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Books > Medicine > General issues > Health systems & services > General
Just Care is Akemi Nishida's thoughtful examination of care injustice and social justice enabled through care. The current neoliberal political economy has turned care into a business opportunity for the healthcare industrial complex and a mechanism of social oppression and control. Nishida analyzes the challenges people negotiate whether they are situated as caregivers, receivers, or both. Also illuminated is how people with disabilities come together to assemble community care collectives and bed activism (resistance and visions emerging from the space of bed) to reimagine care as a key element for social change. The structure of care, Nishida writes, is deeply embedded in and embodies the cruel social order-based on disability, race, gender, migration status, and wealth-that determines who survives or deteriorates. Simultaneously, many marginalized communities treat care as the foundation of activism. Using interviews, focus groups, and participant observation with care workers and people with disabilities, Just Care looks into lives unfolding in the assemblage of Medicaid long-term care programs, community-based care collectives, and bed activism. Just Care identifies what care does, and asks: How can we activate care justice or just care where people feel cared affirmatively and care being used for the wellbeing of community and for just world making?
Healthcare continues to be one of the defining political issues in the United States. Though many progressives argue for an overhaul of the current system based on ethical or humanitarian principles, this important book offers an economic rationale for providing healthcare for all. The purpose of Medicare For All: An Economic Rationale is to demonstrate how current runaway healthcare prices can be addressed by implementing the cost-effectiveness of Medicare For All. Written by a former Corporate Director and healthcare consultant, this book illustrates why the current free market model for healthcare is ultimately failing the country by not containing rising healthcare costs, which has a severe economic impact on all Americans, including those covered by employer medical plans. Major factors in that failure such as the lack of transparency, human decision factors, and high administrative costs in the current system are explored. The book demonstrates that implementing Medicare For All, providing comprehensive benefits with no copays, private insurance premiums, deductibles, or other cost-sharing, will not only improve the lives of most Americans, but will be far more cost-effective than the present system. This is an incisive, important contribution to a topic that continues to shape American political discourse and will be of interest to scholars and professionals engaged in this area as well as politicians and the public in general.
Change is frequent in healthcare, yet change management is often far from perfect. This book considers the complexity of change within large organisations, explores existing models of change and emphasises the vital role of emotional and cognitive readiness in successful change management. Despite the plethora of organisational change management approaches used in healthcare, the success rate of change in organisations can be as low as 30 percent. New thinking about change management is required to improve success in service development, improvement and innovation. Arguing that emotional and cognitive readiness for change requires engagement with the people involved, and a thorough understanding of areas of friction and potential challenge, this book also delves into the neglected issue of emotion, examining emotional labour and emotion and change. It investigates how human emotion can be incorporated into Change Management Models, alongside and intertwined with cognitive approaches, to support effective change. Using the NHS as a central case study, this book incorporates examples of actual change from a range of healthcare settings from acute to primary care, enabling readers to see how Change Management Models can be adapted and utilised in practice. This is an essential read for students, as future change leaders, and practitioners and managers leading and managing change in healthcare.
The idea behind editing this book is to present a contemporary reference that tells the story of how businesses and institutions in emerging economies are circumventing or can better circumvent institutional voids in order to create distinct value for consumers and develop resilient and sustainable economies. For this book, we gathered 24 contributions (or chapters) on new directions and strategies to create value in emerging economies. The contributions span thematic areas such as: COVID-19 and small businesses, social influencers and COVID-19 advocacy, artisan entrepreneurship, leadership and project success, internationalization and intellectual property, cultural artifacts in corporate branding, fintech adoption, mobile money and agriculture value chain, workplace fraud, ethical decision-making in accountancy, modeling early detection of mother's mode of delivery, assessment of health systems in Africa, online platforms and patient empowerment, students' academic engagement and technology, and continuous use of e-learning among professional accounting students. The authors of these contributions discuss the relevance of each chapter to its target audience (practitioners and students). They also outline the implications for practice and policy (where applicable) alongside the concluding arguments of their respective chapters. In effect, the 24 chapters offer key strategic directions for businesses, public sector institutions, non-governmental organizations, and international development institutions to be more efficient and sustainably responsible in delivering distinctive value in emerging economies. Emerging economies have become an opportune interest of practitioners, entrepreneurs and policy makers worldwide. Hence, a contemporary text which explores how to create and deliver distinct value in these economies is a must a read.
