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Books > Medicine > General issues > Health systems & services > General
Monitoring real-time human health through nanosensors Sensing human health through nanobiosensors Diagnosis of medical disease through nanobiosensors Using wearable sensors for remote healthcare monitoring system Monitoring patients in real-time with point-of-care technology Detecting biomarkers of cancer and other diseases
Poor Families in America's Health Care Crisis examines the implications of the fragmented and two-tiered health insurance system in the United States for the health care access of low-income families. For a large fraction of Americans their jobs do not provide health insurance or other benefits and although government programs are available for children, adults without private health care coverage have few options. Detailed ethnographic and survey data from selected low-income neighborhoods in Boston, Chicago, and San Antonio document the lapses in medical coverage that poor families experience and reveal the extent of untreated medical conditions, delayed treatment, medical indebtedness, and irregular health care that women and children suffer as a result. Extensive poverty, the increasing proportion of minority households, and the growing dependence on insecure service sector work all influence access to health care for families at the economic margin.
Patients with unmet needs will continue to increase as no viable nor adequate treatment exists. Meanwhile, healthcare systems are struggling to cope with the rise of patients with chronic diseases, the ageing population and the increasing cost of drugs. What if there is a faster and less expensive way to provide better care for patients using the right digital solutions and transforming the growing volumes of health data into insights? The increase of digital health has grown exponentially in the last few years. Why is there a slow uptake of these new digital solutions in the healthcare and pharmaceutical industries? One of the key reasons is that patients are often left out of the innovation process. Their data are used without their knowledge, solutions designed for them are developed without their input and healthcare professionals refuse their expertise. This book explores what it means to empower patients in a digital world and how this empowerment will bridge the gap between science, technology and patients. All these components need to co-exist to bring value not only to the patients themselves but to improve the healthcare ecosystem. Patients have taken matters into their own hands. Some are equipped with the latest wearables and applications, engaged in improving their health using data, empowered to make informed decisions and ultimately are experts in their disease(s). They are the e-patients. The other side of the spectrum are patients with minimal digital literacy but equally willing to donate their data for the purpose of research. Finding the right balance when using digital health solutions becomes as critical as the need to develop a disease-specific solution. For the first time, the authors look at healthcare and technologies through the lens of patients and physicians via surveys and interviews in order to understand their perspective on digital health, analyse the benefits for them, explore how they can actively engage in the innovation process, and identify the threats and opportunities the large volumes of data create by digitizing healthcare. Are patients truly ready to know everything about their health? What is the value of their data? How can other stakeholders join the patient empowerment movement? This unique perspective will help us re-design the future of healthcare - an industry in desperate need for a change.
Disruptive technologies are gaining importance in healthcare systems and health informatics. By discussing computational intelligence, IoT, blockchain, cloud and big data analytics, this book provides support to researchers and other stakeholders involved in designing intelligent systems used in healthcare, its products, and its services. This book offers both theoretical and practical application-based chapters and presents novel technical studies on designing intelligent healthcare systems, products, and services. It offers conceptual and visionary content comprising hypothetical and speculative scenarios and will also include recently developed disruptive holistic techniques in healthcare and the monitoring of physiological data. Metaheuristic computational intelligence-based algorithms for analysis, diagnosis, and prevention of disease through disruptive technologies are also provided. Designing Intelligent Healthcare Systems, Products, and Services Using Disruptive Technologies and Health Informatics is written for researchers, academicians, and professionals to bring them up to speed on current research endeavours, as well as to introduce hypothetical and speculative scenarios.
In healthcare, the realisation of an optimistic prognosis against pessimistic ones depends on current innovations in diagnostic and cost-effective treatment approaches being widely adopted in clinical practice. Utilisation of advanced early and predictive diagnostics, targeted prevention and personalised medical approaches could enable the elderly subpopulation to reach the 100-year age limit in good physical and mental health, as actively contributing members of society. This task requires intelligent political regulations and creation of new guidelines to advance current healthcare systems. In this book, we will collect contributions from several geopolitical regions of Europe, Asia and USA that provide expert opinion on healthcare organisation and outlook as well as economical aspects of personalised medicine.
