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National Healthcare Disparities Report 2013

Description: This report summarizes data gathered to address three key questions: what is the status of health care quality, access and disparities in the United States, How have health care quality; access and disparities changed over time; where are health care quality, access, and disparities improving and where are they getting worse.
Date: May 2014
Creator: Agency for Healthcare Research and Quality
Partner: UNT Libraries Government Documents Department

A Profile of Older Americans: 2009

Description: This report presents data on the older population of the United States. It includes historical data on population growth, marital status, living arrangements, racial and ethnic composition, geographic distribution, income, poverty, housing, employment, education, and health care.
Date: 2009
Creator: United States. Department of Health and Human Services. Administration on Aging.
Partner: UNT Libraries Government Documents Department

Tuberculosis in the Nursing Home: A Policy and Procedure Manual

Description: Tuberculosis in the nursing home is an ever-growing problem for the health care community. The incidence of tuberculosis in the United States has risen alarmingly since 1982, and high-population environments such as nursing homes are among the places where it is most prevalent. The first part of this document is an introduction to the current concerns faced by nursing home infection control personnel. It includes information about the history, symptoms, and epidemiology of the disease, as well as other topics. The second part is a policy and procedure manual that contains a basic guide to methodical testing for tuberculosis, steps for dealing with active cases of the disease, and suggestions for education of nursing home health care workers.
Access: This item is restricted to UNT Community Members. Login required if off-campus.
Date: May 2000
Creator: Mounts, Camilla M.
Partner: UNT Libraries

Commission on Long-Term Care

Description: This is the website for the federal Commission on Long-Term Care. Established as part of the American Taxpayer Relief Act of 2012 and signed into law January 2, 2013, the commission's goal was to advise Congress on how comprehensive, high-quality long-term care can be better provided and financed for the nation's older adults and people with disabilities. The Commission is composed of 15 members of the Senate and House of Representatives and released its final report on September 18, 2013. The website includes the final report, all relevant press releases, and transcripts and other materials related to its public hearings.
Date: 2013
Creator: United States. Commission on Long-Term Care
Partner: UNT Libraries Digital Projects Unit

[News Clip: AMA president]

Description: Video footage from the WBAP-TV station in Fort Worth, Texas to accompany a story about Dr. Edward R. Annis of Miami, president of the American and World Medical Associations, who is in Fort Worth to address the Tarrant County Chapter of Texas Manufacturers Association. In this story, Dr. Annis criticizes legislation that results in decreased clinical research related to the development of new prescription drugs and the FDA's removal of the antidepressant medication Parnate from the market.
Date: May 28, 1964
Creator: WBAP-TV (Television station : Fort Worth, Tex.)
Partner: UNT Libraries Special Collections

The Adult Working-Age Population in the JPS Health Network in Tarrant County, Texas: A Report Submitted to the JPS Health Network Administration

Description: This report summarizes the results of a survey of adult, working-aged patients in a large, urban, tax-supported county healthcare system, consisting of an inpatient hospital facility and eight community health centers. The major objectives of this research project were to assess the patients' access to healthcare, factors affecting their access, and their health status.
Date: August 15, 2002
Creator: Eve, Susan Brown; Koelln, Kenneth; Trevino, Fernando M.; Urrutia-Rojas, Ximena & Baumer, Joane
Partner: UNT Honors College

An Entangled Pathology

Description: Thesis written by a student in the UNT Honors College discussing the history of healthcare in the Gaza Strip from 1940 to 2008, the role of healthcare in the development of Hamas, the current state of health systems in the Gaza Strip, and how the relationship between Hamas with the citizens of Gaza, Israel, and other countries have an effect on the healthcare of Gaza.
Date: Spring 2012
Creator: Vargas, Annalisa L.
Partner: UNT Honors College

A Comparative Analysis of Diseases Associated with Mining and Non-Mining Communities: A Case Study of Obusai and Asankrangwa, Ghana

