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Books > Medicine > General issues > Health systems & services > General
The healthcare system is experiencing unprecedented challenges and opportunities that will revolutionize the sector. The rising demand for health services and the resources restrictions have put increased pressure on healthcare organizations to improve cost-efficiency and service offerings. The pandemic has further exacerbated the main pressure points of the healthcare sector. Currently, the shift towards patient centricity is gaining momentum, therefore there is a need to rethink how health systems can embrace this concept, in particular with digitization, service innovation and value co-creation. Focusing on digital healthcare, this book proposes a theoretical framework, along with managerial implications, on moving towards a patient-centric model. It explores the role of digitization and innovation in solving existing challenges in the sector, and includes the concept of 'One Digital Health', which refers to global health and transformation and recognizes the importance of the connection between humans, animals, nature and the interrelation of different health systems. With clear implications to Sustainable Development Goal 3: 'Ensure healthy lives and promote wellbeing for all at all ages,' the authors argue that innovative transformation in the sector can support the Agenda 2030.
A Patient-Focused Paradigm Brilliant and timely, thoughtful and practical. Regradless of the final shape of health care reform in the U.S., the patient-focused idea can and must be implemented. Bravo! This in-depth book offers advice on how health care operations can shift from hierarchical organization structures to patient-focused approaches. Uses a wealth of examples to illustrate the challenges faced by organizations that have undertaken this type of restructuring.
This book offers significant managerial and economic knowledge on hospitals, and will serve as a valuable tool for explaining complicated managerial and economical problems, and for facilitating decision-making processes. It bridges management and economic sciences - two complementary sciences that feed the process of making rational decisions. With particular reference to the education, the main aim of this book is to provide students of relevant schools and departments with the knowledge (managerial and economic) that will enable them to deal both efficiently and effectively with the real problems arising in a health care organization such as a hospital. In particular, by equipping students with appropriate managerial and economic knowledge, the aim is to give them a clear understanding of HOW to deal with the diverse and complex problems of hospitals while at the same time helping them to develop strategic approaches that will make hospitals more efficient and sustainable.
Sanitarians often wonder about the effectiveness of their site evaluations, whether or not the client listens and why noncompliance persists. Their academic training emphasizes a three-pronged approach (education, consultation and enforcement) toward the analysis and abatement of sanitation concerns; socio-economic factors, however, emphasize the use of legal means to gain compliance. Enforcement and legal actions push most clients toward short-term compliance; all too often, however, a roller-coaster effect occurs, where noncompliance occurs again and again. Why? This book analyzes the reasons, looking at ways to integrate health behavior models with the existing system to design more effective intervention strategies. Education, consultation and enforcement are melded to produce a more comprehensive approach to site evaluations. Community networking is advanced as an important support system often underutilized by health agencies. In the process, sanitarians are offered suggestions for using these ideas during their site visits.
This proceedings volume provides a multifaceted perspective on the unprecedented crises generated by the global COVID-19 pandemic, and its ramifications for individuals, businesses, organizations, governments and systems in developing countries. Featuring selected papers from the 2020 Annual Griffiths School of Management and IT Conference (GSMAC), held in Oradea, Romania, this volume focuses on business, technological and ethical considerations in the process of navigating through a global crisis. It analyzes the effectiveness of different measures taken at individual, organizational and country level and outlines potential scenarios and solutions for the new post-crisis reality. Finally, the book provides diagnosis and recommendations for managerial practice in various industries impacted.
This book critiques the current approach to the self-management of persistent pain. The drive towards self-management of chronic pain is flourishing as healthcare systems struggle to facilitate the care of those with long term health conditions. In this book Karen Rodham argues that albeit an empowering idea, self-management has not yet been fully translated from idea to practice and as such, runs the risk of blaming and shaming the person living with a chronic condition for failing to manage their condition effectively. She contends that the additional stress of this tension may in fact worsen their condition. Drawing from the research evidence as well as her practice experience, she advocates a move away from the terms 'self' and 'management' towards a more collaborative approach. One which takes account of the life-context of the person who is living with persistent pain. This book explores the shortcomings of the tendency to focus on self-management without taking into account life context and considers how we got here and what can be done. It will be a valuable resource to researchers and practitioners, especially in the field of health psychology.
