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Books > Medicine > General issues > Health systems & services > General
In this well-documented book, Alain Enthoven develops the ideas of
consumer choice and managed competition of alternative health care
financing and delivery systems, as well as describing ways to
improve quality and reduce the cost of health care. He demonstrates
how these ideas could be applied in the American employment-based
health insurance model, how similar ideas have been introduced in
the British National Health Service; how these ideas have been
applied in the Netherlands; and the need for integrated
comprehensive care systems. This unique anthology traces the
development of two important and related themes. Firstly, the
'output' of the health services industry has been produced by
disaggregated physicians, nurses and other health professionals,
hospitals, drugs and device companies that somehow combine to serve
the patient. Progress in quality and the economy requires the
services of these components to be integrated into coherent systems
in which the incentives of all providers are aligned with the needs
and wants of patients for quality affordable care. Secondly, the
book argues that the framework that can provide such incentives, is
an appropriately designed form of market competition among systems
of care seeking to serve value-conscious patients. Public
officials, scholars and policy analysts from developing countries
will find here a set of ideas for how to improve incentives for
greater value for money. Students of health economics, policy and
organization, as well as journalists and public officials
interested in the use of public policy to improve efficiency in
health care systems, will also find much to interest them in this
book.
Implementation of guidelines in the health system is a major
undertaking, especially in developing countries. An important
constraint in guideline development in developing countries is that
the guideline recommendations must suit local conditions and must
make use of available resources. This is a challenge because the
health systems of developing countries have a high burden of
disease and little resources; therefore, guidelines must rely on
cost-effective healthcare interventions. The BACIS program study
was initiated to address some of these challenges in the
dissemination and utilization of maternal health guidelines. The
BACIS program was piloted, and the results showed that the BACIS
program could assist in improving compliance of nurses with the
national maternity care guidelines. This is an impressive finding
and step forward for maternal healthcare in developing countries.
Developing Maternal Health Decision Support Systems in Developing
Countries discusses public health aspects of the design and
implementation of clinical decision support systems in developing
country contexts. Specifically, it focuses largely on the design
and evaluation of the BACIS program in South Africa. This is
supplemented with a conversation on the possible future research
directions in the BACIS program study along with the outlook for
clinical decision support systems in developing country contexts in
general. This book is ideal for e-health system designers and
implementers, managers and policymakers in the area of e-health in
developing countries, personnel from NPOs and donor agencies,
government officials, IT consultants, medical professionals,
practitioners, stakeholders, researchers, academicians, and
students who are interested in how decision support systems such as
BACIS are being used to improve maternal health in developing
countries.
Beyond Second Opinions is both an expose of the risks, errors, and
distortions surrounding fertility medicine and an authoritative
guide for people seeking treatment. Accessible, comprehensive, and
extremely well-informed, this book takes the reader beyond hype to
the hard data on diagnoses and treatments. Judith Steinberg Turiel,
a consumer health activist and herself a veteran of fertility
treatments, uses the most up-to-date medical literature to shed new
light on difficult decisions patients face today and on
reproductive questions society must begin to address now. Those who
are seeking a more balanced perspective to help them make better,
more informed decisions will find a wealth of information about
current reproductive interventions-from simple fertility pills to
dazzling experimental options-as well as a discussion of the
non-medical forces (economic and political) that shape an
individual's treatment choices and reproductive outcomes. Despite
quantities of information showered upon patients, they remain
woefully misinformed; some fertility treatments may actually reduce
chances for a successful pregnancy and threaten a patient's health.
Turiel looks beyond surface claims to the real information, often
uncovering counterintuitive findings and sometimes scandalous
revelations. She exposes a realm of unregulated expansion,
unscientific experimentation, and recent scandal over stolen
embryos. Weaving together first-hand accounts, compelling stories,
a range of scientific information, and lively anecdotes, Turiel
addresses the persistent gulfs that separate medical professionals
and health care consumers. In the process she arms laypeople with
what they might not learn about infertility practices from doctors,
patient education brochures, and the newspaper. This title is part
of UC Press's Voices Revived program, which commemorates University
of California Press's mission to seek out and cultivate the
brightest minds and give them voice, reach, and impact. Drawing on
a backlist dating to 1893, Voices Revived makes high-quality,
peer-reviewed scholarship accessible once again using
print-on-demand technology. This title was originally published in
1998.