Description: Disease prevalence varies with geographic location. This research pursues a medical geographic perspective and examines the spatial variations in disease patterns between Obuasi, a gold mining town and Asankrangwa, a non gold mining town in Ghana, West Africa. Political ecology/economy and the human ecology frameworks are used to explain the prevalence of diseases. Mining alters the environment and allows disease causing pathogens and vectors to survive more freely than in other similar environments. Certain diseases such as upper respiratory tract infections, ear infections, sexually transmitted diseases such as HIV/AIDS and syphilis, certain skin diseases and rheumatism and joint pains may have a higher prevalence in Obuasi when compared to Asankrangwa due to the mining in Obuasi.
Date: August 2005
Creator: Reddy, Sumanth G.
Partner: UNT Libraries

Health Care Services Utilization Among Older Adults: FInal Report

Description: Final report on a research study examining the use of physicians, hospitals, and dentists among the noninstitutionalized population 65 years of age and older in the United States to determine what social, economic, and health factors were most predictive of the use of those services.
Date: 1981
Creator: Eve, Susan Brown
Partner: UNT College of Public Affairs and Community Service

The Status of Women and Girls in Dallas County: A Review of the Academic Literature

Description: Report for the Dallas Women's Foundation on a comprehensive assessment from 2000 to 2002 of the status of women and girls in Dallas County, including sections on economics, health, families, and adolescent girls.
Date: August 2002
Creator: Fawcett, Beth; Means, Frances; McDanel, Rodney A. & Eve, Susan Brown
Partner: UNT College of Public Affairs and Community Service

Physician Utilization by a Black Aged Population: A Multivariate Investigation

Description: This investigation concerns the problem of current health care utilization by aged blacks. Utilizing Andersen's model, the volume and pattern of physician utilization associated with selected predisposing, enabling, and need variables is described for an aged population of 163 interviewed blacks residing in Census Tract 212, Denton, Texas, in 1972. None of the six socio-demographic, economic, or health status variables analyzed, through use of Somers' dyx, allowed substantial reduction .of error in predicting a physician visit in the past year. Representing need, selfrated health status was the best predictor variable. Its proportional reduction in error increased from 17 percent to 30 percent, for those with five to seven years education, and to 23 percent, for those reporting the least income.
Date: May 1974
Creator: Reban, Ann S.
Partner: UNT Libraries

VA Health Care: Actions Needed to Prevent Sexual Assaults and Other Safety Incidents

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Changes in patient demographics present unique challenges for VA in providing safe environments for all veterans treated in Department of Veterans Affairs (VA) facilities. GAO was asked to examine whether or not sexual assault incidents are fully reported and what factors may contribute to any observed underreporting, how facility staff determine sexual assault-related risks veterans may pose in residential and inpatient mental health settings, and precautions facilities take to prevent sexual assaults and other safety incidents. GAO reviewed relevant laws, VA policies, and sexual assault incident documentation from January 2007 through July 2010 provided by VA officials and the VA Office of the Inspector General (OIG). In addition, GAO visited and reviewed portions of selected veterans' medical records at five judgmentally selected VA medical facilities chosen to ensure the residential and inpatient mental health units at the facilities varied in size and complexity. Finally, GAO spoke with the four Veterans Integrated Service Networks (VISN) that oversee these VA medical facilities."
Date: June 7, 2011
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department

Medicare: Advisory Opinions as a Means of Clarifying Program Requirements

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Health care providers are concerned about the quality of Medicare guidance issued by the Centers for Medicare & Medicaid Services (CMS), an agency within the Department of Health and Human Services (HHS). Specifically, they have reported that (1) they receive unclear guidance on program requirements and (2) because policies and procedures change frequently, they may rely on obsolete guidance, resulting in billing errors. Some government agencies issue advisory opinions in response to specific questions from requesters. These opinions permit agencies to apply law and regulation to a particular set of facts and provide requesters with specific guidance. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 directed GAO to determine the appropriateness and feasibility of establishing in the Secretary of Health and Human Services authority to issue legally binding advisory opinions to interpret Medicare regulations. GAO (1) identified factors relevant in establishing an advisory opinion process and (2) assessed the role such a process could play in clarifying program requirements. GAO examined four federal agencies' advisory opinion processes and interviewed officials from organizations representing Medicare stakeholders to learn how such a process might address their concerns."
Date: December 8, 2004
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department