The use of Electronic Health Records (EHR)/Electronic Medical Records (EMR) data is becoming more prevalent for research. However, analysis of this type of data has many unique complications due to how they are collected, processed and types of questions that can be answered. This book covers many important topics related to using EHR/EMR data for research including data extraction, cleaning, processing, analysis, inference, and predictions based on many years of practical experience of the authors. The book carefully evaluates and compares the standard statistical models and approaches with those of machine learning and deep learning methods and reports the unbiased comparison results for these methods in predicting clinical outcomes based on the EHR data. Key Features: Written based on hands-on experience of contributors from multidisciplinary EHR research projects, which include methods and approaches from statistics, computing, informatics, data science and clinical/epidemiological domains. Documents the detailed experience on EHR data extraction, cleaning and preparation Provides a broad view of statistical approaches and machine learning prediction models to deal with the challenges and limitations of EHR data. Considers the complete cycle of EHR data analysis. The use of EHR/EMR analysis requires close collaborations between statisticians, informaticians, data scientists and clinical/epidemiological investigators. This book reflects that multidisciplinary perspective.
Long Road from Quito presents a fascinating portrait of David Gaus, an unlikely trailblazer with deep ties to the University of Notre Dame and an even more compelling postgraduate life. Gaus is co-founder, with his mentor Rev. Theodore M. Hesburgh, C.S.C., of Andean Health and Development (AHD), an organization dedicated to supporting health initiatives in South America. Tony Hiss traces the trajectory of Gaus's life from an accounting undergraduate to a medical doctor committed to bringing modern medicine to poor, rural communities in Ecuador. When he began his medical practice in 1996, the best strategy in these areas consisted of providing preventive measures combined with rudimentary clinical services. Gaus, however, realized he had to take on a much more sweeping approach to best serve sick people in the countryside, who would have to take a five-hour truck ride to Quito and the nearest hospital. He decided to bring the hospital to the patients. He has now done so twice, building two top-of-the-line hospitals in Pedro Vicente Maldonado and Santo Domingo, Ecuador. The hospitals, staffed only by Ecuadorians, train local doctors through a Family Medicine residency program, and are financially self-sustaining. His work with AHD is recognized as a model for the rest of Latin America, and AHD has grown into a major player in global health, frequently partnering with the World Health Organization and other international agencies. With a charming, conversational style that is a pleasure to read, Hiss shows how Gaus's vision and determination led to these accomplishments, in a story with equal parts interest for Notre Dame readers, health practitioners, medical anthropologists, Latin American students and scholars, and the general public.
India's health failures remain visible and pronounced despite high rates of economic growth since the 1980s and more than six decades of democratic rule. The authors address the key issues that emerge from the country's health situation, speculating on what it will take for low-income groups to begin claiming for better social services
This collection provides a broad coverage of recent changes in medical and vocational rehabilitation in Northern Europe. It presents analyses that cut across health sciences, medical sociology, disability studies and comparative welfare state research. Through this interdisciplinary perspective, the book explores the changing roles of patients, caregivers, professionals and institutions, and the wider implications of these changes for social inequalities in health. What obstacles do different groups of patients encounter when negotiating the complex chains of medical and vocational services? Who decides regarding references to specialized treatments, and the provision of comprehensive and coordinated services, and different types of benefits and material support? What is the importance of the resources that patients and caregivers bring to bear in the rehabilitation process?
"True wellness innovation requires the recruitment of multi-disciplinary participants. This book breaks the mold with examples from healthcare experts and other professionals who have leveraged informatics to better the lives of their constituents." - Jason Helgerson, Founder & CEO, Helgerson Solutions Group LLC Developed for those training in academic centers as well as for those already "out in the field," this book looks at how attorneys, behavioral health experts, business development experts, chief information officers, chief medical officers, chief nursing information officers, consumer advocates, cryptographic experts, futurists, geneticists, informaticists, managed care executives, nurses, pharmacists, physicians, public health professionals, software developers, systems security officers, and workforce experts are collaborating on a "team-based," IT-enabled approach to improve healthcare.
By analysing the roles and problems faced by international regimes as major players in global health governance, this book looks into the root causes of the often insufficient supply of global public goods for health and of the deficiencies in current global health governance. Combining several different methods of analysis and methodologies, this book sketches out the landscape of international public health governance involving a range of international actors. These include the World Health Organization, the World Trade Organization, the Biological Weapons Convention and international human rights regimes. Through a novel theoretical framework that synthesises the theory of securitisation, public goods and international regimes, the author then focuses on factors that have resulted in observed deficiencies in global health governance. Based on these examinations, the book also tries to explore feasible approaches for institutional refinement and innovations for greater effectiveness in global health governance. The book will appeal to academics and policy makers interested in global health, international relations and international law.
