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Books > Medicine > General issues > Health systems & services > General
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.
A New York Times Bestseller A Wall Street Journal Bestseller A New York Times Notable Book of 2020 A New York Times Book Review Editors' Choice Shortlisted for the Financial Times and McKinsey Business Book of the Year A New Statesman Book to Read From economist Anne Case and Nobel Prize winner Angus Deaton, a groundbreaking account of how the flaws in capitalism are fatal for America's working class Life expectancy in the United States has recently fallen for three years in a row-a reversal not seen since 1918 or in any other wealthy nation in modern times. In the past two decades, deaths of despair from suicide, drug overdose, and alcoholism have risen dramatically, and now claim hundreds of thousands of American lives each year-and they're still rising. Anne Case and Angus Deaton, known for first sounding the alarm about deaths of despair, explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class. They demonstrate why, for those who used to prosper in America, capitalism is no longer delivering. Deaths of Despair and the Future of Capitalism paints a troubling portrait of the American dream in decline. For the white working class, today's America has become a land of broken families and few prospects. As the college educated become healthier and wealthier, adults without a degree are literally dying from pain and despair. In this critically important book, Case and Deaton tie the crisis to the weakening position of labor, the growing power of corporations, and, above all, to a rapacious health-care sector that redistributes working-class wages into the pockets of the wealthy. Capitalism, which over two centuries lifted countless people out of poverty, is now destroying the lives of blue-collar America. This book charts a way forward, providing solutions that can rein in capitalism's excesses and make it work for everyone.
As the United States faces increasingly difficult and trenchant public health problems, from the Zika virus to the obesity epidemic to the opioid crisis, population health is a growing area of concern for public health organizations, particularly how to care for populations effectively on a shoestring budget. Though little discussed in the mainstream media, community health improvement organizations are increasingly partnering and forming coalitions with local hospitals, working together to improve traditional medical care. But with the pace of change in health care policy, these coalitions must be thoughtfully lead and managed. This new book from John W. Moran, Senior Quality Advisor to the Public Health Foundation, demonstrates how to build, operate, manage, and sustain a community health improvement coalition once it is formed. Offering the reader practical examples and guidance on forming and sustaining a community health coalition, this book demonstrates the ways in which the success of a coalition depends upon a stable anchor organization and a committed leader. Chapters focus on each of these roles and how to achieve success in each: examining what needs improvement, why it is important to improve now, how it will be done, and where in the community improvement can have the most impact. The last chapter offers a case study exploring a community health coalition and leader to illustrate application of the concepts introduced throughout the book. Transforming Community Health through Leadership is designed specifically to prepare governmental public health, health care, and community leaders to take advantage of the ever-changing landscape of public health and health care in concrete ways to improve population health.
Drawing on a wide range of sources including interdiction procedures, records of criminal justice, documentation from mental hospitals, and medical literature, this book provides a comprehensive study of the spaces in which madness was recorded in Tuscany during the eighteenth century. It proposes the notion of itineraries of madness, which, intended as an heuristic device, enables us to examine records of madness across the different spaces where it was disclosed, casting light on the connections between how madness was understood and experienced, the language employed to describe it, and public and private responses devised to cope with it. Placing the emotional experience of the Tuscan families at the core of its analysis, this book stresses the central role of families in the shaping of new understandings of madness and how lay notions interacted with legal and medical knowledge. It argues that perceptions of madness in the eighteenth century were closely connected to new cultural concerns regarding family relationships and family roles, which resulted in a shift in the meanings of and attitudes to mental disturbances.
Healthcare in most developed countries face a complex and partly contradictory mix of financial, social and political challenges. Fiscal strains combined with New Public Management agendas have caused severe cutbacks and calls for greater efficiency in public healthcare, resulting in a growing concern about service quality. Co-production and Japanese Healthcare explores a possibility to address these issues from a new perspective that emphasizes greater collaboration between the staff and patients. Here professionals and patients/clients act as 'partners to co-produce healthcare through their mutual contributions'. Japan has a unique system of two user-owned healthcare providers with nearly 200 hospitals, 500 clinics and 50,000 beds. However, they differ from each other and from public hospitals, in terms of their work environment, service quality, governance models and social values. This volume compares cooperative and public healthcare providers at ten hospitals across Japan with survey data from the staff, as well as from the patients and volunteers at four hospitals. It will be of interest to researchers, academics, and students in the fields of healthcare management, public and non-profit management, human resource management.
