Rethinking Rehabilitation: Theory and Practice presents cutting-edge thinking on rehabilitation from a range of leading rehabilitation researchers. The book emphasizes discussion on the place of theory in advancing rehabilitation knowledge, unearthing important questions for policy and practice, underpinning research design, and prompting readers to question clinical assumptions. Each author proposes ways of thinking that are informed by theory, philosophy, and/or history as well as empirical research. Rigorous and provocative, it presents chapters that model ways readers might advance their own thinking, learning, practice, and research. Each of the 14 chapters tackles a specific issue of interest rethinking theory and practice in rehabilitation. The authors: Rethink core processes in rehabilitation, such as goal setting, teamwork, communication with clients, and outcome measurement Rethink how rehabilitation services and interventions might better 'fit' clients and address what matters most to them and their families Rethink research designs, considering how to enhance the understanding of the "why" behind the findings This book will be especially helpful to rehabilitation professionals and students who want to develop and improve their practice, or research, but might not know where to start. With contributions from an international and multidisciplinary team, this book is essential reading for all involved in rehabilitation.

The successful implementation of evidence into practice is dependent on aligning the available evidence to the particular context through the active ingredient of facilitation. Designed to support the widely recognised PARIHS framework, which works as a guide to plan, action and evaluate the implementation of evidence into practice, this book provides a very practical 'how-to' guide for facilitating the whole process. This text discusses: undertaking an initial diagnosis of the context and reaching a consensus on the evidence to be implemented; how to link the research evidence with clinical and patients' experience and local information in the form of audit data or patient and staff feedback; the range of diagnostic, consensus building and stakeholder consultation methods that can be helpful; a description of facilitator roles and facilitation methods, tools and techniques; some of theories that underpin the PARIHS framework and how these have been integrated to inform a revised version of PARIHS Including internationally-sourced case study examples to illustrate how the facilitation role and facilitation skills have been applied in a range of different health care settings, this is the ideal text for those interested in leading or facilitating evidence based implementation projects, from the planning stage through to evaluation.

International medical travel (IMT), people crossing national borders in the pursuit of healthcare, has become a growing phenomenon. With many of the countries currently being promoted as IMT destinations located in the 'developing' world, IMT poses a significant challenge to popular assumptions about who provides and receives care since it inverses and diversifies presumed directionalities of care. This book analyses the development of international medical travel in Malaysia, by looking at the benefits and challenges of providing health care to non-Malaysians. It challenges embedded assumptions about the sources, directions and political value of care. The author situates the Malaysian case study material at the fruitful cross-section of a range of literatures on transnational mobility, hospitality, therapeutic landscapes and medical diplomacy to examine their roles in the construction of national identity. The book thus contributes to wider debates that have emerged around the changing character of global health governance, and is of use to students and scholars of Southeast Asian Studies as well as Politics and Health and Social Care.

Presenting a comprehensive examination of China's medical care system, this book tackles issues of policymaking, organization, management and financing in the context of the provision of affordable care in China. Making use of extensive field investigations, interviews and a thorough analysis of documents, this book examines the re-structuring of the medical care system, spanning more than three and half decades from 1979 to the present day. Assessing the difficulties of regulatory control in the health care sector, it also explores theoretical alternatives, including post-Weberian constructs of uncertainty and control, as well as franchise and asymmetric information in market transactions. Ultimately, it argues that patient medical care has become less and less affordable amid shrinking government subsidies, breakdowns of public insurances and increases in user charges, especially between the mid-1990s and mid-2000s. Whilst the government took decades to re-organize the public hospital system and rebuild public insurances, it faced a dilemma of enforcing both low-cost medical care and maintaining revenue flow to public hospitals through marketization. Re-engineering Affordable Care Policy in China provides extensive discussion of the policymaking process as well as detailed analysis of policy contents. As such, it will be invaluable to students and scholars of Chinese social policy and public administration, as well as Chinese Studies more generally.

This book offers a global perspective on healthcare reform and its relationship with efforts to improve quality and safety. It looks at the ways reforms have developed in 30 countries, and specifically the impact national reform initiatives have had on the quality and safety of care. It explores how reforms drive quality and safety improvement, and equally how they act to negate such goals. Every country included in this book is involved in a reform and improvement process, but each takes place in a particular social, cultural, economic and developmental context, leading to differing emphases and varied progress. Methods for tackling common problems - financing, efficiencies, effectiveness, evidence-based practice, institutional reforms, quality improvement, and patient safety initiatives - also differ. Representatives from each nation provide a chapter to convey their own situation. The editors draw a conclusion from these numerous contributions and synthesize the themes emerging into a coherent 'lessons learned' summary that delivers value to the numerous stakeholders. Healthcare Reform, Quality and Safety forms a compendium of the current 'state of the art' in global healthcare reform. This is the first book of its type, and offers a unique opportunity for cross-fertilization of ideas to the mutual benefit of countries involved in the project. The content will be of interest to governments, policymakers, managers and leaders, clinicians, teaching academics, researchers and students.