Globalization is a form of social change, reshaping the socio-spatial milieu in which humans strive, and in which health and disease are managed and controlled. And yet the effects of globalization are distributed unevenly, with opportunities open for some but not for all. Globalization, Health and the Global South is an important textbook for any student of this fascinating area. Examining the dynamics of globalization through the lens of the Global South, it highlights risks and vulnerabilities that affect different regions and contexts, exacerbating inequalities despite the continuing speed of global processes. The books takes a critical approach to the topic, offering readers a deep understanding of health discourses and discusses a range of key topics, including migrant health, the role of politics and diplomacy and the Coronavirus pandemic. Including further reading and end of chapter discussion questions, this essential textbook will be important reading for students across the health and social sciences.
This book examines the financing of China's health system, argues that present arrangements are not adequate and proposes an increased role for commercial health insurance as a way of overcoming the difficulties. Highlighting that China's present social medical insurance system can only cover basic medical services, with the results that many Chinese people with higher income are going abroad for high-quality medical services and that doctors are not bringing in the salaries and obtaining the social status they expect, the book suggests that commercial health insurance offers a possible solution, in that it can help meet the demand of higher-income groups for better healthcare services while at the same time increasing the income of more competent medical professionals. The book goes on to consider the current state of China's commercial insurance industry, outlining the various challenges that the industry needs to overcome if it is to fulfil an increased role, challenges such as greater specialization, increased capacity, structural reform, improved regulation and closer integration with China's medical reform programme.
This book highlights success stories and challenges to implementing health IT standards. The narrative of each chapter demonstrates how standards further interoperable health data exchange, especially in the service of advancing tools to monitor population health. These are critical stories that demonstrate to an international community of health and IT experts how to bring the right stakeholders together and bridge classic divides between software architects and clinical end users, health system decision-makers and standard authors.
Illustrates, in a very clear and practical manner, models and tools to analyse and improve healthcare production processes. Each chapter includes teaching cases, from different countries and settings, to help readers better understand the practical implications of the adoption of certain organizational models or managerial solutions (e.g. lean model). The recent COVID-19 pandemic has further highlighted the need to redesign healthcare production processes to become more efficient, responsive and flexible. Focuses on the organizational conditions required to successfully implement operations management change plans.
This book provides a wide spectrum of readers with comprehensive but easily understandable protocols for the assessment and training of wheelchair skills. The Wheelchair Research Team at Dalhousie University and the Capital District Health Authority in Halifax (lead by the author) have focused on wheelchair safety and performance for three decades, as exemplified through the Wheelchair Skills Program. This is considered the top such program in the world. This new book is largely based on this program which has been accessed and utilized by over 75,000 people in 177 countries since 2007.
