One of the most urgent issues facing the United States today is how to establish a comprehensive health insurance program at a time when nearly one in seven Americans lack insurance and costs for health care and medical fees are increasing at about 20 percent annually. An interdisciplinary team of experts provides a unique overview of the most important current problems and speaks to the key questions of risk, allocation, and equity. This text is designed for college, university, and professional courses in health and medical policy, public policy, public administration, law and society, bioethics, nursing, science and technology, and hospital administration. This public policy study offers a general framework for assessing health insurance from many vantage points, in terms of health policy impacts, the care of the needy, health insurance implementation, and prevention and risk. Chapters assess various national health insurance proposals, current congressional action and Medicare decisions, the social impacts of health insurance policy, coverage for displaced workers, the uninsured and hospital care in the inner city, charity care and community benefits, insuring high-risk persons, preventive health care screening for older women, and medical malpractice insurance, among other subjects. These analyses with real-life examples provide a solid introduction to all who want to understand health insurance and public policy issues today.

Healthcare organizations depend on managers to build effective peer relationships to manage complex patient needs. Today, top management is fighting the many headed monster Hydra from Greek Mythology. The organization is steeped in conflict between peers. But, as soon as one problem is resolved, two more have grown in its place. These appear to be personal conflicts, but instead follow patterns of dysfunction. This book provides the conceptual frameworks for identifying these and for developing peer to peer relationship competence in the healthcare organization.

All over the world, women are organizing to improve their status in society and to better their health and health care. Women's activism is rooted in the global context of resource inequities between the North and the South and among genders, races, and classes within countries. Women fight for better health services and struggle with the pharmaceutical industry, and their responses to the violence they experience are at the very heart of their health movements. Most women organize first around demands for reproductive rights, and then expand to question care for the mentally ill, disabled, and malnourished.

Paul Dugdale argues that Australia's health policy scene is in rude health, with regular debates about major reform and a steady stream of minor reforms. What motivates these debates and reforms? How can nine governments, and scores of professional associations, charities and businesses interact effectively without a master plan? Why are some health policy changes met with widespread enthusiasm and others enormous resistance?Dugdale traces the history of the economic and social forces which have shaped Australia's health system. He examines the thinking of government as it is expressed through contemporary health policy, and the roles of the key players including hospitals, the medical profession and health departments. He also discusses major current concerns including Indigenous health, health finance, the medical labour market, health protection and safety issues.With its insider's perspective on the health system and policy debates, Doing Health Policy in Australia is essential reading for health professionals working in management and policy roles.Paul Dugdale's account of health policy in Australia is engaging, philosophical, reflective and socially informed. - Professor Stephen Leeder, University of SydneyA distinctive addition to the pantheon of Australian books on health policy, weaving together social theory, history and philosophy with reflective commentaries on the Australian health system and health policy, and on being an activist within the policy-making world. It challenges convention and standard expectations. - Professor Vivian Lin, La Trobe University

This book aims to identify, understand and qualify barriers to the patient-centred knowledge sharing (KS) in interprofessional practice of Traditional Chinese Medicine (TCM) and Western Medicine (WM) healthcare professionals in Chinese hospitals. This collaboration is particularly crucial and unique to China since, contrary to Western practice, these two types of professionals actually work together complimentary in the same hospital. This study adopted a Grounded Theory approach as the overarching methodology to guide the analysis of the data collected in a single case-study design. A public hospital in central China was selected as the case-study site, at which 49 informants were interviewed by using semi-structured and evolving interview scripts. The research findings point to five categories of KS barriers: contextual influences, hospital management, philosophical divergence, Chinese healthcare education and interprofessional training. Further conceptualising the research findings, it is identified that KS is mostly prevented by philosophical and professional tensions between the two medical communities. Therefore, to improve KS and reduce the effects of the identified barriers, efforts should be made targeted at resolving both types of tensions. The conclusion advocates the establishment of national policies and hospital management strategies aimed at maintaining equality of the two medical communities and putting in place an interprofessional common ground to encourage and facilitate communication and KS.

There are more than 80 different sleep disorders including insomnia, sleep apnea, restless leg syndrome, hypersomnia, circadian rhythm disorders, and parasomnia. Good sleep is necessary for optimal health and can affect hormone levels and weight. The use of artificial intelligence (AI) and biomedical signals and images can help in healthcare diagnostics that are related to these and other sleep disorders. Advancing the Investigation and Treatment of Sleep Disorders Using AI presents an overview of sleep disorders based on machine intelligence methods in order to learn and explore the latest advancements, developments, methods, systems, futuristic approaches, and algorithms towards sleep disorders and to address their challenges. This book also discusses recent and future advancements in various feature extraction techniques and machine learning methods. Covering topics such as biomedical signal processing, augmented reality for clinical investigation, and sleep disorder detection, this book is essential for sleep medicine practitioners, clinical psychologists, psychiatrists, medical technologists, doctors, IT specialists, biomedical engineers, researchers, graduate students, and academicians.

