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Books > Medicine > General issues > Health systems & services > General
This volume looks at the relationship between society and human resource management (HRM) in China. In doing so it asks how representative the latter is of the former. The contributors argue that there needs to be a minimum degree of consonance between these two variables if HRM is to be sufficiently underpinned by social reality. It is only in a wider framework that 'people-management' in general - and in China in particular - can be fully understood, whether through theory or through practice. Society and HRM in China explores the changes in Chinese society over the last century and then goes on to analyse how these changes have shaped China's HRM. Arguably, HRM did not emerge from the void; it was shaped by the societal culture from which it sprung and the economic forces influencing its institutions and organizations. However, there is very little academic literature about the relationship between contemporary Chinese society and its HRM which isn't extremely specific. As such, much of the research in this collection is not only relatively representative but also highly cross-sectional. The contributions are all drawn from experts in the field across the disciplines, hailing from a diverse range of national origins and educational institutions. They cover a wide range of topics, approaches and emphases. This book was originally published as a special issue of The International Journal of Human Resource Management.
Due to the countless variables that affect revenue and cost, the hospital reimbursement process is by far the most complex of any industry. Requiring only a basic financial background and a working knowledge of accounting, Hospital Reimbursement: Concepts and Principles supplies a clear understanding of the concepts and principles that drive the revenue cycle within a hospital setting. The book explains the technical aspects of reimbursement in language that is easy to comprehend. It illustrates the complexities of the hospital revenue cycle and explains the Medicare and Medicaid financial models in detail. The text also addresses the Medicaid reimbursement methodology, the formulation of the Medicare blend rate, the computation of both DSH and IME, as well as other third-party payers. It also:
Supplying readers with a foundation in coding principles, the text also includes a model for calculating the financial impact of variations in patient length of stay. It discusses the DRG and APC reimbursement models and details the computation of an outlier payment. In addition, it walks the reader step-by-step through the creation of a mock Medicare cost report for a sample hospital.
Since 2005 a dozen states and more than 15 specialties have reported a physician shortage or anticipate one in the next few years. This anticipated shortage and a worsening of physician distribution are compounded by a projected increased demand for women's healthcare services. Women's healthcare is particularly vulnerable, because the obstetrician-gynecologist workforce is aging and is among the least satisfied medical specialists. Furthermore, fellowship training in women's healthcare in internal medicine and in maternal child health in family and community medicine involves only a small portion of general internists and family physicians. In response to this challenge, the Association of American Medical Colleges called for an expansion of medical schools and graduate medical education enrollments. As we cope with significant and rapid changes in organizations and reimbursement, academic departments of obstetrics and gynecology, family and community medicine, and internal medicine have opportunities to create a unified women's health curriculum for undergraduate students, share preventive health and well-woman expertise in training programs, provide improved continuity of care, instill concepts of lifelong learning to our graduates, and better develop our research programs. This volume's chapters focus on strategic planning on behalf of
academic faculty who will train the anticipated additional load of
students, residents, and fellows in women's healthcare. Recommendations presented here from authors with distinguished leadership skills indicate a consensus, but not unanimity. In furthering these goals, we summarize in the final chapter our collective expertise and offer ways to implement recommendations to better prepare for tomorrow's needs in academic women's healthcare.
"Volume 27, Research in the Sociology of Health Care" deals with Social Sources of Disparities in Health and Health Care. The first section, Disparities in Health and Health Care: Basic Perspectives, reviews basic material on the topic. The second section on Racial and Ethnic Factors in Disparities in Health and Health Care Utilization includes five articles, three focused on racial and ethnic factors in disparities and two on those factors and other social factors such as SES. The next section focuses on Income, SES, and Cultural Capital in Disparities in Health and Health Care Delivery and includes an article that focuses on the role of education, one on the impact of childhood poverty on later life health and one on the role of cultural capital in health outcomes. The fourth section includes two papers on Providers, Facilities and Health Disparities. The last section, Part 5, deals with Locally Oriented Studies in Health Disparities and includes three papers looking at community approaches for eliminating health disparities, the effects of household assets upon rural residents' self-reported physical and emotional well-being and disparities in health care among Vietnamese Americans in New Orleans and the impacts of Hurricane Katrina.
Policy makers are increasingly demanding evidence from randomized trials. The book focuses on the design of rigorous trials rather than their statistical underpinnings or analyses. Consequently, statistical theory is absent and statistical methods are minimal. Few other texts go into such detailed description about randomization procedures and different trial designs within the same volume. The book has chapters on: pragmatic designs; placebo designs; preference approaches; unequal allocation; economics; analytical approaches; randomization methods.
