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Delivery of Health Care --- Economics, Medical --- Health Care Costs --- Health Services Needs and Demand --- economics

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Health Services Needs and Demand --- Health Care Costs --- W 74 Medical economics. Health care costs (General)

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"Complementary and alternative medicine (CAM) comprises a large number of therapies (e.g., acupuncture and chiropractic) that developed outside the conventional biomedical model of care. About one-third of the general population report using CAM either on their own (e.g., yoga) or through the services of a CAM provider (e.g., massage). While CAM is offered within the military health system, no systemwide data are available on its use. RAND conducted an environmental scan (CAM survey) of military treatment facilities (MTFs) to understand the availability of CAM, the conditions for which CAM is being used, and the types and process of credentialing and privileging of CAM providers. Most MTFs (83 percent) offer CAM services, usually up to eight different types, with relaxation therapy, acupuncture, progressive muscle relaxation, guided imagery, and chiropractic being the most common. Lack of provider availability was the primary reason reported for not offering CAM. These services are most often used for chronic pain, stress, anxiety, and sleep disturbance. There is variability across MTFs and types of CAM in the process and criteria used for credentialing and privileging providers. While most MTFs reported that CAM use is usually documented in a patient's electronic medical record, there was variation in the availability and use of procedure codes. Standardization of CAM coding would allow consistent tracking of CAM providers and use for better manpower management, and easier data collection for future comparison studies. Standardization of CAM provider credentialing and privileging would ensure that providers are properly trained and have clear practice requirements"--

Alternative medicine. --- Medicine, Military --- Complementary Therapies --- Health Services Needs and Demand. --- Military Medicine --- utilization. --- manpower. --- methods. --- United States.

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Quatrième de couverture : "Partout dans les pays avancés, on cherche des solutions novatrices pour mieux répondre aux besoins des individus en ce qui a trait aux services sociaux et de santé. Le présent ouvrage explore une piste particulièrement prometteuse, mais exigeante: celle de l'intégration. Pour la suivre jusqu'au bout, il faut passer d'un mode d'organisation traditionnel fondé sur les besoins des systèmes à une approche qui se soucie d'aménager les services en fonction des besoins réels de la population. L'idée au cœur de cette approche est que la santé et le bien-être sont l'affaire de tous - pas seulement des soignants - et que cette préoccupation commune doit se déployer tout au long de la vie, dans tous les milieux et à travers toutes les activités humaines. Ce livre réunit de précieuses informations à la fine pointe des modèles conceptuels internationaux et sera utile aux professionnels, aux gestionnaires et aux décideurs qui y trouveront non pas seulement matière à réflexion, mais à action."

Delivery of Health Care, Integrated --- Managed Care Programs --- Needs Assessment --- Health Services Needs and Demand --- Health Planning --- Santé publique --- Programmes de gestion intégrée des soins de santé --- Planification --- Participation des citoyens --- Public health --- Delivery of health care, Integrated --- Managed care programs --- Needs assessment --- Health services needs and demand --- Health planning --- Managed Care Programs. --- Health Services Needs and Demand. --- Health Planning. --- Public Health. --- Delivery of Health Care, Integrated. --- Needs Assessment. --- Santé publique --- Participation des citoyens. --- Public Health

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Based on the author's 30+ years of studying and teaching about the U.S. health care system, Still Broken: Understanding the U.S. Health Care System provides clear and comprehensive tools to improve our declining health care system.

Health care reform --- Medical policy --- United States --- Health services accessibility --- Health Services Needs and Demand --- Quality assurance (Health care) --- Health expenditures