This detailed study analyzes the U.S. health care system with special emphasis placed on examining the Federal role in establishing health policy and how the diverse pieces of the system come together.
A 360-degree look at health care politics, policy, providers, and personalization that offers leaders important perspectives to successfully shape US health care after COVID-19 Over the past decade, the health economy has experienced the most dramatic change since the passage of Medicare and Medicaid in 1965. The Affordable Care Act's expansion of Medicaid, demographic-driven Medicare growth, and the digitization of health records have rapidly changed the traditional dynamics of the field-and the pandemic has accelerated this process. Experienced and aspiring health sector leaders must navigate an increasingly complex health care landscape in order to conceive, create, and implement solutions to improve our health care system now and in the future. The New Health Economy provides health professionals with a 360-degree look at the field by exploring four pillars of the health economy: politics, policy, providers, and personalization. Topics covered include the federal government's role as the largest payer and regulator of health care, health care finance and the shift from the fee-for-service model toward value-based care, the increasing consolidation of provider networks, and data-driven personalizations inside and outside of the field. Drawing from interviews with top leaders in the field-including a former CDC director, a former FDA commissioner, and the current CEOs of Pfizer and Johnson & Johnson-this essential guide compares each sector before and during the COVID-19 crisis. These comparisons shed light on how the pandemic has accelerated recent trends in health care and provide leaders with an outline for a strategic path forward. The New Health Economy brings together the best thinking from across the health care sector, providing insight into COVID-19's impact on the health economy and setting the ground rules required to shape a new health care system as we emerge from the pandemic. This valuable resource will benefit CEOs and other leaders in the health economy, from hospitals to provider networks and beyond.
Health and human services currently face a series of challenges - such as aging populations, chronic diseases and new endemics - that require highly complex responses, and take place in multiple care environments including acute medicine, chronic care facilities and the community. Accordingly, most modern health care interventions are now seen as 'complex interventions' - activities that contain a number of component parts with the potential for interactions between them which, when applied to the intended target population, produce a range of possible and variable outcomes. This in turn requires methodological developments that also take into account changing values and attitudes related to the situation of patients' receiving health care. The first book to place complex interventions within a coherent system of research enquiry, this work is designed to help researchers understand the research processes involved at each stage of developing, testing, evaluating and implementing complex interventions, and assist them to integrate methodological activities to produce secure, evidence-based health care interventions. It begins with conceptual chapters which set out the complex interventions framework, discuss the interrelation between knowledge development and evidence, and explore how mixed methods research contributes to improved health. Structured around the influential UK Medical Research Council guidance for use of complex interventions, four sections, each comprised of bite-sized chapters written by multidisciplinary experts in the area, focus on: - Developing complex interventions - Assessing the feasibility of complex interventions and piloting them - Evaluating complex interventions - Implementing complex interventions. Accessible to students and researchers grappling with complex interventions, each substantive chapter includes an introduction, bulleted learning objectives, clinical examples, a summary and further reading. The perspectives of various stakeholders, including patients, families and professionals, are discussed throughout as are the economic and ethical implications of methods. A vital companion for health research, this book is suitable for readers from multidisciplinary disciplines such as medical, nursing, public health, health services research, human services and allied healthcare backgrounds.
Today's healthcare leaders are facing challenges unlike ever before. New healthcare laws, reimbursement models and regulations unnerve even the most senior of leaders resulting in increasingly shorter tenures of those in leadership positions. The modern healthcare leader needs to be increasingly resilient but all relevant to their organizations and the industry. Phoenix Leadership: The Healthcare Executive's Strategy for Relevance and Resilience provides a brand new, innovative concept, that of the Phoenix Leader, with proven strategies and approaches to evolve your leadership approach to one that is flexible, powerful and effective. The attributes of the Phoenix Leader include: A strong sense of self Effective interpersonal relationships Ability to build an empowered workforce Innovative Resilience This book introduces a brand-new paradigm created by Val Gokenbach for leadership in complex organizations and provides effective strategies that will guide leaders in the healthcare field. Val possesses a doctoral degree in Management and organizational leadership and has been a healthcare executive for over 40 years. She is also a leadership consultant, professor, executive coach and author on leadership topics. You, as a healthcare leader, will learn to reinvent yourself by putting her proven concepts into effect to become a Phoenix in your organization.
