As healthcare moves from volume to value, payment models and delivery systems will need to change their focus from the individual patient to a population orientation. This will move our economic model from that of a "sick system" to a system of care focused on prevention, boosting patient engagement, and reducing medical expenditures. This new focus will shift traditional financial accountability from the payer model to provider directed models. Population Health: An Implementation Guide to Improve Outcomes and Lower Costs covers not only the rationale for this transition, but also outlines successful practice models that are built to thrive in these new market dynamics. Besides the philosophical and the cultural aspects of these new models, it details the implementation and strategic initiatives required to succeed in today's value- and population-oriented healthcare environment. Describing what population health is, the book explains why it represents an opportunity for healthcare delivery systems, public health agencies, community-based organizations, and other entities to work together to improve health outcomes in the communities they serve. The book clarifies how the new models will impact healthcare providers, how to manage populations, and how to handle the risk factors involved. It details new delivery models, such as primary care and medical neighborhoods, and outlines the value proposition of screening and prevention in assigned populations.

Illness as a Work of Thought is a practical application of Foucault's archaeological and genealogical methods of the study of illness and modernity. From medicine and psychiatry to psychology and the social sciences, Monica Greco explores what the history of these different disciplines contributes to what we understand by the term 'psychosomatics' and analyses how the study of psychosomatic illness can transform the way we think of illness, subjectivity and the ethics and politics of health.

This book addresses the major issues involved in developing and evaluating community-based delivery (CBD) healthcare services administered by nonmedical workers in developing countries. It represents an important effort to discuss opportunities for CBD family planning projects.

In The Prescription-to-Prison Pipeline Michelle Smirnova argues that the ongoing opioid drug epidemic is the result of an endless cycle in which suffering is medicalized and drug use is criminalized. Drawing on interviews with eighty incarcerated individuals in Missouri correctional institutions, Smirnova shows how contradictions in medical practices, social ideals, and legal policies disproportionately criminalize the poor for their social condition. This criminalization further exacerbates and perpetuates drug addiction and poverty. Tracing the processes by which social issues are constructed as biomedical ones that necessitate pharmacological intervention, Smirnova highlights how inequitable surveillance, policing, and punishment of marginalized populations intensify harms associated with both treatment and punishment, especially given that the distinctions between the two have become blurred. By focusing on the stories of people whose pain and pharmaceutical treatment led to incarceration, Smirnova challenges the binary of individual and social problems, effectively exploring how the conceptualization, diagnosis, and treatment of substance use may exacerbate outcomes such as relapse, recidivism, poverty, abuse, and death.

Across the globe, both in developed and developing countries, the population is rapidly ageing. In the fields of sexual and relationship therapy and sexual health, ageing has not been an issue of priority. Too often, ageing is thought of as a process that relates to problems, deficits, and taboos, and less to pleasure, change, growth and diversity. It is treated as a separate life stage and not a process throughout the lifecycle. Sexuality and sexual health are important parts of the lives of older people, as they have a significant impact on quality of life, psychological well-being and physical health, as well as social and family life. This book brings together contributions from those currently writing on and researching ageing as it relates, in a therapeutic context, to gender identity, to sex and sexuality, and to intimate relationships. This book was originally published as a special issue of Sexual and Relationship Therapy.

This book addresses fundamental issues about the last decades of Tsarist Russia, contributing significantly to current debates about how far and how successfully modernisation was being implemented by the Tsarist regime. It focuses on successive outbreaks of cholera in the city of Saratov on the Volga, in particular contrasting the outbreak of 1892 - widely regarded at the time as a national fiasco and a transformative episode for the Russian Empire - with the cholera epidemics of 1904-1910 when - despite completely new scientific discoveries and administrative arrangements - Russia suffered another national outbreak of the disease. The book sets these outbreaks fully in their social, economic, political and cultural context, and explains why a medical and social disaster - which had long since been overcome in other parts of Europe - continued much later in Russia. It explores autocratic government, urban renewal, public health, and disaster management, including the management of widespread public hysteria and social unrest. The book further analyses the assimilation of Western medical knowledge, and the resulting institutional and epistemological changes. Overall, it demonstrates that Russia's medical history was inseparably linked to the nature of the tsarist regime itself in its confrontation with modernity.

