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050  4 RA407.3 -- .I58 1993eb 
082 0  362.1/0973 
100 1  Millman, Michael 
245 10 Access to Health Care in America 
264  1 Washington, D.C. :|bNational Academies Press,|c1993 
264  4 |c©1993 
300    1 online resource (240 pages) 
336    text|btxt|2rdacontent 
337    computer|bc|2rdamedia 
338    online resource|bcr|2rdacarrier 
505 0  Access to Health Care in America -- Copyright -- Contents 
       -- Summary -- GENERAL CONCLUSIONS ON THE STATE OF ACCESS -
       - DEFINING ACCESS -- THE COMMITTEE'S INDICATORS AND 
       PROGRESS TOWARD ACCESS OBJECTIVES -- Objective 1: 
       Promoting Successful Birth Outcomes -- 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 Disease and Prolonging Life -- Objective 5: 
       Reducing Morbidity and Pain through Timely and Appropriate
       Treatment -- RECOMMENDATIONS -- 1 Introduction -- 
       BACKGROUND -- DEVELOPING A SET OF INDICATORS -- 
       RELATIONSHIP OF ACCESS MONITORING TO OTHER RELEVANT 
       ACTIVITIES -- MAJOR DATA SOURCES: THEIR USES AND 
       LIMITATIONS -- Strengths and Weaknesses -- Vital 
       Statistics -- Surveys -- Hospital Discharge Data -- Tumor 
       Registries -- Reportable Diseases -- Claims Data -- 
       CROSSCUTTING ISSUES -- Race/Ethnicity -- Timeliness -- 
       REFERENCES -- 2 A Model for Monitoring Access -- DEFINING 
       ACCESS -- MEASURING ACCESS -- Indicators -- Utilization 
       Indicators -- Outcome Indicators -- Utilization and Its 
       Relationship to Health Care -- Mediating Factors -- 
       Barriers to Access -- Structural Barriers -- Financial 
       Barriers -- Personal and Cultural Barriers -- The 
       Relationship of Access Barriers to Indicators -- 
       REFERENCES -- 3 Using Indicators to Monitor National 
       Objectives for Health Care -- OBJECTIVE 1: PROMOTING 
       SUCCESSFUL BIRTH OUTCOMES -- Utilization Indicator: 
       Adequacy of Prenatal Care -- Measuring the Indicator -- 
       Trends in the Data -- Recommendations -- Outcome Indicator
       : Infant Mortality -- Measuring the Indicator -- Trends in
       the Data -- Recommendations -- Outcome Indicator: Low 
       Birthweight -- Measuring the Indicator -- Trends in the 
       Data -- Recommendations -- Outcome Indicator: Congenital 
       Syphilis -- Measuring the Indicator 
505 8  Trends in the Data -- Recommendations -- OBJECTIVE 2: 
       REDUCING THE INCIDENCE OF VACCINE-PREVENTABLE CHILDHOOD 
       DISEASES -- Utilization Indicator: Preschool Immunization 
       -- Measuring the Indicator -- Trends in the Data -- 
       Recommendations -- Outcome Indicator: Incidence of Vaccine
       -Preventable Childhood Diseases -- Measuring the Indicator
       -- Trends in the Data -- Recommendations -- OBJECTIVE 3: 
       EARLY DETECTION AND DIAGNOSIS OF TREATABLE DISEASES -- 
       Utilization Indicators: Breast and Cervical Cancer 
       Screening Procedures -- Measuring the Indicator -- Trends 
       in the Data -- Recommendations -- Outcome Indicator: 
       Incidence of Late-Stage Breast and Cervical Cancers -- 
       Measuring the Indicator -- Trends in the Data -- 
       Recommendations -- OBJECTIVE 4: REDUCING THE EFFECTS OF 
       CHRONIC DISEASES AND PROLONGING LIFE -- Utilization 
       Indicator: Continuing Care for Chronic Diseases -- 
       Measuring the Indicator -- Trends in the Data -- 
       Recommendations -- Utilization Indicator: Use of High-Cost
       Discretionary Care -- Measuring the Indicator -- Trends in
       the Data -- Recommendations -- Outcome Indicator: 
       Avoidable Hospitalization for Chronic Diseases -- 
       Measuring the Indicator -- Trends in the Data -- 
       Recommendations -- Outcome Indicator: Access-Related 
       Excess Mortality -- Measuring the Indicator -- Trends in 
       the Data -- Recommendations -- OBJECTIVE 5: REDUCING 
       MORBIDITY AND PAIN THROUGH TIMELY AND APPROPRIATE 
       TREATMENT -- Utilization Indicator: Percentage of Healthy 
       Individuals Who Do Not Contact a Physician During an Acute
       Episode of Illness -- Measuring the Indicator -- Trends in
       the Data -- Recommendation -- Utilization Indicator: 
       Dental Services -- Measuring the Indicator -- Trends in 