We are in the midst of what may well be the most confusing, turbulent period in the history of modern medicine. This book seeks to cut through the fog and confusion that enshrouds the health care industry to provide clarity on where the industry stands today and where it is headed. The book defines the major challenges in health care through the journey of Northwell Health, one of the largest provider organizations in the country. The central issues in what is nearly one-fifth of the United States economy are played out daily within this not-for-profit organization. Northwell is New York state's largest workers, and $11 billion in annual revenue. The book candidly portrays key leaders within Northwell on the most vexing challenges in health care: How to provide primary and specialty care spending; how to create and sustain an internal system of continuous learning to enable employees at all levels to stay current in an industry that is changing at warp speed; how to provide emergency services in a world where natural disasters and acts of terrorism are inevitable; how to identify new revenue streams to offset reductions from Medicare and Medicaid; and how to push outside the walls of hospitals and clinics to improve the overall health of individuals and communities by working on determinants of health beyond the typical medical practice. The book exists at the intersection of medicine, business, social and public policy. Harvard's Michael Porter has written widely on health care arguing that it is time "for a fundamentally new strategy," but what, exactly? Where is the industry headed? What do the changes and the turbulence mean for patients, doctors, nurses? This book is the product of a learning journey both humbling and rewarding. Over time, lessons learned, improvements made, innovations conceived, have advanced Northwell Health in ways that, some years ago, might not have seemed possible. Northwell has become a national leader not because it is perfect, but because it remains steadfast in its journey to remain humble enough to know that whatever success may be achieved, the journey is about continuous learning and improvement. The goal of the book is to provide a deeper, clearer understanding of what is happening in health care and why; to help illuminate a pathway forward for patients and caregivers most of all, but also for policy-makers and the employers and others who pay for care.
Data integrity is fundamental in a pharmaceutical and medical devices quality system. This book provides practical information to enable compliance with data integrity, while highlighting and efficiently integrating worldwide regulation into the subject. The ideas presented in this book are based on many years' experience in regulated industries in various computer systems development, maintenance, and quality functions. In addition to case studies, a practical approach will be presented to increase efficiency and to ensure that the design and testing of the data integrity controls are correctly achieved.
John Glaser has been an astute observer and recognized leader in the health care industry for over thirty years. He has written a regular column for Hospitals & Health Networks in which he comments on a wide range of topics, including improving organizational performance through health information technology (HIT), changes in HIT architecture, challenges in leveraging data, and the evolution of the role of IT leadership. Glaser on Health Care IT: Perspectives from the Decade that Defined Health Care Information Technology is a collection of some of the most widely read articles that have been published in H&HN Daily, H&HN Weekly, and Most Wired Online in the past decade (2005-2015). The columns are dated to show their original publication dates, and the material is organized into four broad themes: HIT Applications and Analytics Challenges Improving Organizational Performance through HIT IT Management Challenges HIT Industry Observations Each section offers readers an intimate look at the myriad issues associated with getting IT "right" and the organizational performance gains that can be achieved in doing so. Moreover, the book examines the power and potential of the technologies available to health care providers today, as well as the transformative nature of those we have yet to fully embrace. From seasoned CIOs and consultants to software developers and nurses, this book provides invaluable insights and guidance to all those seeking to make the delivery of care safer, more effective, and more efficient through the application of health care IT. Foreword by Russ Branzell, President and CEO, College of Healthcare Information Management Executives (CHIME) Co-published with Health Forum, Inc.
In this original work, Tom Lawry takes readers on a journey of understanding what we learned from fighting a global pandemic and how to apply these learnings to solve healthcare's other big challenges. This book is about empowering clinicians and consumers alike to take control of what is important to them by harnessing the power of AI and the Intelligent Health Revolution to create a sustainable system that focuses on keeping all citizens healthy while caring for them when they are not.