This publication identifies and discusses important challenges affecting eHealth in the EU and North America in the three areas of law, ethics and governance. It makes meaningful contributions to the eHealth discourse by suggesting solutions and making recommendations for good practice and potential ways forward. Legal challenges discussed include issues related to electronic medical records, telemedicine, the Internet and pharmaceutical drugs, healthcare information systems and medical liability. Ethical challenges focus on telehealth and service delivery in the home, Web 2.0 and the Internet, patient perceptions and ethical frameworks. Governance challenges focus on IT governance in healthcare, governance and decision-making in acute care hospitals, and different models of eHealth governance. The publication provides useful support materials and readings for persons active in developing current understandings of the legal, ethical and governance challenges involved in the eHealth context.

From the author of Why We Get the Wrong Politicians, a gripping, provocative exploration of the NHS, told through the most critical moments in its 75-year history 'The book the NHS has always deserved' Andrew Marr 'Funny, intelligent and so beautifully written . . . a much-needed book' Chris van Tulleken 'Brilliant' Adam Kay ________________ Since its foundation in 1948, the NHS has come to define our national identity; it even topped the "what makes Britain great" poll in 2022. It has made history (and the headlines) again and again - from cutting edge discoveries like the first 'test tube baby', to its heroic response to the Coronavirus crisis. But the NHS has also become a battleground for some of the fiercest political contests of our time, perceived either as a national treasure, or as a lumbering piece of state machinery in need of renovation. In Fighting for Life, bestselling journalist Isabel Hardman cuts through the sentimentality and sloganeering on all sides of the political spectrum. Packed with gripping stories from the people at the beating heart of this venerated institution - its nurses, its doctors, its patients and the politicians who decide its fate - this is the essential book for understanding our NHS, and who we are as a nation.

In India today only 35 percent of people have access to medicines. This book examines the rise of drug prices in India, and develops a new healthcare model, which if implemented, would extend access to medicines to India's entire population. Sensitivity tests show that the proposed model is affordable, equitable and implementable

This book covers the scope of current knowledge of cancer in the LGBT community across the entire cancer continuum, from understanding risk and prevention strategies in LGBT groups, across issues of diagnosis and treatment of LGBT patients, to unique aspects of survivorship and death and dying in these communities. Each chapter includes an in depth analysis of the state of the science, discusses the many remaining challenges and unanswered questions and makes recommendations for research, policy and programmatic strategies required to address these. Focus is also placed on the diversity of the LGBT communities. Issues that are unique to cancer in LGBT populations are addressed including the social, economic and cultural factors that affect cancer risk behaviors, barriers to screening, utilization of health care services, and legislation that directly impacts the health care of LGBT patients, healthcare settings that are heterosexist and unique aspects of patient-provider relationships such as disclosure of sexual orientation and the need for inclusion of expanded definition of family to include families of choice. The implications of policy change, its impact on healthcare for LGBT patients are highlighted, as are the remaining challenges that need to be addressed. A roadmap for LGBT cancer prevention, detection, diagnosis, survivorship, including treatment and end of life care is offered for future researchers, policy makers, advocates and health care providers.

Medical Professionals: Conflicts and Quandaries in Medical Practice offers a fresh approach to understanding the role-related conflicts and quandaries that pervade contemporary medical practice. While a focus on professional conflicts is not new in the literature, what is missing is a volume that delves into medical professionals' own experience of the conflicts and quandaries they face, often as a result of inhabiting multiple roles. The volume explores the ways in which these conflicts and quandaries are exacerbated by broader societal forces, including changing scientific and technological paradigms, commercialization, and strengthened consumer movements, which simultaneously expand the scope of roles and responsibilities that medical professionals are expected to fulfill, and make it more difficult to do so. Several empirical chapters analyze data from qualitative interview studies with clinicians and other stakeholders. The studies highlight the burdens on clinicians who are expected to make informed and justified judgments and decisions in the midst of competing pressures; authors describe the methods that clinicians use to address the associated tensions within specific contexts. Two conceptual chapters follow and offer some innovative ways to think about the challenges facing medical professionals as they strive to make sense of the changing landscape within healthcare. The first reflects on the challenges to clinical practice in the midst of shifting and often competing definitions of disease and associated ideologies of care. The second reflects more broadly on the utility of value pluralism as a framework for conceptualizing and working through moral and professional quandaries. The book concludes with a chapter containing suggestions for how members of the medical profession might reframe their thinking about their roles, responsibilities, and decision-making in the midst of inevitable quandaries such as those presented here. This book will be of vital reading for academics, researchers, educators, postgraduate students, and interested health care practitioners and administrators.