       the Data -- Recommendations -- Outcome Indicator: 
       Avoidable Hospitalization for Acute Conditions -- 
       Measuring the Indicator -- Trends in the Data -- 
       Recommendation -- REFERENCES 
505 8  4 Future Indicators -- ACCESS TO HEALTH CARE FOR PEOPLE 
       WITH DISABILITIES -- FAMILY VIOLENCE -- EMERGENCY SERVICES
       -- POST-ACUTE-CARE SERVICES FOR THE ELDERLY -- 
       PRESCRIPTION DRUGS -- REFERENCES -- 5 Recommendations -- 
       RECOMMENDATIONS -- Crosscutting Recommendations -- State 
       and Local Monitoring -- The Federal Role -- Racial and 
       Ethnic Differences -- FUTURE STEPS -- Objective 1: 
       Promoting Successful Births -- Indicator: Prenatal Care --
       Indicator: Infant Mortality -- Indicator: Low Birthweight 
       -- Indicator: Congenital Syphilis -- Objective 2: Reducing
       the Incidence of Vaccine-Preventable Childhood Diseases --
       Indicator: Preschool Immunization -- Indicator: Incidence 
       of Vaccine-Preventable Childhood Diseases -- Objective 3: 
       Early Detection and Diagnosis of Treatable Diseases -- 
       Indicator: Breast and Cervical Cancer Screening Procedures
       -- Indicator: Incidence of Late-Stage Breast and Cervical 
       Cancers -- Objective 4: Reducing the Effects of Chronic 
       Diseases and Prolonging Life -- Indicator: Continuing Care
       for Chronic Diseases -- Indicator: High-Cost Discretionary
       Care -- Indicator: Avoidable Hospitalization for Chronic 
       Diseases -- Indicator: Access-Related Excess Mortality -- 
       Objective 5: Reducing Morbidity and Pain through Timely 
       and Appropriate Treatment -- Indicator: Acute Medical Care
       -- Indicator: Dental Services -- Indicator: Avoidable 
       Hospitalization for Acute Conditions -- REFERENCE -- 
       APPENDIXES -- A Developing Indicators of Access to Care: 
       The Case for HIV Disease -- ROBERT WOOD JOHNSON FOUNDATION
       AIDS HEALTH SERVICES PROGRAM AND EVALUATION -- ISSUES IN 
       ASSESSING ACCESS TO PERSONAL HEALTH CARE -- Financial 
       Barriers -- Insurance Coverage -- Provider Reimbursement 
       Rates -- Investment in Resources for Treating HIV Disease 
       -- Structural Barriers -- Lack of a Primary Source of Care
       -- Lack of Appropriate Service Providers 
505 8  Distance from care Providers -- Extended Waiting Times for
       Providers -- Personal Barriers -- Attitudinal Barriers -- 
       VIABILITY OF DEVELOPING ACCESS INDICATORS FROM EXISTING 
       DATA SETS -- Decreased Mortality Using Case-Finding -- 
       Reduced Mortality Using Medical Management -- Reduced 
       Morbidity and Improved Function -- CONCLUSION -- 
       REFERENCES -- B Developing Indicators of Access to Care: 
       Waiting Lists for Drug Abuse Treatment -- METHODS -- THE 
       NUMBER OF PERSONS ON WAITING LISTS -- ''THERE ARE NO REAL 
       WAITING LISTS FOR TREATMENT -- WAITING LISTS UNDERESTIMATE
       UNMET DEMAND -- SHOULD THERE BE WAITING LISTS? -- 
       EMPIRICAL STUDIES OF WAITING LIST BEHAVIOR -- DISCUSSION -
       - FINAL COMMENT -- REFERENCES -- C Developing Indicators 
       of Access to Care: The Case for Migrants and the Homeless 
       -- MIGRANT HEALTH STATUS -- HEALTH STATUS OF THE HOMELESS 
       -- RECOMMENDATIONS -- REFERENCES -- D "Ambulatory-Care-
       Sensitive" Conditions and "Referral-Sensitive" Surgeries -
       - Index 
588    Description based on publisher supplied metadata and other
       sources 
590    Electronic reproduction. Ann Arbor, Michigan : ProQuest 
       Ebook Central, 2020. Available via World Wide Web. Access 
       may be limited to ProQuest Ebook Central affiliated 
       libraries 
650  0 Health services accessibility -- United States -- 
       Evaluation.;Medical care -- United States 
655  4 Electronic books 
700 1  Services, Committee on Monitoring Access to Personal 
       Health Care 
700 1  Medicine, Institute of 
700 1  National Academy of Sciences, 
776 08 |iPrint version:|aMillman, Michael|tAccess to Health Care 
       in America|dWashington, D.C. : National Academies Press,
       c1993|z9780309047425 
856 40 |uhttps://ebookcentral.proquest.com/lib/sinciatw/
       detail.action?docID=3376298|zClick to View