This book explores the dynamics of health system decentralization and recentralization, investigating why and how the territorial organization of health systems changes or remains stable over time. Drawing from historical and discursive institutionalism, the explanatory framework revolves around the role of ideas, discourse and institutions. Through the analysis of the Italian and Danish health systems, the book corroborates the value of combining ideational and institutional accounts in explaining institutional continuity and change, offering new empirical and theoretical insights into the study of public policy making. The book will be of use to students and scholars interested in health politics and policy, federalism and decentralization, and theories of institutional change.

Representing Abortion analyses how artists, writers, performers, and activists make abortion visible, audible, and palpable within contexts dominated by anti-abortion imagery centred on the fetus and the erasure of the pregnant person, challenging the polarisation of conversations about abortion. This book illuminates the manifold ways that abortion is depicted and narrated by artists, performers, clinicians, writers, and activists. This representational work offers nuanced and complex understandings of abortion, personally and politically. Analyses of such representations are urgently needed as access to abortion is diminished and anti-abortion representations of the fetus continue to dominate the cultural horizon for thinking about abortion. Expanding the frame of reference for understanding abortion beyond the anti-abortion use of the fetal image, contributors to this collection push beyond narrow abstractions to examine representations of the experience and procedure of abortion within grounded histories, politics, and social contexts. The collection is organized into sections around seeing (and not seeing) abortion; fetal materiality; abortion storytelling and memoir; and representations for new arguments. These themes cover a range of topics including abortion visibility, anti-abortion discourse, pro-choice engagements with the fetus, personal experience and media representations. The analyses of such representations counteract anti-abortion rhetoric, carving out space for new arguments for abortion that are more representative and inclusive and asking audiences to envision new ways to advocate for safe abortion access through reproductive justice frameworks. This is an innovative and challenging collection that will be of key interest for scholars studying reproductive rights and reproductive justice, as well as women and gender studies. Representing Abortion is organized to structure upper year undergraduate and graduate courses on reproductive rights and reproductive justice in a new and engaging way.

* The book is balanced and comprehensive, recognising that both affordability and investment into innovation are necessary * The book is original, using ecological concepts to understand pharmaceutical innovation as an ecosystem. * The book is unique in its research foundation, building on the views of more than 70 expert informants from all parts of the pharmaceutical innovation ecosystem and all sides of the debate about drug pricing.

"The authors in this inspiring volume focus on the socially transformative potential narrative has to shape understandings of albinism in Africa. Scholars and activists, they reflect on how traditional beliefs, literary fiction, radio, music, photography, film and the arts can bring about social change, and also educate publics about albinism." (Carli Coetzee, Editor, Journal of African Cultural Studies) "Highly intriguing and skillfully nuanced, this book evaluates several methods of advocacy on behalf of people with albinism from Africa, who often face stigma and physical attacks. The result is a rich commentary on what has worked, what didn't and why. This is recommended reading for anyone engaging in advocacy for any marginalized group in parts of Africa and elsewhere." (Ikponwosa Ero, Former UN Independent Expert on the enjoyment of human rights by persons with albinism) The challenges currently faced by people with albinism in many African countries are increasingly becoming a focus of African writers, storytellers, artists and filmmakers across the continent. At the same time, a growing number of advocates and activists are taking account of the power of cultural representation and turning to the arts to convey important messages about albinism - and disability more broadly - to audiences locally and internationally. This volume focuses on the power of cultural representations of albinism, taking into account their real-world effects and implications. Contributions from academics and albinism advocates range across traditional beliefs, literature, radio, newsprint, the media, film and the arts for public engagement, contending that all forms of representation have an important role to play in building sensitivity to the issues related to albinism amongst national and international audiences. Contributors draw attention to the implications of different forms of cultural representation, the potential of these different forms to open up new discursive spaces for the expression of identities and the articulation or critique of particularly difficult issues, and their potential to evoke far-reaching social change.

The increasing practice of remote interpreting (RI) by telephone and video link has profoundly changed the ways in which interpreting services are being delivered. Although clinical research on RI has reported positive results, empirical research in other settings, such as legal contexts, has demonstrated that RI can affect the quality of interpreter-mediated communication. This book investigates the possible effects of using RI on the quality of healthcare interpreting. Central to the research design are three series of simulated interpreter-mediated doctor-patient encounters, each involving a different interpreter and using three different interpreting methods: face-to-face interpreting, telephone interpreting and video interpreting. These sessions were video recorded, transcribed and annotated according to categories previously established in interpreting studies. First, quantitative analyses of miscommunication and interaction management were carried out to identify potential relationships between message equivalence issues and interactional issues and to establish the possible influence of environmental and technological factors. These data were submitted to comparative, qualitative analyses, which were triangulated with the findings from the participants' perceptions, collected by means of thirty post-simulation interviews. The insights generated by this work are highly relevant for all users of RI to anticipate and overcome communication problems.

