State-of-the-art counter-terrorism techniques, insights into modern medical practice, medical errors, and disaster prevention all intersect in this groundbreaking book by Adam Dorin, M.D., an anesthesiologist and medical director across 15 years. Dr. Dorin shows us why our healthcare system may be the next Ground Zero for terrorism and how many opportunities there are for terrorists to infiltrate the system. He offers a history of medical and healthcare-related serial killers, showing how they got inside the system to murder relatively easily, takes a detailed look at the profound problems that already exist in counterfeit and tainted medicinal products, and describes biological, chemical, and nuclear terrorism that could be used against our healthcare system. Most critically, Dr. Dorin presents a detailed blueprint for safeguarding our system and preventing medical terrorism from ever taking place. In tackling largely hidden but potentially deadly issues such as the failures of security at hospitals and surgical centers, Dr. Dorin's unique book offers the first in-depth public expose and loud alert to the risks and gaping weak spots in our healthcare system. Written simply and clearly, this work will interest all readers concerned with terrorism and the ways they might become victim to it. Dr. Dorin's warnings should certainly also interest and inform leaders and employees in the security, law enforcement, and medical fields.

This volume deals with the topic of health inequalities and health disparities. The volume is divided into five sections. The first section includes an introductory look at the issue of health care inequalities and disparities and also an introduction to the volume. One of the backdrops to this topic in the United States was The National Healthcare Disparities Report and its focus on the ability of Americans to access health care and variation in the quality of care. Disparities related to socioeconomic status were included, as were disparities linked to race and ethnicity and the report also tried to explore the relationship between race/ethnicity and socioeconomic position, as explained in more detail in the first article in the book. The second article discusses a newer overall approach to issues related to health inequalities and health disparities.
The remaining four sections of the book address more specific topics relating to inequalities and disparities. The second section examines racial and ethnic inequalities and disparities. The third section includes articles that address the issue from the perspective of research about health care providers and health care facilities. The last two sections of the book focus on consumers and topics of health care disparities, with Section 4 focused on issues related to substance abuse, mental health and related concerns. Section 5 includes articles looking at issues of vulnerable women, women with breast cancer and people with colorectal cancer.
Inequalities and Disparities in Health Care and Health is important reading for medical sociologists and people working in other social science disciplines studying health-related issues. Thevolume also provides vital information for health services researchers, policy analysts and public health researchers.
*Chapters focus on the topics of health inequalities and health disparities
*Essential for medical sociologists and others in social science industries studying health-related issues

This volume focuses specifically on the importance of managing diversity in todays health services. It examines what is meant by managing diversity and outlines the nature of current inequalities in the UK, and their implications for health care professionals. A practicaland practice focussed guide to developing the management skills and understanding required, this book provides an accessible mix of theory and practice, and a unique emphasis on real life applications. These are drawn from all sectors of healthcare, acute and primary, as well as the private and independent sectors. It explicitly and realistically explores the interface between management skills and knowledge and quality, fit-for-purpose practice.Accessible: Unique combination of clearly explained theory and real-life examples Expert contributors who bring their own expert knowledge and experiences to life Up-to date information on the context of health services today and the context of diversity and inequality Relevant: Specifically aimed at nurses and nursing Practical - readers reflect on real life examples to see how they can use their skills in practice

Choices in Palliative Care brings together leading experts to spotlight core issues in the field and identify ways PC can fill gaps in current care systems. This far-sighted volume redefines palliative care as interdisciplinary and integrative, bridging acute and long-term care to respond to clients evolving needs. Those teaching health service delivery courses will find this material especially useful.