Problems related to the functioning of public healthcare systems encourage the search for alternative solutions, for example to ensure improved access to medical services. However, these proposals also require appropriate theoretical support to better present and apply them. This book draws on Austrian Economics to provide a theoretical framework to support greater involvement of the private sector to improve inefficiencies in public healthcare. The Austrian School of Economics has a solid theoretical output describing and explaining the functioning of many aspects of the market economy (e.g. money, prices, interest rate, or capital). This work applies those principles to a market-based healthcare system and its individual elements, including health insurance. The study in these chapters is divided into two parts. The first part contains the theoretical aspects of the functioning of a complete market system. Particular importance is placed on presenting health insurance as a market institution and exploring its role in the market system. This examination also includes an analysis of alternative forms of financing access to medical services, such as direct payments, medical savings accounts, medical subscriptions, and charity. Additionally, solid counterarguments are provided for so-called market failures: asymmetric information, public goods, and monopolies. The second part of the book explores the theoretical aspects of interventionism and the functioning of public systems, and aims to better highlight the sources of the associated problems. This work provides an important contribution to the literature on health economics, healthcare management and policy, and Austrian Economics more broadly. It is essential reading for health economists and those holding key public positions related to healthcare. Winner of the Award of the President of the Lublin Branch of the Polish Academy of Sciences for Humanities and Social Sciences for books published in 2021
Selected by the Association of University Programs in Health Administration for the Bugbee-Falk Book Award Is the health sector a curse or a blessing? The American health sector now accounts for a fifth of the economy. American healthcare spending per capita far exceeds that of other developed countries. Yet our health, as measured by life expectancy and infant mortality, is poor by comparison with the developed world. Other measures of quality including hospital-acquired infection are too common. Healthcare costs financially cripple households despite advances associated with the Affordable Care Act. There is widespread dissatisfaction with the American healthcare system and support for more change. It is also the case that the health sector has been a leader in the evolution of the American economy. Economic development is driven by innovative technology. We tend to applaud new technology and the improvement it brings to our lives. Important recent technologies often grow rapidly and faster than the wider economy. This leads to larger shares of the economy. Yet there is considerable apprehension about costs and economic impact of health spending. This book details important health sector institutions and uniquely, explores linkages between healthcare and broader economic growth. The book addresses asymmetric information between providers and consumers as well as between insurers and beneficiaries. There is a focus on monopoly power in labor markets which contributes to inefficiencies in the system. The author also discusses cost-effectiveness and allocative efficiency as well as emphasizing productivity and its relationship to the wider economy.
This volume presents state-of-the-art reporting on how to measure many of the key variables in health communication. While the focus is on quantitative measures, the editors argue that these measures are centrally important to the study of health communication. The chapters emphasize constructs, scales, and up-to-date reports and evidence about key social science constructs and ways of measuring them, whether your interest is in patient-provider dyadic communication, uncertainty management, self-efficacy, disclosure, social norms, social support, risk perception, health care team performance, message design and effects, health and numerical literacy, communication satisfaction, social influence and persuasion, stigma, health campaigns, reactance, or other topics. Students, researchers, and policymakers will find this book an accessible resource for planning and reviewing research studies and proposals.
This book presents a wide variety of HIT failures so that students can dissect and understand in each case what went wrong and why and how to avoid such problems, without focusing on the involvement of specific people, organizations, or vendors. The lessons may be applied to future and existing projects, or used to understand why a previous project failed. The cases help students learn how common causes of failure affect different kinds of HIT projects and with different results. The book presents a model to discuss HIT failures in a safe and protected manner, providing an opportunity to focus on the lessons offered by a failed initiative as opposed to worrying about potential retribution for exposing a project as having failed. Cases are organized by the type of focus (hospital care, ambulatory care, and community). Each case provides analysis by an author who was involved in the project expert insight into key obstacles that must be overcome to leverage IT and transform healthcare. Cases include a list of key words and are categorized by project (e.g. CPOE, business intelligence). Each chapter or case contains discussion questions and study suggestions for the student. Thought provoking commentary chapters add additional context to the challenges faced during HIT projects, from social and organizational to legal and contractual. Whether you're a graduate student in a health administration or health IT program or attending training sessions sponsored by a healthcare organization, this valuable resource is for all who want to understand the dynamics of HIT projects and why some fail and others succeed.
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 systematically describes how NHS Highland uses Lean principles and mindsets to improve safety, quality, access, and morale while reducing costs, and increasing capacity. Existing books often describe the gains obtained by using Lean methods, but often do not describe the underlying concepts and methods in details. Other books describe continuous improvement work, or specific techniques such as daily management in detail. This book seeks to occupy a middle space by providing an overview of the range of Lean ideas applicable to healthcare with sufficient examples and cases studies from NHS Highland and partner organizations so readers can see them in use and practice.
