"The healthcare industry in the United States consumes roughly 20% of the gross national product per year. This huge expenditure not only represents a large portion of the country's collective interests, but also an enormous amount of medical information. Information intensive healthcare enterprises have unique issues related to the collection, disbursement, and integration of various data within the healthcare system.Information Systems and Healthcare Enterprises provides insight on the challenges arising from the adaptation of information systems to the healthcare industry, including development, design, usage, adoption, expansion, and compliance with industry regulations. Highlighting the role of healthcare information systems in fighting healthcare fraud and the role of information technology and vendors, this book will be a highly valued addition to academic, medical, and health science libraries."

Medicaid is the primary means for providing medical care to the nation's indigent and disabled populations. Almost 13 percent of all Americans received some form of medical coverage, such as physician services or long-term care, through Medicaid in the early 1990s. The costs continue to rise dramatically, and state governments have become alarmed by the growing share of their budgets that Medicaid consumes.

Daniels and his contributors present the efforts of 16 states to reform their Medicaid programs through a system of managed care--programs that seek to control or manage the use by patients of physicians and other heath care services. They present an overview of the inconsistency and paradox of American health care, pointing to the ways each state's unique political and economic variables give rise to individually stylized approaches to the delivery of Medicaid services. The most comprehensive look at state efforts in Medicaid reform, the book will be an invaluable resource for scholars and researchers in the fields of public and health administration, for practitioners, and for policymakers.

This book describes and discusses a practice-oriented approach to understanding and researching interprofessional simulation-based education and simulation. It provides empirical findings from research on this topic and is informed by practice-oriented perspectives. It identifies critical features of the simulation practice and discusses how these can be used in reforming simulation pedagogy. The book is divided into three sections. Section 1 sets the scene for understanding the practices of interprofessional simulation-based education and simulation. It provides a theoretical and methodological framework for the conceptualisation of practices and for the empirical studies on which the book is based. Section 2 revisits the dimensions of the simulation process/exercise, i.e. the briefing, simulation, and debriefing, and provides empirical analyses of how the practice of simulation unfolds. Based on these analyses, section 3 identifies and discusses how pedagogies for simulation can be reformed to meet the demands of future healthcare and research.

The international community has an interest in providing the global public good of infectious disease control. This requires surveillance, but efforts to implement surveillance programs have provoked resistance, particularly when outsiders and international organizations are involved. Are they collecting information to help or to discipline states? "Biopolitical Surveillance and Public Health in International Politics "examines the role of biopolitical surveillance in international politics. How can the international community balance the need to engage in surveillance for disease control while simultaneously allaying fears about the purpose of such programs? Using historical and contemporary case studies, Youde traces the shifting balance between surveillance and global public good provision and suggests that a human rights-based strategy offers a stable compromise.

This issue of Clinics in Perinatology reviews Healthcare Associated Infections in the Neonatal Intensive Care Unit. Guest Editors Drs. Karen Fairchild and Richard Polin have assembled a panel of expert contributors to pen articles on Epidemiology and Risk Factors for NICU HAI: Genes and Environment; Strategies to Reduce NICU HAI: Line, Tube, and Hand Hygiene;? Candida in the NICU: Pros and Cons of Prophylaxis; MRSA in the NICU; New Concepts of Microbial Translocation in the Neonatal Intestine: Mechanisms and Prevention; Antibiotic Resistance in NICU Pathogens: Mechanisms, Clinical Impact, and Prevention; Biomarkers for LONS: Cytokines and Beyond; Heart Rate Variability: A Novel Physiomarker for Sepsis Detection in the NICU; Ventilator-Associated Pneumonia; Perinatal Infection and Prematurity; and Meningitis in Neonates: Bench to Bedside.

This book offers a clear, yet comprehensive guide to how to structure a design project, focusing in particular on the key questions designers, architects, policy makers and health professionals should consider when working towards inclusion through design. The book is based on a series of lessons held by the author and his colleague Avril Accolla, whose aim was to train technicians at all levels to be capable of catering for the needs of the elderly. It clearly draws the outline of their "Ask the Right Question" approach, whose purpose is to help convey the notions in question appropriately to people with such widely different backgrounds, curricula, interests and cultures. Using a minimalist approach, based mainly on the discussion of eye-catching real-life examples placed in logical order and a crystal clear, engaging style, this book is a must-have for designers, technicians, customers and health practitioners, as well as social scientists and policy makers who deal with inclusive design at different levels and anyone interested in topics related to technological evolution and social integration.

