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Access to Health Care in America (1993) / Chapter Skim
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5. Recommendations
Pages 137-144

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From page 137...
... Before presenting a compilation of the recommendations dispersed throughout the text, a set of crosscutting recommendations is offered to place the detailed recommendations in context. RECOMMENDATIONS Crosscutting Recommendations The recommendations that follow are intended to improve the state of the art of monitoring, rather than provide explicit guidance on policies for financing medical care or delivering medical services.
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From page 138...
... The committee recognizes that constrained state and local public health budgets are likely to limit investment in major new surveys, hospital discharge systems, and cancer registries. To the extent that research and development costs can be borne by the federal government or by private foundations, the cost of implementing enhanced data systems could be reduced for local jurisdictions.
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From page 139...
... Studies of health care access that compare the experience of whites with that of racial and ethnic minorities other than blacks frequently reveal similar disparities. When certain factors, such as insurance status and income, are taken into account, some of the disparities diminish.
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From page 140...
... In addition to the potential value of these data in clarifying a range of issues related to the use of health care by pregnant women and infants, they should also be used to validate the accuracy of birth records. (National Center for Health Statistics, Public Health Service, States)
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From page 141...
... (National Center for Health Statistics, Public Health Service, States) Indicator: Low Birthweight 1.
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From page 142...
... The results of these surveys can be relied upon for analysis when data from prevention or cancer supplements to the National Health Information Survey are not available. (Centers for Disease Control, Public Health Service)
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From page 143...
... (National Center for Health Statistics, Public Health Service) Indicator: High-Cost Discretionary Care 1.
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From page 144...
... In addition to continued epidemiological follow-up surveys, there is a need to determine whether useful information could be extracted from routine surveys, such as the National Health Interview Survey. (National Center for Health Statistics)
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Key Terms

  • birth records
  • prenatal care
  • monitoring access
  • health interview
  • interview survey

  • zip code
  • code information
  • insurance status
  • income data
  • personal health

  • surveillance activities
  • care services
  • link zip
  • private foundations
  • cancer registries

  • infant health
  • access barriers
  • insurance data
  • congenital syphilis
  • national access

  • birth outcomes
  • access indicators
  • hospital discharge
  • national maternal
  • census income

  • access monitoring
  • birth certificates
  • health survey
  • cancer institute
  • potential payoffs


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