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FOURTH EDITION

GLOBAL
HEALTH CARE
ISSUES AND POLICIES
Walkthrough
Global Health Care: Issues and Policies, Fourth Edition drives
comprehension through various strategies that meet the learning
needs of students while also generating enthusiasm about the topic.
This interactive approach addresses different learning styles, making
this the ideal text to ensure mastery of key concepts. The
pedagogical aids that appear in most chapters include the following:
Description

Chapter Objectives
These objectives provide instructors and students with a snapshot of
key information that they will encounter in the chapter. Objectives
serve as a checklist to help guide and focus study.
Description
Study Questions
Review key concepts using these end-of-chapter questions.

Case Studies
Read and analyze real-life global health situations and apply
knowledge from the chapter to answer critical thinking questions.
FOURTH EDITION

GLOBAL
HEALTH CARE
ISSUES AND POLICIES

Carol Holtz, PhD, RN


Professor Emeritus of Nursing
WellStar School of Nursing
Kennesaw State University
Kennesaw, Georgia
JONES & BARTLETT
LEARNING
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Copyright © 2022 by Jones & Bartlett Learning, LLC, an Ascend Learning


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care : issues and policies, Enhanced 4th Edition is an independent publication and
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Library of Congress Cataloging-in-Publication Data


Names: Holtz, Carol, editor.
Title: Global health care : issues and policies / [edited by] Carol Holtz.
Description: Fourth edition. | Burlington, Massachusetts : Jones & Bartlett
Learning, [2022] | Includes bibliographical references and index.
Identifiers: LCCN 2020012416 | ISBN 9781284175691 (paperback)
Subjects: MESH: Global Health | Cross-Cultural Comparison | Delivery of Health
Care | Health Policy
Classification: LCC RA441 | NLM WA 530.1 | DDC 362.1--dc23
LC record available at https://lccn.loc.gov/2020012416

6048

Printed in the United States of America


24 23 22 21 20 10 9 8 7 6 5 4 3 2 1
Contents

Preface
Acknowledgments
Contributors

SECTION I GLOBAL HEALTH ISSUES, POLICY, AND


HEALTHCARE DELIVERY

Chapter 1 Global Health: An Introduction


Carol Holtz, PhD, RN
with contributions by Janet Memark, MD, MPH, FACP
What Is Global Health?
Selected Global Infectious Diseases
A New Threat
The Pathogen
The United States Response
Opportunities and Challenges
The Future
Global Noncommunicable Diseases
Road Traffic Accidents
Malnutrition and Obesity
Environmental Risks
Unintentional Poisonings
Mental Health
Global Opioid Epidemic
U.S. Opioid Crisis
Violence
Global Life Expectancy
Sustainable Development Goals
Global Health Disparities
Indices (Indicators) of Health Disparities
Human Rights to Health Care
Universal Right to Health Care
WHO Fighting Ebola in the Congo
Global Health Workforce Migrations (Brain Drain)
Summary
Study Questions
Case Study: Unforeseen Costs of Cutting Mosquito
Surveillance Budgets
Case Study Questions
References

Chapter 2 Global Health in Developed Societies: Examples


in the United States, Sweden, Japan, and the
United Kingdom
Carol Holtz, PhD, RN
Introduction
United States
Sweden
Japan
United Kingdom
Summary
Study Questions
Case Study: Addressing U.S. American Indians
(Native Americans)/Alaska Natives and
Diabetes
Case Study Questions
References

Chapter 3 Developing Countries: Egypt, China, India, and


South Africa
Carol Holtz, PhD, RN
Introduction
Egypt
China (People’s Republic of China)
India
South Africa (Republic of South Africa)
Summary
Study Questions
References

Chapter 4 Global Perspectives on Economics and


Healthcare Finance
Govind Hariharan, PhD
Dimitri C. Dodonova, MBA, MS, BS
Introduction
Profiles of Five Healthcare Systems
Comparative Analysis of Healthcare Systems
Healthcare Productivity and Costs
Key Components of an Ideal Healthcare System
Study Questions
References

SECTION II SPECIAL GLOBAL HEALTH AND HEALTHCARE


ISSUES
Chapter 5 Human Trafficking: The Pandemic of Modern
Slavery
Mary de Chesnay, PhD, RN, PMHCNS-BC, FAAN
Introduction
Definitions of Human Trafficking
Types of Human Trafficking
Case Study: Forced Labor
Case Study: Sex Trafficking
Case Study: Organ Trafficking
Case Study: Baby Trafficking
Case Study: Debt Bondage
Case Study: Child Brides
Case Study: Child Soldiers
The Traffickers
Health of Sex Trafficking Survivors
Case Study: System of Care
Case Study Questions
Summary
Study Questions
References

Chapter 6 Social Determinants of Health


Dula F. Pacquiao, EdD, RN, CTN-A, TNS
Introduction
Social Determinants of Health
Social Reproduction of Health Inequity
Global Health Inequities
Strategies for Addressing Social Determinants of
Population Health
Case Study: Native Hawaiians
Conclusion
Case Study Questions
References

Chapter 7 Health and Health Care of Native Americans


(American Indians/Alaskan Natives/Alaskan
Indians) in the United States
Alex Giles, MSN
Introduction
Broken U.S. Treaties and U.S. Congress Funding
Lags Contribute to Disparities
Current Native Demographics
Compelling Evidence of Health Disparities Across
Native American Populations
Mortality Disparity Rates
Cancer in the Native American Populations
Substance Abuse/Alcohol Abuse
Liver Disease
Obesity and Diabetes
Septicemia/Infectious Diseases
Biopolitics Affecting NA Healthcare Delivery
Systems
Future Implications of Reducing the Healthcare
Disparities in the NA Population
Conclusion
Study Questions
References

Chapter 8 Global Perspectives on Mental Health


Astrid H. Wilson, DNS, RN
Overview
Global Perspective: The Influence of Research and
Technology
Regional Mental Health Issues and Outcomes
Global Opioid Crisis
Summary
Study Questions
Case Study: China
References

Chapter 9 Global Major Neurological Issues


Noel Holtz, MD
Introduction
Multiple Sclerosis
Stroke
Dementia
Migraine Headaches
Epilepsy
Case Study: Pediatric Epilepsy in Iran: Ketogenic
Diet Treatment
Case Study Questions
Discovering Diverse Content Through
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