This book is a contribution to the general philosophy of action and the philosophy of welfare. The author makes separate analyses of concepts such as action, ability, interaction, action-explanation, happiness, health, illness and disability. At the same time he explores and substantiates the idea of a strong interdependence between the concept of action and some of the central concepts of welfare, in particular health and illness and related concepts.

Drawing on the findings of a series of empirical studies undertaken with boards of directors and CEOs in the United States, this groundbreaking book develops a new paradigm to provide a structured analysis of ethical healthcare governance. Governance Ethics in Healthcare Organizations begins by presenting a clear framework for ethical analysis, designed around basic features of ethics - who we are, how we function, and what we do - before discussing the paradigm in relation to clinical, organizational and professional ethics. It goes on to apply this framework in areas that are pivotal for effective governance in healthcare: oversight structures for trustees and executives, community benefit, community health, patient care, patient safety and conflicted collaborative arrangements. This book is an important read for all those interested in healthcare management, corporate governance and healthcare ethics, including academics, students and practitioners.

Unraveling U.S. Health Care is a guidebook to the health care system that provides a timely and thorough explanation of U.S. health care, written in readable laymen's terms. Winter's primary purpose is to educate and inform general readers on useful information to empower their health care decision making as well as provide clear information on important health care issues which are often filtered with political and financial stakeholder bias, confusing the health care consumer. She offers useful tips, explanatory charts, and statewide scorecards to assist readers in choosing the best care they can receive. More than ever, patients must act as consumers of health care, balancing informed decisions with available resources. Keeping this in mind, Winter also explores other options available to patients, including seeking health care outside the United States, and provides a roadmap for medical tourists to the U.S. In addition, she includes Medicare enrollment tips, and a summary of the 2010 health care reforms and implementation guidelines.Bringing all this data together, this book will serve as a resource and guide for anyone who seeks to receive better care for both everyday issues and major health concerns alike.

In Turning the World Upside Down Nigel Crisp argued that the most affluent and powerful countries in the world can learn a great deal about health from lower income countries with their different insights and experiences and their ability to innovate free from vested interests and received wisdom. In Turning the World Upside Down Again, he argues that they need to go further and listen to and learn from disempowered communities in their own countries. He describes how combining the learning from different countries and communities can lead us to a new ecologically based vision for health and new and practical ways of improving health for ourselves, our communities and our planet. This second edition, 12 years after the first, is extensively re-written and fully updated, drawing on examples from around the world and reflecting what has already been learned from the COVID-19 pandemic and from the onset of climate change. Turning the World Upside Down Again continues the search for understanding begun in the first edition and describes how western scientific medicine, which has served us so well in the 20th Century, must adapt and evolve further and faster to cope with the demands of the 21st Century.

This ground-breaking book uses organizational ethics and stakeholder theory to explore the ethical accountability of leadership in healthcare organizations to their distinct vulnerable stakeholder communities. The book begins with a discussion of the moral agency of healthcare organizations and introduces stakeholder theory. It then looks at key ethical challenges in relation to the confidentiality and privacy of healthcare data, before turning to child health and interventions around issues such as obesity, maltreatment, and parenting. The book ends by focusing on ethics of care in relation to older people and people with disabilities. An insightful contribution to thinking about ethics for contemporary healthcare management and leadership, this interdisciplinary book is of interest to readers with a background in healthcare, business and management, law, bioethics, and theology.

If you're looking to develop and improve your nursing, health or social care practice, either individually or as part of a team, the "Practice Development Workbook for Nursing, Health and Social Care Teams" offers a wide-ranging selection of activities, tools and resources covering vital aspects of practice development. Written as a companion volume to the latest edition of the best-selling "Practice Development in Nursing and Healthcare, "this new resource grounds practice development in day-to-day nursing and health and social care through accessible, informative learning activities. It also focuses on practical ways in which teams can make their workplace cultures more effective and person-centred, and enables practitioners to empower themselves to make compassionate care a fundamental part of effective health and social care systems.

