A shared destiny : community effects of uninsurance / Committee on the Consequences of Uninsurance, Board on Health Care Services, Institute of Medicine.

Includes bibliographical references (pages 254-275).

A Systems Approach to the Problems of Uninsurance -- Definition of "Community" -- Conceptualizing Community Effects of Uninsurance -- Methods -- Working Hypotheses About Community Effects -- 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? -- Community Effects on Access to Care -- Access to Care -- Primary Care -- Emergency Medical Services and Trauma Care -- Specialty Care -- Hospital-Based Care -- 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 -- Community Health and Uninsurance -- Geographic and Socioeconomic Disparities in Health -- Public Health and Community Uninsurance -- Summary: Conclusions and Research Agenda -- A Research Agenda for Community Effects -- Conceptual Framework for Assessing the Consequences of Uninsurance for Communities -- Geographic Differences in Uninsured Rates -- The Impact of Uninsured Populations on the Availability of Hospital Services and Financial Status of Hospitals in Urban Areas.

Print version record.

English.

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