brate to rural needs and resources. Quality Through Collaboration: The Future of Rural Health Care (2004)
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The systems must include electronic records of patients' care, secure platforms for the exchange of information among providers and patients, and data standards that will make health information easily understandable. Although most of this development must occur in the private sector, government should also provide financial incentives to spur private development of electronic health records (EHR)
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in electronic health records.
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