Key features: Offers a full range of resources and tools to support all stages of learning and development towards person-centred practice, including learning activities, templates, posters, tips and hints, information sheets, and checklists.Includes practical advice for teams to involve patients, clients and residents in the transformation of workplace cultures and bringing about sustainable changePerfect for use both by individuals or by those working in group settingsPresents informative and accessible information through activities and key learning points rather than just theoryFully linked to "Practice Development in Nursing and Healthcare, "second edition, but can also be used as a stand-alone resourceIncludes access to a companion website featuring even more tools and resources, including: sample Powerpoint presentations, worksheets and reflection tools, questionnaires and checklists, evaluation tools, as well as a bonus chapter on 'Sharing and Celebrating'

Nursing Education and Digital Health Strategies explores the current state of health and healthcare education, as well as that of nursing informatics education. These topics include technologies-enabled education for all nurses and interprofessional collaborations from a worldwide perspective. The "New" learning for applied critical thinking will include technology, content, skills versus tools, and the use of "smart" systems for care delivery, the role of critical thinking, and uniqueness of nursing care delivery. Further, how these changes are understood as a paradigm shift that needs to be incorporated along with nursing and healthcare education is emphasized. The effects of technology on human behavior are also explored, addressing human-factors interaction, interdependence of human-computer interaction, and other effects of technology on wellbeing. As part of nursing education, learning from clients/patients to better shape and advance nursing education and scholarship are discussed. Academic-clinical practice partnerships for a digital future, how teams are working together (clinician/teacher) for better healthcare delivery and applied knowledge-including joint appointments (exchange of academia and applied expertise), academic-applied human resources, and interprofessional learning/development-are discussed. This book closes by discussing and using case studies to showcase nursing competencies for the next decade, implications for preparing the healthcare workforce for a digital world, faculty readiness, and the interaction with gaming and simulations. Nursing informatics education, including continuing education beyond academia, i.e., informal education, worldwide, as well as global challenges to support digital world capabilities are described. Hands-on Experiential Delivery and learning-based case studies are also included. Nursing and Informatics for the 21st Century - Embracing a Digital World, 3rd Edition is comprised of four books which can be purchased individually: Book 1: Realizing Digital Health - Bold Challenges and Opportunities for Nursing Book 2: Nursing Education and Digital Health Strategies Book 3: Innovation, Technology, and Applied Informatics for Nurses Book 4: Nursing in an Integrated Digital World that Supports People, Systems, and the Planet

How can a smartwatch help patients with diabetes manage their disease? Why can't patients find out prices for surgeries and other procedures before they happen? How can researchers speed up the decade-long process of drug development? How will "Precision Medicine" impact patient care outside of cancer? What can doctors, hospitals, and health systems do to ensure they are maximizing high-value care? How can healthcare entrepreneurs find success in this data-driven market? A revolution is transforming the $10 trillion healthcare landscape, promising greater transparency, improved efficiency, and new ways of delivering care. This new landscape presents tremendous opportunity for those who are ready to embrace the data-driven reality. Having the right data and knowing how to use it will be the key to success in the healthcare market in the future. We are already starting to see the impacts in drug development, precision medicine, and how patients with rare diseases are diagnosed and treated. Startups are launched every week to fill an unmet need and address the current problems in the healthcare system. Digital devices and artificial intelligence are helping doctors do their jobs faster and with more accuracy. MoneyBall Medicine: Thriving in the New Data-Driven Healthcare Market, which includes interviews with dozens of healthcare leaders, describes the business challenges and opportunities arising for those working in one of the most vibrant sectors of the world's economy. Doctors, hospital administrators, health information technology directors, and entrepreneurs need to adapt to the changes effecting healthcare today in order to succeed in the new, cost-conscious and value-based environment of the future. The authors map out many of the changes taking place, describe how they are impacting everyone from patients to researchers to insurers, and outline some predictions for the healthcare industry in the years to come.

Spanish in Health Care fills an important gap by offering a panoramic overview of the research on Spanish in health settings that is emerging from a variety of disciplines. Synthesizing research from diverse disciplines such as sociolinguistics, discourse analysis, health services research, behavioral health research, health policy and administration, and social epidemiology, the volume offers a uniquely unified approach to the subject of Spanish in healthcare. This volume will be of interest to researchers in Spanish linguistics, sociolinguistics, health communication, and languages for specific purposes.