This unique book reveals how Collaborative Innovation Networks (COINs) can be used to achieve resilience to change and external shocks. COINs, which consist of 'cyberteams' of motivated individuals, are self-organizing emergent social systems for coping with external change. The book describes how COINs enable resilience in healthcare, e.g. through teams of patients, family members, doctors and researchers to support patients with chronic diseases, or by reducing infant mortality by forming groups of mothers, social workers, doctors, and policymakers. It also examines COINs within large corporations and how they build resilience by forming, spontaneously and without intervention on the part of the management, to creatively respond to new risks and external threats. The expert contributions also discuss how COINs can benefit startups, offering new self-organizing forms of leadership in which all stakeholders collaborate to develop new products.
Social network analysis provides a meaningful lens for advancing a more nuanced understanding of the communication networks and practices that bring together policy advocates and practitioners in their day-to-day efforts to broker evidence into policymaking processes. This book advances knowledge brokerage scholarship and methodology as applied to policymaking contexts, focusing on the ways in which knowledge and research are utilized, and go on to influence policy and practice decisions across domains, including communication, health and education. There is a growing recognition that knowledge brokers - key intermediaries - have an important role in calling attention to research evidence that can facilitate the successful implementation of evidence-informed policies and practices. The chapters in this volume focus explicitly on the history of knowledge brokerage research in these contexts and the frameworks and methodologies that bridge these disparate domains. The contributors to this volume offer useful typologies of knowledge brokerage and explicate the range of causal mechanisms that enable knowledge brokers' influence on policymaking. The work included in this volume responds to this emerging interest by comparing, assessing, and delineating social network approaches to knowledge brokerage across domains. The book is a useful resource for students and scholars of social network analysis and policymaking, including in health, communication, public policy and education policy.
The successful implementation of evidence into practice is dependent on aligning the available evidence to the particular context through the active ingredient of facilitation. Designed to support the widely recognised PARIHS framework, which works as a guide to plan, action and evaluate the implementation of evidence into practice, this book provides a very practical 'how-to' guide for facilitating the whole process. This text discusses: undertaking an initial diagnosis of the context and reaching a consensus on the evidence to be implemented; how to link the research evidence with clinical and patients' experience and local information in the form of audit data or patient and staff feedback; the range of diagnostic, consensus building and stakeholder consultation methods that can be helpful; a description of facilitator roles and facilitation methods, tools and techniques; some of theories that underpin the PARIHS framework and how these have been integrated to inform a revised version of PARIHS Including internationally-sourced case study examples to illustrate how the facilitation role and facilitation skills have been applied in a range of different health care settings, this is the ideal text for those interested in leading or facilitating evidence based implementation projects, from the planning stage through to evaluation.
This handbook compiles methods for gathering, organizing and disseminating data to inform policy and manage health systems worldwide. Contributing authors describe national and international structures for generating data and explain the relevance of ethics, policy, epidemiology, health economics, demography, statistics, geography and qualitative methods to describing population health. The reader, whether a student of global health, public health practitioner, programme manager, data analyst or policymaker, will appreciate the methods, context and importance of collecting and using global health data.
In light of the recent emergence of Novel Psychoactive Substances (NPS) on a global scale, this book provides a timely analysis of the social and economic impact of the NPS phenomenon, and of the global policy and regulatory responses to it. It presents the first comprehensive overview of the international regulation, policy and market structure of the NPS phenomenon, offering a guide to inform legislative discussions and demonstrating from a comparative perspective the different approaches used to address the rise of NPS to date. It covers topics such as organized crime, drug markets, clinical evidence on NPS, and different regulatory approaches also in less explored settings such as prisons and sport environments. Overall, this highly informative and well-structured repository of different experiences with NPS policy, law and regulation offers an essential primary source of evidence for anyone interested in the area of drug and NPS policy, health economics and p ublic health.
As the Internet's presence in health care grows more pervasive, an increasing number of health care providers have begun to implement eHealth innovations in their practice. The interactive health communication system (IHCS), one such eHealth solution, provides consumers with information, informal support, and a venue for communication. Investing in eHealth: What it Takes to Sustain Consumer Health Informatics examines the evolution of the IHCS and the significant changes in organizational culture and operational systems that may be required for successful and sustained implementation. This book explores the development of a model (funded by the Agency for Healthcare Research and Quality in 1998) to predict and explain the degree of success of such implementation efforts. This model allows an institution to benchmark its progress towards IHCS implementation and advises administrators where to invest resources to increase the chance of successful implementation. A set of case studies highlights key features of the model; each study describes an attempt by an organization to implement the Comprehensive Health Enhancement Support System (CHESS), a proven IHCS.After examining the success or failure of each particular implementation, the book suggests steps that could have been taken to address weaknesses identified by the model. Investing in eHealth culminates in a set of general guidelines for any health care provider striving to successfully employ the model, and suggests directions for future research.
