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Books > Medicine > General issues > Health systems & services > General
Recent years have witnessed a dramatic surge in applied econometric work in health economics, enhanced by the availability of large micro and macro data sets as well as the rapid development of new techniques and tools in econometrics. Health economics is an important and challenging area of research for applied econometricians, due to complexity embedded in the data, arising from issues such as nonlinearity of models, the presence of individual-level unobserved heterogeneity as well as time and cross sectional dependencies. This book covers a wide range of existing and emerging topics in applied health economics. These include: behavioural economics, medical care risk, social insurance, discrete choice models, cost-effectiveness analysis, health and immigration, vignette approach, response of parental investments to child's health at birth, determinants of innovation in the pharmaceutical industry, hospital competition, use of administrative data, spatial health econometrics, health expenditure, and networks.
This book provides a practical introduction to and overview of the development and implementation of evidence-based practice. It focuses on how to look for and appraise the available evidence, how to apply the evidence using a variety of approaches and in different organisational contexts, and how to understand different dimensions of personal and organisational change and its ethical components. Numerous examples from practice and case studies clarify theory Very readable writing style and user-friendly format with checklists of key issues Opportunities for reflective learning Update on current policy and regulatory frameworks Role of clinical governance in evidence-based practice considered.
The "graying of America" is perhaps the most significant demographic event of recent times. Health care and nutrition have improved, and baby boomers reaching middle age and retirement will influence American society both now and in the years to come. Vierck and Hodges present vital statistics on aging Americans in a readable and interesting format, describing trends, offering insights, and providing a framework for understanding the data. More than 250 tables, graphs, and charts provide carefully selected and presented information on: - The size and growth of the older population - Life expectancy - Health risks and practices - Nutrition - Chronic conditions and common health problems among the aged - Mental health - Prescription and over-the-counter drugs - Long-term care (both home and nursing home) - Hospice care - Death - Paying for health care This book includes many previously unpublished data sources, and Vierck and Hodges offer analytical support to clarify the vast amount of information. Comprehensive analyses, for example, were conducted on newly available nursing home, home health care, and hospice care data, and an extensive interpretation of nutrition data by Kris Hodges provides new perspectives on the nutritional status of the elderly. The book, divided into 16 chapters on different aspects of aging and health, will be useful to gerontologists, geriatricians, health policy analysts, researchers, librarians and information specialists, marketing professionals, journalists, students, and others doing research on aging, health, and health services.
A multidisciplinary international team examines the safety, ethics, and health implications of the emerging global market for health care, and the issues that arise when patients cross borders for medical procedures they cannot afford or access at home, from liposuction to kidney transplants. Risks and Challenges in Medical Tourism: Understanding the Global Market for Health Services provides an in-depth, comprehensive assessment of the benefits and risks when health care becomes a global commodity. The collection includes contributions from leading scholars in law and public policy, medicine and public health, bioethics, anthropology, health geography, and economics. This timely and informative handbook looks at medical tourism from the perspective of some of the major regions that send and receive medical tourists, including the United States, the European Union, Southeast Asia, and Latin America. Contributors examine how government agencies, medical tourism companies, international hospital chains, and other organizations promote medical tourism and the globalization of health care. The topics explored include the legal remedies available to medical tourists when procedures go awry; potential consequences when patients cross borders for medical procedures that are illegal in their home countries; the relationship of medical tourism to international spread of infectious disease; and the lack of adequate transnational policies and regulations governing the global market for health services.
One of the central engines of the current shift towards decentralization and reorientation of healthcare services is mobile healthcare (mHealth). mHealth offers unique opportunities to reduce cost, increase efficiencies, and improve quality and access to healthcare. However, the full impact of mHealth is just beginning to be felt by the medical community and requires further examination to understand the full range of benefits it contributes to medical staff and patients. Mobile Health Applications for Quality Healthcare Delivery explores the emergence of mHealth in the healthcare setting and examines its impact on patient-centered care, including how it has reshaped access, quality, and treatment. Highlighting topics such as patient management, emergency medicine, and health monitoring, this publication supports e-health systems designers in understanding how mobile technologies can best be used for the benefit of both doctors and their patients. It is designed for healthcare professionals, administrators, students, health services managers, and academicians.
Using a political economy of health, Gender, Globalization, and Health in a Latin American Context demonstrates how the development of health systems in Latin America was closely linked to men's participation in formal labor. This established an inherent male bias that continues to shape health services today. While economic liberalization has created new jobs that have been taken up mainly by women, these jobs fail to offer the same health entitlements. Author Jasmine Gideon explores the resultant tensions and gender inequalities, which have been further exacerbated in the context of health care commercialization.
Although forced migration is not new in human history it has become, in our time, one of the world's major problems. In the last few decades, armed conflict and political unrest have created vast numbers of asylum seekers, refugees and displaced persons. This has led, in turn to increasing involvement of professional care workers and agencies, both governmental and nongovernmental. While there is no doubt on the part of helping parties that care is necessary, there is considerable debate about the kind of care that is needed. This book presents a critical review of mental health care provisions for people who have had to leave their homeland, and explores the controversies surrounding this topic. Providing fresh perspectives on an age old problem, this book covers humanitarian aid and reconstruction programs as well as service provision in host countries. It is of interest to all those who provide health services, create policy, and initiate legislation for these populations.