The greatest public health victories of the last century - public sanitation, vehicle safety measures, limits on smoking and tobacco use - have all been facilitated by public policies. While policy is an unparalleled tool for effecting change in public health, most professionals are unprepared to plan, apply, or study policy in a consequential way. Prevention, Policy, and Public Health provides a basic foundation for students, professionals, and researchers to be more effective in the policy arena. It offers information on the dynamics of the policymaking process, theoretical frameworks, analysis, and policy applications. It also offers tools for advocacy and communication, two integral aspects of shaping policies for public health. Organized around the leading risk factors for premature death and supplemented with illustrative case study examples, this book will help professionals and researchers understand the dimensions of policy, which can in turn inform the conduct of research and evaluation. These skills, combined with an understanding of opportunities and limitations within governments, can be highly applicable to designing effective policies and programs. With current pressures to implement broad and sustainable public health improvements, policies are more important than ever for anyone in the study and practice of public health. This book can be considered a primer to truly understanding the connection between prevention, policy, and public health.

Each day, new applications and methods are developed for utilizing technology in the field of medical sciences, both as diagnostic tools and as methods for patients to access their medical information through their personal gadgets. However, the maximum potential for the application of new technologies within the medical field has not yet been realized. Mobile Devices and Smart Gadgets in Medical Sciences is a pivotal reference source that explores different mobile applications, tools, software, and smart gadgets and their applications within the field of healthcare. Covering a wide range of topics such as artificial intelligence, telemedicine, and oncology, this book is ideally designed for medical practitioners, mobile application developers, technology developers, software experts, computer engineers, programmers, ICT innovators, policymakers, researchers, academicians, and students.

The Oxford Handbook of Health Economics provides an accessible and authoritative guide to health economics, intended for scholars and students in the field, as well as those in adjacent disciplines including health policy and clinical medicine. The chapters stress the direct impact of health economics reasoning on policy and practice, offering readers an introduction to the potential reach of the discipline.
Contributions come from internationally-recognized leaders in health economics and reflect the worldwide reach of the discipline. Authoritative, but non-technical, the chapters place great emphasis on the connections between theory and policy-making, and develop the contributions of health economics to problems arising in a variety of institutional contexts, from primary care to the operations of health insurers. The volume addresses policy concerns relevant to health systems in both developed and developing countries. It takes a broad perspective, with relevance to systems with single or multi-payer health insurance arrangements, and to those relying predominantly on user charges; contributions are also included that focus both on medical care and on non-medical factors that affect health. Each chapter provides a succinct summary of the current state of economic thinking in a given area, as well as the author's unique perspective on issues that remain open to debate. The volume presents a view of health economics as a vibrant and continually advancing field, highlighting ongoing challenges and pointing to new directions for further progress.

Everyone knows the old adage, "an ounce of prevention is worth a pound of cure," but we seem not to live by it. In the Western world's health care it is commonly observed that prevention is underfunded while treatment attracts greater overall priority. This book explores this observation by examining the actual spending on prevention, the history of health policies and structural features that affect prevention's apparent relative lack of emphasis, the values that may justify priority for treatment or for prevention, and the religious and cultural traditions that have shaped the moral relationship between these two types of care.
Economists, scholars of public health and preventive medicine, philosophers, lawyers, and religious ethicists contribute specific sophisticated discussions. Their descriptions and claims lean in various directions and are often surprising. For example, the imbalance between prevention and treatment may not be as great as is often thought, and we may be spending excessively on many preventive measures just as we do on treatments compelled by the felt demands of rescue. A standard practice in health economics that disadvantages prevention, "discounting" the value of future lives, may rest on weak empirical and moral grounds. And it is an "apocalyptic" religious tradition (Seventh-day Adventism) whose members have put some of the strongest and most effective priority on long-term prevention.
Prevention vs. Treatment is distinctive in carefully clarifying the nature of the empirical and moral debates about the proper balance of prevention and treatment; the book pursues those debates from a wide range of perspectives, many not often heard from in health policy.

The first English hospitals appeared soon after the Norman Conquest. By the year 1300 they numbered over 500, caring for the sick and needy at every level of society - from the gentry and clergy to pilgrims, travellers, beggars and lepers. Excluded from towns, but placed by main highways where they could gather alms, they had a complex relationship with medieval society: cherished yet marginalised, self-contained yet also parasitic. This book - the first general history of medieval and Tudor hospitals in eighty-five years - traces when and why they originated and follows their development through the crisis periods of the Black Death and the English Reformation when many disappeared. Nicholas Orme and Margaret Webster explore the hospitals' religious, charitable and medical functions, examine their buildings, staffing and finances, and analyse their inmates in terms of social background and medical needs. They reconstruct the daily life of hospitals, from worship to living conditions, food and care. The general survey is complemented by a regional study of hospitals in the south-west of England, including detailed histories of all the recorded institutions in Cornwall and Devon.