What do we mean when we talk about rights in relation to health? Where does the language of health rights come from, and what are the implications of using such a discourse? During the last 20 years there have been an increasing number of initiatives and efforts - for instance in relation to HIV/AIDS - which draw on the language, institutions and procedures of human rights in the field of global health. This book explores the historical, cultural and social context of public health activists' increasing use of rights discourse and examines the problems it can entail in practice. Structured around three interlinked themes, this book begins by looking at what health as a right means for our understandings of citizenship and political subjectivities. It then goes on to look at how and why some health problems came to be framed as human rights issues. The final part of the book investigates what happens when health rights are put into practice - how these are implemented, realised, cited, ignored and resisted. Assembling Health Rights in Global Context provides an in-depth discussion of the historical, anthropological, social and political context of rights in health and develops much needed critical perspectives on the human rights approach to global health. It will be of interest to scholars of public health and human rights within health care as well as sociology and anthropology.

This book explores the complex nexus of discourses, principles and practices within which educators mobilise school-based health education. Through an interrogation of the ideas informing particular models and approaches to health education, the authors provide critical insights into the principles and practices underpinning approaches to health education policy, curriculum, pedagogy and assessment. Drawing on extensive literature and research, the book explores and considers what health education can and should do. Chapters examine the extent to which health education, past and present, has attended to the needs and interests of young people in school environments, as well as assess common pedagogical approaches and whether the outcomes tally with expectations. By considering the problems in teaching health education, curriculum making, health education pedagogies and porous classrooms, the book offers a knowledge base from which educators can consider how theories and models can sit together to shape curriculum and influence practice. School Health Education in Changing Times will be of key interest to postgraduate students, researchers and academics in the field of health education. It will also be a valuable resource for teacher educators, current teachers, and those on professional development courses who want to navigate the moral minefield surrounding health education.

This book covers the knowledge of shipboard operations required by candidates for professional qualification as Chief Officer and Master Mariner. It deals with the basic routines and procedures, and the many regulations governing their use, for the safe and efficient operation of merchant ships. The book is also designated a fundamental text for the Maritime Transport paper of the Chartered Institute of Transport's membership examinations. The second edition takes into account recent developments in technology and regulation, and in particular covers major international legislation on Safety of Life at Sea and on Maritime Pollution as well as recent UK regulations on occupational health and safety and on operation of ro-ro ferries.

The past decade has seen a burgeoning of research and conceptualization on the implications of parental violence exposure on children's development and well-being. Meanwhile, seemingly daily accounts of violent tragedies committed by our youth brings to our attention the urgency of conveying this information. With these ideas in mind, Children and Interparental Violence focuses on childrens exposure to violence between their caretakers and the subsequent effects on child development. To this end, the authors review current theories, research, and treatment strategies of the 1990s, paying specific attention to families' ethnic backgrounds, parents' sexual orientation, and forensic and legal issues, all factors affecting the nature and severity of impact. Prevention and intervention models (including great detail on risk and protective factors), techniques, and programs are discussed, as well as research evaluating their usefulness. Keeping in mind the goal of integrating practice and policy with current violence and developmental research and theory, numerous case examples take the reader from the lab and classroom into the session room and courtroom.

Based on extensive archival research, this study examines the role of the Rockefeller Foundation and the League of Nations in improving public health during the interwar period. Barona argues that the Foundation applied a model of business efficiency to its ideology of spreading good health, creating a revolution in public health practice.