Without new ways to think and manage itself strategically, academic healthcare faces terminal deterioration. Heightened competition and changing dynamics have brought turbulence to teaching hospitals, and the main impact has been financial. Langabeer and Napiewocki give health care executives the tools and concepts of strategic management they need and ways to strengthen analytic skills, all based on up-to-date empirical research, cast in language they can grasp and relate to, and specially tailored to help teaching hospital administrators cope successfully with today's marketplace challenges. Board members, trustees, and others with decision- and policy-making responsibilities will also find the book essential, as well as their teaching colleagues and students on their way up in the hospital industry. The authors maintain that if nonprofit teaching hospitals are to compete successfully with private for-profit hospital chains, not only must they learn the terrain of the playing fields, they must also learn how the game itself is played. Langabeer and Napiewocki offer that knowledge, and in doing so have written the first book of its kind to address comprehensively the entire realm of strategic management aimed clearly at teaching hospitals and major academic medical centers. With findings from primary empirical research into a large sample of teaching hospitals and focusing on the statistical relationships to economic performance, they provide crucial insights into why certain hospitals are more effective than others. Their book will also help healthcare executives relate strategy research on industrial organizations to their own teaching hospital environments. In doing so, their book fills a void in the literature on business strategy that for too long has caused consternation among healthcare administrators and aspirants alike.
For the first time, an accomplished scholar offers a painstakingly researched examination of the United States' involvement in deliberate disease spreading among native peoples in the military conquest of the West. The speculation that the United States did infect Indian populations has long been a source of both outrage and skepticism. Now there is an exhaustively researched exploration of an issue that continues to haunt U.S.-Native American relations. Barbara Alice Mann's The Tainted Gift: The Disease Method of Frontier Expansion offers riveting accounts of four specific incidents: The 1763 smallpox epidemic among native peoples in Ohio during the French and Indian War; the cholera epidemic during the 1832 Choctaw removal; the 1837 outbreak of smallpox among the high plains peoples; and the alleged 1847 poisonings of the Cayuses in Oregon. Drawing on previously unavailable sources, Mann's work is the first to give one of the most controversial questions in U.S. history the rigorous scrutiny it requires.
Much of the debate about health policy in the United States has focused on the availability of health insurance coverage and the relatively large number of individuals who are uninsured. While tackling the problem of the uninsured might improve access to and utilization of health care, it would likely have little effect on the health of the population, as there is only a weak connection between health insurance coverage and health. Expanding health insurance coverage alone is unlikely to significantly improve the health of the population or narrow health disparities within the population, given that many of the major causes of poor health such as smoking, obesity, and physical inactivity are largely unaffected by health insurance. The narrow focus on the uninsured in the health policy debate comes at the expense of other policies that could improve health faster and more significantly for every dollar spent. It is well known that the United States spends approximately twice as much per capita on health care as most other developed nations, but that there is little difference in population health between the United States and other developed nations. This suggests that we are on the 'flat part of the curve' of health care spending with respect to health and as a result need to pursue other approaches for improving population health. In light of the imbalance in the health policy debate in the US, in November 2007, the Institute of Government and Public Affairs and the College of Medicine of the University of Illinois sponsored a conference entitled, Beyond Health Insurance: Public Policy to Improve Health. The purpose of the conference was to make available to the public new research on policies that can significantly improve the health of the US population. The conference focused on four areas: reducing racial and ethnic health disparities, preventing disease and promoting health, developing and regulating pharmaceuticals, and improving consumer information.
Combined oral contraceptives are the most convenient and accepted method of hormonal contraception. Nevertheless, the medical community and consumers constantly demand innovation, additional benefits during use and lower hormonal load despite the high safety profile of available products. At the Ernst Schering Research Foundation Workshop 52, new perspectives and mechanisms for tissue-selective, estrogen-free contraception were discussed. The aim of the workshop was to bring together experts in the field of molecular and pharmacodynamic action of progestins with clinicians and medical experts to discuss potential medical endpoints, physiological reactions and (bio)marker useful describing the tissue selectivity and the contraceptive action of new progestins in different target organs. A major factor for successful realization of these new concepts is a deeper understanding of local pharmacological responses to progestins in general and to new progestins in particular.
A unique contribution to research on feminist care ethics. Drawing on a wealth of practical experience across eight different disciplinary fields, the international contributors demonstrate the significance of care ethics as a transformative way of thinking and highlight the necessity of thinking about the ethics of care within policies and practice.
