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Books > Medicine > General issues > Health systems & services > General
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
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.
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.
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
You Don't Have to Do It Alone Whether you're prepared for it or not, chances are you'll take on the role of caregiver when a family member or friend is affected by a serious illness or injury, or when you find your elderly parent needs help. As you'll soon discover, the range of tasks and responsibilities involved are overwhelming. "Share The Care" offers a sensible and loving solution: a unique group approach that can turn a circle of ordinary people into a powerful caregiving team. "Share The Care" shows you how to:
Included here are valuable guidelines, compassionate suggestions, and a simple-to-use workbook section that together offer support to free the patient from worry and the caregivers from burnout. "Share The Care" offers friends and family the best answer ever to the frequently asked question "What can I do?"
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.
Amid a welter of simultaneous policy initiatives in the UK, health treatment centers were a top-down National Health Service (NHS) innovation that became subverted into a multiplicity of solutions to different local problems. This book is a highly readable account of how and why these centers evolved with completely unforeseen results, revealing clear practical lessons based on UK case-study research involving over 200 interviews. By following the case studies through each key stage of reform, the book tells the story of NHS reform in action. Well-structured and clearly written, it uncovers a range of difficulties and conflicts in pushing forward wide-sweeping reforms at a local level, and it outlines the practical lessons to be learned.
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.
This book encourages health professionals to reconceptualise their practice in the light of the fact that their patients are deteriorating and dying, supporting them in their dichotomous role which involves affirming that person's life whilst acknowledging that that life is ending. Professionals are encouraged to think laterally, to be creative in their use of their core skills, and to use their life skills and experience to change the focus of their interventions. By making these changes, those involved with caring for the dying will be able to address issues related to burnout and feeling de-skilled. The authors share their considerable experience with the reader - what works for both patient and carer/professional when working in this field. By providing workable solutions, they empower those in disempowering situations, such as when working with terminally ill children and adults. The book is truly holistic and client-centred in its approach, upholding the philosophy of palliative care. Aimed at all who interact with children and adults who have a life-limiting condition or who are dying Offers practical examples of approaches to dilemmas and emotional issues commonly face by those working in palliative care Encourages professionals to think laterally, to be creative in their use of core skills, and to use their life skills and experience to change the focus of their interventions Moves the emphasis away from the medical model to the emotional and spiritual influences on quality of life Offers clear, workable guidelines and demonstrates practical solutions, based on proven theory and experience, to problems encountered on a day-to-day basis by patients and those coming into contact with them
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.
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.
A New York Times Bestseller A Wall Street Journal Bestseller A New York Times Notable Book of 2020 A New York Times Book Review Editors' Choice Shortlisted for the Financial Times and McKinsey Business Book of the Year A New Statesman Book to Read From economist Anne Case and Nobel Prize winner Angus Deaton, a groundbreaking account of how the flaws in capitalism are fatal for America's working class Deaths of despair from suicide, drug overdose, and alcoholism are rising dramatically in the United States, claiming hundreds of thousands of American lives. Anne Case and Angus Deaton explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class. As the college educated become healthier and wealthier, adults without a degree are literally dying from pain and despair. Case and Deaton tie the crisis to the weakening position of labor, the growing power of corporations, and a rapacious health-care sector that redistributes working-class wages into the pockets of the wealthy. This critically important book paints a troubling portrait of the American dream in decline, and provides solutions that can rein in capitalism's excesses and make it work for everyone.
"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.
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.
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.
Developments in telepathology are progressing at a great speed. As a consequence, there is a need for a broad overview of the field. This first ever book on telepathology is presented in such a way that it should make it accessible to anyone, independent of their kno- edge of technology. The text is designed to be used by all prof- sionals, including pathologists, surgeons, nurses and allied health professionals, and computer scientists. In a very short time, driven by technical developments, the field of telepathology has become too extensive to be covered by only a small number of experts. Therefore, this Telepathology book has been written with chapter contributions from a host of renowned international authorities in telepathology (see the Table of Contents and the List of Contributors). This ensures that the subject matter focusing on recent advances in telepathology is truly up to date. Our guiding hope during this task was that as editors of multiple chapters we could still write with a single voice and keep the content coherent and simple. We hope that the clarity of this book makes up for any limitations in its comprehensiveness.
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.
Now, more than ever, the field of rehabilitation psychology is growing. Research programs are focusing on involving consumer participation from communities and society at large. Interventions are now designed to make fundamental changes so that all people - regardless of sensory, physical, or cognitive capacity - can fully participate. In addition, the field has begun to address central concerns in health care delivery and health policy. This book - one of the few that focuses solely on rehabilitation psychology research - provides recommendations for future research programs, policy changes, and clinical interventions from the various perspectives within rehabilitation psychology research and practice, and demonstrates how much the field can evolve with the implementation of these changes. Topics covered include: assistive technology; cultural diversity; community integration; future of rehabilitation research; health policy; employment; and health disparities.
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. |
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