In late nineteenth- and early twentieth-century Korea, public health priorities in maternal and infant welfare privileged the new nation’s reproductive health and women’s responsibility for care work to produce novel organization of services in hospitals and practices in the home. The first monograph on this topic, Imperatives of Care places women and gender at the center of modern medical transformations in Korea. It outlines the professionalization of medicine, nursing, and midwifery, tracing their evolution from new legal and institutional infrastructures in public health and education, and investigates women’s experiences as health practitioners and patients, medical activities directed at women’s bodies, and the related knowledge and goods produced for and consumed by women. Sonja M. Kim draws on archival sources, some not previously explored, to foreground the ways individual women met challenges posed by uneven developments in medicine, intervened in practices aimed at them, andseized the evolving options that became available to promote their personal, familial, and professional interests. She demonstrates how medicine produced, and in turn was produced by, gendered expectations caught between the Korean reformist agenda, the American Protestant missionary enterprise, and Japanese imperialism.

In late nineteenth- and early twentieth-century Korea, public health priorities in maternal and infant welfare privileged the new nation’s reproductive health and women’s responsibility for care work to produce novel organization of services in hospitals and practices in the home. The first monograph on this topic, Imperatives of Care places women and gender at the center of modern medical transformations in Korea. It outlines the professionalization of medicine, nursing, and midwifery, tracing their evolution from new legal and institutional infrastructures in public health and education, and investigates women’s experiences as health practitioners and patients, medical activities directed at women’s bodies, and the related knowledge and goods produced for and consumed by women. Sonja M. Kim draws on archival sources, some not previously explored, to foreground the ways individual women met challenges posed by uneven developments in medicine, intervened in practices aimed at them, andseized the evolving options that became available to promote their personal, familial, and professional interests. She demonstrates how medicine produced, and in turn was produced by, gendered expectations caught between the Korean reformist agenda, the American Protestant missionary enterprise, and Japanese imperialism.

The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.

In this groundbreaking collaboration, award-winning authors Bauer and Hagland draw upon numerous case studies to show how pioneering health care organizations are using such performance improvement tools as lean management, Six-Sigma, and the Toyota Production System to produce excellent services as inexpensively as possible.

America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

"Sustainability is not unique to health, but is a unique vehicle for promoting healthy values. This book focuses readers on upstream decision-making in the healthcare delivery setting to think through the implications of our decisions from fiscal, societal and environmental perspectives. It aims to link health values with sustainability drivers in order to enlighten leadership about the value of sustainability as we move toward a new paradigm of health. Carrie R. Rich, J. Knox Singleton, and Seema Wadhwa explore leadership priorities, linking them to sustainability, through an imaginary health leader, Fred, the Chief Executive Officer (CEO) of Memorial Hospital, a community hospital based in the United States. Each chapter frames a leadership priority through a storyline that involves the main character. Practical applications featuring evidence-based sustainability accomplishments and the coordinating reflections of renowned healthcare leaders are woven throughout the book. Every chapter includes leadership tools, illustrations and tables with tips and data to make an evidence-based case in support of health sustainability. The book includes a healthcare sustainability syllabus as well as suggested reading and teaching resources. Bringing together the key components and concepts of environmentally sustainable healthcare operations, this book will be of great importance to researchers, students and professionals working in health and healthcare management."--Provided by publisher.