In 1927 in the field of health care an unusual event occurred. Morris Aaron Cohen, M.D. founded the Boston Evening Clinic, an unusual and never before conceived facility for the treatment of the indigent and low-wage earners who could not afford to lose a day s pay. It was an endeavor that achieved success against overwhelming odds: the objections of the Massachusetts Medical Society, major hospitals, banks, and businesses. Often denounced as unethical or even called a liar by an outstanding member of the Society who believed Morris Cohen was taking money from the poor and placing it in his own pockets, the besieged man never surrendered. None of the criticisms was justified and all were proved false. Why? Because Dr. Morris Cohen, as his memoir attests, persisted; because he believed there were many among us who required the kind of care he believed in. Eventually, this humane man who believed in the dignity of human beings, who recognized the needs of people unable to pay for medical care during the day, rose in stature with his clinic until eventual recognition by Presidents of the United States and persons, both medical and lay, within the United States and beyond.

Critical Reviews:
Even though the concept and mission of the Boston Evening Clinic was the first of its kind in the nation, and a model that pre-dated and influenced the sweeping health care laws that ultimately created Medicare and Medicaid, Dr. Cohen s vision was repeatedly thwarted by the myopic business and medical leadership, who apparently failed to grasp the longer term social value of improved health, cost savings, and job preservation that resulted from the Boston Evening Clinic s model of unfettered, timely and preventive care.
- Roseanna H. Means, M.D.
President and Chief Medical Officer, Women of Means, Inc.
Internal Medicine, Brigham & Women's Hospital
Associate Clinical Professor of Medicine, Harvard Medical School

Healing After Dark is an inspiration for the next generation of health care reformers. It is a reminder to the current ones that the requirements of perseverance, hard work, with little financial remuneration and movement to overcome the inertia of status quo are practically a guarantee that you are on to something of great importance.
- Margaret A. Caudill-Slosberg, MD, PhD, MPH

Dr. Cohen gives readers an exciting insight into the founding and operation of a unique medical facility that still serves a model for these times, as well as an evocation of the life and culture of early twentieth-century Boston.
- Bernard M. Hyatt, publisher emeritus of "The Jewish Advocate," Boston

About the Author:
Richard Shain Cohen of Cape Elizabeth, Maine, is originally from Boston. He retired from the University of Maine at Presque Isle after serving as Vice President of Academic Affairs and Professor of English. He holds B.S., M.A., and Ph.D. degrees.
He served as editor of the journal "Husson Review" and was principal participant in a National Endowment for the Arts Grant for Images of Aroostook that was exhibited throughout the State of Maine.
His own publications, in addition to this book include: "The Forgotten Longfellow: Man in the Shadows" (2010), "Only God Can Make a Tree," poetry from himself and his brother, Alfred Robert Cohen; and the novels "Monday: End of the Week, Be Still, My Soul," and "Petal on a Black Bough." He also wrote chapters for "Aroostook: Land of Promise," academic reviews, other articles, and with the help of a Shell Grant a monograph on Samuel Richardson that can be found in major library holdings.
Aside from the present book, in progress is a fourth novel.

This book presents the findings of the highly respected eight-year Cornell-New York Hospital second opinion elective surgery program. The study covered 470,000 people in voluntary second opinion programs and an additional 273,000 people through a health insurance program mandating consultation. The authors present evidence that second opinion programs can effect significant medical cost reductions, even while enhancing the quality of care.

"Kroll-Smith and Floyd have, with both clarity and sensitivity, provided considerable insight into an important arena of contemporary experience."
--"American Journal of Sociology"

"Elegantly written. . . . the book is built around the narratives of multiple chemical sensitivity (MCS) sufferers themselves. . . . Due to its relevant subject matter, its interdisciplinary approach, its readability, and its interesting theoretical arguments, "Bodies in Protest" should be appealing to a wide audience."
--"Organization and Environment"

"This engagingly written and thought-provoking book provides one of the first sustained sociological analyses of a baffling, controversial, and spectacular medical condition."
--"Social Forces"

Gulf War Syndrome: Is It a Real Disease? asks a recent headline in the "New York Times," This question--are certain diseases real?--lies at the heart of a simmering controversy in the United States, a debate that has raged, in different contexts, for centuries. In the early nineteenth century, the air of European cities, polluted by open sewers and industrial waste, was generally thought to be the source of infection and disease. Thus the term miasma--literally deathlike air--came into popular use, only to be later dismissed as medically unsound by Louis Pasteur.