The U.S. healthcare system is in "complete chaos-disarray." Medical costs have increased significantly over the past 6 years with 70% increase for deductibles and 24% or more for health insurance premiums. All the while, workers earnings have either not increased or if they did, the pay raises were for less than the increase in the cost of medical care. The situation is unsustainable and the public wants the system fixed. This book offers ways of fixing the problems in healthcare. HEALTHCARE's OUT SICK - PREDICTING A CURE - Solutions that WORK !!!! first defines the "healthcare in crisis" problem. Through real patient experiences, the book describes the difficulties of getting through the maze of complexity among the plethora of "silo providers" which make up the industry. The heart of the book provides readers with a comprehensive solution that can work, a disruption that is necessary to provide Americans the medical care they need without the US public and healthcare providers and payors going into bankruptcy, insolvency or closure. This book delves into digitized medicine, payor and provider reimbursement models, and value-based healthcare delivery. It also includes a philosophy or mode of thinking and operation for the solutions that are needed for diagnosis-effective, cost-effective, and time-efficient healthcare delivery, of which digitized medicine, value-based care, and payor reimbursement modes are just some of the factors. The authors propose that the real solution involves having the patient at the center of the issues and changing from an archaic gold standard way of thinking to a "Predictive Analytic thinking" where one gets at the real truth by doing "real science" that in the end becomes effective not only for the population but for the individual person. This all leads to real person-centered and person-directed medicine and healthcare delivery.
Twenty-first century healthcare will be defined by better care, smarter spending, and healthier people. All eyes are on technology as the means to drive down costs and improve efficiency, enabling physicians to deliver care in a way that realizes the vision of a healthier planet. The transition from the acute care focus of the 20th century to the quality and data-driven organizations of tomorrow requires incredible effort and collaboration between all members of the healthcare community. Healthcare professionals are challenged to understand and rapidly adapt to new business models while achieving improved patient care and health outcomes. Physician engagement with the whole community has never been more important than it is today. Mastering Physician Engagement: A Practical Guide to Achieving Shared Outcomes explores strategies and tactics for engaging physicians in a meaningful way in a broad spectrum of change initiatives. Using proven techniques to create alignment with physicians, this book delivers practical approaches for effectively: Fostering engagement in revenue cycle, information technology, and population health initiatives Creating a data-driven culture Training physicians on new technologies and workflows Communicating insights and metrics Identifying and presenting return on investment Developing and achieving common goals
Our nation's capacity to care is becoming increasingly stressed as an aging and increasingly unhealthy population collides with a relative reduction in the numbers of clinicians and ever-tightening financial resources. If even the mildest of future-state predictions are to be believed, we need a significant restructuring of our entire healthcare system and its total Capacity to Care, such that we can simultaneously improve care capacity, cost, quality, accessibility, and resource gratification. Optimizing Your Capacity to Care: A Systems Approach to Hospital and Population Health Management provides comprehensive guidance to a new way to optimize and manage community-wide Care Capacity via a unique, holistic approach to healthcare operations. Through clear examples and actual project results, the book demonstrates the outcomes of a systems-level way of thinking about a community's Capacity to Care that incorporates and integrates the full spectrum of available clinical and communal resources into the care of patients, including hospitals, physicians, emergency departments, surgical services, local churches, civic organizations, pharmacies, and volunteers. The book details operational models for each major department of the hospital and a fully integrated communal resource pool to demonstrate how the optimization of capacity, resource utilization, cost, and clinical outcomes can be attained. And by providing healthcare leaders with a deeper understanding of key elements missing from the most common process improvement methodologies and approaches, this book offers fresh perspectives and bold alternatives for hospitals, health systems, and entire communities.