Major influenza pandemics pose a constant threat. As evidenced by recent H5N1 avian flu and novel H1N1, influenza outbreaks can come in close succession, yet differ in their transmission and impact. With accelerated levels of commercial and population mobility, new forms of flu virus can also spread across the globe with unprecedented speed. Responding quickly and adequately to each outbreak becomes imperative on the part of governments and global public health organizations, but the difficulties of doing so are legion. One tool for pandemic planning is analysis of responses to past pandemics that provide insight into productive ways forward. This book investigates past influenza pandemics in light of today's, so as to afford critical insights into possible transmission patterns, experiences, mistakes, and interventions. It explores several pandemics over the past century, from the infamous 1918 Spanish Influenza, the avian flu epidemic of 2003, and the novel H1N1 pandemic of 2009, to lesser-known outbreaks such as the 1889-90 influenza pandemic and the Hong Kong Flu of 1968. Contributors to the volume examine cases from a wide range of disciplines, including history, sociology, epidemiology, virology, geography, and public health, identifying patterns that cut across pandemics in order to guide contemporary responses to infectious outbreaks.

In the years following World War II the health and well-being of the nation was of primary concern to the British government. The essays in this collection examine the relationship between health and stress in post-war Britain through a series of carefully connected case studies.

This timely book offers a balanced and thoughtful review of the current mental health emergency and its impact upon and among medical professionals, supported by the best available evidence and illustrated through real-life cases. Recognising the increasing stressors in the role including the impact of the environment in which doctors work, the book examines some of the key emotional drivers for this unhappiness among doctors at work - shame, stigma, suffering and sacrifice - and offers practical steps to emotional and physical recovery. Despite the obvious challenges and stresses of the role, with the right support in place the vast majority of doctors can thrive in their jobs. In reading this book, policy makers, politicians, educators, hospital managers will be reminded of the ethical duty to ensure that doctors are cared for and have access to the time, people and spaces to remain psychological healthy, while doctors will learn to recognize and seek actively the help that they need, and to support and guide one another.

Winner of the 2021 PROSE Award for CLINICAL PSYCHOLOGY and PSYCHIATRY Against a global backdrop of problematic adherence to medical treatment, this volume addresses and provides practical solutions to the simple question: "Why don't patients take treatments that could save their lives?" The Wiley handbook of Healthcare Treatment Engagement offers a guide to the theory, research and clinical practice of promoting patient engagement in healthcare treatment at individual, organizational and systems levels. The concept of treatment engagement, as explained within the text, promotes a broader view than the related concept of treatment adherence. Treatment engagement encompasses more readily the lifestyle factors which may impact healthcare outcomes as much as medication-taking, as well as practical, economic and cultural factors which may determine access to treatment. Over a span of 32 chapters, an international panel of expert authors address this far-reaching and fascinating field, describing a broad range of evidence-based approaches which stand to improve clinical services and treatment outcomes, as well as the experience of users of healthcare service and practitioners alike. This comprehensive volume adopts an interdisciplinary approach to offer an understanding of the factors governing our healthcare systems and the motivations and behaviors of patients, clinicians and organizations. Presented in a user-friendly format for quick reference, the text first supports the reader's understanding by exploring background topics such as the considerable impact of sub-optimal treatment adherence on healthcare outcomes, before describing practical clinical approaches to promote engagement in treatment, including chapters referring to specific patient populations. The text recognizes the support which may be required throughout the depth of each healthcare organization to promote patient engagement, and in the final section of the book, describes approaches to inform the development of healthcare services with which patients will be more likely to seek to engage. This important book: Provides a comprehensive summary of practical approaches developed across a wide range of clinical settings, integrating research findings and clinical literature from a variety of disciplines Introduces and compliments existing approaches to improve communication in healthcare settings and promote patient choice in planning treatment Presents a range of proven clinical solutions that will appeal to those seeking to improve outcomes on a budget Written for health professionals from all disciplines of clinical practice, as well as service planners and policy makers, The Wiley Handbook of Healthcare Treatment Engagement is a comprehensive guide for individual practitioners and organizations alike. 2021 PROSE Biological and Life Sciences Category for Clinical Psychology & Psychiatry

This highly practical text on gynecologic emergencies includes sonographic findings and laparascopic investigations and management for point-of-care assessment. Gynecologists, emergency physicians, and other providers will find this an invaluable resource for information on what to do in a crisis.