This new textbook opens up the policy-making process for students, uncovering how government decisions around health are really made. Starting from more traditional insights into how ministers and civil servants develop policy with limited knowledge and money, the book goes on to challenge the conception of policy as a rational process, revealing it to be something quite different. Knee-jerk reactions to disasters, keeping voters satisfied, the powerful leverage of interest groups, and the skewing of debate through ideology and the media are each considered in turn. These processes render policy far from rational or at least require a much broader approach for considering policy 'logic', one that is open to different rationalities of values, norms and pragmatism. The book draws on historical and contemporary examples to highlight that though challenges to policy-makers may seem in some ways novel, in many senses key processes endure and indeed are rooted in historical contexts. Although the examples are drawn from UK health and social care, the book's theory-driven approach is applicable across national contexts o especially for countries where uncertainty, risk and resource pressures create significant dilemmas for policy-makers. The book's multi-perspective, thematic approach will be especially relevant to students, as will the broad range of case study examples used. "Making Health Policy" will be essential reading for students of health policy, social policy, social work, and the sociology of medicine, health and illness.
Health planning is a critical component when responding to the health needs of low and middle income countries, characterised by particularly stringent resource constraints. The major communicable diseases such as AIDS, TB and malaria often appear in parallel with growing non-communicable diseases including heart disease and diabetes, and yet resources are often less than the levels recommended by the World Health Organisation for basic health care. The new edition of this well-respected text explains the importance of health planning in both developing regions such as Africa, and those in transition, such as Central and Eastern Europe. It stresses the importance of understanding the national and international context in which planning occurs, and provides an up to date analysis of the major current policy issues, including health reforms. Separate chapters are dedicated to the distinct issues of finance for health care and human resource planning. The various techniques used at each stage of the planning process are explained, starting with the situational analysis and then looking in turn at priority-setting, option appraisal, programming, implementation, monitoring, and evaluation. The book ends by examining the challenges facing planners in the 21st century, particularly in the light of growing globalisation. A major theme of the book is the need to recognise and reconcile the inevitable tension that lies between value judgements and 'rational' decision-making. As such, in addition to introducing techniques such as costing and economic appraisal, it also outlines techniques such as stakeholder analysis for understanding the relative attitudes and power of different groups in planning decisions. Each chapter includes a comprehensive bibliography (including key websites), a summary, and exercises to help the reader practise techniques and better understand the content. The book argues that all health professionals and community groups should be involved in the planning process for it to be effective, and will therefore appeal to anyone involved in planning.
Part of a series which focuses on health economics and health services research, this volume discusses topics including cost-benefit evaluations in mental health and the demand for health care for the treatment of mental problems among the elderly.
With all of the practical knowledge, skills, and applications you need in today's health unit environment, this completely updated 6th edition of LAFLEUR BROOKS' HEALTH UNIT COORDINATING gives you everything you need to succeed. It reflects the latest advances in the field, including the electronic medical record, as well as new photos and illustrations that bring concepts to life. Plus, you'll understand everything from communications skills to procedures through activities such as Abbreviation Exercises, Review Questions, Scenarios, and more. Certification Review Guide with mock certification exam is included on the Evolve site with every purchase of the book. Step-by-step instructions on how to perform important procedures include in-depth explanations of key tasks and possible modifications that would meet special requirements. High Priority boxes throughout the text offer useful information such as lists of addresses, organizations, laboratory studies, hospital specialties, health unit coordinator career ladders, helpful hints, and more, related to chapter discussions. Example boxes in the Communication chapters present real-life scenarios that outline the responsibilities of the health unit coordinator in each situation and offer tips on how you can conduct yourself in a professional and helpful manner. Bad handwriting examples give you experience deciphering hard-to-read handwriting that you will encounter in practice.Student-friendly features such as outlines, chapter objectives, vocabulary, and abbreviations are included at the beginning of each chapter to set the stage for the important information to be covered later in the chapter. References within the text to the companion skills practice manual and online tools direct you to hands-on exercises that stress the practical applications of skills and procedures in a simulated health care environment. NEW! Expanded coverage of the EMR/CPOE explains how the implementation of the electronic medical record/CPOE is changing the role of the Health Unit Coordinator. UPDATED! Coverage of medications, diagnostic procedures, therapies, surgical procedures, and new health care trends keep you up to date on how to perform your role effectively in today's medical environment. NEW! Hot topics in health unit coordinating keep you abreast of issues currently affecting the health unit coordinator such as, the electronic health record/CPOE, physician order entries, preceptorships, and interviewing/background checks, are addressed. NEW! Additional student activities are included in each chapter to help reinforce material, expand your critical thinking and application skills, and prepare you for exams. NEW! Flashcards on Evolve help you review important terminology and abbreviations that you will use on the job.