Patient-centered care is a way of thinking and doing things that considers patients partners in the development of a healthcare plan designed to meet their specific needs. It involves knowledge of the individual as a person and integrates that knowledge into their plan of care. Patient-centered care is central to the discussion of healthcare at the insurance and hospital-level. The quality of the service is evaluated more deeply from all the healthcare components, including insurance payments. It is the start of a new client- and patient-centered healthcare, which is based on a profound respect for patients and the obligation to care for them in partnership with them. Healthcare has been lacking a strategy to teach patients how to take care of themselves as much as they possibly can. In countries with socialized healthcare, patients don't go to the emergency room unless it is necessary; they have a physician on call instead. This affords more personalized care and avoids patients getting lost in the hospital system. This book advocates the critical role of patients in the health system and the need to encourage healthy living. We need to educate patients on how to be more self-aware, giving them the tools to better understand what they need to do to achieve healthy lifestyles, and the protocols and policies to sustain a better life. Prevention has always been the pinnacle of medical care. It's time to highlight and share this approach with patients and involve them as active participants in their own healthcare. This is the method on which to build the new healthcare for the next century.
This volume of Research in the Sociology of Health Care analyses micro-level gender issues and other social factors impacting macro-level health care systems. Examining the health and health care issues of patients and providers of care both in the United States and in other countries, chapters focus on linkages to policy and population concerns as ways to meet global health care needs.
Over the last 20 years there has been a flourishing of work on feminist care ethics. This collection makes a unique contribution to this body of work. The international contributors demonstrate the significance of care ethics as a transformative way of thinking across diverse geographical, policy and interpersonal contexts. From Tronto's analysis of global responsibilities, to Fudge Schormans' re-imagining of care from the perspective of people with learning disabilities, chapters highlight the necessity of thinking about the ethics of care to achieve justice and well-being within policies and practice. This book will be essential reading for all those seeking such outcomes.
The Covid-19 pandemic prompted healthcare systems around the globe to quickly explore and subsequently adopt digital health technologies and virtual care models that had been slowly growing in mainstream acceptance throughout the decade prior. In particular, telemedicine use skyrocketed as healthcare organizations and governments needed to provide access to infection risk-free health services. Telemedicine has been around in its current form for nearly two decades but grew significantly in utilization after the rapid acceleration of internet and smartphone adoption in the 2010s, and again in 2020 due to Covid-19. Beyond traditional audio-visual telemedicine modalities, newer, more advanced models of tech-enabled clinical services have begun to gain popularity. Fueled by ubiquitous modern telecommunication technologies (e.g., the Smartphone), a growing dissatisfaction with healthcare services among patients, and increasing chronic disease epidemics in developed countries, models like remote patient monitoring (RPM) and other hybrid virtual care models have entered the clinical toolbox. RPM-based care models can fill the gaps of transactional telemedicine in order to deliver longitudinal care appropriate for patients with chronic conditions. Despite the apparent recent acceleration of interest in and adoption of RPM-based virtual care models, substantial research exists on RPM covering patient reported outcomes, clinical effectiveness, and economic factors. In A Virtual Care Blueprint: How Digital Health Technologies Can Improve Health Outcomes, Patient Experience, and Cost-Effectiveness, Robert L. Longyear III explores the science, frontline clinical perspectives, and potential impact of RPM-based virtual care programs. Seeking to provide evidence-based information on RPM and virtual care in a market flooded with marketing materials, Longyear provides healthcare leaders, clinicians, and policymakers a clear outline of these increasingly important care models for a modern healthcare delivery system.