While controversy has long swirled in the United States around such illnesses as chronic fatigue syndrome and Epstein-Barr virus, no disorder has been more aggressively contested than environmental illness, a disease whose symptoms are distinguished by an extreme, debilitating reaction to a seemingly ordinary environment. The environmentally ill range from those who have adverse reactionsto strong perfumes or colognes to others who are so sensitive to chemicals of any kind that they must retreat entirely from the modern world.

"Bodies in Protest" does not seek to answer the question of whether or not chemical sensitivity is physiological or psychological, rather, it reveals how ordinary people borrow the expert language of medicine to construct lay accounts of their misery. The environmentally ill are not only explaining their bodies to themselves, however, they are also influencing public policies and laws to accommodate the existence of these mysterious illnesses. They have created literally a new body that professional medicine refuses to acknowledge and one that is becoming a popular model for rethinking conventional boundaries between the safe and the dangerous.

Having interviewed dozens of the environmentally ill, the authors here recount how these people come to acknowledge and define their disease, and themselves, in a suddenly unlivable world that often stigmatizes them as psychologically unstable. "Bodies in Protest" is the dramatic story of human bodies that no longer behave in a manner modern medicine can predict and control.

Events have spiralled since the first edition of How to Dismantle the NHS in 10 Easy Steps. The junior doctors' strike, the Conservative victory in the 2015 general election, the Corbyn phenomenon, the unexpected Brexit vote and the arguably even more unexpected loss of the Conservative majority in 2017. Further, since writing the first edition, Dr. Youssef El-Gingihy found himself stricken with a life-threatening illness and the NHS doctor became the NHS patient. The fight to save the NHS transformed into a fight for his own life. Now, fully recovered, Dr. Youssef El-Gingihy returns to his 10 Easy Steps in order to strengthen his original argument and continue what Labour leader, Jeremy Corbyn, deems 'one of the most fundamental battles we face in a struggle for a British society that works for the many'. In the year of the 70th anniversary of the NHS, Dr El-Gingihy's insights have never been more vital as our national health service continues to be hit by the privatisation of public services. New expanded second edition with chapters on junior doctor's strikes and plans for US-style healthcare.

Designed for easy reference, this concise manual provides hospital board members and executives with practical guidance on how to become actively engaged in the transformation of their organization. It focuses on how the healthcare industry as a whole is transforming and stresses the importance of having board members who are knowledgeable and skilled enough to provide leadership during this time of great opportunity. This manual is ideal for orienting new board members and for providing more experienced members with insight on key issues. It supplies a list of questions to ask stakeholders that will facilitate engagement and ultimately encourage participation. Each of the chapters is organized around action steps referred to as Top Healthcare Transformers. These are designed to disseminate best practices, build organizational quality, establish transparency, and develop the culture and leadership needed to facilitate change that is intelligent and progressive. Each of those 10 chapters includes - The Problem: A brief, quantitative look at the problem The Transformer: What will transform and make healthcare different Best Practices: Examples of current best practices indicative of the transformer Board Questions: Questions every board member should consider asking and every executive should be prepared to answer A concluding chapter provides the overall governance engagement checklist-the things to do to make certain that board members and senior colleagues are engaged and prepared to lead your organization's transformation. Includes a foreword by John R. Combes, MD, President and Chief Operating Officer, Center for Healthcare Governance

Nursing home reform, Professor Farmer asserts, calls for increased emphasis upon issues related to life rather than care. Organizational climate, which reflects the nursing home's unique position to impact life issues, provides a conceptual framework for effective interventions, evaluations, and ultimately meaningful reform.

The general atmosphere of most nursing homes remains overwhelmingly negative in spite of those few homes that are credited with excellence. Professor Farmer believes that the concept of organizational climate holds promise for better understanding the complexities and impact of atmosphere in any one nursing home. At the same time, organizational climate as a concept is poorly understood. There is a need to rethink the concept and return to the original notion of weather as its metaphor. Farmer attempts this in her case study by describing organizational climate where it can best be captured.

Practitioners of long-term care, from the fields of administration, geronotology, nursing, nutrition, policy makers, occupational and physical therapy, social work, and therapeutic recreation will find the insights of this study of great value, as will graduate students, scholars, and others concerned with organizational studies and issues in gerontology.

