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Part of a series which focuses on health economics and health
services research, this volume discusses a variety of topics in the
field.
Part of a series which focuses on health economics and health
services research, this volume discusses topics including
cost-benefit evaluations in mental health and the demand for health
care for the treatment of mental problems among the elderly.
This book provides updated coverage on the mental health systems in
Eastern and Central Europe. Based on up-to-date data, field visits
and case studies, the chapters present the financing, organization
and public policy issues of Eastern and Central European countries.
Solutions are also proposed to tackle major mental health problems
facing the region. Mental Health in Central and Eastern Europe is a
valuable reference for stakeholders in the mental health
communities.
""Will there be a doctor--a good doctor--when I need one?""
This is the bedrock health care concern for Americans, encompassing
as it does additional concerns about affordability, accessibility,
efficiency, and specialty expertise.
Richard M. Scheffler brings an economist's insight to the question,
showing how shifts in market power underlie the changes we have
seen in the health workforce and how they will affect the future
availability of doctors. Predicting the "right" ratio of doctors to
population in the future is only a small piece of the puzzle, and
one that has been the subject of much forecasting, and little
agreement, over the past several decades.
In this concise and readable analysis, Scheffler goes beyond the
guessing game to demonstrate that today's health care system is the
product of financial influences in both the policy realm and on the
ground in the offices of medical centers, HMOs, insurers, and
physicians throughout America. He shows how factors such as
physician income, medical training costs, and new technologies
affect the specialties and geographic distribution of doctors.
Scheffler then brings these findings to bear on a set of
predictions for the U.S. and international physician workforce that
extend five and ten years into the future. As part of his vision of
tomorrow's ideal workforce, he offers a template for enhancing the
efficiency and cost-effectiveness of the health care system
overall.
In the groundbreaking second half of the book, the author, a health
policy expert himself, tests his ideas in conversations with
leading figures in health policy, medical education, health
economics, and physician practice. Their unguarded give-and-take
offers a window on the best thinking currently available anywhere.
Finally, Scheffler combines their insights with his own to offer
observations that will change the way health care's stakeholders
should think about the future.
Attention-deficit/hyperactivity disorder (ADHD) is one of the most
controversial and misunderstood medical conditions today. With
skyrocketing rates of diagnosis and medication treatment, it has
generated a firestorm of controversy. Alarming questions have been
raised about ADHD in recent years: *Why are over 10% of children
and adolescents in the U.S. now diagnosed with ADHD, with projected
rates quickly rising? *Why do over two-thirds of those diagnosed
with ADHD receive medication? *In some southern states, why are
boys diagnosed at rates of almost one in three? *What is causing
the fast-rising diagnosis and medication of adults? Why are over a
quarter of all college students using stimulants for academic
performance? *What drives the current ADHD "tsunami"- is it
parents, clinicians, schools, culture, the healthcare system, or
Big Pharma? When will it end? *Can we trust the stories we read and
hear about ADHD, even in major media outlets? The ADHD Explosion
and Today's Push for Performance uniquely blends clinical wisdom,
current science, new information on medical and school policy, and
global trends to debunk myths and set the record straight. Hinshaw
and Scheffler describe the origins of ADHD and its huge costs to
society; the science regarding causes as well as medication and
behavioral treatment; and the major variation in diagnosis and
treatment across the U.S., highlighting the key roles of
educational policy and high-stakes testing. Dealing directly with
stimulants as "smart pills," they describe the epidemic of
medicalization, arguing that accurate diagnosis and well-monitored
care could ease the staggering economic burden linked to ADHD. In
novel ways, they unravel the many poignant issues facing children,
teachers, clinicians, and family members who contend with ADHD each
day. The recommendations in this book can improve the quality of
life for those touched by ADHD and potentially improve the
productivity and safety of all society.
This book, produced jointly by the World Bank, the University of
California, Berkeley, and the WHO, aims to provide decision-makers
at sub-national, national, regional and global levels with
additional insights into how to address their workforce challenges
rather than describe them. In order to optimise and align HRH
investments and develop targeted policy responses, a thorough
understanding of unique, country-specific labour market dynamics
and determinants of these dynamics is critical. Policies need to
take into account the fact that workers are economic actors,
responsive to different levels of compensation and opportunities to
generate revenue found in different sub-labour markets. Policies
need to take into account the behavioural characteristics of the
individuals who provide health care, but also the individuals who
consume health care services and the institutions that employ
health personnel. In other words, it is necessary to understand the
determinants of both the supply (numbers of health workers willing
to work in the health sector) and the demand for health workers
(resources available to hire health workers), how these interact,
and how this interaction varies in different contexts. This
interaction will determine the availability of health personnel,
their distribution as well as their performance levels, thus
ensuring stronger health systems capable to deliver universal
health coverage. The book is structured to be of use to
researchers, planners, and economists who are tasked with analysing
key areas of health labour markets, including overall labour market
assessments as well as and more narrow and targeted analyses of
demand and supply (including production and migration),
performance, and remuneration of health workers. The chapters,
written by a number of internationally renowned experts on Human
Resources for Health, discuss data sources and empirical tools that
can be used to assess health labor markets across high-, middle- or
low-income countries, but draws primarily from examples and
case-studies in LMICs.
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