Articles: health.
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Health care in the United States is at a crossroads. With health care costs representing an unsustainable 17.6% of our gross domestic product, creation of a new, higher-value health care system has never been a greater priority. ⋯ Thus, the need for higher value in health care is urgent. The goal of high-value health care is to produce the best health outcomes at the lowest cost, and this goal has recently created a new alliance. .¬†.¬†.
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High-quality documentation of children's health is an important priority in health care given trends of declining mental health and reduced well-being in children. There is a lack of information concerning psychosocial health in the standardized part of the national health record in the Child Health Service and the School Health Service in Sweden. Further, little is known if the free text notes in the health record, besides information on physical health, also include information on children's psychosocial health. The aim of this study was to describe what is recorded concerning children's health and development in free text notes. ⋯ The free text notes mainly reflected a psychosocial perspective on health. The findings of this study suggest that requesting more information on children's psychosocial health in the standardized part of the health records could contribute to more comprehensive and informative health records in the Child health Service and the School Health Service in Sweden.
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Annals of family medicine · Sep 2013
Being uninsured is bad for your health: can medical homes play a role in treating the uninsurance ailment?
In the United States, stable health insurance coverage is associated with improved health outcomes. A lack of insurance is associated with premature death from preventable causes. ⋯ The magnitude and complexity of the US "uninsurance" problem, as well as recent federal initiatives to expand coverage options, inspire important questions: Can medical homes play a more active role in helping patients find and keep insurance coverage? How can basic tenets from the chronic care model be operationalized to build systems to treat the uninsurance ailment? Creating effective processes and tools within the medical home to keep a patient insured may be as important to improving population health as helping a patient maintain a normal blood pressure. Similar system-level interventions could be used to support both endeavors.
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Preventive medicine · Aug 2013
Associations between active commuting and physical and mental wellbeing.
To examine whether a relationship exists between active commuting and physical and mental wellbeing. ⋯ Greater time spent actively commuting is associated with higher levels of physical wellbeing. Longitudinal studies should examine the contribution of changing levels of active commuting and other forms of physical activity to overall health and wellbeing.