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Books > Medicine > General issues > Health systems & services > General
How good is the NHS, really? That is the question this book seeks to answer, as the health service emerges from the gravest crisis in its history with more money - but greater challenges - than ever before. During the pandemic, voters made extraordinary sacrifices to save the NHS from collapse. Thanks to these efforts and the dedication and bravery of the NHS workforce, hospitals were able to treat patients with coronavirus, but millions of others lost out. Now an exhausted and depleted NHS workforce faces a huge backlog. The gap between supply and demand for publicly funded healthcare has never been so wide. With record numbers waiting for treatment, the politicians' answer has been to spend ever more taxpayers' money. The question is whether throwing cash at the problem will work. Every day, millions of patients receive care that is fair, good or outstanding. In keeping with Nye Bevan's founding principles, the same treatment is available to rich and poor, free at the point of need. Public support for the concept remains overwhelming. Yet for every positive NHS experience there are negatives: care that is substandard, disjointed and arrives too late. A cult of secrecy surrounds errors and failings. Politicians on all sides dissemble and lie. This book seeks to strip away the spin and uncover the true state of the NHS: the good, the bad and the ugly. It explores an increasingly urgent question: in an era of pandemics, can the NHS provide the quality of service patients deserve?
The editor of this volume takes on the challenging task of presenting an encompassing view of childbirth in America from an anthropological perspective. The book is indeed comprehensive. . . . Collectively the chapters in Childbirth in America lay out a representative sketch of research problems of interest to sociocultural anthropologists and other social scientists working in the area of reproductive health. A distinct accomplishment is the acknowledgement in some of the chapters that not all American women want the same kind of childbirth care or have the same values and attitudes about pregnancy, birth, and parenting, and that this variation needs addressing in both childbirth policy and practice. American Journal of Physical Anthropology A comprehensive and critical examination of the experience of childbirth in America today, from pregnancy to early postpartum. This book covers many controversial issues in the context of diverse cultural, social, and economic backgrounds, which have arisen as a result of the new technologies and ideologies surrounding pregnancy and birth. Most useful as a text for courses in childbirth education, anthropology of women's health, and anthropology of medicine.
This volume is a group of essays published in memory of David Thomasma, one of the leading humanists in the field of bioethics during the twentieth century. A pioneer in the field of multidisciplinary research, having integrated major theological and philosophical traditions in the west with modern science, Thomasma was a role model to the authors who have devoted essays to his major avenues of inquiry. The authors represent many different countries and disciplines throughout the globe. The volume deals with the pressing issue of how to ground a universal bioethics in the context of the conflicted world of combative cultures and perspectives.
This volume examines many of the crucial issues of resistance in a clinical context, with an emphasis on MRSA; surely the greatest challenge to our antibiotic and infection control policies that modern health care systems have ever seen. Other chapters explore the psychology of prescribing, modern management techniques as an adjunct to antibiotic policies, and the less obvious downsides of antibiotic use.
-Rick Thomas brings his 30 years experience in the field to the text making it very applied and accessible. -Lots of boxed material. -"Recommended" purchase for all librarians as reviewed in the June 2004 issue of CHOICE.
A volume in I.S.C.E Book Series: Managing the Complex Series Editors Kurt Richardson and Michael Lissack, ISCE Research In this volume, Hugo Letiche tackles the all-important question, is there ""care"" in healthcare? If, as Klaus Krippendorff (2006) argues, ""meaning is a structured space, a network of expected senses, a set of possibilities .[that] emerges in the use of language,"" then within the healthcare systems of today, the meaning of ""care"" has been defined to be the eradication of a problem. We must recognize that patients do not wish to regarded merely as a problem requiring eradication. Letiche is opposed to the very idea that complexity reduction can address the humanity of each individual healthcare situation. He argues that, through narratives and through complexity based social theory, the complexity of each individual situation must be transcended through mindful listening and engaged dialogue. Letiche suggests that in the absence of such mindfulness, the lack of time for true listening, and the inability of providers and systems to allow for patients and family to engage in dialogue lies both the roots of the problem and the potential for its solution.If complexity theory has a role in the analysis understanding and betterment of social systems, then approaches such as the one Letiche undertakes herein will become essential tools of the trade.