The biggest issue of economics in a hospital are the resource issues. A resource issue in hospitals creates many problems such as the excessive number of patients, poor service quality, lack of diagnostic tools and equipment, dirty and worn out facilities, long queues at the outpatient clinic, lack of drugs and other medical supplies, low employee morale, and so on. Hospital economics mention three main resource issues in as problems including; (1) Resource allocation issue, (2) Resource management issue, and (3) Generation resources issue. The main economic problem of resource allocation in hospitals are production and cost function. These two functions related to issues of equality and effectiveness of the hospital. This book specifically discusses on the aspect of hospital resource allocation by highlighting the productivity, competitiveness, cost components, economic burden of disease, and economic aspects of infectious diseases originating from the hospital. The resource management issue is related to the use of existing resources in terms of input and output. The main important economic concept is efficiency, both technical efficiency, economical, and scale, as well as the relationship between these concepts. The resource management issue highlight the economic scale, human resource development, quality development, and lean implementation. The issue of generation resources, includes how the hospital is able to get the resources to run operations without having to cover the access of stratum of community thus violating the principle of equality. This book will highlight the issue of generation resources by including a discussion of the revenue components of the hospital and the impact of DRGs.
The allied health professions have gained legitimacy through the pursuit of research evidence and the standardisation of practice. Yet there remains very little analysis or understanding of these professions. Adopting theory from the sociology of health professions, this unique text explores the sociological, economic, political and philosophical pressures that have shaped the professions. Drawing on case studies and examples from occupations including optometrists, occupational therapists and physiotherapists to emerging vocations, including pedorthists and allied health assistants, this book offers an innovative comparison of allied health professions in Australia and Britain. By telling the story of their past, this original book prepares the allied health professions for a new and different future.
This edited book provides a range of perspectives on the handling of particular aspects of the Covid-19 pandemic across the principal states of South Asia. As the first academic volume to deal with the COVID-19 pandemic in South Asia, it examines such issues as how India has dealt with the fallout of the pandemic on its substantial diaspora in the Middle East; the competitive Sino-Indian vaccine diplomacy strategies in Bangladesh; Nepal's attempts to cope with the pandemic in light of its limited health infrastructure; Sri Lanka's differential treatment of its population based upon ethnic preferences; and how Pakistan's civil-military relations shaped its handling of the pandemic. The Introduction and the first section summarize the responses to the pandemic made by each principal state in the region. These chapters assess the process of decision-making within each state, with special attention placed on identifying and analzying the actors involved. The Covid-19 pandemic is also reshaping international relations of the subcontinent and the pandemic has laid bare several new cross-border challenges and opportunities that states will have to contend with in the future. The book also considers five of the most pressing issue areas. First, it considers how diaspora communities in the Gulf were affected by the pandemic, and what lessons South Asian sending states can take from protecting their citizens in the future. Second, the Covid-19 pandemic will affect how countries engage in status politics, shaping which countries will be able to lead in regional relations. Third, the Covid-19 pandemic is likely to affect prospects for regional cooperation, both for dealing with the current pandemic as well as future crises. Fourth, it will shape how South Asian states engage in global governance. Fifth, South Asian states may revisit their relations with China in light of the pandemic. This book will be of much interest to students of South Asian politics, human security and international relations.
For over a hundred years, millions of Americans have joined together to fight a common enemy by campaigning against diseases. In Common Enemies, Rachel Kahn Best asks why disease campaigns have dominated a century of American philanthropy and health policy and how the fixation on diseases shapes efforts to improve lives. Combining quantitative and qualitative analyses in an unprecedented history of disease politics, Best shows that to achieve consensus, disease campaigns tend to neglect stigmatized diseases and avoid controversial goals. But despite their limitations, disease campaigns do not crowd out efforts to solve other problems. Instead, they teach Americans to give and volunteer and build up public health infrastructure, bringing us together to solve problems and improve our lives.
- first book to describe coaching hospital care providers and teams; most everything else focuses only on general methods/techniques - should appeal to many professional coaching societies and associations
This book examines the historical and current state of health and the health of the African people, including the Arab North, impacted by such factors as geography and natural elements, cultural and colonial traditions, and competing biomedical and traditional systems. It also looks at technological advances, poverty and health disparities, utilization of resources, and international presence, as reflected by the work of the World Health Organization, and structural adjustments imposed by the IMF and the World Bank. |
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