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Books > Medicine > General issues > Health systems & services > General
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.
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.
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.
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.
"Injury and Violence Prevention: Behavioral Science Theories, Methods, and Applications" is a cutting-edge volume that provides a comprehensive understanding of injury and violence prevention. This detailed resource draws on the breadth and depth of many scientific disciplines and public health practice experiences. Written by internationally renowned experts in the field, "Injury and Violence Prevention" emphasizes the specific theories, methods, and applications that make behavioral science approaches relevant and central to reducing injury-related harm. The book covers a wide range of topics, including the most frequently used behavior change theories and models and shows how they have been3/4or could be3/4applied to injury problems, the most commonly used research methods for understanding and influencing behavior change, behavior change issues for specific injury topic areas, and a variety of cross-cutting issues important to the field.
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 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.
Since the first edition of Who Shall Live? (1974), over 100,000 students, teachers, physicians, and general readers from more than a dozen fields have found this book to be a reader-friendly, authoritative introduction to economic concepts applied to health and medical care.Health care is by far the largest industry in the United States. It is three times larger than education and five times as large as national defense. In 2001, Americans spent over $12,500 per person for hospitals, physicians, drugs and other health care services and goods. Other high-income democracies spend one third less, enjoy three more years of life expectancy, and have more equal access to medical care.In this book, each of the chapters of the original edition is followed by supplementary readings on such subjects as: 'Social Determinants of Health: Caveats and Nuances', 'The Structure of Medical Education — It's Time For a Change', and 'How to Save $1 Trillion Out of Health Care'.The ten years following publication of the 2nd expanded edition in 2011 were arguably more turbulent for US health and health care than any other ten-year period since World War II. They span the implementation of the Affordable Care Act, the deepening opioid epidemic, and the physical, psychological, and socio-economic traumas of the Covid-19 pandemic.An important new contribution to this book is to describe and analyze the changes in five sections: 'The Affordable Care Act and the Uninsured', 'Health care Expenditures', 'Health Outcomes', 'The Covid-19 Pandemic', and 'Health and Politics'. This part includes 24 tables and figures.This book will be welcomed by students, professionals, and life-long learners to gain increased understanding of the relation between health, economics, and social choice.
Part case study, part manifesto, this groundbreaking new book by a doctor and a healthcare executive uses real-life anecdotes and the logic of lean thinking to make a convincing argument that a revolutionary new kind of healthcare -- lean healthcare -- is urgently needed and eminently doable. In On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry John Toussaint, MD, former CEO of ThedaCare, and Roger A. Gerard, PhD, its chief learning officer, candidly describe the triumphs and stumbles of a seven-year journey to lean healthcare, an effort that continues today and that has slashed medical errors, improved patient outcomes, raised staff morale, and saved $27 million dollars in costs without layoffs. Find out: * How lean techniques of value-stream-mapping and rapid improvement events cut the average "door-to-balloon" time for heart attack patients at two hospitals from 90 minutes to 37. * What ThedaCare leaders did to replace medicine's "shame and blame" culture with a lean culture based on continuous improvement and respect for people. * How the lean principle of "building in quality at the source" broke down divisions among medical specialties allowing teams to develop patient care plans faster. * Why traditional modern management is the single biggest impediment to lean healthcare. * How the plan-do-study-act cycle coupled with rapid improvement events cut the wait time at a robotic radiosurgery unit from 26 days to six. * How the lean concept of "one piece flow" saved time in treating ischemic stroke patients, increasing the number of patients receiving a CT scan within 25 minutes from 51% to 89%. * How senior leaders at other healthcare organizations can begin their own lean transformations using a nine-step action plan based on what ThedaCare did -- and what it would do differently. Toussaint and Gerard prove that lean healthcare does not mean less care. On the Mend shows that when care is truly re-de
Big Data Analytics for Intelligent Healthcare Management covers both the theory and application of hardware platforms and architectures, the development of software methods, techniques and tools, applications and governance, and adoption strategies for the use of big data in healthcare and clinical research. The book provides the latest research findings on the use of big data analytics with statistical and machine learning techniques that analyze huge amounts of real-time healthcare data.
Please note this is a 'Palgrave to Order' title (PTO). Stock of this book requires shipment from an overseas supplier. It will be delivered to you within 12 weeks. When seriously ill, what contributes to a sense of being truly cared for and respected? This compelling book explores healthcare inequalities by listening closely to Black and Latina women with breast cancer. It puts their stories into conversation with current healthcare statistics, sharp theological imagination, healthcare providers, and social ethics. Vigen contends that ethicists, healthcare providers, and scholars arrive at an adequate understanding of human dignity and personhood only when they take seriously the experiences and needs of those most vulnerable due to systemic inequalities.