VA Long-Term Care: Data Gaps Impede Strategic Planning for and Oversight of State Veterans' Nursing Homes

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Veterans Affairs (VA) provides or pays for veterans' nursing home care in three settings: VA-operated nursing homes, privately owned nursing homes in the community from which VA purchases services, and state veterans' nursing homes. VA supports state veterans' nursing homes in a number of ways, including reimbursement for a portion of the cost of providing nursing home services to veterans, issuance of policy guidance, and oversight of their nursing home operations. GAO was asked to determine the extent to which VA collects information on veterans in state veterans' nursing homes and the type of care they receive, to assess whether VA's reimbursement policy has been applied consistently, and to identify revenue sources such homes use."
Date: March 31, 2006
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department

Defense Health Care: DOD has Established a Chiropractic Benefit for Active Duty Personnel

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "The Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001 (NDAA 2001) directed the Department of Defense (DOD) to develop and implement a plan to make a chiropractic benefit available to all active duty personnel in the U.S. armed forces. The practice of chiropractic focuses on the relationship between structure (primarily, the spine) and function (as coordinated by the nervous system) and how that relationship affects the preservation and restoration of health. In August 2001, DOD submitted to Congress an implementation plan that described how it planned to develop a chiropractic benefit within the military health system. The plan addressed patient eligibility, access to care, the location of chiropractic clinics, projected costs, staffing, and the marketing and monitoring of the benefit. The NDAA 2001 directed DOD to develop the implementation plan in consultation with the Oversight Advisory Committee (OAC), which was established by the National Defense Authorization Act for Fiscal Year 1995 (NDAA 1995). The OAC was directed by the NDAA 1995 to oversee a 3-year DOD chiropractic demonstration project at no fewer than 10 military treatment facilities (MTF). The NDAA 1995 directed that the OAC include the Assistant Secretary of Defense for Health Affairs; the Surgeons General of the Army, the Air Force, and the Navy; and at least four representatives of the chiropractic profession; and also directed that we serve as a member of the OAC. As a member of the OAC, we attended meetings of the OAC and provided technical input and advice. The NDAA 2001 also mandated that we monitor the development and implementation of DOD's chiropractic health care plan. As agreed with the committees of jurisdiction, we reviewed the implementation of DOD's chiropractic benefit."
Date: September 6, 2005
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department

Veterans' Health Care: Improvements Needed to Ensure That Budget Estimates Are Reliable and That Spending for Facility Maintenance Is Consistent with Priorities

Description: A letter report issued by the Government Accountability Office with an abstract that begins "During fiscal years 2006 through 2012, the Department of Veterans Affairs (VA) had higher than estimated resources available for facility maintenance and improvement--referred to as non-recurring maintenance (NRM); these resources accounted for the $4.9 billion in VA's NRM spending that exceeded budget estimates. The additional resources came from two sources. First, VA spent less than it estimated on non-NRM, facility-related activities such as administrative functions, utilities, and rent, which allowed VA to spend over $2.5 billion more than originally estimated. Lower spending for administrative functions, utilities, and rent accounted for most of the resources estimated but not spent on non-NRM activities. Given that VA has consistently overestimated the costs of such activities in recent years, VA's budget estimates for its non-NRM activities may not be reliable. Second, more than $2.3 billion of the higher than estimated spending on NRM can be attributed to VA having higher than estimated budget resources available. In some years VA received higher appropriations from Congress than requested and supplemental appropriations for NRM--such as those included in the American Recovery and Reinvestment Act of 2009. The additional budget resources VA used for NRM also included transfers of funds from the agency's appropriations account that funds health care services."
Date: February 22, 2013
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department

Private Health Insurance: Potential Tax Benefit of a Health Insurance Deduction Proposed in H.R. 2990

Description: Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the potential tax benefit individuals could receive as a result of a health insurance tax deduction proposed in H.R. 2990, focusing on: (1) GAO's estimation of both the number of people who would potentially be eligible for a tax deduction under this proposal; and (2) the potential value of such a deduction."
Date: April 21, 2000
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department