The geographies of health and development is an emerging sub-discipline, tying in with many of the conceptual, theoretical and practical components of other disciplines working in health, health care, economics, and international development. Spatially and theoretically grounded in geography, this collection offers a fresh perspective on the dialectic relationships between health and development. Health problems in a developing context take on much higher rates of prevalence as a result of the varied cultural, structural and economic vulnerabilities of the people they impact. This book begins by exploring some of the circumstances surrounding the distinctive health inequities currently facing many developing countries, including malaria, maternal mortality and HIV/AIDS. This is followed by a discussion of how matters of physical access and human resource issues and, perhaps most importantly, the challenges of financing, together shape the access and utilization of health care. Examining how the environment interacts to influence the health of the people that live there, the next section includes discussion around challenges of food (in)security, and the importance of clean and uncontaminated water for health. Finally, the book explores the influence of globalization on health, specifically within the urban environment, against the backdrop of global health policy.

Microneedles provide an artificial pathway across the skin barrier for medical and cosmetic applications. This technology has seen a significant increase in popularity over the past years; as an example, the use of multiple small needles mounted on a roller to pierce the skin, prompting it to stimulate collagen production, has undergone a resurgence of interest as an adjunctive procedure for a number of skin disorders. This monograph draws together what is known about how to integrate microneedle technology into clinical dermatologic practice.

There are overwhelming demands for health and rehabilitation services due to rise in the number of disabled people. The existing literature on disability evaluation has only focused on impairment or functional limitation or earning capacity. They have not considered the skills fundamental to live, learn and work successfully in the community. This book addresses integrated evaluation of disability using 'Clinical Tools', 'Activity Participation Skills Assessment Scale', 'Personal Factors Measurement Scale', and 'Environmental Factors Measurement Scale'. Physicians from all disciplines can use this method to evaluate disability pertaining to their respective fields. Key Features Applies the principles of 'World Health Organization's International Classification of Functioning, Disability and Health - ICF' Includes case studies in the hypothetical model in this book Includes a Ready Reckoner Impairment Table provides impairment score for 120 common clinical conditions Consists of an integrated software which computes percentage of disability for clinical conditions

Recent academic and medical initiatives have highlighted the benefits of studying culturally embedded healing traditions that incorporate religious and philosophical viewpoints to better understand local and global healing phenomena. Capitalising on this trend, the present volume looks at the diverse models of healing that interplay with culture and religion in Asia. Cutting across several Asian regions from Hong Kong to mainland China, Tibet, India, and Japan, the book addresses healing from a broader perspective and reflects a fresh new outlook on the complexities of Asian societies and their approaches to health. In exploring the convergences and collisions a society must negotiate, it shows the emerging urgency in promoting multidisciplinary and interdisciplinary research on disease, religion and healing in Asia. Drawing on original fieldwork, contributors present their latest research on diverse local models of healing that occur when disease and religion meet in South and East Asian cultures. Revealing the symbiotic relationship of disease, religion and healing and their colliding values in Asia often undetected in healthcare research, the book draws attention to religious, political and social dynamics, issues of identity and ethics, practical and epistemological transformations, and analogous cultural patterns. It challenges the reader to rethink predominantly long-held Western interpretations of disease management and religion. Making a significant contribution to the field of transcultural medicine, religious studies in Asia as well as to a better understanding of public health in Asia as a whole, it will be of interest to students and scholars of Health Studies, Asian Religions and Philosophy.

First Published in 2004. Routledge is an imprint of Taylor & Francis, an informa company.