This timely revision of the authoritative handbook gives a wide range of providers practical insights and strategies for treating cancer survivors' long-term physical and mental health issues. Details of new and emerging trends in research and practice enhance readers' awareness of cancer survivor problems so they may better detect, monitor, intervene in, and if possible prevent disturbing conditions and potentially harmful outcomes. Of particular emphasis in this model of care are recognizing each patient's uniqueness within the survivor population and being a co-pilot as survivors navigate their self-management. New or updated chapters cover major challenges to survivors' quality of life and options for service delivery across key life domains, including: Adaptation and coping post-treatment. Problems of aging in survivorship, disparities and financial hardship. Well-being concerns including physical activity, weight loss, nutrition, and smoking cessation. Core functional areas such as work, sleep, relationships, and cognition. Large-scale symptoms including pain, distress, and fatigue. Models of care including primary care and comprehensive cancer center. International perspectives PLUS, insights about lessons learned and challenges ahead. With survivorship and its care becoming an ever more important part of the clinical landscape, the Second Edition of the Handbook of Cancer Survivorship is an essential reference for oncologists, rehabilitation professionals, public health, health promotion and disease prevention specialists, and epidemiologists.

Throughout the health care system, the traditional boundaries between professional groups are becoming increasingly blurred in response to local service needs and national policy objectives. New clinical roles are developing and nurses and other health professionals are finding opportunities to review and reconfigure their roles in response to changing health care needs and national policy imperatives. This book grew out of the editors involvement in the UKCCs work on the regulation of specialist, advanced and higher level practice and Department of Health research on new role developments and the impact of the `New Dealreduction in junior doctors hours. It combines a comprehensive and thought provoking overview of the key issues and emerging challenges with practical suggestions for promoting appropriate and sustainable role development.Reflects the multi-disciplinary context of role development includes examples and contributions from physiotherapists, OTs, pharmacists and doctors as well as nurses Emphasises the importance of patient-led development of rolesFocuseson the significance of education and research Puts role development within the context of health services as a wholeIncludes case studies and examples Combines policy context with practical advice on how to develop new clinical roles

Foreword by Randy E. BarnettIn 2012, the United States Supreme Court became the centre of the political world. In a dramatic and unexpected 5-4 decision, Chief Justice John Roberts voted on narrow grounds to save the Affordable Care Act, commonly known as Obamacare. Unprecedented tells the inside story of how the challenge to Obamacare raced across all three branches of government, and narrowly avoided a constitutional collision between the Supreme Court and President Obama. On November 13, 2009, a group of Federalist Society lawyers met in the Mayflower Hotel in Washington, D.C., to devise a legal challenge to the constitutionality of President Obama's legacy",his healthcare reform. It seemed a very long shot, and was dismissed peremptorily by the White House, much of Congress, most legal scholars, and all of the media. Two years later the fight to overturn the Affordable Care Act became a political and legal firestorm. When, finally, the Supreme Court announced its ruling, the judgment was so surprising that two cable news channels misreported it and announced that the Act had been declared unconstitutional. Unprecedented offers unrivaled inside access to how key decisions were made in Washington, based on interviews with over one hundred of the people who lived this journey,including the academics who began the challenge, the attorneys who litigated the case at all levels, and Obama administration attorneys who successfully defended the law. It reads like a political thriller, provides the definitive account of how the Supreme Court almost struck down President Obama's unprecedented" law, and explains what this decision means for the future of the Constitution, the limits on federal power, and the Supreme Court.

The Handbook of Health Economics provide an up-to-date survey of the burgeoning literature in health economics. As a relatively recent subdiscipline of economics, health economics has been remarkably successful. It has made or stimulated numerous contributions to various areas of the main discipline: the theory of human capital; the economics of insurance; principal-agent theory; asymmetric information; econometrics; the theory of incomplete markets; and the foundations of welfare economics, among others. Perhaps it has had an even greater effect outside the field of economics, introducing terms such as opportunity cost, elasticity, the margin, and the production function into medical parlance. Indeed, health economists are likely to be as heavily cited in the clinical as in the economics literature. Partly because of the large share of public resources that health care commands in almost every developed country, health policy is often a contentious and visible issue; elections have sometimes turned on issues of health policy. Showing the versatility of economic theory, health economics and health economists have usually been part of policy debates, despite the vast differences in medical care institutions across countries. The publication of the first Handbook of Health Economics marks another step in the evolution of health economics.