In just the past decade, the emergence of digital health has finally become palpable. Enhanced by the pandemic, social justice events, and planetary health urgency, Realizing Digital Health - Bold Challenges and Opportunities for Nursing explores that evolution with a focus on capturing the current state of digital health. Anchored in an introduction to digital health, new technologies, opportunities, and challenges are described. Consideration of the opportunities and challenges of digital health calls for specific attention to ethical considerations. This book includes a current state synopsis of healthcare in the USA, with the inclusion of specific implications for nursing leaders and executives. Engagement of the people (patients, families, communities) working in partnership to enhance health is described. Information management and the necessary definition and access to data are discussed with a particular explication of the function of information management and operational decision-making. The challenges and learnings related to informatics drawn from the experiences of leaders in large health systems shed insight into the current state of informatics-enabled digital health and healthcare. The global example of the integration of technology, nursing, and health systems expands our knowledge of the current state as well as explores possibilities. This book concludes with a commitment to and description of the current state of teamwork and the integral role/functions within informatics, nursing, and healthcare. This book provides the reader with a succinct overview of digital technologies, a reality-anchored description of the current state in the USA and globally and highlights the core foundation and integration of informatics and information management. This book stimulates thought and actions to advance digital health within a full partnership among the people, organizations, systems, and global imperatives including planetary survival. This book lifts up the next era calling for full teamwork, collaboration, and partnership as we emerge into a true global community. 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
Access. Inclusion. Diversity. All people deserve to be embraced by their community. Autism Friendly Cities: How to Create an Inclusive Community is the first book designed to guide city leadership and staff through the processes of training and evaluation, development, and implementation of an Autism Friendly initiative that will help you open your doors to everyone. People with autism should be able to participate in all that is offered and facilitated by their city, including services, activities, events, and points of connection. Being an Autism Friendly City is not only socially responsible, it will improve engagement, outreach, economic development, and resident satisfaction.
"This book bridges the fields of health care and data to clarify how to use data to manage pandemics. Written while COVID-19 was raging, it identifies both effective practices and misfires, and is grounded in clear, research-based explanations of pandemics and data strategy....The author has written an essential book for students and professionals in both health care and data. While serving the needs of academics and experts, the book is accessible for the general reader." - Eileen Forrester, CEO of Forrester Leadership Group, Author of CMMI for Services, Guidelines for Superior Service "...Rupa Mahanti explores the connections between data and the human response to the spread of disease in her new book,... She recognizes the value of data and the kind of insight it can bring, while at the same time recognizing that using data to solve problems requires not just technology, but also leadership and courage. This is a book for people who want to better understand the role of data and people in solving human problems." -- Laura Sebastian-Coleman, Author of Meeting the Challenges of Data Quality Management In contrast to the 1918 Spanish flu pandemic which occurred in a non-digital age, the timing of the COVID-19 pandemic intersects with the digital age, characterized by the collection of large amounts of data and sophisticated technologies. Data and technology are being used to combat this digital age pandemic in ways that were not possible in the pre-digital age. Given the adverse impacts of pandemics in general and the COVID-19 pandemic in particular, it is imperative that people understand the meaning, origin of pandemics, related terms, trajectory of a new disease, butterfly effect of contagious diseases, factors governing the pandemic potential of a disease, strategies to combat a pandemic, role of data, data sharing, data strategy, data governance, analytics, and data visualization in managing pandemics, pandemic myths, critical success factors in managing pandemics, and lessons learned. How Data Can Manage Global Health Pandemics: Analyzing and Understanding COVID-19 discusses these elements with special reference to COVID-19. Dr. Rupa Mahanti is a business and data consultant and has expertise in different data management disciplines, business process improvement, regulatory reporting, quality management, and more. She is the author of Data Quality (ASQ Quality Press) and the series Data Governance: The Way Forward (Springer).
This book focuses on Africa's challenges, achievements, and failures over the past several centuries using an interdisciplinary approach that combines theory and fact and evidence-based practices and interventions in public health, and argues that most of the health problems in Africa are not a result of scarce or lack of resources, but of the misconceived and misplaced priorities that have left the continent behind every other on the globe in terms of health, education, and equitable distribution of opportunities and access to (quality) health as agreed by the United Nations member states at Alma-Ata in 1978. |
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