The Role of the Fragmented United States Healthcare System in Exacerbating COVID-19 Mortality

2022 ◽  
Author(s):  
travis campbell ◽  
Alison P. Galvani ◽  
Meagan Fitzpatrick ◽  
Gerald Friedman
Keyword(s):  
United States ◽  
Healthcare System ◽  
United States Healthcare

scholarly journals Evaluation of United States chiropractic professional subgroups: a survey of randomly sampled chiropractors

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jordan A. Gliedt ◽  
Stephen M. Perle ◽  
Aaron A. Puhl ◽  
Sarah Daehler ◽  
Michael J. Schneider ◽  
...  
Keyword(s):  
United States ◽  
Clinical Practice ◽  
Healthcare System ◽  
Large Scale ◽  
Multinomial Logistic Regression ◽  
The United States ◽  
Chiropractic Profession ◽  
Practice Characteristic ◽  
And Behaviors

Abstract Background Professional subgroups are common and may play a role in aiding professional maturity or impeding professional legitimization. The chiropractic profession in the United States has a long history of diverse intra-professional subgroups with varying ideologies and practice styles. To our knowledge, large-scale quantification of chiropractic professional subgroups in the United States has not been conducted. The purpose of this study was to quantify and describe the clinical practice beliefs and behaviors associated with United States chiropractic subgroups. Methods A 10% random sample of United States licensed chiropractors (n = 8975) was selected from all 50 state regulatory board lists and invited to participate in a survey. The survey consisted of a 7-item questionnaire; 6 items were associated with chiropractic ideological and practice characteristics and 1 item was related to the self-identified role of chiropractic in the healthcare system which was utilized as the dependent variable to identify chiropractic subgroups. Multinomial logistic regression with predictive margins was used to analyze which responses to the 6 ideology and practice characteristic items were predictive of chiropractic subgroups. Results A total of 3538 responses were collected (39.4% response rate). Respondents self-identified into three distinct subgroups based on the perceived role of the chiropractic profession in the greater healthcare system: 56.8% were spine/neuromusculoskeletal focused; 22.0% were primary care focused; and 21.2% were vertebral subluxation focused. Patterns of responses to the 6 ideologies and practice characteristic items were substantially different across the three professional subgroups. Conclusions Respondents self-identified into one of three distinct intra-professional subgroups. These subgroups can be differentiated along themes related to clinical practice beliefs and behaviors.

scholarly journals A Comparison of the United States and Austrian Healthcare Needs and Systems

2021 ◽  
Vol 58 ◽  
pp. 004695802110001
Author(s):  
Margaret McAlister ◽  
Joey D. Helton
Keyword(s):  
United States ◽  
Healthcare System ◽  
Social Insurance ◽  
The United States ◽  
Healthcare Systems ◽  
Mediating Effects ◽  
Healthcare Needs ◽  
Societal Norms ◽  
Insurance Model ◽  
United States Healthcare

Austria and the United States have very different healthcare systems with Austria following a social insurance model and the United States following an out of pocket model however;gross domestic product on healthcare expenditures. There is a current gap in literature on how the United States and Austrian healthcare systems comparatively impact patient outcomes, especially when considering the mediating effects of societal norms such as exercise and mental self-care habits. The information presented could benefit the United States healthcare system if they adopted Austria’s model, which expands access, and the Austrian healthcare system regulators could look to American standards of communication and care coordination to improve their healthcare system overall.

scholarly journals The COVID-19 Pandemic: The Role of Childbirth Educators in Promoting and Protecting Breastfeeding

2020 ◽  
Vol 29 (3) ◽  
pp. 120-122 ◽  
Author(s):  
Diane L. Spatz
Keyword(s):  
United States ◽  
Human Milk ◽  
Healthcare System ◽  
International Organizations ◽  
The United States ◽  
Medical Intervention ◽  
Evidence Based

The healthcare system is being challenged in the United States and worldwide due to the pandemic of coronavirus disease 2019 (COVID-19). However, all through this pandemic, families will continue to birth children. Childbirth educators play a particularly important role in ensuring that families receive appropriate evidence-based information about human milk and breastfeeding as a lifesaving medical intervention. In the current COVID-19 crisis, breastfeeding and the provision of human milk remains recommended by national and international organizations.

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