As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics.

Quality improvement (QI) is embedded in the fabric of successful healthcare organisations across the world, with healthcare professionals increasingly expected to develop and lead improvement as a core part of their clinical responsibilities. As a result, QI is rapidly becoming a feature of the education and training programmes of all healthcare professionals. Written and edited by some of the leading clinicians and managers in the field, ABC of Quality Improvement is designed for clinicians new to the discipline, as well as experienced leaders of change and improvement. Providing comprehensive coverage and clear, succinct descriptions of the major tools, techniques and approaches, this new addition to the ABC series demystifies quality improvement and develops a broader understanding of what constitutes quality in healthcare. With practical examples of improvement interventions and the common pitfalls that can befall them, this book will support and enable readers to manage change projects within their own organisations. Relevant to doctors, dentists, nurses, health service managers and support staff, medical students and doctors in training, their tutors and trainers, and other healthcare professionals at various levels, ABC of Quality Improvement will give readers the confidence to embark on their own improvement projects, whoever, and wherever they may be.

Cultural competence in Health Care provides a balance between a theoretical foundation and clinical application. Because of the focus on basic principles, this book will be useful not only in the United States, but throughout the world as Cultural Competence is intending to fill the cultural competence gap for students and practitioners of medicine and related health sciences, by providing knowledge and describing the skills needed for culturally relevant medical care of patients of diverse ethnic and cultural backgrounds.

In 2004, Charles Cullen was arrested and charged in the deaths of more than 30 patients in his care. Crossing several jurisdictions in seven counties in New Jersey and Pennsylvania, he was stopped after a fifteen-year spree at ten institutions. While many people do not think of healthcare workers as serial killers, their profession is disproportionately represented among the serial killer population, and they tend to be more prolific than other serial killers, having more opportunities, better cover, and easy alibis. Healthcare professionals who kill have learned how to exploit the atmosphere of trust in the healthcare community and to hasten deaths that may go unnoticed in an already vulnerable arena. This book delves into the world of the healthcare serial killer, looking at the special characteristics of the different groups of murderers, the motives, the methods, and the outcomes. Crime specialists have long suspected that many healthcare serial killers have gone undetected. Because it is easier to cover up their crimes, it is harder to uncover that a crime has even been committed. Here, Ramsland identifies some of the warning signs that a serial killer may be on the loose in a healthcare setting. Further, she offers suggestions for reform in the healthcare and criminal justice communities that would help identify potential killers before they have a chance to strike, or strike again. Using numerous real-life cases in every chapter, she provides a fuller picture of this most deadly type of serial killer and helps readers understand how they work, and how they can be stopped.

New treatments and advances in therapy for the ravages of Parkinson's disease are constantly being researched and perfected for patients, yet those afflicted still must endure tremors, poor balance, speech problems, and lessened psychological well-being. Patients and families need the most up-to-date information available to improve quality of care and life.
This new, second edition of Caring for the Parkinson Patient covers a variety of topics, providing information and helpful suggestions for patients, families, and caregivers to aid them as they grapple with this chronic, debilitating neurological disorder. Sixteen accessible and information-packed essays by noted contributors address diagnosis and treatment, new research, communication, physical/ occupational therapy, nursing care, problems faced by the caregiver, emotional changes, "neurorehab," prevention of falls, sleep problems, surgery, community supports, the family, sexuality, and safe home environments.
With a wealth of information, practical advice, and encouragement, Caring for the Parkinson Patient is an indispensable resource guide for all those touched by Parkinson's disease.

The International Conference on Health Care Systems Engineering (HCSE) provided a timely opportunity to discuss statistical analysis and operations management issues in health care delivery systems. The conference took place in Milan between May 22nd and 24th, 2013. Scientists and practitioners discussed new ideas, methods and technologies for improving the operation of health care organizations. The event and this resulting volume emphasize research in the field of health care systems engineering developed in close collaboration with clinicians. Topics applicable to researchers and practitioners include: hospital drug logistics, operating theatres, modelling and simulation in patient care and healthcare organizations, home care services.