Concise expert guide to important business research topic Summarises the state of the art in available and emerging research Includes references to key research publications in the field
Virtually all fiscal measures influence people's health, through their impacts on behaviour, consumption, income and wealth. A narrow subset of fiscal measures, however, can be more directly aimed at improving health by targeting behaviours and risks that are known to be strongly associated with health outcomes. The purpose of this book is to discuss the subject of these measures, which we define as 'health taxes'. The book aims to enumerate key health taxes of interest, explore their positive and negative effects, and how these effects are influenced by the design of these taxes and the context in which they are applied. We ask how and where they can be implemented. Critically, we build an argument throughout the book for why policymakers across government should care about health taxes.
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.
This book addresses the puzzle of why the World Bank was unable to effect sweeping neoliberal health reforms in Latin America from the 1980s onward. Through the use of quantitative regional data together with interview and archival data collected during fieldwork in Argentina, Costa Rica, Peru, and Washington DC, this book argues that the answer to this puzzle is twofold. First, the World Bank has not promoted a uniformly neoliberal, monolithic agenda in health. Second, countries' autonomy and capacity in this sector shape how the World Bank is involved in reforms. Finally, the book distinguishes neoliberal ends from means in health sector reform and traces changes in "banking on health" over time.
Management, Organization and Childbirth: Towards a New Model for the Birth Path explores the complex topic of the birth path with a multidisciplinary magnifying glass on the paradigms, languages, and tools critical to the organization, management, and clinical science. The work consists of five chapters. The first chapter provides a multidimensional analysis of childbirth. The second chapter presents an organizational analysis that moves in unison with different models of health. The third chapter studies the birth path in organizational and cynical terms by describing it in its core processes. The fourth chapter proposes a study conducted in the Italian context, which identifies some useful determinants for redesigning the birth path. The fifth chapter formulates a proposal for redesigning the birth path based on a new health paradigm. The proposed model offers useful insights for multiple categories of readers. To students of medicine and higher education tracks in healthcare management, it can offer opportunities to raise awareness not only regarding multi-professional practice but also regarding confrontation with complementary disciplines. To practitioners and policy makers, it can provide useful stimuli to promote rational and informed decisions around the childbirth. To researchers studying the health context within different disciplinary domains, the model can offer unexplored research spaces within the new business complex system.
The Sustainable Development Goal 3 seeks to ensure health and well-being for all at every stage of life. This book discusses how to strengthen our healthcare systems and ensure sustainable community healthcare delivery by using systems thinking, an approach to understanding complex interactions of individual system elements in nature. Financing and manpower planning are integral processes to achieve health for all in the world. Adopting the Framework for Action of the World Health Organization for Strengthening Health Systems to Improve Health Outcomes, this book reviews and discusses, illustrated by case examples, the building blocks of healthcare systems, namely financing, human resources, management strategies and leadership and governance in the context of accessibility, coverage, quality and safety of community health services to achieve selected targets in SDG 3 in the context of global health. This book will be of interest to those who are researching sustainable healthcare systems, as well as policymakers and healthcare professionals.
Management, Organization and Childbirth: Towards a New Model for the Birth Path explores the complex topic of the birth path with a multidisciplinary magnifying glass on the paradigms, languages, and tools critical to the organization, management, and clinical science. The work consists of five chapters. The first chapter provides a multidimensional analysis of childbirth. The second chapter presents an organizational analysis that moves in unison with different models of health. The third chapter studies the birth path in organizational and cynical terms by describing it in its core processes. The fourth chapter proposes a study conducted in the Italian context, which identifies some useful determinants for redesigning the birth path. The fifth chapter formulates a proposal for redesigning the birth path based on a new health paradigm. The proposed model offers useful insights for multiple categories of readers. To students of medicine and higher education tracks in healthcare management, it can offer opportunities to raise awareness not only regarding multi-professional practice but also regarding confrontation with complementary disciplines. To practitioners and policy makers, it can provide useful stimuli to promote rational and informed decisions around the childbirth. To researchers studying the health context within different disciplinary domains, the model can offer unexplored research spaces within the new business complex system.
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.
The book addresses the prevalent digital transformation and focuses on its significant disruption in healthcare. In light of the distinctive characteristics and evolution of the Chinese healthcare industry, private multi-sided platform (MSP) companies emerge to offer novel values and explore the industry value chain. Drawing on the management and economics literature of MSPs, this book examines the selected Chinese MSPs and compares them with the counterpart MSPs in the U.S. This analysis highlights how the unfolding healthcare disruption is valuable for both scholars and practitioners to understand the trends and to take effective actions. "Disruptive Innovation through Digital Transformation: Multi-Sided Platforms of E-Health in China" provides readers in the developing and developed countries with insights on how to approach the current multi-sided platform and to resolve the current problems to better serve customers and patients in the healthcare market.
