![[object Object],[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Recomendados
Recomendados
Mais conteúdo relacionado
Mais procurados
Mais procurados (20)
Semelhante a Rebuilding the Health Care System in New Orleans and the US
Semelhante a Rebuilding the Health Care System in New Orleans and the US (20)
Último
Último (20)
Rebuilding the Health Care System in New Orleans and the US
- 1. REBUILDING THE HEALTH CARE SYSTEM IN NEW ORLEANS, AND THE US AN APPLICATION OF JEWISH PRINCIPLES
- 5. AMERICA’S HEALTH: STATE HEALTH RANKINGS, 2008 “Louisiana is 50th this year”
- 6. WHY?
- 7. Racial/Ethnic Health Disparities Cardiovascular Disease Mortality Rate U.S. White 275 deaths per 100,000 people U.S. Black 375 deaths per 100,000 people LA White 285 deaths per 100,000 people LA Black 375 deaths per 100,000 people National Statistics State Statistics
- 8. More rural then average People are sicker, older, poorer Lack Medical Access
- 9. Poverty => Lack of insurance => Poor access to care
- 11. 90%+ of state is Primary Care Health Professional Shortage Areas (HPSA)
- 12. AMERICA’S HEALTH: STATE HEALTH RANKINGS, 2008 “Louisiana is 50th this year”
- 19. “ Louisiana is 50th this year”
- 22. 25th Percentile Quality $6800 per year 75th Percentile Quality $5200 per year On average, there are 40% more family physicians per capita at the 75%tile level than at the 25%tile level.
- 23. Health Care Spending per capita ($US PPP) Purchasing Power Parity 2008 OECD Data United States $7538 Germany $3737 HIGH COST
- 24. LACK OF ACCESS
- 25. DISPARITIES
- 27. “ Every country starts at the base of the pyramid with primary care, and they work their way up until the money runs out.” - Senator Daschle, Jan 8, 2008 … “ We start at the top of the pyramid, and we work our way down until the money runs out…And so we have to change the pyramid. We have to start at the base.” Most of the World The US
- 30. Why Is Primary Care Important? Better health outcomes Lower costs Greater equity in health Starfield 09/04 PC 2945
- 32. Primary care is the provision of first contact , person-focused ongoing care over time that meets the health-related needs of people , referring only those too uncommon to maintain competence, and coordinates care when people receive services at other levels of care. Starfield 09/04 04-132 Starfield 09/04 PC 2943
- 35. August 29, 2005
- 36. 80% of New Orleans Flooded
- 37. 200,000 Households flooded, along with the surrounding social infrastructure of churches…schools…friends…family... 1900 lives lost, 780,000 people displaced, 850 schools damaged, 18,700 businesses destroyed, and 220,000 jobs lost
- 38. Only 1 of 23 hospitals operating, 6 of 53 nursing homes operational, 35 mental health beds (vs about 300 beds) Prevalence of SMI doubled (6.1% to 11.3%) Thousands of physicians, MH professionals, health care workers gone
Notas do Editor
- 22% Louisiana residents, 23% New Orleans residents were living in poverty ($16,090 for a family of three). >900,000 people (21%) of La residents - no health insurance. African-Americans 1/3 of all residents in state, 2/3 in NO 19% of La population covered by Medicaid Many childless adults, working poor not eligible
- 22% Louisiana residents, 23% New Orleans residents were living in poverty ($16,090 for a family of three). >900,000 people (21%) of La residents - no health insurance. African-Americans 1/3 of all residents in state, 2/3 in NO 19% of La population covered by Medicaid Many childless adults, working poor not eligible
- Source: Starfield B. Is US health really the best in the world? JAMA 2000; 284(4):483-485.
- UPDATED: Phillips – 11.27.07 Source: http://www.cdc.gov/nchs/data/hus/hus06.pdf Table 27 Message: Life expectancy at birth has been increasing for decades for both black and white people in the United States. This good news must be tempered, however, because of a stubborn persistence of a 5-7 year disparity in the length of life a black child can expect, compared to a white child. How much longer will we tolerate such unconscionable disparity? More information can be found at : 1) Health, United States, 2005, DHHS Publication #2005-1232, http://www.cdc.gov/nchs/data/hus/hus05.pdf#027 2) Woolf et al, “What if We Were Equal?”, Health Affairs , 24, no. 2 (2005): 459-464 http://content.healthaffairs.org/cgi/content/abstract/24/2/459
- 06 San Francisco Apr 05/09/11
- 06 San Francisco Apr 05/09/11
- WEATHER DISTRUBANCE! Hurricane Katrina rolled over the Louisiana and Mississippi gulf coast on August 29, 2005. The failure of flawed levees caused massive and prolonged flooding and devastation in the New Orleans area, forcing the evacuation of more than one million people in the city and surrounding areas [next slide:] 80% of the city proper sat under water for weeks, crippling the city’s infrastructure, and closing all 9 acute care hospitals in the city and most in the metro area.
- 80% of the city itself sat under water for weeks, crippling the city, and closing all 9 acute care hospitals in the city and most in the metro area. Both LSU and Tulane schools of medicine flooded, necessitating their temporary re-establishment out of the town. The LSU and Tulane Residency programs based in NO faced an immediate threat to survival with the closing of the major teaching hospitals, in particular Charity Hosp (MCLNO). A dance of survival and then renewal began for GME, and continues today.