This is an open access title available under the terms of a CC BY-NC-ND 4.0 International licence. It is free to read at Oxford Academic and offered as a free PDF download from OUP and selected open access locations. In October 2019, Abhijit Banerjee, Esther Duflo, and Michael Kremer jointly won the 51st Sveriges Riksbank Prize in Economic Sciences in Memory of Alfred Nobel "for their experimental approach to alleviating global poverty." But what is the exact scope of their experimental method, known as randomized control trials (RCTs)? Which sorts of questions are RCTs able to address and which do they fail to answer? The first of its kind, Randomized Control Trials in the Field of Development: A Critical Perspective provides answers to these questions, explaining how RCTs work, what they can achieve, why they sometimes fail, how they can be improved and why other methods are both useful and necessary. Bringing together leading specialists in the field from a range of backgrounds and disciplines (economics, econometrics, mathematics, statistics, political economy, socioeconomics, anthropology, philosophy, global health, epidemiology, and medicine), it presents a full and coherent picture of the main strengths and weaknesses of RCTs in the field of development. Looking beyond the epistemological, political, and ethical differences underlying many of the disagreements surrounding RCTs, it explores the implementation of RCTs on the ground, outside of their ideal theoretical conditions and reveals some unsuspected uses and effects, their disruptive potential, but also their political uses. The contributions uncover the implicit worldview that many RCTs draw on and disseminate, and probe the gap between the method's narrow scope and its success, while also proposing improvements and alternatives. Without disputing the contribution of RCTs to scientific knowledge, Randomized Control Trials in the Field of Development warns against the potential dangers of their excessive use, arguing that the best use for RCTs is not necessarily that which immediately springs to mind. Written in plain language, this book offers experts and laypeople alike a unique opportunity to come to an informed and reasoned judgement on RCTs and what they can bring to development.

The special relationship of trust and openness between doctor and patient has been vital for centuries. But, under the guise of providing affordable healthcare, health maintenance organizations (HMOs) threaten not only quality but the essential doctor/patient bond as well.
Government and corporate intervention has turned medicine into big business where the patient is viewed as a source of cash flow rather than as a human being. Mismanaged Care exposes this new age of HMO doctoring for what it is: a rush to profit rather than a concern for patient's needs; a cost-versus-quality machine that emphasizes the bottom line, while patients become the victims of a corporate mentality that favors assembly-line treatment standards.
With more than thirty years experience in medicine, Dr. Makover argues eloquently and authoritatively for a return to the professionalism that puts patients' needs first. He calls for the healthcare debate to be stripped from the hands of politicians, businessmen, insurance providers, and lawyers, and given back to patients and independent, self-employed doctors. He closely examines facts and fallacies, and the pros and cons of managed care, and suggests better ways to finance healthcare.

Extended Reality for Healthcare Systems: Recent Advances in Contemporary Research focuses on real world applications in medicine, also providing an overview of emerging technologies. The book includes case studies that break down the ways in which this technology has and can be used, while also taking readers through evidence, best practices and obstacles. Sections emphasize evidence, research-based practices and work. Content coverage includes Enhancing Medical Education with AR/VR, and XR: The Future of Surgery and Building Systems for Enhanced Health, and more. Readers will learn how to use this technology to improve existing systems by enhancing precision and reducing costs. Other sections cover extended reality in elderly care and remote monitoring of patients, building systems for enhanced health, including telehealth and telepsychiatry, using AR and VR in medical education, and designing technology for use in telesurgery.