This book describes the events, activities and negotiations leading up to the 2016 UN General Assembly Special Session on international drug policy. A range of respected authors from International institutions, academia and civil society organisations detail the background to the negotiations and the outcome; and possible future scenarios for continued reform and change at the High Level Review in 2019. The chapters include consideration of the positions taken by blocs and nation-states at all points on the prohibition - reform continuum. Topics covered include discussions on the importance of human rights, access to essential medicines and the role played by cannabis in revealing the contradictions and divisions in both national and international contexts. The break-down of the previous international consensus on 'the world drug problem' is clearly described and analysed, as is the slow progress being made to the adoption of a human rights and health-based approach to currently illegal drugs. Consideration is also given to the nations and arguments which continue to defend prohibition and its repressive impacts on national populations, and the prioritising of geo-politics over population health this represents in practice. There are lessons and examples here for international politics and national policy reform.
The past decade has brought to the fore the critical need to constantly envision and consider various scenarios where ongoing trends and sudden changes could together alter the provision of healthcare and the direction of medical research. This book brings together scholars whose areas of expertise represent different themes that are essential to understanding how healthcare might change and evolve over the next decade. What lessons can one take away from current and past developments? The themes explored by the book rest on four pillars. The first is the rapid pace and ubiquity of technological advances in areas such as artificial intelligence, machine learning, additive manufacturing and wearable electronics. The second pillar concerns healthy aging, longevity and the management of chronic diseases. The third is the imperative to remain cognizant of the ethical dimensions of medical decisions, adapting bioethics to ongoing changes in healthcare provision. Finally, the fourth pillar relates to how uncertainty in different domains of medical knowledge can be mitigated and translated into clinical practice. For example, how should uncertainty with the results of clinical trials for a new treatment be dealt with? What cost-benefit analyses would be most appropriate for the situation? Chapter authors identify respective challenges and promising opportunities, discussing how these could contribute to envisioning the future scope of healthcare when it comes to providing medical, economic and ethical values to human societies. Chapters 1, 4, 12, and 20 are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
Why do some developing countries have more efficient health systems and better health outcomes? Contrary to existing theory that posits the superiority of proportional representation (PR) rules on public-goods provision, this book argues that electoral rules function differently given the underlying ethnic structure. In countries with low ethnic salience, PR has the same positive effect as in past theories. In countries with high ethnic salience, the geographic distribution of ethnic groups further matters: where they are intermixed, PR rules are worse for health outcomes; where they are isolated, neither rule is superior. The theory is supported through a combination of careful analysis of electoral reform in individual country cases with numerous well-designed cross-country comparisons. The case studies include Thailand, Mauritius, Malaysia, Botswana, Burma and Indonesia. The theory has broad implications for electoral rule design and suggests a middle ground in the debate between the Consociational and Centripetal schools of thought.
P]rovides a useful compendium of miscellaneous information on a large number of countries, much of which is not usually available in English. "Choice" The work is valuable in providing background for health statistics from different sources. As it shows common problems and widely varying approaches to solutions, it is a useful research tool for comparative studies. "ARBA" The contributing authors provide basic information for starting to think about comparative issues in health care including system rationalization and managerial efficiency; the expansion of primary and preventive care; how best to channel the diffusion of increasingly intensive high technology machines and procedures; how to resolve social inequities in the distribution of available health care resources; spending on health care and its effect on infant mortality and population morbidity; the structure of health care administration; and health care financing. Each author provides not only a picture of the health systeM's current level of development, but a description of the dynamic forces that drive the systeM's health care decision-making processes and will determine its path in the future. The contributors highlight the unique historical, cultural, social, political, and/or ideological factors that help to explain the structure that currently exists. The profiles are not themselves comparative in nature, but the selected approach establishes a base from which a reader can make a wide variety of informed comparisons.
