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Jill C. Feasley - Pacific partnerships for health: charting a course for the 21st century

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The U.S.-Associated Pacific Basin consists of six island jurisdictions: American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, the Federated States of Micronesia, Republic of the Marshall Islands, and the Republic of Palau. This book examines one aspect of the ties and U.S. involvement with this part of the world - its role in the regions health care delivery system. Although the health status of the islanders and the challenges faced by the health care systems naturally vary within and among the jurisdictions, in general, almost all health indicators for the islanders are worse than those of mainland Americans. The health systems in the area must deal with conditions normally seen in developing countries (e.g., malnutrition, tuberculosis, dengue fever, and cholera) and in developed countries alike (e.g., diabetes, heart disease, and cancer). In examining the strengths and weaknesses of the areas systems, the volume provides a regional health overview and assessments of health care in individual jurisdictions, evaluates the Pacific Basin Medical Officers Training Program, and lays out a strategic plan for future health services in the U.S.- Associated Pacific Basin.

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title Pacific Partnerships for Health Charting a Course for the 21st - photo 1

title:Pacific Partnerships for Health : Charting a Course for the 21st Century
author:Feasley, Jill C.; Lawrence, Robert S.
publisher:National Academies Press
isbn10 | asin:0309059488
print isbn13:9780309059480
ebook isbn13:9780585025575
language:English
subjectPublic health--Islands of the Pacific, Health Services, Health Planning, Asian Americans.
publication date:1998
lcc:RA557.P33 1998eb
ddc:362.1/0996
subject:Public health--Islands of the Pacific, Health Services, Health Planning, Asian Americans.
Pacific Partnerships for Health
Charting a Course for the 21st Century
Committee on Health Care Services in the U.S.-Associated Pacific Basin
Division of Health Care Services and Board on International Health
INSTITUTE OF MEDICINE
Jill C. Feasley
Robert S. Lawrence, Editors
NATIONAL ACADEMY PRESS
Washington, D.C. 1998
NATIONAL ACADEMY PRESS 2101 Constitution Avenue, N.W. Washington, DC 20418
NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.
This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.
Support for this project was provided by the Health Resources and Services Administration, U.S. Department of Health and Human Services, with additional support provided by the Archstone Foundation and the U.S. Department of the Interior. The opinions expressed in this report are those of the Committee on Health Care Services in the U.S.-Associated Pacific Basin and do not necessarily reflect the views of the funders.
International Standard Book Number: 0-309-05948-8
Additional copies of Pacific Partnerships for Health: Charting a Course for the 21st Century are available for sale from the National Academy Press, 2101 Constitution Avenue, N.W., Box 285, Washington, DC 20055. Call (800) 624-6242 or (202) 334- 3313 (in the Washington metropolitan area) or visit NAP's on-line bookstore at www.nap.edu.
For more information about the Institute of Medicine, visit the IOM home page at www.nas.edu/iom.
Copyright 1998 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
The sperpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.
Cover artwork: Women and Children, by Valerie Hunton. Cover design by Francesca Moghari.
Page iii
Committee On Health Care Services In The U.S.-Associated Pacific Basin
Robert S. Lawrence* (Chair), Associate Dean for Professional Education and Programs and Professor of Health Policy, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland
Dyanne D. Affonso,* Dean and Professor, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia
Carolyne K. Davis,* International Health Care Consultant, Ernst and Young, Washington, D.C.
William H.J. Haffner, Professor and Chair, Department of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, Bethesda, Maryland
Glen E. Haydon, International Consultant, Des Moines, Iowa
Francis X. Hezel, Director, Micronesian Seminar, Chuuk, Federated States of Micronesia
Dean T. Jamison,* Professor, Center for Pacific Rim Studies, University of California at Los Angeles, Los Angeles, California (resigned from committee in July 1997)
Agnes Manglona McPhetres, President, Northern Marianas College, Saipan, Commonwealth of Northern Marianas Islands
Hon. Tosiwo Nakayama, Vice President for Governmental Affairs, Bank of Guam, Chuuk, Federated States of Micronesia
Paul W. Nannis, Commissioner of Health, City of Milwaukee Health Department, Milwaukee, Wisconsin
Terence A. Rogers, Dean Emeritus, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii
David N. Sundwall, President, American Clinical Laboratory Association, Washington, D.C.
Study Staff
Jill Feasley, Program Officer
Annice Hirt, Research Assistant
Heather Callahan, Project Assistant
Evelyn Simeon, Administrative Assistant
Clyde Behney, Deputy Executive Officer
Christopher Howson, Director, Board on International Health
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