Healthcare Kaizen focuses on the principles and methods of daily continuous improvement, or Kaizen, for healthcare professionals and organizations. Kaizen is a Japanese word that means "change for the better," as popularized by Masaaki Imai in his 1986 book Kaizen: The Key to Japan's Competitive Success and through the books of Norman Bodek, both of whom contributed introductory material for this book. Winner of a 2013 Shingo Research and Professional Publication Award! In 1989, Dr. Donald M. Berwick, founder of the Institute for Healthcare Improvement and former administrator of the Centers for Medicare and Medicaid Services, endorsed the principles of Kaizen in the New England Journal of Medicine, describing it as "the continuous search for opportunities for all processes to get better." This book shows how to make this goal a reality. Healthcare Kaizen shares some of the methods used by numerous hospitals around the world, including Franciscan St. Francis Health, where co-author Joe Swartz has led these efforts. Most importantly, the book covers the management mindsets and philosophies required to make Kaizen work effectively in a hospital department or as an organization-wide program. All of the examples in the book were shared by leading healthcare organizations, with over 200 full-color pictures and visual illustrations of Kaizen-based improvements that were initiated by nurses, physicians, housekeepers, senior executives and other staff members at all levels. Healthcare Kaizen will be helpful for organizations that have embraced weeklong improvement events, but now want to follow the lead of ThedaCare, Virginia Mason Medical Center, and others who have moved beyond just doing events into a more complete management system based on Lean or the Toyota Production System. It's often said, without much reflection, that people hate change. The experiences shared

This book addresses patient-specific modeling. It integrates computational modeling, experimental procedures, imagine clinical segmentation and mesh generation with the finite element method (FEM) to solve problems in computational biomedicine and bioengineering. Specific areas of interest include cardiovascular problems, ocular and muscular systems and soft tissue modeling. Patient-specific modeling has been the subject of serious research over the last seven years and interest in the area is continually growing and this area is expected to further develop in the near future.

Medicine in the United States is big business. We spend 50 percent more on health care per capita than other developed countries, but a multitude of measures indicate that we are not getting health-care value for our money. In Too Big to Succeed, author Dr. Russell J. Andrews details why health care in America has become more expensive but less effective and outlines a new paradigm for health-care delivery.

Too Big to Succeed describes how American medicine is on an unsustainable course: costs are increasing while benefits are deteriorating in comparison with other developed nations. Beginning with the Hippocratic Oath and the the premedical student, Andrews traces the myriad ways in which the profit motive has infiltrated American medicine--including medical school training, current models of health-care delivery, medical professional societies, medical research, and medical drug and device development.

Presenting an insider's look into the current crisis in health care, Andrews demonstrates that until both the physician and the patient return to the relationship that underlies medicine, physicians will not experience the joy of healing those who seek their help and patients will not appreciate that a good physician is a permanent part of their lives.

Despite advances in detection and treatment, cancer remains a source of pain and distress to patients and of complex challenges to the loved ones caring for them. The trend toward shorter hospital stays in particular has increased the physical, psychological, and financial burden on caregivers, often leading to adverse effects on patients.

"Cancer Caregiving in the United States" illuminates these complex concerns with authoritative detail. This wide-ranging volume provides a comprehensive survey of cancer-related issues, including those affecting the care triad (patients-family members- professionals) and quality of care as well as the numerous physical, emotional, and financial challenges that caregivers may need to confront. Sources of caregiver difficulty at each stage of the disease, from diagnosis to end of life, are explored. Each chapter analyzes its topic in terms of practice, research, education, and policy, providing a wealth of literature reviews, assessment and care models, interventions, and recommendations for future study and practice.

Coverage includes:

Caregiving issues for cancer patients with long-term, short-term, and intermittent needs.Family caregivers as members of the treatment team.The impact of health disparities on caregivers.Cancer care policy and advocacy.End-of-life issues for cancer caregivers.Legal, financial, and ethical issues.

"Cancer Caregiving in the United States" is a core reference for researchers, professionals/scientist-practitioners, and graduate students in such caregiving fields as clinical psychology, social work, nursing, public health and medicine, social policy, and educational policy."