What is the relationship between social science research and public health policy, particularly in the developing world? This question is at the heart of this collection of essays drawn from Rockefeller Foundation-sponsored conferences at Harvard University. The book examines the theoretical impact of social science research as well as specific case studies of successful applied research. Beginning with a section on broad issues and the conceptualization of behavioral change, the volume then examines the anti-smoking movement in the United States; measures to prevent and control HIV infection in the United Kingdom, Sweden, and the United States; anti-malaria measures; and the application of dietary management and lot quality assurance sampling to public health issues in Peru. The volume concludes with a section re-examining ways social science research can have an impact on improving public health. Scholars and researchers as well as policy makers involved with health research and international development will find this collection particularly valuable.
Exam board: CACHE Level: 3 Subject: Health and Social Care First teaching: 2017 First exams: Various dates Master the essay-writing skills and concepts required to succeed in the Level 3 Extended Diploma with this CACHE-endorsed textbook. - Covers all 15 mandatory units of the qualification and the two synoptic external assessments. - Clearly outlines specific learning outcomes for each unit. - Develop students' ability to display evidence and effectively evaluate their performance with dedicated reflective activities. - Help learners develop independent research and writing skills in preparation for the external assessment and higher education.
This volume addresses the dynamics of sustainable development in the healthcare industry, covering all major aspects, including R&D, manufacturing, regulation, market access, commercialization, and general management. Healthcare markets are evolving under demographic and economic pressures. In mature markets, patients navigate complex systems with limited control on healthcare quality and outcomes, while in developing markets, patients have limited awareness, access, and ability to pay for healthcare. The industry needs to identify which business targets are genuinely attractive for major or new investments. At the same time, development of new products and services must be tackled within the context of environmental sustainability. Rather than focusing on the traditional issues of innovation, cost management, and commercial effectiveness associated with growth, the authors explore such emerging topics as: The mutations of innovation management The need to foster patient-centricity along the entire value chain of the healthcare industry and company-wide Issues related to improving healthcare access and disease management The allocation of educational resources focused on the patient to increase the effectiveness of disease management The preservation of natural resources and the environmental effect of pollution and hazards created by the handling of pharmaceutical products Issues related to the size of medical need and/or market demand The private-public partnerships necessary to address the full spectrum of public health issues, from basic patient access to care to managing global health crises The required organizational and governance evolutions for the healthcare industry to maintain profitability and sustainable growth. Featuring contributions from leading academics and industry insiders with emphasis on environmental, economically, and socially sustainable practices, the authors present a unique, multi-faceted set of perspectives on this vital and rapidly evolving field.
What size is 'just right' for a care provider? This book explores size as an independent variable in care services. Using interviews and surveys with 108 people using services and carers in 27 case-study organisations it focuses on the contribution micro-enterprise can make to the care sector.
This volume is a result of the fruitful and vivid discussions during the MedDecSup'2012 International Workshop bringing together a relevant body of knowledge, and new developments in the increasingly important field of medical informatics. This carefully edited book presents new ideas aimed at the development of intelligent processing of various kinds of medical information and the perfection of the contemporary computer systems for medical decision support. The book presents advances of the medical information systems for intelligent archiving, processing, analysis and search-by-content which will improve the quality of the medical services for every patient and of the global healthcare system. The book combines in a synergistic way theoretical developments with the practicability of the approaches developed and presents the last developments and achievements in medical informatics to a broad range of readers: engineers, mathematicians, physicians, and PhD students.
An in-depth analysis of the NHS reforms ushered in by UK Coalition Government under the 2012 Health and Social Care Act. Contributions from leading researchers from the UK, the US and New Zealand, and a foreword from Julian Le Grand, examine the reforms in the contexts of national health policy, commissioning and service provision, governance and others.
Here is an important work that uniquely focuses on both gay/queer-self-identified men from diverse minority communities (African American, Latino, Native American, Asian and Pacific Islander) and men of these ethnic communities who have sex with men but are not gay/queer-self-identified. Each section of this edited book is devoted to a particular health issue affecting minority MSM, and consists of one or more scholarly chapters that address the particular issue.
The health care delivery system, its organizations, and its supporting industries are currently undergoing immense changes and at the center of this change is technology. This book is about the management of this technology. The authors refer to this new intellectual space as the Management of Medical Technology (MMT). From the core activities of delivering medical care, to the supporting industries producing technical systems, pharmaceuticals, medical devices, information technology, and finally to the insurers of health care - all of these demonstrate the central role technology plays in delivering health. Management of Medical Technology examines the many aspects of managing medical technology, discusses its key issues, and outlines how it can be managed more effectively. This is a foundational book in Kluwer's Series on MMT. It is designed for academics and students in all areas of management related to health care, as a text for related undergraduate and graduate courses, as well as a reference book for health care executives and managers of technology in industry. The book is divided into three complementary parts. Part 1 explores the theory of MMT and in six chapters outlines the new intellectual space of MMT and its theoretical background. Part 2 is dedicated to the practice of MMT. This part has six chapters and describes the two main empirical studies conducted by the authors on MMT; one study examined how hospitals currently manage medical technology and the second study investigated the management of medical information technology. Moreover, related to the practice of MMT, this part also discusses in detail issues of effectiveness of delivery, patient value and patientwelfare, and education in MMT. Part 3 is a thorough treatment of MMT cases in a variety of health care organizations, each describing a different phenomenon in the practice of MMT. Eleven cases are included, with discussion questions for use in the classroom.