Foreseeing and planning for all of the possibilities and pitfalls involved in bringing a biotechnology innovation from inception to widespread therapeutic use takes strong managerial skills and a solid grounding in biopharmaceutical research and development procedures. Unfortunately there has been a dearth of resources for this aspect of the field. Until now. Focusing on the management of healthcare-related biotech, from conception through the product's regulatory approval and entire life cycle, Healthcare Biotechnology: A Practical Guide provides a practical, applicable resource to assist all health-care related biotech professionals in their day-to-day activities from the lab to the boardroom. Divided into six sections, the book begins with current systems and recent progress and controversy, major players and products, and a comparison with the pharmaceutical industry. It covers intellectual property protection and management, the innovation cycle, patent application, commercialization, and competition. Coverage includes funding, partnering, cash-intensive activities, financing alternatives, and the complexities of alliance implementation and management. It highlights research, development, and biomanufacturing; and examines clinical trial design and regulations; "fast-track" approvals; and patient recruitment as well as production platforms and processes, costs, strategies, and timelines. It investigates marketing including planning, promotion, pricing, supply chain management, and bio-brand lifecycle management. It concludes with tips on running the business, offering diverse biobusiness models and reasonable expectations from inception through maturity and decline. An indispensible guide, this book offers more than 40 figures, 220 tables, and 180 references as well as a list of abbreviations and a business plan outline. Each chapter contains 10 questions to reinforce the material covered and 10 exercises
This text deals with issues of growing importance in both the US health care system and health care systems across the world. Such systems need to respond to changes in technology within health care, shifting technologies not specific to health care, and changes in the way patients and physicians view health and the use of health services in society. Chapters focus on how technologies and programs apply to either general groups within the health care system or more specialized groups, such as people with a certain health care problem. Papers deal with a variety of topics, from a focus on consumers and the varying roles the play in the emerging and changing US health care system, to the examination of specific principles such as social network approaches.
This book describes the 60-year history of the AO Foundation and its impact on the treatment of bone trauma. Originally founded by a group of Swiss surgeons, the AO has since established its osteosynthesis treatment approach to trauma, using surgery and implants, as the global standard. The AO successfully convinced the medical community that surgery of bone trauma was superior to the standard conservative treatment using plaster casts. This new technique meant that patients no longer had to spend long weeks at the hospital in traction, and prevented many disabilities. This book describes the struggle with the medical community, explains how the AO surgeons enlisted the support of an entire industry for their advanced tools and their research and teaching efforts, and details the AO's evolution into a non-profit foundation that now trains more than 50,000 surgeons, on all continents, every year. The efforts of the AO's affiliated surgeons, undertaken largely on a volunteer basis and with their own financial resources, serve as a stellar example of social entrepreneurship. Today the AO Foundation numbers over 20,000 surgeon members worldwide, and the industry that emerged to produce related implants and tools employs thousands of skilled staff. Professionals in consulting as well as in healthcare can use this book as a source of successful strategies, and as a blueprint for active social entrepreneurship.
The place of religion in public life continues to be a much-debated topic in Western nations. This book charts the changing role of hospital chaplains and examines through detailed case studies the realities of practice and the political debates which either threaten or sustain the service. This second edition includes a new introduction and updated material throughout to present fresh insights and research about chaplaincy, including in relation to New Atheism and the developing debate about secularism and religion in public life. Swift concludes that chaplains must do more to communicate the value of what they bring to the bedside.
Highly Commended, BMA Medical Book Awards 2015 This unique guide is specifically designed for dementia carers with English as a second language. It is a concise compendium of current thinking on person-centred dementia care that features sample vocabulary and sentences ideal for working specifically with dementia patients. It focuses on the importance of good day-to-day communication skills and positive interaction between patients and carers during different activities. Whether used as a self-study aid or alongside any of the available training courses, it is a must for all carers with English as a second language working in care homes, hospitals, hospices, home support or any other supporting environment. |
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