Addressing health inequalities is a key focus for health and social care organizations. This book explores how best frontline health workers in areas of deprivation can address these problems. Aimed at doctors and their wider multidisciplinary teams, this book provides key knowledge and practical advice on how to address the causes and consequences of health inequalities to achieve better outcomes for patients. Considering the psychological, financial and social aspects of well-being as well as health concerns, this book offers a concise but comprehensive overview of the key issues in health inequalities and, most importantly, how practically to address them. Key Features Comprehensively covers the breadth of subjects identified by RCGP's work to formulate a curriculum for health inequalities The first book to address the urgent area of causes and consequences of health inequalities in clinical practice. Chapters are authored by expert practitioners with proven experience in each aspect of health care. Applied, practical focus, demonstrating approaches that will work and can be applied in 'every' situation of inequality. Provides evidence of how community based primary care can make a change.

In this monograph, journalist Rinke van den Brink takes a closer look at the limitations and risks of today's antibiotic use. Though all developed societies have grown accustomed to successfully treating bacterial infections with these wonder drugs, the author focuses on the increasing number of antibiotic-resistant infections. By examining recent mass outbreaks, readers will gain a better understanding of the global impact of antimicrobial resistance - one of the most serious public health threats today. Following this somewhat disquieting review of the status quo, interviews with a number of specialists provide an outlook on possible solutions. In a world that is more connected than ever, partnerships between different healthcare systems are becoming all the more important. Rinke van den Brink uses the example of a border-spanning collaboration between the Netherlands and Germany to demonstrate how effective lines of communication can be established. The book offers a wealth of useful background information for healthcare personnel. Not only does it share insights into the functional microbe-antibiotic relationship; it also discusses how clinics can effectively address outbreaks, helping readers to learn from past experiences and develop effective new strategies.

Preventing Drunk Driving shows what is being done today, in research and practice, to reduce impaired driving and the fatalities and injuries it produces and to curtail the spread of this tragic social epidemic. In this informative book, you'll discover how current research and prevention programs are increasing the success of designated driver programs. You'll also find out how communities, friends, and experts are making drinkers aware of their levels of intoxication and discouraging them from driving to keep the roads safer. You'll see when intervention works, when it doesn't, and how you can be most effective as a citizen in the fight against impaired driving deaths along your own stretch of the world's highways and city streets. In Preventing Drunk Driving, you'll get up-to-date data on how researchers are identifying the most dangerous drunk driving recidivists. Also, you'll see how increased study and research have led to theoretical models of intervention, assessments of the usefulness of vehicle interlock programs, and the use of mapping to target offenders most at risk. Most importantly, you'll learn: the results of experiments designed to test methods of increasing designated driving how census-tract mapping can target communities prone to DWI offenses the benefits and limitations of vehicle-interlock devices for the prevention of recidivism how interveners may improve their chances of stopping an impaired person from getting behind the wheel ways that blood alcohol concentration (BAC) feedback stations can reduce DUI incidents"Give me the keys." "Friends don't let friends drive drunk." These are all sayings we've heard--but what are the scientific facts about impaired driving and its prevention in our local communities and neighborhoods? Preventing Drunk Driving analyzes the societal ill of driving under the influence of alcohol and its related death toll from a wide variety of angles.

SARS (Acute Respiratory Syndrome) first presented itself to the global medical community as a case of atypical pneumonia in one small Chinese village in November 2002. Three months later the mysterious illness rapidly spread and appeared in Vietnam, Hong Kong, Toronto and then Singapore. The high fatality rate and sheer speed at which this disease spread prompted the World Health Organization to initiate a medieval practice of quarantine in the absence of any scientific knowledge of the disease. Now three years on from the initital outbreak, SARS poses no major threat and has vanished from the global media. Written by a team of contributors from a wide variety of disciplines, this book investigates the rise and subsequent decline of SARS in Hong Kong, mainland China and Taiwan. Multidisciplinary in its approach, SARS explores the epidemic from the perspectives of cultural geography, media studies and popular culture, and raises a number of important issues such as the political fate of the new democracy, spatial governance and spatial security, public health policy making, public culture formation, the role the media play in social crisis, and above all the special relations between the three countries in the context of globalization and crisis. It provides new and profound insights into what is still a highly topical issue in today's world.