This book argues that legal theory provides a jumping-off point for the study of controversial topics related to the work of Practicing Healthcare Ethicists (PHEs). Healthcare ethics consultation has had a place in healthcare for many decades yet the nature of the work is not well understood by many of its critics as well as its defenders. PHEs have been described as compromised and ineffectual, politicised and undemocratic, and their promise to offer sound advice has been deemed irredeemably incoherent in the context of value pluralism. Legal theorists have long attended to the relationship between law and morality, and the supposed tension between democracy and the role of an expert judiciary. An appreciation that these debates are not unique to the practice of healthcare ethics can help PHEs to engage critics with a renewed confidence and some fresh approaches to perennial, and hitherto unproductive, arguments. This book will be of great interest to practicing healthcare ethicists, as well as those who rely upon their services (healthcare professionals and healthcare leaders, patients, and their families) as well as academics working in the broader field of bioethics.
Euro-Austerity and Welfare States analyses the political economy of welfare state reform in the first episode of Euro-austerity during the 1990s. It shows how Europe's welfare states survived unrelenting pressures stemming from the Economic and Monetary Union (EMU) laid out in the Maastricht Treaty of 1992. Throughout, H. Tolga Bolukbasi draws lessons for scholars and policy practitioners, and his insightful analysis sheds important light on the second wave of Euro-austerity that set in following the Great Recession of 2008. Paying careful attention to government expenditures and budgetary politics, Bolukbasi analyses the political economy of reform in countries where the EMU's impact was expected to be greatest. Based on in-depth comparative case studies of Belgium, Greece, and Italy, he shows how scholars, policymakers, and citizens alike expected Euro-austerity to erode Europe's welfare states. Contrary to popular opinion, Bolukbasi finds that the reality was much more complicated. A thorough critique of the "Euro-austerity hypothesis," this book presents a rigorous comparative study of the resilience of the welfare state in various national contexts.
People who suffer from mental illness rarely do so alone. Their families and loved ones face their own set of unique challenges - problems that deserve their own resources and sources of support. This is the first book written specifically for the loved ones of people with obsessive-compulsive disorder (OCD). It helps readers examine how OCD affects their lives and offers a straightforward system for building a healthier, more constructive relationship with OCD sufferers.
This bioethics handbook offers concise, up-to-date, and easy to read chapters on a broad range of bioethical topics in the following categories: foundational concepts, theory and method, healthcare ethics, research ethics, public health, technology, and the environment. The volume provides a snapshot of current bioethics, taking into account current affairs and emerging new topics. Each chapter acknowledges and critically breaks down the historical developments of the subject and the most authoritative existing literature on respective topics, providing accessible and up-to-date philosophical analysis. As such, the chapters are designed to be attractive as primary or supplementary teaching material for university classes of the philosophical or bioethical variety, with clear demarcations and indicators for key terms, ideas, and arguments that should also facilitate productive note-taking and points for critical discussion for students. The handbook also serves as a one-stop starting resource for multi- and interdisciplinary researchers and practitioners who engage with bioethics in their work.
Tens of thousands of patients die unnecessarily every year as a result of errors and defects in our healthcare processes. Those that survive often pay too much for the privilege. The value stream mapping methods described in Mapping Clinical Value Streams will help you achieve more efficient health care processes and will pave the way to an improved medical system with significantly reduced medical errors and other costly waste. Part of the Lean Tools in Healthcare series, this user-friendly book will help you understand how to use value stream mapping to provide quality, patient-centered care. Value stream mapping is a powerful tool for observing and depicting processes as they truly are-and for envisioning and reconfiguring the same processes to eliminate errors and other waste. With this book, you'll learn how to: Map current-state processes Create a future-state map with processes streamlined through "flow" and "pull" Manage the rollout of your future state with "A3" project plans Presented in a highly organized and easy-to-assimilate format, the book includes examples from actual healthcare processes, plus numerous illustrations and margin assists that call your attention to key points. Value stream mapping icons make it easy to see and understand the ebb and flow of healthcare processes. Each chapter also includes a summary for quick review. Throughout the book you will be asked to reflect on questions that will help you apply these concepts and techniques to your own workplace. To be competitive in today's marketplace, you cannot afford to leave processes unexamined, or let them become haphazard. You must apply conscious, quality attention to continuously see and fix your healthcare processes. In Mapping Clinical Value Streams, Shingo Prize-winning author Thomas L. Jackson shows you how.
This book fosters a scientific debate for sophisticated approaches and cognitive technologies (such as deep learning, machine learning and advanced analytics) for enhanced healthcare services in light of the tremendous scope in the future of intelligent systems for healthcare. The authors discuss the proliferation of huge data sources (e.g. genomes, electronic health records (EHRs), mobile diagnostics, and wearable devices) and breakthroughs in artificial intelligence applications, which have unlocked the doors for diagnosing and treating multitudes of rare diseases. The contributors show how the widespread adoption of intelligent health based systems could help overcome challenges, such as shortages of staff and supplies, accessibility barriers, lack of awareness on certain health issues, identification of patient needs, and early detection and diagnosis of illnesses. This book is a small yet significant step towards exploring recent advances, disseminating state-of-the-art techniques and deploying novel technologies in intelligent healthcare services and applications. Describes the advances of computing methodologies for life and medical science data; Presents applications of artificial intelligence in healthcare along with case studies and datasets; Provides an ideal reference for medical imaging researchers, industry scientists and engineers, advanced undergraduate and graduate students, and clinicians.