In this remarkable book, Gary Wright focuses thirty years experience as a family physician, and his Ph.D. in philosophy, to address the nature of good medical reasoning. Wright folds cognitive science into a pragmatist framework developed by John Dewey; this alternative view of mind and medical judgment leads to a model of reasoning that offers realistic guidance for medical decisions, one that each of us would want our own physicians to adopt.

This second volume to result from the Diebold Institute Infostructure Project focuses on the roles that information-based technology can play in improving our society's overall health and well-being and in solving the major current and anticipated future problems of the cost and quality of and access to health care. The work outlines the general problem of healthcare in the U.S. and then examines the possibilities and problems inherent in developing and implementing healthcare infostructures. Also provided are expert policy analyses comparing medical information systems in the U.S. with those in Japan and Europe. This book will be crucial to an understanding of the future potential of information systems in America's healthcare sector.

"This book argues that the new actors in global health constitute a 'private turn' in global health governance, and provides theoretical and practical grounds for viewing global health partnerships and philanthropic foundations as closely aligned in their ideational and material approaches to a range of important issues and crises"--Provided by publisher.

This book is the second edited compilation of selected, refereed papers submitted to ERTEP 2007. The book is organized into 10 chapters along four of the key themes that were discussed at the conference: Environmental Health Management; Mining and Environment; Environmental Monitoring and Policy Development; and Susta- ability and Social Responsibility. It is hoped that the contents of the book will p- vide an insight into some of the environmental and health management challenges confronting the developing world and the steps being taken to address them. The ?rst three chapters under the Environmental Health and Management theme discusses issues related to food security and related environmental distress in sub- Saharan Africa. Chapter 1 argues that pervasive poverty and low agricultural p- ductivity are important factors in understanding food insecurity in the region, and broader global processes are examined. This chapter maintains that while poverty undermines individual and household access to suf?cient food through market p- chase, land inequalities, corruption, structural adjustment programs, civil con?ict, HIV/AIDS and the role of the World Trade Organization Agreement on Agric- ture are decisive. The authors argue that achieving food security in sub-Saharan Africa requires policies and actions that are integrated with efforts to reduce poverty, enhance livelihoods and incomes and increase agricultural output, while also paying attention to underlying structural factors that bear on agriculture in the region.

One of the challenges encountered in the provision of healthcare is the inability of healthcare systems to adapt to or respond adequately to adverse events (pandemics or otherwise), especially in settings with limited resources. ICTs can be built into healthcare systems to detect and/or mitigate adverse events. The COVID-19 pandemic has showcased the opportunities that are brought forth by ICTs such as the adoption of online consultations by doctors and other innovative ways of providing healthcare despite public health regulations, travel restrictions, and fears tied to physical appointments. Beyond the COVID-19 era, there is a need to reimagine how ICTs could be adopted in healthcare to ensure resilience in the advent of any of these future adverse events. Building Resilient Healthcare Systems With ICTs highlights the various ways ICTs could assist in building resilience within healthcare systems and the various contexts in which resilience could be built within healthcare systems. It portrays practical implications of and value derived from building resilience in healthcare systems. Covering topics such as electronic health information systems, multimodal representation, and supply chain management, this book is an essential resource for healthcare executives, government officials, researchers, computer engineers, and academicians.

Health Care is a central pillar of the Welfare State, in fact, the second pillar in terms of expenditure after pensions. However, we know little about how they perform. European Health Care Systems have been put increasingly under pressure during the last two decades. They have had to face a quadrilemma: to control costs and the increase in public expenditure; to guarantee equality of access; to maximize the quality of care; and to guarantee the responsiveness of the health system and the satisfaction of patients and professionals working in the field. Achieving good results on all these four objectives is extremely difficult and often trade-offs arise among different objectives. Using in-depth case study analysis on eight health care systems, belonging to different Welfare State traditions, and comparative statistical analysis on a broader group of countries, the book connects the main policy reforms of the last two decades with how well these systems perform, in terms of economic efficiency, medical achievements, social inequalities, and patients' and workers' conditions.

In the middle decades of the twentieth century, Asia was at the heart of international efforts to create a new utopia: a world free from disease. Positioned at the unexplored boundary between international history and the history of colonial/postcolonial medicine, the book is a political, intellectual, and social history of public health in Asia, from the 1930s to the early 1960s. The discussion takes India as its core focus, but highlights the international networks connecting developments in India with the Asian region and the wider world, from Rangoon to New York. Drawing on a diverse range of sources, the book contributes to debates on nationalism, internationalism and the post-colonial State.