To many practitioners, managers and patients, US primary care is in crisis. Primary care physicians are often overworked and undervalued, and both patients and care providers can feel locked into structures that lack compassion and are unfit for their intended purposes. Healthcare reforms aim to resolve the situation, but changes may take years to deliver and are contingent on numerous outside factors. What steps are within care providers' power to take now? This book lays out a course to deliver compassionate care, quality, and efficiency that - unlike many current patient-centred medical home initiatives in the US - does not require outside funding. After reflecting on avoidable problems and harms in primary care, the book offers stories of hope from innovative clinicians across the US before presenting ten practical, deliverable steps to lift primary care provision from 'poor' or 'mediocre' to 'great'. This book will be of interest to practicing family physicians and general internists, but will also be useful reading for health system leaders, healthcare insurance purchasers and insurance company executives.

The greater New Orleans area -- Jefferson, Orleans, Plaquemines, and St. Bernard parishes -- continues to face challenges in restoring health care services disrupted by Hurricane Katrina which made landfall in Aug. 2005. In 2007, the Dept. of Health and Human Services awarded the $100 million Primary Care Access and Stabilization Grant (PCASG) to Louisiana to help restore primary care services to the low-income population. This testimony focuses on: (1) how PCASG fund recipients used the PCASG funds; (2) how recipients used and benefited from other federal hurricane relief funds; and (3) challenges recipients faced and recipients' plans for sustaining services after PCASG funds are no longer available. Illustrations.

In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.

Analyzing the dimensions of the struggle for effective health care in the developing countries, this study demonstrates how current governmental and donor agency policies in such countries as Uganda, Ghana, Nepal, Pakistan and Vietnam have failed to develop efficient systems. The author argues against the current emphasis on decentralization and privatization, and outlines a framework for a long-term approach that should bring benefits and improvements in health care.

Population health management is being increasingly adopted by health systems yet the importance of primary health care in influencing population mortality and the mechanisms that explain it are not well understood. Too often, primary health care is regarded as a service for minor health problems and for managing access to secondary care. This limited view is no longer tenable and it is time to be much more ambitious about the place of primary health care in health systems worldwide. In delivering and planning health care and in re-building health systems after the pandemic, practitioners and policymakers in low-, middle- and high-income countries need evidence on how primary health care affects population mortality and practical advice to effect change. Primary Health Care and Population Mortality fulfils this need. Drawing on his long experience as both a practitioner and researcher, the author Richard Baker describes how primary health is crucial to the effect of health systems on population mortality, including its potential for reducing inequalities in mortality. This accessible new book will provide invaluable information to leaders in service development and delivery, academics in primary health care and those working within international organisations that are promoting primary health care for improving population health. It will also be of practical value to general practitioners, primary health care nurses and managers and public health staff.