This book presents emerging technology management approaches and applied cases from leading infrastructure sectors such as energy, healthcare, transportation and education. Featuring timely topics such as fracking technology, electric cars, Google's eco-friendly mobile technology and Amazon Prime Air, the volume's contributions explore the current management challenges that have resulted from the development of new technologies, and present tools, applications and frameworks that can be utilized to overcome these challenges. Emerging technologies make us rethink how our infrastructure will look in the future. Solar and wind generation, for example, have already changed the dynamics of the power sector. While they have helped to reduce the use of fossil fuels, they have created management complications due to their intermittent natures. Meanwhile, information technologies have changed how we manage healthcare, making it safer and more accessible, but not without implications for cost and administration. Autonomous cars are around the corner. On-line education is no longer a myth but still a largely unfulfilled opportunity. Digitization of car ownership is achievable thanks to emerging business models leveraging new communication technologies. The major challenge is how to evaluate the relative costs and benefits of these technologies. This book offers insights from both researchers and industry practitioners to address this challenge and anticipate the impact of new technologies on infrastructure now and in the future.
Research has paid little attention to date on how European Union law and regulation affect both the public-private mix in healthcare and the organization of private health insurance as an industry. Filling this gap, this collective book provides insights on the political economy of EU insurance regulation, its impact on private health insurers and on its interactions with domestic healthcare policy-making in four countries. Assembling original contributions drafted by a multidisciplinary team, Private Health Insurance and the European Union offers a thorough examination of a largely unrecognized source of EU influence in healthcare - and sheds a new light on the role played by private actors in social policy. Chapter 1 is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
Obesity, which has increased in most developed countries in the
past few decades, is the result of genetics, environment, and
individual choices. Economics is useful for studying the individual
choices that lead to obesity, explanations for the recent rise in
obesity, the treatment options for obesity, and the costs and
consequences of obesity for the individual and society.
This study adds to the small but growing literature on Black health history--the rise of hospital care and hospital services provided to Blacks from the antebellum era to the integration era, a period of some 150 years. The work examines the political, policy, legal, and philanthropic forces that helped to define the rise, development, and decline of Black hospitals in the United States. Particular discussion is given to the federal Hill-Burton Act of 1946 and the extent to which the legislation impacted Black hospital development. The roles of the Freedman's Bureau, National Medical Association, National Hospital Association, and the U.S. Commission on Civil Rights in the development of Black hospitals is highlighted.
This book explores the undeveloped potential of video-ethnography to study the material, embodied and sensory dimensions of workplace practices. With the growing interest in sociomateriality and the development of research on the embodied and sensory dimensions of organizational practices, some methodological challenges of this type of research need to be addressed. The main purpose of this book is to present various forms of video-ethnography that make organizational phenomena visible and help better appreciate the organizing properties of bodies, affects, senses and spaces in workplace practices. To do so, illustrative cases based on video-ethnography was discussed to understand how experiential and unspoken ways of knowing produced through a video-based approach can be made meaningful and relevant to study the material, embodied and sensory dimension of work practices. This book is addressed to researchers and students in social sciences and organizational studies and offers a methodological reflection on how to study the material, embodied, and sensory dimensions of organizational life.
Why America's health care system failed so tragically during the Covid pandemic, and how the forces unleashed by the crisis could be just the medicine for its long-term cure. Covid patients overwhelmed American hospitals. The world's most advanced and expensive health care system crumbled, short of supplies and personnel. The U.S. lost more patients than any other nation during the pandemic. How could this happen? And how could this disaster lead to a more resilient, rational and equitable health care system in the future? How Covid Crashed the System answers these questions with compelling stories and wide-angle analysis. Dr. David Nash, a founder of the discipline of population health, and Charles Wohlforth, an award-winning science writer, pick up the pieces of the Covid disaster like investigators of a crashed airliner, finding the root causes of America's failure to cope, and delivering surprising answers that may reorient how you think about your own health. From the broadest, cultural flaws that disabled our health system to particular, institutional issues, America's defenses fell due to racism and poverty, combined with a culture of misguided individualism that tore communities apart. We suffered from failed leadership and crippled public health agencies, and hospitals built to make money from services, not deliver health. But How Covid Crashed the System goes beyond analyzing those problems, providing hope for change and fundamental improvement in ways that will transform Americans' health. Covid's market disruption encouraged new technology that allows for remote health care. Integrated health organizations gained ground, working to manage clients' total wellness from cradle to grave. Covid also accelerated changes in medical education, to make doctor training more equitable and better aligned to the skills we need. And Covid forced employers to accept responsibility for their workers' health in a new way, making them partners in this new movement. Using systemic analysis of the Covid crash, the authors find reasons to hope. America's health care establishment resisted reform for decades, mired in waste and avoidable errors. Now, the pandemic crisis has exposed its flaws for all to see, creating the opportunities for systemic changes. Even without new laws or government policies, America is moving toward a transformed health system responsible for our wellness. How Covid Crashed the System tells that story. |
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