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Shared Destiny Community Effects of Uninsurance

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ISBN-10: 0309087260

ISBN-13: 9780309087261

Edition: 2003

Authors: Consequences of Uninsurance Staff, Board on Health Care Services Staff, Institute of Medicine (U.S.) Staff

List price: $55.00
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Book details

List price: $55.00
Copyright year: 2003
Publisher: National Academies Press
Publication date: 4/5/2003
Binding: Paperback
Pages: 294
Size: 6.00" wide x 9.00" long x 0.75" tall
Weight: 1.034
Language: English

Executive Summary
Introduction
A Systems Approach to the Problems of Uninsurance
Definition of "Community"
Conceptualizing Community Effects of Uninsurance
Methods
Working Hypotheses About Community Effects
Limitations of This Study
Organization of the Report
Context for Community Effects: Uninsurance and the Financing and Delivery of Health Services
Historical and Organizational Context of Health Care for Uninsured Americans
Safety Net Services, Providers of Last Resort, and Mainstream Health Care
Who Pays for Care for Uninsured Persons?
Research Questions
Summary
Community Effects on Access to Care
Access to Care
Primary Care
Emergency Medical Services and Trauma Care
Specialty Care
Hospital-Based Care
Research Questions
Summary
Economic and Social Implications of Uninsurance Within Communities
The Context: Increasing Health Care Costs and Taxpayer Support
Budget Implications for States and Localities
Economic Base and the Potential for Development
Social Consequences of Uninsurance: First Thoughts
Research Questions
Summary
Community Health and Uninsurance
Geographic and Socioeconomic Disparities in Health
Public Health and Community Uninsurance
Research Questions
Summary
Summary: Conclusions and Research Agenda
A Research Agenda for Community Effects
Conclusion
Appendixes
Conceptual Framework for Assessing the Consequences of Uninsurance for Communities
Geographic Differences in Uninsured Rates
Data Tables
Commissioned Papers
The Impact of Uninsured Populations on the Availability of Hospital Services and Financial Status of Hospitals in Urban Areas
The Impact of Uninsured Discharges on the Availability of Hospital Services and Hospital Margins in Rural Areas
Glossary
Biographical Sketches
References
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