More than 15,000 people have been killed, and 500,000 displaced, during years of low-intensity civil war in the South African province of KwaZulu-Natal. This book describes the work of the KwaZulu-Natal Programme for Survivors of Violence (KZN-PSV), which (with the support of Oxfam) helps communities to grapple with the complex social, economic, political, and psychological problems posed by the conflict. A framework to guide interventions in such circumstances is outlined, and the application of this framework in work with children, youth, women, and local leadership is described in detail. The final chapter summarizes the principles of intervention which inform the work of KZN-PSV, and identifies the fundamental elements that have contributed to its sustained success.The book is written for community leaders in any society damaged by civil conflict; for development agencies which support such communities; and for students and teachers of community-development theory and practice. Its theoretical framework is sufficiently non-specific to be applied usefully in a broad range of situations.
This is the concise, accessible guide for students and practitioners who want a comprehensive introduction to health and social care. Engaging practical features, such as user-focused case studies and reflective exercises, promote understanding of theoretical and conceptual knowledge. In turn, clear explanations of social policy theory help frame the policy and practice dilemmas faced by students, front-line workers and policy makers. Chapters cover partnership working and integrated care, independent living, disability and long-term conditions, discrimination, user involvement and support for carers. This new edition has been updated to cover key developments under the Coalition and beyond, including the 2012 Health Act, the 2014 Care Act, the Francis inquiry, the Winterbourne View abuse scandal, the integrated care agenda and the impact of austerity.
Bringing together international experts from different academic disciplines, this collection explores the challenges and opportunities of bringing gender to the heart of health policy, practice and research. It examines debates over health reform, access to services, the organization of care and professional development.
Until the start of the new century, efforts to strengthen health systems focused solely on the public sector and health programs overseen by public bodies. The private sector was sidelined in certain countries and even banned in others. At the same time, some private-sector stakeholders readily adapted themselves to this special situation so as to avoid becoming part of a structured health system. This volume notes profound changes in health care around the world in two areas. The stakeholders involved in the health sector are increasing in number and diversifying as a result of the development of the private sector. They are also responding to a process of democratization and decentralization. These developments have been paralleled by greater functional differentiation. Various stakeholders are increasingly specializing in particular areas of the health system: service delivery, procurement, management, financing, and regulation. The interdependence of health stakeholders becomes more evident along with the increased complexity of delivery systems as these respond to changing demand. There is a compelling need to forge relationships. Such relationships are in fact emerging in developed countries and, more recently, in developing countries. They may be informal, but are increasingly organized and structured.
People are fascinated by stories of childbirth, and the sources to document maternity in Britain in the twentieth century are rich and varied. This book puts the history of maternity in England into its wider social context, highlighting areas of change and continuity, and charting the development of pregnancy and birth as it emerged from the shadows and became central to social debate. A Social History of Maternity and Childbirth considers the significance of the regulation and training of midwives and doctors, exploring important aspects of maternity care including efforts to tackle maternal deaths, the move of birth from home to hospital, and the rise of consumer groups. Using oral histories and women's memoirs, as well as local health records and contemporary reports and papers, this book explores the experiences of women and families, and includes the voices of women, midwives and doctors. Key themes are discussed throughout, including: the work and status of the midwife the place of birth pain relief ante- and post- natal care women's pressure groups high-tech versus low-tech political pressures. At a time when the midwifery profession, and the wider structure of maternity care, is a matter for popular and political debate, this book is a timely contribution. It will be an invaluable read for all those interested in maternity care in England.
The Internet and the many applications it supports continue to transform and expand the ways in which it is possible to relate, communicate, collaborate, and perform human service work. In this book, human service researchers and practitioners explore major opportunities and challenges to well being, social justice, and human service work that technology use in everyday life has exposed. Drawing on the latest research their contributions examine issues associated with human service practices in the network society, including: the implications of an expanded capacity to share human service data across agency and national boundaries; ethical issues associated with the use of remote sensing and surveillance technologies (e.g. the satellite tracking of offenders, and telecare services for older people); the risks and benefits of social network sites including issues associated with online privacy, intimacy, and safety; and the influence of technology-mediated services on human relationships and the sense of 'being present' with another person. Human Services in the Network Society will be of considerable interest to human service professionals, academics and researchers who are concerned about the social impact of networked technologies. This book was previously published as a special issue of the Journal of Technology in Human Services.
The book presents interpretations of culture, health, politics, and religion in Sweden today, Sweden transforms from the well-functioning but existentially bland economic wonder to a more fragmented and gloomy society. Contributors include scholars from film studies, literary studies, political science, religious studies and theology
This book provides an overview of the core professional issues in the field of child and youth care practice. The author explores themes ranging from relationships and the exploration of Self to career building and field-specific approaches to management. The book is written from a pragmatic perspective, and serves both to advance current thinking in the field about professional issues as well as to provide the student of child and youth care practice and practitioners with practical and accessible approaches to developing a strong and sustainable professional identity. All of the themes in this book are explored within a context of ethical decision-making and practice approaches informed by a commitment to children's rights and empowerment. Throughout the discussions, concepts and themes are considered in relation to four specific lenses: the power lens, the diversity lens, the language lens and the transitioning from theory to practice lens. These lenses serve to ensure that the reader adopts a critical understanding of the professional issues in the field and is able to develop his or her own professional identity while mitigating the power and identity issues necessarily associated with being a practitioner in a helping profession. This book was published as a special issue of Child and Youth Services.