Migration is now firmly embedded as a leading global policy issue
of the twenty-first century. Whilst not a new phenomenon, it has
altered significantly in recent decades, with changing
demographics, geopolitics, conflict, climate change and patterns of
global development shaping new types of migration. Against this
evolving backdrop, this Handbook offers an authoritative overview
of key debates underpinning migration and health in a contemporary
global context. The first major handbook in this field, this
Handbook of Migration and Health provides a comprehensive global
overview of issues relating to migration and health. The Handbook
is organised into six main sections: theories and models of
migration; rights and deservingness; vulnerability and precarity;
specific healthcare needs and priorities; healthcare provision; and
transnational and diasporic networks. Chapters focus on a wide
range of migrant groups including refugees, asylum seekers,
trafficked people, international students, healthcare workers, and
diasporic communities. Bringing together the contributions of 58
leading researchers and drawing on case studies and examples from
across the globe, the Handbook is intended as a scholarly, yet
accessible reference tool for researchers, students, and
practitioners interested in the field of migration and health.
Contributors include: S. Bacci, L. Baldassar, C. Bennouna, J.
Botfield, E. Chase, J. Cook, E. Duffell, R. Evans, J. Gideon, K.
Hall, A.-C. Hoyez, D. Ingleby, H. Jayaweera, M.-A. Karlsen, M.
Kilke, R. Labonte, Y. Lu, S. Mayell, L. Manderson, M. McKee, J.
McLaughlin, C. McMichael, L. Merla, S. Meyer, P. Mladovsky, L.
Newman, C. Newman, T. Noori, L. Nunez Carrasco, A. Odone, D. Oksen,
S. Oram, M. Ormond, G. Ottosdottir, C. Packer, A. Pharris, O.
Razum, B. Rechel, A. Reeske, A. Reid, V. Runnels, A. Sandgren, R.
Shadwick, D. Sime, J. Spallek, D.L. Spitzer, L. Stark, J.E. Suk, A.
Tianbo Zhang, T. Tillmann, F. Thomas, K. Vasey, J. Vearey, G.A.
Williams, R. Wilding, S.S. Willen, H. Zeeb, A. Zwi
Increased use of artificial intelligence (AI) is being deployed in
many hospitals and healthcare settings to help improve health care
service delivery. Machine learning (ML) and deep learning (DL)
tools can help guide physicians with tasks such as diagnosis and
detection of diseases and assisting with medical decision making.
This edited book outlines novel applications of AI in e-healthcare.
It includes various real-time/offline applications and case studies
in the field of e-Healthcare, such as image recognition tools for
assisting with tuberculosis diagnosis from x-ray data, ML tools for
cancer disease prediction, and visualisation techniques for
predicting the outbreak and spread of Covid-19. Heterogenous
recurrent convolution neural networks for risk prediction in
electronic healthcare record datasets are also reviewed. Suitable
for an audience of computer scientists and healthcare engineers,
the main objective of this book is to demonstrate effective use of
AI in healthcare by describing and promoting innovative case
studies and finding the scope for improvement across healthcare
services.
Cost-benefit analysis is the only method of economic evaluation
that can effectively indicate whether a health care treatment or
intervention is worthwhile. In this thoroughly updated and revised
second edition, Robert Brent expands the scope of the field by
including the latest concepts and applications throughout all
regions of the world. This book attempts to strengthen the link
between cost-benefit analysis and the mainstream health care
evaluation field, which is dominated by non-economists. The need to
build a bridge between the two is more important than ever before,
as the general understanding of cost-benefit analysis appears to
have regressed.Case studies are used throughout to explain and
illustrate the various methodologies being examined. In addition,
the author now covers more of the statistical requirements that are
necessary to understand and carry out health care evaluations, and
follows an applied economics approach. Ultimately, he resolves a
number of disputes and makes some new, but subtle, contributions by
reinterpreting, correcting and extending existing work. The book
covers the topic in an accessible manner, from the foundations to
the frontiers of the field, and clearly explains all the necessary
economic principles along the way. Cost-Benefit Analysis and Health
Care Evaluations, Second Edition will be invaluable to students and
researchers of health economics, public policy and health care
policy, as well as policymakers and health care practitioners. It
can also be used as a comprehensive introductory text by anyone
with an interest in cost-benefit analysis. From this perspective,
the new additional final chapter is particularly useful as it
supplies a summary of CBA that highlights the main conclusions of
the text in a single chapter. Contents: 1. Introduction to Health
Care Evaluation 2. Cost Minimization and the Definition of 'Cost'
3. Types of Costs and their Measurement 4. External Costs 5. Social
Cost of Taxation 6. Fundamentals of Cost-effectiveness Aanalysis 7.