This revised edition of Arnold Birenbaum's important book brings the work up to date through the end of 1994 and the close of the 103rd Congress. It offers a comprehensive, provocative, and completely new assessment of health care reform with a focus on financing and coverage. A fine primer...on the health care debate (JAMA), the book examines such topics as the changing doctor-patient relationship, the growth of managed care, the rise and decline of hospitals, American business and health benefits, and the uninsured in America. This new edition takes particular heed to the failure of health care reform in 1994. In responding to the first edition, Victor Sidel, M.D., former president of the American Public Health Association, called it, "A wonderfully far-ranging, meticulously documented, insightfully analyzed and remarkably well written challenge to professionals, patients, and community members to work for effective change in a bizarre, expensive, inefficient, and often unresponsive medical care system."

A major objective of this volume is to create and share knowledge about the socio-economic, political and cultural dimensions of climate change. The authors analyze the effects of climate change on the social and environmental determinants of the health and well-being of communities (i.e. poverty, clean air, safe drinking water, food supplies) and on extreme events such as floods and hurricanes. The book covers topics such as the social and political dimensions of the ebola response, inequalities in urban migrant communities, as well as water-related health effects of climate change. The contributors recommend political and social-cultural strategies for mitigate, adapt and prevent the impacts of climate change to human and environmental health. The book will be of interest to scholars and practitioners interested in new methods and tools to reduce risks and to increase health resilience to climate change.

This book presents the healthcare reform experiences of six small- to mid-sized, but dynamic, economies spanning the Asia-Pacific, the Middle East and Europe. Usually not given serious consideration in major international comparisons because of their small size, each in fact provides a fascinating case study that illuminates the understanding of the dynamics of healthcare reform. Although dissimilar in historical and cultural backgrounds, they share some important features: all faced very similar pressures for change in the 1970s and 1980s; all considered a very similar range of policy options; and all did not only discuss but actually implemented fundamental changes in their healthcare funding, organization, contracting and governance structures with strikingly different outcomes.All of the authors have lived and worked in one or more of the countries studied in this volume. The analytic frameworks they use reflect their broad range of professional and disciplinary backgrounds in health economics and political science. Beyond mere descriptions of reform processes and superficial analyses based on aggregate data from the usual OECD or WHO sources, they seek to understand - and explain - the variations in country experiences by examining the politico-socio-economic factors driving health reform as seen through the respective country lenses. In coming together in this unique international collaboration, they make an important contribution to the growing field of international comparative health policy studies.Contributors: Tsung-Mei Cheng (Princeton University, USA), David Chinitz (The Hebrew University of Jerusalem, Israel), Luca Crivelli and Iva Bolgiani (University of Lugano, Switzerland), Meng-Kin Lim (National University of Singapore, Singapore), Kieke G H Okma and Hans Maarse (Maastricht University, The Netherlands), Toni Ashton and Tim Tenbensel (University of Auckland, New Zealand).

This book provides an overview of the global pharmaceutical pricing policies. Medicines use is increasing globally with the increase in resistant microbes, emergence of new treatments, and because of awareness among consumers. This has resulted in increased drug expenditures globally. As the pharmaceutical market is expanding, a variety of pharmaceutical pricing strategies and policies have been employed by drug companies, state organizations and pharmaceutical pricing authorities.

There is little doubt that information technology is a major force in transforming healthcare systems: physicians need to have considerable patient data at hand, even if diagnosis and treatment are relatively straightforward. But data are only as useful as ICT-information communication technology-systems make them. Inefficient handling of data can quickly lead to chaos, and possibly to fatalities. Strategic ICT Planning in Pathology illuminates these problems, as well as their potential solutions, based on a unique body of research from Australia. Focusing on core strategic factors such as laboratory information systems capability and effectiveness, business-IT alignment, strategic spending, research and education, and end-user involvement, the book explains why pathology labs lag behind other hospital departments. Survey and focus group findings pinpoint the importance of Strategic Information System Planning (SISP), and its relationship to quality service delivery and an improved bottom line [ok?]. Among the topics covered: Approaches to SISP and IS effectiveness measurement. The OpenLabs project and pathology practice. Development of a framework for SISP. Focus groups: the view from the hospital laboratory, the private pathology lab, and the experts. Key findings and their implications for strategy, planning, and business outcomes. Future research directions, including reverse SISP. Strategic ICT Planning in Pathology is a go-to resource for healthcare administrators and researchers in healthcare management, health policy, and health services research interested in troubleshooting systems, conducting surveys on IS, or better understanding how quality ICT works.