Health systems everywhere are expected to meet increasing public and political demands for accessible, high-quality care. Policy-makers, managers, and clinicians use their best efforts to improve efficiency, safety, quality, and economic viability. One solution has been to mimic approaches that have been shown to work in other domains, such as quality management, lean production, and high reliability. In the enthusiasm for such solutions, scant attention has been paid to the fact that health care as a multifaceted system differs significantly from most traditional industries. Solutions based on linear thinking in engineered systems do not work well in complicated, multi-stakeholder non-engineered systems, of which health care is a leading example. A prerequisite for improving health care and making it more resilient is that the nature of everyday clinical work be well understood. Yet the focus of the majority of policy or management solutions, as well as that of accreditation and regulation, is work as it ought to be (also known as 'work-as-imagined'). The aim of policy-makers and managers, whether the priority is safety, quality, or efficiency, is therefore to make everyday clinical work - or work-as-done - comply with work-as-imagined. This fails to recognise that this normative conception of work is often oversimplified, incomplete, and outdated. There is therefore an urgent need to better understand everyday clinical work as it is done. Despite the common focus on deviations and failures, it is undeniable that clinical work goes right far more often than it goes wrong, and that we only can make it better if we understand how this happens. This second volume of Resilient Health Care continues the line of thinking of the first book, but takes it further through a range of chapters from leading international thinkers on resilience and health care. Where the first book provided the rationale and basic concepts of RHC, the Resilience of Everyday Clinical Work b

This book addresses the global need for more comparative studies on health policy and health care systems, given the rise in recent decades of societal aging, modern mass diseases, economic globalization, and resulting permanent fiscal austerity of governments which have fundamentally altered the status quo of health care systems. The book examines the healthcare experiences of the most developed countries in Asia (Japan, South Korea, Taiwan and Singapore) and compares these with four of the most important health care systems in Europe (UK, France, Germany and Italy). Focusing on the public health care systems the contributors discuss the rising need for reforms in health care and health insurance administration, delivery systems, financing and overall health care policy strategies, particularly in fast-aging societies in Asia, and highly aged societies in Europe. This book will appeal to students and scholars of health care policy, health and social administration, social policy, public policy and social work. It will also provide a reference for professionals who need a view of the trajectory of public health financing in relation to changed and changing demographics and disease patterns.

Tavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock Press. Reproduced here in facsimile, this volume was originally published in 1966 and is available individually. The collection is also available in a number of themed mini-sets of between 5 and 13 volumes, or as a complete collection.

This three-volume set brings together the most important and interesting papers on the economics of health behaviours such as smoking, drinking, drug use, and risky sex. Volume I explores the theoretical foundations; it also includes empirical papers on the household production of health and the link between schooling and health. Volume II covers research into the prediction and explanations of health behaviours and into the labour market consequences of unhealthy behaviour. Volume III features interactions between health behaviours and the impact of related public policies. This authoritative collection will be of particular interest to economists, social scientists and health services researchers.

Privacy, Due process and the Computational Turn: The Philosophy of Law Meets the Philosophy of Technology engages with the rapidly developing computational aspects of our world including data mining, behavioural advertising, iGovernment, profiling for intelligence, customer relationship management, smart search engines, personalized news feeds, and so on in order to consider their implications for the assumptions on which our legal framework has been built. The contributions to this volume focus on the issue of privacy, which is often equated with data privacy and data security, location privacy, anonymity, pseudonymity, unobservability, and unlinkability. Here, however, the extent to which predictive and other types of data analytics operate in ways that may or may not violate privacy is rigorously taken up, both technologically and legally, in order to open up new possibilities for considering, and contesting, how we are increasingly being correlated and categorizedin relationship with due process - the right to contest how the profiling systems are categorizing and deciding about us.

Lax federal oversight, high technology resources, privatized health care, a pluralist population, and a commitment to professional autonomy make the United States an ideal host for reproductive tourists. Those who are in possession of enough material resources and political savvy can subvert their countries' norms and laws regarding reproductive technologies, in effect becoming procreative outlaws. This book examines the United States as a destination for international consumers of assisted fertility services, including egg donation, surrogacy, and sex selection. It is based on interviews conducted with fertility industry insiders who market their services to an international clientele in three of the largest American hubs of the global fertility marketplace - New York City, Los Angeles, and San Francisco. By focusing on the providers rather than the consumers of assisted fertility services, the book shines a light on how professional ethics and norms, in addition to personal moralities, shape the practice of reproductive tourism.