Further Issues of Cost-effectiveness Analysis 8. Fundamentals of
Cost utility Analysis 9. Measuring Utilities in Cost utility
Analysis 10. Cost-utility Analysis and Equity 11. Cost-benefit
Analysis and the Human Capital Approach 12. Cost-benefit Analysis
and Willingness to Pay 13. Cost-benefit Analysis and Equity 14.
Methods for Measuring the Benefits of HIV/AIDS Interventions Index
Smart healthcare technology improves the diagnosis and treatment of
patients, provides easy access to medical facilities and emergency
care services, and minimizes the gaps between patients and
healthcare providers. While clinical data protection remains a
major challenge, innovations such as the internet of medical things
and smart healthcare systems increase the efficiency and quality of
patient care. Healthcare technology can only become faster, more
profitable, and more flexible as additional research on its
advancements is conducted and collected. Smart Medical Data Sensing
and IoT Systems Design in Healthcare is an essential reference
source that focuses on robust and easy solutions for the delivery
of medical information from patients to doctors and explores
low-cost, high-performance, highly efficient, deployable IoT system
options in healthcare systems. Featuring research on topics such as
hospital management systems, electronic health records, and
bio-signals, this book is ideally designed for technologists,
engineers, scientists, clinicians, biomedical engineers, hospital
directors, doctors, nurses, healthcare practitioners, telemedical
agents, students, and academicians seeking coverage on the latest
technological developments in medical data analysis and
connectivity.
In a powerful blending of memoir and practical strategies from a
medical doctor's perspective, The Gift of Caring: Saving Our
Parents - and ourselves - from the Perils of Modern Healthcare
reveals the hidden side of modern healthcare practices for aging
Americans. This ground-breaking book, co-written by award-winning
author Marcy Houle and nationally-recognized geriatrician and
public health advocate, Elizabeth Eckstrom MD MPH, sheds new light
on aging by showing it from twin perspectives: the story of a
daughter desperately seeking help for the parents she loves, and a
geriatrician who offers life-changing strategies that can protect
our loved ones and ourselves. Today, for many older adults, the
medical delivery system is confusing, fragmented, and ill-equipped
to provide comprehensive, person-centered care. Under our current
healthcare model, thousands of aging persons face unnecessary
suffering, hospitalizations and nursing home stays, and even
preventable death. Seniors and families often feel powerless as
they travel this sad journey. Not having knowledge of aging's
changes, they resign themselves to believing there is nothing
anyone can do to help, while some health care professionals simply
write off symptoms seniors endure as "just old age." But as Marcy
Houle discovered in caring for her parents, many of the problems
often are not "just old age." Further, the real issue is not that
the answers to ease suffering don't exist. Rather, what we need to
know is generally not available to the general public. Even more
concerning, many health care professionals have had little or no
training in the care of older adults. The Gift of Caring hopes to
change that. It is written to give empowerment to all older adults,
family members, and health care professionals, by sharing much
needed knowledge and practical strategies. The Gift of Caring shows
the best ways to advocate for our parent's health care ... and our
own ... by giving us the tools we need to insist upon the better
way. Your parents and you deserve the best healthcare as you age-
But there are so many reasons why that's not happening.You can
change that.
With the growing use of new technologies and artificial
intelligence (AI) applications, intelligent systems can be used to
manage large amounts of existing data in healthcare domains. Having
more intelligent methods for accessing data allows medical
professionals to more efficiently identify the best medical
practices and more concrete solutions for diagnosing and treating a
multitude of rare diseases. Intelligent Systems for Healthcare
Management and Delivery provides relevant and advanced
methodological, technological, and scientific approaches related to
the application of sophisticated exploitation of AI, as well as
providing insight into the technologies and intelligent
applications that have received growing attention in recent years
such as medical imaging, EMR systems, and drug development
assistance. This publication fosters a scientific debate for new
healthcare intelligent systems and sophisticated approaches for
enhanced healthcare services and is ideally designed for medical
professionals, hospital staff, rehabilitation specialists, medical
educators, and researchers.