In the current era of health care reform, the pressures to truly manage patient care and to build effective integrated delivery systems are generating intense interest in patient care information systems. Health care institutions cannot provide seamlees access to care without seamless access to information, and they cannot manage and improve care without improved information management. Patient Care Information Systems examines how to design and implement these systems so they successfully meet the needs of physicians, nurses, and other health care providers. In one convenient reference, the authors summarize and synthesize previously disparate research and case experiences on these systems and suggest future directions based on the evolving demands of administrators and caregivers.
The Commission on Accreditation of Medical Transport Systems (CAMTS) has been accrediting air and ground transport services since 1991. One of the most significant needs the Commission has recognized is to assist transport services in creating a culture that supports safety and quality for both crews and patients. Most of the helicopter EMS (emergency medical service) accidents and many ground ambulance accidents can be attributed to human factors and systems designs that lead to poor decision-making. Management commitment is vital to create and maintain a culture that supports risk assessment, accountability, professionalism and organizational dynamics. This reference book has been created by CAMTS to address this need directly and comprehensively. It offers a groundbreaking collection of expert insights and practical solutions that can be used by EMS, Fire and Rescue, public and private services, and professional emergency and transport professionals worldwide. Quoting from the foreword written by the late Robert L. Helmreich, Professor Emeritus of Psychology at The University of Texas Human Factors Research Project, 'This is an important book which should be required reading for everyone involved in patient transport, from managers and dispatchers to those at the sharp end... The experienced and able authors and editors of this work use culture as the overarching concept needed to maximize safety while delivering patients expeditiously.'
A beautifully illustrated history of Britain’s most revered and valued institution: the NHS. In March 2020 the UK went into lockdown to help contain the spread of COVID-19 and protect the NHS from one of the greatest threats that it has faced in its 72-year history. Today more than ever, all eyes are on this beloved institution as it continues to innovate and adapt to meet the challenges of providing national healthcare in the modern world. In this fully illustrated introduction, Dr Susan Cohen traces the history of the NHS from its establishment after the Second World War, through seven decades of changing management and organisation, often in controversial political circumstances, right up to the current COVID-19 crisis. Including personal recollections from healthcare professionals on the frontline, as well as the patients in their care, this important and timely volume offers a comprehensive overview of one of the world's most remarkable healthcare systems.
This volume breaks new ground by asking how our understandings of gender can be informed by exploring the socio-technical relations of ICTs in health care, and how far an appreciation of the ways in which gender works can inform and improve our understanding of how ICTs are being developed, implemented, and used in health care contexts.
Quality of life is difficult to define and even more difficult to measure; as such, outcomes from nursing in continuing care are not easily articulated. Quality Assurance in Healthcare Service Delivery, Nursing and Personalized Medicine: Technologies and Processes offers a framework for measuring quality of service in the healthcare industry as it pertains to nursing, with insight into how new technologies and the design of personalized medicine have improved quality of care and quality of life. Assessment and feedback are a vital part of developing and designing personalized medicine, and this book details case studies and the latest research in the field of healthcare service delivery assessment. In addition to describing assessment methodology, the book is also a compendium of the latest research into new medical technologies.
The aging of society is a growing concern in all advanced nations, and at the forefront of concern is long-term care for frail older people. Enactment of a new public long-term care insurance program by the Japanese government in 1997 provided an excellent opportunity for a conference focusing on an ideal long-term care system for frail older people. The conference was organized around four major themes: Social aspects, including family dynamics and the role of formal providers; Clinical aspects, including effective treatments for physical and mental disabilities; Macroeconomic and macropolitical settings for public policy; Program design and management issues. With contributions from the fields of medicine, nursing, social work, gerontology, political science, economics, and sociology, this volume provides an overview of key problems and possible solutions in programs for frail older people from a unique international perspective.
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.
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.
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. |
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