In this thought-provoking portrait of AIDS Healthcare Foundation, the world s largest HIV/AIDS medical care provider, award-winning journalist Patrick Range McDonald reveals the nonprofit s unlikely rise from a feisty grassroots organization during the 1980s AIDS crisis in Los Angeles to its position today as an aggressive, global leader in the ongoing fight to control HIV and AIDS. This riveting story highlights the motivations behind AHF s life-saving efforts, its battles against (and alliances with) governments and various political establishments, and its work today to provide free HIV treatment and prevention services to vulnerable, lower-income people in more than thirty countries. With unrestricted, insider access, McDonald follows AHF for a year as it clashes with the Obama administration, the state of Nevada, and the World Health Organization. He interviews AHF s key players, including firebrand president Michael Weinstein, and he travels to AHF outposts around the globe, from Miami to Uganda, Cambodia to Russia, Estonia to South Africa. Along the way, McDonald discovers that AHF is a passionate, smart, and tenacious people power organization that brings hope and change to nearly all corners of the world. Beyond its work as a highly effective global AIDS organization, the AHF story also provides a blueprint for every kind of righteous rebel who wants to make the world a better place."

From exotic spa treatments to euthanasia, this book examines the background and social context of medical tourism-the practice of traveling for health care. This work also documents how this industry is reshaping the face of medicine worldwide for individuals, local communities, and national health care systems. Medical Tourism: A Reference Handbook provides an accessible overview of the state of medical tourism, written from a balanced, unbiased perspective. The authors provide relevant social context for this controversial topic, discussing the state of extremely limited research data on medical tourism; the ethical issues involved, such as traveling to have a black-market organ transplanted; and the significant impact of medical tourism on health care systems-that of the United States, and those of the destination countries. The book highlights many contemporary problems, controversies, and implications of medical tourism both for individuals and health care systems, and presents thought-provoking potential solutions. The topic of medical tourism is also addressed against the backdrop of current healthcare reforms in the United States. Readers can reference a wealth of additional material on medical tourism, ranging from original documents to extensive directories of selected organizations and resources. A timeline of important historical and contemporary events in history of medical tourism An extensive bibliography to assist readers toward additional resources for further research

France's INTRODUCTION TO SPORTS MEDICINE AND ATHLETIC TRAINING, 3rd Edition, equips you with a solid understanding of the functional concepts of the human body and then teaches you how to apply that knowledge to real-life practice. It combines comprehensive coverage of Nutrition, Sports Psychology, Kinesiology and therapeutic modalities with the latest research, concussion protocols and guidelines for First Aid, CPR and AED. An all-new section is devoted to athletes with disabilities and their right to participate, and an entire chapter is dedicated to special challenges that athletes face. Vivid illustrations, photos, artwork and diagrams bring chapter concepts to life. In addition, insight into a wide range of careers in the Sports Medicine field helps you plan for the future. It's the ideal text for anyone interested in athletics and the medical needs of athletes.

Gabriel of Urantia asked the question, in the beginning of his struggle with dialysis, "God, why is this happening to me?" Throughout his 8-month dialysis experience, 3 days a week, 4 hours a day, being tied down to a chair while his blood flowed from his body through a machine and back, he realizes-from the people he meets also on dialysis and in the hospitals after post-kidney-transplant-that very bad things happen to very good people. He met young and old alike, tied down to the machines just like he was, and the young people were the hardest for him to resolve in his mind with God and also to try to give them hope. As a minister, he felt obligated to do so. Being a Pastor of a church (Global Community Communications Alliance-a very social, environmental, and spiritual activist church), he knew that bad things happened to good people who try to change the world. But this disease is personal, between him and God you might say. So he had to discover for himself why God allowed this to happen to him and to the other very good people he met with various traumatic illnesses in the hospitals and dialysis centers. Gabriel of Urantia tries to explain how he felt along the path, from the beginning to the receiving of his new kidney from his 22-year-old daughter and gaining the hope and health to continue not only his spiritual work, but his work as a musician, guitar player, and singer (in which he was planning a tour around the country with his 11-piece Bright & Morning Star Band), while now taking immunosuppressant drugs to keep him alive. He had all the fears that a new transplant patient has. How long will the kidney last? What other affects do these drugs have on my body? He writes about his experience with the medical world, the services he experienced from both very qualified people and those not so qualified (experienced and inexperienced care givers), as well as the bureaucracy of the medical field and insurance companies (both private and governmental). He realized that often in the medical field, the right hand didn't know what the left hand was doing and the patient suffered the results. Beyond that, Gabriel of Urantia tries to give hope to people with life-threatening illnesses by sharing his faith in the Creator to all who may read his book. A must-read for anyone on dialysis or with any life-threatening illness, from a writer who went through this and can identify with what they are going through and give them hope through this trauma in their lives.