In The Coronavirus Crisis and Its Teachings: Steps towards
Multi-Resilience Roland Benedikter and Karim Fathi first describe
the pluri-dimensional characteristics of the Coronavirus crisis.
Then they draw the pillars for a more "multi-resilient" Post-Corona
world including socio-political recommendations of how to generate
it. The Coronavirus crisis proved to be a bundle crisis consisting
of multiple, interconnected crisis dimensions. Before Corona, most
concepts of a "resilient society" implied a rather isolated focus
on only one crisis at a time. Future preparedness in the 21st
century will require a multi- and transdisciplinary risk-management
concept that the authors call "multi-resilience".
"Multi-resilience" means to systematically enhance universal
resilience competencies of societies, such as collective
intelligence or overall responsiveness, being appliable to
pluri-dimensional crisis contexts. If the Coronavirus crisis in
retrospect will have contributed to implement multi-resilience,
then it will ultimately have contributed to progress. This volume
includes a Foreword by Jan Nederveen Pieterse and an Afterword by
Manfred B. Steger.
Scientific evidence from different countries around the globe shows
that those with low or inadequate health-related knowledge and
skills include all ages, social, and economic backgrounds. The
consequences of this inadequacy simultaneously affect individuals,
healthcare systems, and society in many ways, such as healthcare
quality and cost. Research on health literacy can provide insight
on how to improve the communication of health issues, raise
awareness, and promote the lifelong learning of patients and
healthcare professionals. Optimizing Health Literacy for Improved
Clinical Practices examines the latest advances in providing and
helping patients and medical professionals to understand basic
health information and the services that are most appropriate.
Featuring coverage on a broad range of topics such as patient
engagement, mobile health, and health communication, this book is
geared towards medical professionals, hospital adminstrators,
healthcare providers, academicians, and researchers in the field.
'Light' from low level laser therapy, through a process called
photobiomodulation (PBM), has been in existence in supportive care
in cancer, in particular in the management of oral mucositis (OM)
in patients undergoing chemotherapy, radiation therapy and
haematopoietic stem cell transplantation. In this book the authors
attempt to portray the current status of the supportive care
interventions that are possible with PBM using low level laser
therapy (LLLT) in patients undergoing cancer treatment for solid
tumours, harmatological malignancies, and head and neck cancers.
Ethics of Inclusion captures fairness and social justice for all
from an ethical perspective in our post-pandemic world. The book
discusses inequality in Healthcare, Economics & Finance,
Education, Digitalization, and the Environment, in order to
envision economics of diversity and a transition to a more
inclusive society. A wide-ranging approach addresses issues of
inequality in access to innovations such as telemedicine and
artificial intelligence, economic gains of robotics, and big data
insights. A rising performance gap between the finance sector and
the real economy opens in the post-COVID-19 era, with
system-inherent inequality, given elevated inflation levels and
disparate impacts of low interest rate regimes around the globe.
Education offers social transfer hubs and inclusion potential for
societal advancement and international development. The transition
to a greener economy is addressed in an analysis of the Green New
Deal and European Green Deal including the Sustainable Finance
Taxonomy. The book sets out a hopeful agenda for equality and
social justice to deliver a post-pandemic Renaissance.
Powerful new approaches and advances in medical systems drive
increasingly high expectations for healthcare providers
internationally. The form of digital healthcare - a suite of new
technologies offering significant benefits in cost and quality -
allow institutions to keep pace with society's needs. This book
covers the need for responsible innovation in this area, exploring
the issues of implementation as well as potential negative
consequences to ensure digital healthcare delivers for the benefit
of all stakeholders. This book offers a considered view on what a
responsible innovation process might involve and how this will
enable multiple stakeholders - users, medics, businesses and
policymakers - to create a system of delivering better care at
lower costs. Illustrated by international case studies, the
contributing authors explore the dimensions of responsible
innovation with patient engagement and the ways in which this can
lead to better design, enhanced diffusion of knowledge and
improvement in healthcare. A much-needed exploration of the role of
innovation in healthcare with patients in mind, this book will be
essential for academics in innovation, ethics, social
entrepreneurship and healthcare studies.
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