In keeping with the goal of this series, "A History of Infectious Diseases and the Microbial World" provides a broad introductory overview of the history of major infectious diseases, including their impact on different populations, the recognition of specific causative agents, and the development of methods used to prevent, control, and treat them. By stressing the major themes in the history of disease, this book allows readers to relate modern concerns to historical materials. It places modern developments concerning infectious diseases within their historical context, illuminating the relationships between patterns of disease and social, cultural, political, and economic factors. Upon completing this volume, readers will be prepared to answer contemporary questions concerning the threat of newly-emerging infectious diseases, potentially devastating pandemics, and the threat of bioterrorism. "A History of Infectious Diseases and the Microbial World" offers readers answers to specific questions, as well as the challenge of a narrative that will stimulate their curiosity and encourage them to ask questions about the theory, practice, and assumptions of modern medicine. One will gain a precise understanding of the nature of different kinds of pathogens, the unique mechanisms behind disease transmission, and the means used to control, prevent, and treat infectious disease. Although only a few of these deadly illnesses can be addressed in detail, those that are discussed include: malaria, leprosy, bubonic plague, tuberculosis, syphilis, diphtheria, cholera, yellow fever, poliomyelitis, HIV/AIDS, and influenza.
Examining which actors determine undocumented migrants' access to healthcare on the ground, this volume looks at what happens in the daily interactions between administrative personnel, healthcare professionals and migrant patients in healthcare institutions across Europe. Borders across Healthcare explores contemporary moral economies of the healthcare-migration nexus. The volume documents the many ways in which borders come to disrupt healthcare settings and illuminates how judgements of a health-related deservingness become increasingly important, producing hierarchies that undermine a universal right to healthcare.
Explore real women's tales of healthcare trauma and medical misogyny with this "masterfully written" (Sophia A. Nelson, bestselling author of The Woman Code and Black Woman Redefined), meticulously researched, in-depth examination of the women's health crisis in America--and what we can do about it. When Anushay Hossain became pregnant in the US, she was so relieved. Growing up in Bangladesh in the 1980s, where the concept of women's healthcare hardly existed, she understood how lucky she was to access the best in the world. But she couldn't have been more wrong. Things started to go awry from the minute she stepped into the hospital, and after thirty hours of labor (two of which she spent pushing), Hossain's epidural slipped. Her pain was so severe that she ran a fever of 104 degrees, and as she shook and trembled uncontrollably, the doctors finally performed an emergency C-section. Giving birth in the richest country on earth, Hossain never imagined she could die in labor. But she almost did. The experience put her on a journey to explore, understand, and share how women--especially women of color--are dismissed to death by systemic sexism in American healthcare. Following in the footsteps of feminist manifestos such as The Feminine Mystique and Rage Becomes Her, The Pain Gap is an "eye-opening" (Christy Turlington Burns, founder of Every Mother Counts) and stirring call to arms that encourages women to flip their "hysteria complex" on its head and use it to revolutionize women's healthcare. This book tells the story of Hossain's experiences--from growing up in South Asia surrounded by staggering maternal mortality rates to lobbying for global health legislation on Capitol Hill to nearly becoming a statistic herself. Along the way, she realized that a little fury might be just what the doctor ordered. Meticulously researched and deeply reported, this "must-read" (Soraya Chemaly, author of Rage Becomes Her) book explores real women's traumatic experiences with America's healthcare system--and empowers everyone to use their experiences to bring about the healthcare revolution women need.
Typically entrenched and systemic, healthcare problems require the sort of comprehensive solutions that can only be addressed by a change in culture and a shift in thinking. Organizations around the world are using Lean to redesign care and improve processes in a way that achieves and sustains meaningful results for patients, staff, physicians, and health systems. This book demonstrates how honest appraisal, intelligent planning, and vigilant follow-up have led to dramatic improvements in a variety of healthcare settings across the world. It teaches us how innovative organizations can find sustainable solutions to seemingly intractable problems by following a path guided by Lean Thinking. Lean methods may not solve every healthcare problem, but as these cases prove, changing a culture rather than personnel results in more effective sustainable change. This multi-authored book provides expert descriptions of Lean methods and their application in healthcare, written by the people who developed and tested the methods in healthcare settings. Each chapter brings together a description of the technique or approach, with examples of application in practice from the author's own practice. Authors use an engaging approach to their narrative, with examples from their personal experience or engagement being described to illustrate the practical application of theoretic approaches. In painting a picture of the environment in which these tools and techniques have been applied, readers will understand the transferability to their own workplace environment. This will be an opportunity to tell real stories of the application of Lean in healthcare and give readers the opportunity to learn from people from across the world, on subjects on which they are acknowledged topic experts, based on day-to-day Lean practice.