This book focusses on the Internet of Things (IoT) and Data Mining for Modern Engineering and Healthcare Applications and the recent technological advancements in Microwave Engineering, Communication and applicability of newly developed Solid State Technologies in Bio-medical Engineering and Health-Care. The Reader will be able to know the recent advancements in Microwave Engineering including novel techniques in Microwave Antenna Design and various aspects of Microwave Propagation. This book aims to showcase, the various aspects of Communication, Networking, Data Mining, Computational Biology, Bioinformatics, Bio-Statistics and Machine Learning. In this book, recent trends in Solid State Technologies, VLSI and applicability of modern Electronic Devices in Bio-informatics and Health-Care is focused. Furthermore, this book showcases the modern optimization techniques in Power System Engineering, Machine Design and Power Systems. This Book highlights the Internet of Things (IoT) and Data Mining for Modern Engineering and Healthcare Applications and the recent technological advancements in Microwave Engineering, Communication and applicability of newly developed Solid State Technologies in Bio-medical Engineering and Health-Care for day-to-day applications. Societal benefits of Microwave Technologies for smooth and hustle-free life are also areas of major focus. Microwave Engineering includes recent advancements and novel techniques in Microwave Antenna Design and various aspects of Microwave Propagation. Day-to-Day applicability of modern communication and networking technologies are a matter of prime concern. This book aims to showcase, the various aspects of Communication, Networking, Data Mining, Computational Biology, Bioinformatics, Bio-Statistics and Machine Learning. Role of Solid Sate Engineering in development of modern electronic gadgets are discussed. In this book, recent trends in Solid State Technologies, VLSI and applicability of modern Electronic Devices in Bio-informatics and Biosensing Devices for Smart Health care are also discussed. Features: This book features Internet of Things (IoT) and Data Mining for Modern Engineering and Healthcare Applications and the recent technological advancements in Microwave Engineering, Communication and applicability of newly developed Solid State Technologies in Bio-medical Engineering and Smart Health-Care Technologies Showcases the novel techniques in Internet of Things (IoT) integrated Microwave Antenna Design and various aspects of Microwave Communication Highlights the role of Internet of Things (IoT) various aspects of Communication, Networking, Data Mining, Computational Biology, Bioinformatics, Bio-Statistics and Machine Learning Reviews the role of Internet of Things (IoT) in Solid State Technologies, VLSI and applicability of modern Electronic Devices in Bio-informatics and Health-Care In this book, role of Internet of Things (IoT) in Power System Engineering, Optics, RF and Microwave Energy Harvesting and Smart Biosensing Technologies are also highlighted

This comprehensive book brings together research published during 2021 analysing the impact of the Covid-19 pandemic on the economy - on output and employment, on inequality, and on public policy responses. The Covid-19 pandemic has been the greatest public health crisis for a century - since the 'Spanish Flu' pandemic of 1919. The economic impact has been equally seismic. While it is too early to measure the full economic cost - since much of this will continue to accumulate for some time to come - it will certainly be one of the greatest global economic shocks of the past century. Some chapters in this edited volume report on specific countries, while some take a comparative look between countries, and others analyse the impact upon the global economy. Even before the Covid-19 pandemic, there had been calls for a 'great reset' in face of the climate crisis, the increased income and wealth inequality, and the need to avoid further global financial crisis. With the devastating Covid-19 pandemic - a harbinger for further such pandemics - there is an even greater need for a reset, and for the reset to be that much greater. The chapters in this book were originally published as special issues in the journal International Review of Applied Economics.

This volume provides systematic reviews of the state of clinical and health services research, in particular patient-care problem areas pertinent to nursing homes. Each chapter defines progress on a specific nursing home clinical problem and provides a critical synthesis and review of research information. Topics covered include: medication use; infection control; pressure ulcers; falls; urinary incontinence; and behavioural problems.

Organisational development (OD) as a practice involves an ongoing, systematic process of implementing effective organisational change. OD is both a field of applied science focused on understanding and managing organisational change and a field of scientific study and inquiry. It is interdisciplinary in nature and draws on sociology, psychology, particularly industrial and organisational psychology, and theories of motivation, learning, and personality. Organisation Development in Healthcare: A Critical Appraisal for Practitioners provides both an overview of the evolution of OD in healthcare as a field of practice and as a challenge to its future development. It examines the underlying assumptions behind OD and tracks its historical growth in healthcare, with special attention devoted to the UK's National Health Service. The unusual nature of healthcare organisations delivering human services through the work of professionals who are subject to emotional labor and are addressing society's wicked problems provides a unique context. A range of challenges for healthcare OD are identified, including questions of conformists or deviant innovation; organisations as machines or systems; hierarchy versus democracy; the importance of power and emotion and possible future ways forward for healthcare OD are suggested. Examples and short case studies from both the UK and the US to illustrate the benefits of OD are included.

