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Books > Medicine > General issues > Health systems & services > General
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.
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.
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.
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.
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.
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.
This book examines healthcare innovation processes, shedding light on the controversies endemic to innovation, which make such processes notoriously challenging. While, in the heat of action, controversies may be seen as barriers to innovation, observations reported in this volume point to controversies also having an energizing role. Students and academics studying innovation, organization, and health management and economics will find this book a valuable read as it provides empirical case studies on innovation processes in practice. Controversies in Healthcare Innovation will also appeal to practitioners of health care management, innovation project managers and policy-makers in the health care sector.
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.
The 1994-95 Disability Supplement to the National Health Interview Survey (NHIS-D) sponsored by the US Department of Health and Human Services provided a rich resource for the quantitative studies included in this volume. Nationally-epresentative surveys that focus on collecting more in depth information about persons with disabilities are rare, therefore these studies are unusual in the level of data they include and the important insights into disability issues that they provide. These come at a time when much more information about the experiences of disability is needed to inform policy and evaluate programmatic changes. The first paper of the volume discusses in detail the genesis and methodology of the NHIS-D. This volume contains a variety of different types of papers that add not only to our information about persons with disabilities, but also serve as a useful guide to using this extensive data set to address the numerous questions about this population. In the first section, two papers describing methodological issues in using the NHIS-D are described. This section includes a paper on response patterns and another on a strategy to overcome the problem of missing data. The next section contains three papers that use the NHIS-D to develop a variety of operational definitions of disability and then use those operational definitions to describe specific aspects of disability, including aging, the International Classification of Functioning, Disability and Health, and intellectual and developmental disabilities. The third section uses the NHIS-D to identify limitations and barriers experienced by persons with disabilities. Included in this group of papers are topics addressing barriers to work , mobility limitations and health care services, and unmet needs for support services among children.
Shedding light on current transformations in payment mechanisms and transparency of hospital performance data and prices, this volume of Advances in Health Care Management presents findings on hospital profitability, cost, and organizational structures. Divided into two sections: 'Reimbursement, Cost and Profitability' and 'The Move Towards Transparency', the chapters employ a variety of research methodologies to explore the impact of transformation in payment and debt structures, profitability, and horizontal or vertical integration on outcomes such as price, clinical outcomes, and health plan selection. The authors examine recent changes including the redesign of the U.S. health care system to achieve higher value, and the establishment of mechanisms that transform reimbursement models and promote consumerism through transparency of data. Additionally, the volume takes a look at the emerging trend of transparency between health care stakeholders such as patients, health care staff, hospitals, insurance companies, and the government, providing a valuable insight into how the future might look.
This volume analyses the transition of Chinese medicine during the modern era, and the development of product and service niches in selected countries: China, Malaysia, Japan and the Philippines. By investigating the major actors behind the transition, it explores in what way and to what extent these actors affect the transition. It argues that the transnational transition of Chinese medicine is caused not only by spontaneous cultural and social factors, i.e. population growth, technological innovation and acculturation, but also by hegemonic political and economic factors such as Western influence, adoption of the philosophy of modern state, and global commodification of indigenous medical specialties.
This book gathers scientific contributions on comprehensive approaches to personalized medicine. In a systematic and clear manner, it provides extensive information on the methodological, technological, and clinical aspects of high-throughput analytics, nanotechnology approaches, microbiota/human interactions, in-vitro fertilization and preimplantation, and various diseases like cancer.Moreover, the book analyzes the social and legal aspects of social security systems, healthcare systems and EU law - e.g. the role of solidarity, regulatory possibilities and obstacles, justice and equality, privacy/disclosure of data, and the right to know - from an interdisciplinary perspective. Lastly, it explores the economical and ethical context in the fields of business models, intellectual property issues, the patient/physician relationship, and price discrimination.
Addressing the area of shared leadership, also known as collective or distributed leadership, this edited book embraces the underlying idea that leadership is a dynamic process that intersects closely with followership. While some authors present rigorously researched qualitative and quantitative case studies that investigate the dynamics of followership in distributive leadership in terms of collective decision-making, leadership identity, roles and demographic composition of groups in a variety of settings, other authors take a critical look at distributed leadership models by viewing them through the lens of nature and ecosystems as well as human development processes. The chapters aim to inspire readers to challenge the current definition of leadership and explore more inclusive and holistic paradigms. Distributed Leadership provides a comprehensive and constructive contribution to the field of leadership and will be an essential read for academics and scholar-practitioners interested in business management.
This book analyses the perceived legitimacy of health and safety in post-1960 British public life. Since 2010 health and safety has appeared to be in crisis, being attacked by press, politicians and public alike, but are these claims of crisis accurate? How have understandings of health and safety changed over the past 60 years? By exploring the history, culture, and operation of health and safety in contemporary Britain, this book provides a new assessment of an understudied, but surprisingly far-reaching, part of the British political and social landscape. Combining archival research with focus group, social survey and oral history testimony, the book examines the historical background to health and safety, how health and safety has been enacted in public and in the workplace, the impact of changing economic, occupational and social structures on the operation of health and safety, and the conflicts and interests that have shaped the area.
How we recruit future healthcare professionals is critically important, as the demand for high quality healthcare increases across the globe. This book questions what the evidence tells us about how best to select those most suited to a career in healthcare, ensuring that the approaches used are relevant and fair to all who apply. The editors of this collection take a comprehensive look at the latest research surrounding recruitment and selection into healthcare roles. Each chapter is authored by leading experts and, using international case material, the practical implications for workforce policy are explored. They review the key stages in designing effective selection systems and discuss how best to evaluate the quality of selection processes. Evidence from role analysis studies as well as the effectiveness of different selection methods including aptitude and situational judgment tests, personality assessment and interviews are examined. Chapters also cover approaches to student selection and recruitment for postgraduate trainees through to senior appointments. Finally they highlight contemporary issues in recruitment, including the use of technology, selecting for values, candidate perceptions, coaching issues and how best to promote diversity and widening access. |
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