By Institute of Medicine, Board on Health Care Services, Committee on the Consequences of Uninsurance

ISBN-10: 0309087260

ISBN-13: 9780309087261

ISBN-10: 0309505429

ISBN-13: 9780309505420

"A Shared future" is the fourth in a chain of six studies at the difficulties of uninsurance within the usa. This file examines how the standard, volume, and scope of group future health companies could be adversely tormented by having a wide or starting to be uninsured inhabitants. It explores the overlapping monetary and organizational foundation of overall healthiness providers supply to uninsured and insured populations, the consequences of neighborhood uninsurance on entry to health and wellbeing care in the neighborhood, and the aptitude spillover results on a community's economic climate and the wellbeing and fitness of its voters. The committee believes - it really is either flawed and hazardous to imagine that the endurance of a large uninsured inhabitants within the usa harms basically those who find themselves uninsured.

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2002. Health Policy for Low-Income People: Profiles of 13 States. Washington, DC: The Urban Institute. McAlearney, John S. 2002. The Financial Performance of Community Health Centers, 1996–1999. Health Affairs 21(2):219-225. , Mark Legnini, Emily K. Fatula, and Larry S. Stepnick. 1999. The Role of Local Governments in Financing Safety Net Hospitals: Houston, Oakland, and Miami. Occasional Paper 25. Washington, DC: The Urban Institute. Miller, Victor. 2002. The States, Medicaid, and Health Care Spending.

2 Relationship among individual factors, community factors, and health system quality as affecting health outcomes. SOURCE: Adapted from Lurie 2002. COMMUNITY FACTORS Uninsured rate; Normative behaviors; Community income; Education; Nutrition; Physical environment. D. D. 3 Community effects diagram. The outcome for each group, Insured and Uninsured, remains constant as the local uninsured rate increases. Graph B represents the case in which there is a community effect on the outcome variable because, as the local uninsured rate increases, the percentage of both the Insured and the Uninsured with a physician visit within a year decreases, indicated by the downward-sloping line.

Explaining the EMTALA Paradox. Annals of Emergency Medicine 40(5):470475. , Jill A. Marsteller, and Frank C. Ullman. 2000. Health Care for the Poor and Uninsured After a Public Hospital’s Closure or Conversion. Washington, DC: The Urban Institute. , Sandra H. Berry, Naihua Duan, Martin R. Frankel, et al. 1998. The Care of HIV-Infected Adults in the United States. The New England Journal of Medicine 339(26):18971904. , Liza S. Rudell, and Cara S. Lesser. 2001. Emergency Room Diversions: A Symptom of Hospitals Under Stress.

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A Shared Destiny (Insuring Health) by Institute of Medicine, Board on Health Care Services, Committee on the Consequences of Uninsurance


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