Includes numerous case studies and examples throughout. * Questions are provided at the end of each chapter. * Includes valuable templates and tools. * The content is written with the project manager in mind, providing the right level of detail to allow them to know what questions to ask for their specific project. * Updated based on current technologies, concepts and trends, along with additional templates and tools.

One in five U.S. adults experiences a mental illness within a given year. With more than 550,000 people working to support this underserved community, the mental healthcare system has grappled with inadequacies and shortcomings in safety, quality, and care delivery. There is a wide range of problems, from access-to-care issues and errors, to complications stemming from poor care. Our country is also on an unsustainable path as our healthcare expenditure keeps growing. To add to all of this, we are facing a rampant epidemic of burnout among healthcare workers. Modern advancements introduced with many promises-such as electronic medical records, newer medications, or advanced treatments-have created unique challenges when ushered into a highly regulated healthcare system. What does it take to provide patients with everything they need-the right quality of care, at the right time, and at the right cost-to keep them healthy? Which process steps add value? Which steps are wasteful? A widely accepted fact is that a conservative 30-50% of every step in the mental healthcare process does not help patients feel better or stay better. When considering delays in care, workarounds, excessive documentation, and an overuse of auditing, the care system has moved highly skilled clinicians away from providing value, as administrative tasks continue to encroach on their time. There is a clear need to rethink and redesign the system of care. This book is a primer for understanding the current state of the mental health system and the performance improvement skills and leadership acumen needed to address existing challenges. Sheppard Pratt, the award-winning, leading institution for mental healthcare in America, provided the focus on mental healthcare and became the laboratory for this body of work over the course of eight years. It hired a seasoned systems thinker with improvement expertise to work with mental health professionals and solve some of their most complex and chronic problems. The book is a result of the collaboration between a practicing psychiatrist in a leadership role and the systems engineer. Working together, they demonstrate how to think about redesigning care and redefining the nature of work to enhance value for both the people served and the healthcare workforce. They crafted a multi-pronged approach towards culture change at Sheppard Pratt, including implementing a course on "Learning to Improve," which introduced staff to a performance improvement methodology. There are several vignettes interwoven throughout the book that describe the complexities and constraints of the system. Solving some of these challenges creates a new paradigm of work while minimizing waste and enhancing value.

The second edition of Genetic Counseling Practice: Advanced Concepts and Skills, provides in-depth content regarding the advanced competencies for meeting patient needs across the changing landscape of genetic counseling practice. The content aligns with the Reciprocal Engagement Model (REM) of practice which integrates the biomedical knowledge and psychosocial aspects of genetic counseling. This edition has been revised and expanded to reflect advances made in the present-day field. Edited by a team two genetic counselors and a psychologist, the chapters offer a holistic picture of genetic counseling. Chapter authors are all recognized experts in the profession. The chapters are grounded in evidence-based practice and research. Each chapter includes learning activities to help readers apply concepts and skills. Featured topic areas include: Meeting the needs of culturally diverse patients Addressing challenging patient dynamics Working with children, adolescents and families Using emerging service delivery models for genetic counseling Engaging in self-reflective, deliberate practice Promoting genetic counselor professional development Genetic Counseling Practice is an indispensable guide to the complex and evolving field of genetic counseling, and this updated second edition will help practitioners and trainees alike navigate its most pressing and practical challenges with skill and care.

This book presents recent work on healthcare management and engineering using artificial intelligence and data mining techniques. Specific topics covered in the contributed chapters include predictive mining, decision support, capacity management, patient flow optimization, image compression, data clustering, and feature selection. The content will be valuable for researchers and postgraduate students in computer science, information technology, industrial engineering, and applied mathematics.

This book considers the use of Public-Private Partnerships (PPPs) in the delivery of physical assets, infrastructure and technologies and related clinical services, in the health sector. The PPP model represents the most complex form of contracting transaction yet to have emerged in the health sector, owing to its long-term character, financial complexity, and risk-allocation mechanisms. This book draws on the lessons of policy-makers, managers and private companies to address the specific challenges in the health sector. It is the reference guide to PPPs in health, presenting the theory, evidence and practice, and making them operationally relevant to all PPP stakeholders.