Artificial intelligence (AI) is revolutionizing every aspect of human life including human healthcare and wellbeing management. Various types of intelligent healthcare engineering applications have been created that help to address patient healthcare and outcomes such as identifying diseases and gathering patient information. Advancements in AI applications in healthcare continue to be sought to aid rapid disease detection, health monitoring, and prescription drug tracking. Advancement of Artificial Intelligence in Healthcare Engineering is an essential scholarly publication that provides comprehensive research on the possible applications of machine learning, deep learning, soft computing, and evolutionary computing techniques in the design, implementation, and optimization of healthcare engineering solutions. Featuring a wide range of topics such as genetic algorithms, mobile robotics, and neuroinformatics, this book is ideal for engineers, technology developers, IT consultants, hospital administrators, academicians, healthcare professionals, practitioners, researchers, and students.
Covering a wide range of topics in medical economics, the author provides a comprehensive study of cost containment and financial management. The issues of health care competition, regulation, marketing, and the impact of health finances on the quality of care are addressed.
Rising health care costs consumed one-fifth of the economic growth in the United States between 1980 and 1987, and increased at a rate much greater than that of inflation. One of the ways in which the country is seeking to control these costs is through health maintenance organizations. With their emphasis on prepayment for comprehensive medical care, and their use of risk-sharing with providers, they represent a distinct change from traditional fee-for-service medicine. This book examines the growth and development of HMOs over the past two decades, detailing the success that they have had in controlling costs, and assesses the quality of care they provide to their 33 million current enrollees. Perry Moore begins his study with a brief survey of the health care crisis and HMOs, covering such topics as regulation versus competition and decreasing patient satisfaction. He then presents a detailed history of HMOs and a look into their future, an analysis of utilization and costs in these organizations, and an assessment of the quality of care provided. Subsequent chapters examine the interaction between HMOs and employers, physicians, pharmacists, Medicaid, and Medicare; the particular problems that are faced by HMOs in rural areas; the characteristics of preferred provider organizations and how they compare with HMOs; and issues of managed competition and cost containment as they will affect the future of HMOs. This timely work will be a most valuable reference source for professionals in human resources and benefits management, as well as for students in these and related fields.
No matter what type of healthcare insurance coverage you have, "Jiggered" will help you understand where you fit into the overall scheme of things, how your specific type of insurance works and how it will be affected in both quality and quantity over the next few years. You'll find that the only real crisis in healthcare is the one caused by the Federal government's inability to fiscally control and monitor itself. Who is being jiggered? Who is being unethically manipulated for someone else's gain? It's probably you and everyone like you. You have a job, pay your taxes, feed, clothe, educate and insure your children, own a home or are saving for one and generally behave in a lawful, fiscally responsible and upstanding manner. You're an ordinary upper or middle class American. Some of you have made it through the daily struggle to realize your dreams and have found financial rewards and others of you are still working at it. You all have one thing in common. You're part of the solution, not part of the problem. Are you jiggered? You figure it out.
In the Himalayan Kingdom of Bhutan, medical patients engage a variety of healing practices to seek cures for their ailments. Patients use the expanding biomedical network and a growing number of traditional healthcare units, while also seeking alternative practices, such as shamanism and other religious healing, or even more provocative practices. The Patient Multiple delves into this healthcare complexity in the context of patients' daily lives and decision-making processes, showing how these unique mountain cultures are finding new paths to good health among a changing and multifaceted medical topography.
Each Student Book and ActiveBook has clearly laid out pages with a range of supportive features to aid learning and teaching: Getting to know your unit sections ensure learners understand the grading criteria and unit requirement. Pause Point features support formative assessment and enable learners to gauge attainment of knowledge at regular intervals. Case Study and Theory into practice features enable development of problem-solving skills and place the theory into real life situations learners could encounter. Assessment practice features provide scaffolded assessment practice activities that help prepare learners for assessment. Within each assessment practice activity, a Plan, Do and Review section supports learners' formative assessment by making sure they fully understand what they are being asked to do, what their goals are and how to evaluate the task and consider how the could improve. Literacy and numeracy activities provide opportunities for reinforcement in these key areas, placing the skills into a Health and Social Care context. Dedicated Think future pages provide case studies from the industry, with a focus on aspects of skills development that can be put in practice in a real work environment and further study.
In this book, 22 authors discuss development of Ambient Assisted Living. It presents new technological developments which support the autonomy and independence of individuals with special needs. As the technological innovation raises also social issues, the book addresses micro and macro economical aspects of assistive systems and puts an additional emphasis on the ethical and legal discussion. The presentation is supported by real world examples and applications.
It has been well documented that the health status of many Aboriginal people remains the poorest in Australia despite many years of research, policies and interventions. The third edition of "Binan Goonj: Bridging Cultures in Aboriginal Health 3e" explores the processes and practices which have created this situation and looks to provide practical strategies to work towards redressing it. Extensively adopted as a teaching text across Australia, Binan Goonj provides coverage of essential Aboriginal health topics in an accessible manner. This edition challenges the reader to examine their own values, the relativity of values and the use of power in society with a writing style that will engage readers from a range of backgrounds. Thoroughly updated and revised the third edition of "Binan Goonj: Bridging Cultures in Aboriginal Health 3e" provides current up-to-date literature addressing the complexity and multidisciplinary topics of Indigenous Health. |
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