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.
As Carole Browner explains in her foreword: ""These chapters compellingly reveal that although we anthropologists tend to speak of biomedicine in hegemonic terms, in fact its penetration is quite variable and often ambivalently met. . . . Risk, Reproduction, and Narratives of Experience sheds new light on a troubling core aspect of medicalisation processes, which simultaneously render pregnant women more docile subjects even as they are impelled to actively engage with biomedicalised prenatal care regimes. . . . We also see that a consummate means by which states seek to consolidate power in the reproductive realm is through expansion of the biomedical concept of risk. This critical observation emerges repeatedly in this collection.""
The increasing importance of sickness and disability data across health-related disciplines is the focus of this concise but comprehensive resource. It reviews the basics of morbidity at the population level by defining core concepts, analyzing why morbidity has overtaken mortality as central to demographic study, and surveying ways these data are generated, accessed, and measured. Subsequent chapters demonstrate how this knowledge can be used to better understand-and potentially solve-critical public health issues, benefitting not only populations served, but also areas such as health services planning, resource allocation, and health policy-setting. To make this material useful to the most readers, this reference: Explains why and how morbidity data are categorized by health professionals and other data users. Examines various methods of identifying and measuring morbidity data. Identifies demographic and non-demographic factors associated with morbidity. Describes and evaluates sources of U.S. morbidity data. Reviews the current state of morbidity in the U.S., and what it means for healthcare and society in general. Suggests future uses of morbidity data in reducing health disparities and improving population health. In Sickness and In Health is uniquely relevant to demographers and demography students, public health professionals, and epidemiologists. Its presentation of concepts and applications makes the book a valuable classroom text and a useful guide for those addressing challenges facing U.S. healthcare.
This report analyses the findings of an extensive research project conducted by Oxfam in Ethiopia. In the context of Ethiopia's rising external debt and the new decentralised system of regional governance, members of four communities, both rural and urban, were interviewed about their problems in gaining access to basic health care, reproductive-health services and primary education; front-line service providers were also interviewed. Representatives of central and regional government and international donors were consulted and policy documents reviewed. The report ends with recommendations addressed to the government of Ethiopia, NGOs and major donors and creditors, arguing human-development targets by 2015.
Exploring the increasing involvement of the private sector in social policy, this collection examines the complex relationship between the public and private sectors from an international perspective, focusing on health and pension policies.
Many Yemenite Jews made their way to Israel in the first half of the century. Later, following the foundation of the state of Israel in 1948, the rest of the community was flown in from the Yemen--an airlift of 50,000 people code-named Magic Carpet. These two groups, the early and late immigrants, afford a rare opportunity to describe the changes in health patterns during development toward a modern society. Using the fascinating but scanty information available from all manner of sources and comparing it with contemporary accounts of life in the Yemen today, Michael Weingarten relates the changes in the physical and psychological health of the Yemenite Jews to the various components of their new environment. There was no modern medicine available in the Yemen, and most of the older generation of patients described in this study continue to believe in a threefold etiology of disease--magic, fate, and environment. Weingarten describes how traditional healers coexist with modern doctors and how, even when modern medicine is used, magical cures are expected. Although there are several sections dealing with largely medical data which will interest physicians and geneticists, most of the book is readable by anyone taking an interest in health and culture, including ethnologists, anthropologists, sociologists, health workers and planners, students of medical history, as well as all those interested in the study of Yemen, Judaic history, or Israeli culture.
With the background of the 10 years' existence of the European
Public Health Association (EUPHA) the present book deals with the
developments and results of European Public Health in Science and
Practice. The contributions involve actual aspects and issues of
different topics in Public Health:
"This book shows why contests over intellectual property rights and access to affordable medicines emerged in the 1990s and how they have been resolved so far. It argues that the current arrangement mainly ensures wealth for some rather than health for all, and points to broader concerns related to governing intellectual property solely as capital"--Provided by publisher.
"China Engages Global Health Governance" is the first book to systematically examine China's participation in the global health domain. It examines how and why China changed its stance on its HIV/AIDS epidemic and investigates China's emerging role in Africa's AIDS crisis and the controversial issue of access to anti-retroviral drugs for the continent's impoverished people. In scrutinizing China's evolving global role and its intentions for global governance and global health governance, this book argues that China is neither a system-defender nor a system-transformer of the liberal international order. While acting in concert with other major powers, China strives to defend itself from the encroachment of liberal democratic values on the world stage. In order to carve out some international space for itself and to fend off attacks by the liberal normative structure, China calls for multilateral cooperation in a "harmonious world." With the suggestion that there is no universally applicable blueprint for development, Beijing tries to shore up the principle of national sovereignty and non-intervention and strengthen ties with developing countries to consolidate a normative and political bulwark against liberal democratic values. In short, China possesses a hybrid national identity in its deepening engagement with global governance. |
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