Patient-focused healthcare, driven by COVID-19 experiences, has become a hallmark for providing healthcare services to patients across all modalities of care and in the home. The ability to capture real-time patient data, no matter the location, via remote patient monitoring, and to transmit that data to providers and organizations approved by the consumer/patient, will become a critical capability for all healthcare providers. Of all the remote patient monitoring product designs, wearable medical devices are emerging as the best positioned to support the evolving patient-focused healthcare environment. This book is for those who are evaluating, selecting, implementing, managing, or designing wearable devices to monitor the health of patients and consumers. This book will provide the knowledge to understand the issues that mitigate the risk of wearable technologies so people can deliver successful projects using these technologies. It will discuss their use in remote patient monitoring, the advantages and disadvantages of different types of physiological sensors, different wireless communication protocols, and different power sources. It will describe issues and solutions in cybersecurity and HIPAA compliance, as well as setting them up to be used in healthcare systems and by patients.
Patient-focused healthcare, driven by COVID-19 experiences, has become a hallmark for providing healthcare services to patients across all modalities of care and in the home. The ability to capture real-time patient data, no matter the location, via remote patient monitoring, and to transmit that data to providers and organizations approved by the consumer/patient, will become a critical capability for all healthcare providers. Of all the remote patient monitoring product designs, wearable medical devices are emerging as the best positioned to support the evolving patient-focused healthcare environment. This book is for those who are evaluating, selecting, implementing, managing, or designing wearable devices to monitor the health of patients and consumers. This book will provide the knowledge to understand the issues that mitigate the risk of wearable technologies so people can deliver successful projects using these technologies. It will discuss their use in remote patient monitoring, the advantages and disadvantages of different types of physiological sensors, different wireless communication protocols, and different power sources. It will describe issues and solutions in cybersecurity and HIPAA compliance, as well as setting them up to be used in healthcare systems and by patients.
This book deals with a hospital's struggle to secure and maintain financial stability. In the story, the leadership team of a fictional hospital adopts the tools and principles associated with the Toyota Production System or Lean. The story takes the reader through leadership's arduous journey from rejecting the methodology to embracing it, to successful implementation. This book is important because many of our nation's hospitals are besieged with financial difficulties with declining reimbursement and the public is losing confidence in our hospital's ability to provide quality care without error. Lean can provide relief from these issues but only if it is properly implemented.
Over 50 years, children with cancer changed from being symbols of hopelessness and the failure of modern medicine, to representing the triumph of science, fund raising, and personal heroism. Yet before 1940, children with cancer were largely invisible, to the medical professions and to the public at large. This book, written for historians and medical professionals interested in the history of child health, examines these transitions in visibility, image and expectation, and the impact of these changes on self-identity for patient and physician.
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.
Ethical dilemmas in the areas of health care and policy making are not new, but in recent years the frequency and diversity of these have grown considerably. All health professionals now have to consider the ethical implications of an increasing array of treatments, interventions and health promotion activities on an almost daily basis. This goes hand in hand with increasing medical knowledge, and the growth of new and innovative medical technologies and pharmaceuticals. Along with this, the same technology and knowledge is increasing professional and public awareness of new potential public health threats (e.g. pandemic influenza), all of which means that ethical concerns are going to be more central than ever before. At the level of public policy, concerns over the rising costs of health care have led to a more explicit focus on 'health promotion', and the surveillance of both 'patients' and the so-called 'worried well' which is not without difficulty. Health professionals and policy makers also have to consider the implications of managing these risks, for example restricting individual liberty through enforced quarantine (in the wake of SARS, and more recently, swine flu) and the more general distribution of harms and benefits. Balancing the rights and responsibilities of individuals and wider populations is becoming more complex and problematic. There is clearly a need to develop this debate and this book will play a key role in opening out a discussion of public health ethics. It examines the principles and values that support an ethical approach to public health practice and provides examples of some of the complex areas which those practising, analysing and planning the health of populations have to navigate. It will therefore be essential reading for current practitioners, those involved in public health research and a valuable aid for anyone interested in examining the tensions within and the development of public health.
This comprehensive book looks at COVID-19, along with other recent infectious disease outbreaks, with the broad aim of providing constructive lessons and critical reflections from across a wide range of perspectives and disciplinary interests within the risk analysis field. The chapters in this edited volume probe the roles of risk communication, risk perception, and risk science in helping to manage the ever-growing pandemic that was declared a public health emergency of international concern in the beginning of 2020. A few chapters in the book also include relevant content discussing past disease outbreaks, such as Zika, Ebola and MERS-CoV. This book distils past and present knowledge, appraises current responses, introduces new ideas and data, and offers key recommendations, which will help illuminate different aspects of the global health crisis. It also explores how different constructive insights offered from a 'risk perspective' might inform decisions on how best to proceed in response as the pandemic continues. The chapters in this book were originally published as a special issue of the Journal of Risk Research. |
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