Title Access to health care in America / Committee on Monitoring Access to Personal Health Care Services, Institute of Medicine ; Michael Millman, editor

Published Washington, D.C. : National Academy Press, 1993

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Description 1 online resource (vii, 229 pages) : illustrations Contents Utilization Indicator: Percentage of Healthy Individuals Who Do Not Contact a Physician During an Acute Episode of Illness. Utilization Indicator: Dental Services. Outcome Indicator: Avoidable Hospitalization for Acute Conditions -- 4. Future Indicators. Access to Health Care for People with Disabilities. Family Violence. Emergency Services. Post-Acute-Care Services for the Elderly. Prescription Drugs -- 5. Recommendations. Crosscutting Recommendations. Future Steps. Objective 1: Promoting Successful Births. Objective 2: Reducing the Incidence of Vaccine-Preventable Childhood Diseases. Objective 3: Early Detection and Diagnosis of Treatable Diseases. Objective 4: Reducing the Effects of Chronic Diseases and Prolonging Life. Objective 5: Reducing Morbidity and Pain Through Timely and Appropriate Treatment -- App. A: Developing Indicators of Access to Care: The Case for HIV Disease / Vincent Mor -- App. B: Developing Indicators of Access to Care: Waiting Lists for Drug Abuse Treatment / Don C. Des Jarlais and Samuuel R. Friedman -- App. C: Developing Indicators of Access to Care: The Case for Migrants and the Homeless / Joanne E. Lukomnik -- App. D: "Ambulatory-Care-Sensitive" Conditions and "Referral-Sensitive" Surgeries Summary Starting p. 1) -- General Conclusions on the State of Access (starting p. 3) -- Defining Access (starting p. 4) -- The Committee's Indicators and Progress Toward Access Objectives (starting p. 5) -- Objective 1: Promoting Successful Birth Outcomes (starting p. 5) -- Objective 2: Reducing the Incidence of Vaccine-Preventable Childhood Diseases (starting p. 7) -- Objective 3: Early Detection and Diagnosis of Treatable Diseases (starting p. 8) -- Objective 4: Reducing the Effects of Chronic Disease and Prolonging Life (starting p. 11) -- Objective 5: Reducing Morbidity and Pain Through Timely and Appropriate Treatment (starting p. 14) -- Recommendations (starting p. 16) -- 1 Introduction (starting p. 19) -- Background (starting p. 20) -- Developing a Set of Indicators (starting p. 21) -- Relationship of Access Monitoring to Other Relevant Activities (starting p. 22) -- Major Data Sources: Their Uses and Limitations (starting p. 23) -- Strengths and Weaknesses (starting p. 25) -- Crosscutting Issues (starting p. 28) -- 2 A Model for Monitoring Access (starting p. 31) -- Defining Access (starting p. 32) -- Measuring Access (starting p. 34) -- Indicators (starting p. 34) -- Utilization and Its Relationship to Health Care (starting p. 37) -- Barriers to Access (starting p. 39) -- 3 Using Indicators to Monitor National Objectives for Health Care (starting p. 46) -- Objective 1: Promoting Successful Birth Outcomes (starting p. 49) -- Utilization Indicator: Adequacy of Prenatal Care (starting p. 49) -- Outcome Indicator: Infant Mortality (starting p. 56) -- Outcome Indicator: Low Birthweight (starting p. 61) -- Outcome Indicator: Congenital Syphilis (starting p. 66) -- Objective 2: Reducing the Incidence of Vaccine-Preventable Childhood Diseases (starting p. 69) -- Utilization Indicator: Preschool Immunization (starting p. 69) -- Outcome Indicator: Incidence of Vaccine-Preventable Childhood Diseases (starting p. 75) -- Objective 3: Early Detection and Diagnosis of Treatable Diseases (starting p. 79) -- Utilization Indicators: Breast and Cervical Cancer Screening Procedures (starting p. 79) -- Outcome Indicator: Incidence of Late-Stage Breast and Cervical Cancers (starting p. 86) -- Objective 4: Reducing the Effects of Chronic Diseases and Prolonging Life (starting p. 91) -- Utilization Indicator: Continuing Care for Chronic Diseases (starting p. 91) -- Utilization Indicator: Use of High-Cost Discretionary Care (starting p. 98) -- Outcome Indicator: Avoidable Hospitalization for Chronic Diseases (starting p. 102) -- Outcome Indicator: Access-Related Excess Mortality (starting p. 106) -- Objective 5: Reducing Morbidity and Pain Through Timely and Appropriate Treatment (starting p. 112) -- Utilization Indicator: Percentage of Healthy Individuals Who Do Not Contact a Physician During an Acute Episode of Illness (starting p. 112) -- Utilization Indicator: Dental Services (starting p. 115) -- Outcome Indicator: Avoidable Hospitalization for Acute Conditions (starting p. 121) -- 4 Future Indicators (starting p. 130) -- Access to Health Care for People with Disabilities (starting p. 132) -- Family Violence (starting p. 133) -- Emergency Services (starting p. 134) -- Post-Acute-Care Services for the Elderly (starting p. 134) -- Prescription Drugs (starting p. 135) -- 5 Recommendations (starting p. 137) -- Crosscutting Recommendations (starting p. 137) -- Future Steps (starting p. 140) -- Objective 1: Promoting Successful Births (starting p. 140) -- Objective 2: Reducing the Incidence of Vaccine-Preventable Childhood Diseases (starting p. 141) -- Objective 3: Early Detection and Diagnosis of Treatable Diseases (starting p. 142) -- Objective 4: Reducing the Effects of Chronic Diseases and Prolonging Life (starting p. 143) -- Objective 5: Reducing Morbidity and Pain Through Timely and Appropriate Treatment (starting p. 144) -- App. A: Developing Indicators of Access to Care: The Case for HIV Disease (starting p. 147) / Vincent Mor -- App. B: Developing Indicators of Access to Care: Waiting Lists for Drug Abuse Treatment (starting p. 181) / Don C. Des Jarlais, Samuuel R. Friedman -- App. C: Developing Indicators of Access to Care: The Case for Migrants and the Homeless (starting p. 199) / Joanne E. Lukomnik -- App. D: "Ambulatory-Care-Sensitive" Conditions and "Referral-Sensitive" Surgeries (starting p. 219) -- Index (starting p. 223) Bibliography Includes bibliographical references and index Notes English Print version record Subject Health services accessibility -- United States -- Evaluation Health services accessibility. Medical care. Health services administration. Public health. Statistics -- Methodology Health Services Accessibility Health Status Indicators Health Surveys Delivery of Health Care Data Collection Patient Care Management Health Care Quality, Access, and Evaluation Health Care Evaluation Mechanisms Epidemiologic Methods Health Services Administration Quality of Health Care Investigative Techniques Geographicals Public Health Environment and Public Health Analytical, Diagnostic and Therapeutic Techniques and Equipment Data Collection -- methods Patient Care Management -- methods Patient Care public health. Public health Medical care Health services administration Health services accessibility Health services accessibility -- Evaluation Gezondheidszorg. Toegankelijkheid. SUBJECT North America. http://id.loc.gov/authorities/subjects/sh85092455 America. http://id.loc.gov/authorities/subjects/sh85004220 United States North America Americas Geographic Locations Subject North America America United States Verenigde Staten. Form Electronic book Author Millman, Michael L. LC no. 92048299 ISBN 0585025452 9780585025452 1280211563 9781280211560 9786610211562 6610211566 0309584663 9780309584661

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