The growing movement towards evidence-based healthcare design has largely emphasised a change of culture and attitudes. It has advocated for new ways of working, but until now, it has not focused on equipping healthcare clients and their designers with the practical means to exploit the potential benefits from evidence-based architectural design. Development of indicators and tools that aid designers and users of the built environments in thinking about quality enhances the design process to achieve better outcomes. Importantly, design tools can support managers and designers through end-user involvement and an increased understanding of what patients and staff expect from their healthcare facilities. They can facilitate the creation of patient-centred environments which improve user satisfaction. Design Tools for Evidence-Based Healthcare Design: Discusses the tools that are being used to achieve, design quality and excellence within the context of NHS procurement systems such as PFI, Procure21 and others. Collates information that increases our understanding of these tools, in order to be able to make the best use of them Clarifies where, during the various stages of a building's life (from inception, design, construction, occupation and re-use), these tools should be used in order to derive the benefits possible from evidence-based design Provides in one place an authoritative reference publication that will act as a memory, a user guide and manual for these design tools Illustrated with case studies from throughout the UK and written by a well-known expert in the field, this book will provide essential reading for anyone involved in healthcare design.

Recent studies into the experiences and failures of health care services, along with the rapid development of patient advocacy, consumerism and pressure groups have led historians and social scientists to engage with the issue of the medical complaint. As expressions of dissatisfaction, disquiet and failings in service provision, past complaining is a vital antidote to progressive histories of health care. This book explores what has happened historically when medicine generated complaints. This multidisciplinary collection comprises contributions from leading international scholars and uses new research to develop a sophisticated understanding of the development of medicine and the role of complaints and complaining in this story. It addresses how each aspect of the medical complaint - between sciences, professions, practitioners and sectors; within politics, ethics and regulatory bodies; across nations and cultures; from interested parties and patients - has manifested in modern medicine, and how it has been defined, dealt with and resolved.A critical and interdisciplinary humanities and social science perspective grounded in historical case studies of medicine and bioethics, this volume provides the first major and comprehensive historical, comparative and policy-based examination of the area. It will be of interest to historians, sociologists, lawyers and ethicists interested in medicine, as well as those involved in healthcare policy, practice and management.

Drawn from the popular "Narrative Matters" column in the journal Health Affairs, these essays embody a vision for a health care system that centers the humanity of patients and doctors alike. Health care decision making affects patients and families first and foremost, yet their perspectives are not always factored into health policy deliberations and discussions. In this anthology, Jessica Bylander brings together the personal stories of the patients, physicians, caregivers, policy makers, and others whose writings add much-needed human context to health care decision making. Drawn from the popular "Narrative Matters" column in the leading health policy journal Health Affairs, this collection features essays by some of the leading minds in health care today, including Pulitzer Prize-winner Siddhartha Mukherjee, MacArthur fellow Diane Meier, former Planned Parenthood president Leana S. Wen, and former secretary of health and human services Louis W. Sullivan. The collection also presents important stories from lesser-known voices, including a transgender doctor in Oklahoma who calls for better treatment of trans patients and a palliative care physician who reflects on how perspectives on hastening death have changed in recent years. A foreword written by National Humanities Medal recipient Abraham Verghese, MD, further rounds out the book. The collection of thirty-two essays is organized around several themes: * the practice of medicine * medical innovation and research * patient-centered care * the doctor-patient relationship * disparities and discrimination * aging and end-of-life care * maternity and childbirth * opioids and substance abuse Contributors: Louise Aronson, Laura Arrowsmith, Cheryl Bettigole, Cindy Brach, Gary Epstein-Lubow, Jonathan Friedlaender, Patricia Gabow, Katti Gray, Yasmin Sokkar Harker, Timothy Hoff, Carla Keirns, Raya Elfadel Kheirbek, Katy B. Kozhimannil, Pooja Lagisetty, Maria Maldonado, Maureen A. Mavrinac, Diane E. Meier, Dina Keller Moss, Siddhartha Mukherjee, Donna Jackson Nakazawa, Travis N. Rieder, Aroonsiri Sangarlangkarn, Elaine Schattner, Janice Lynch Schuster, Myrick C. Shinall, Gayathri Subramanian, Louis W. Sullivan, Gautham K. Suresh, Abraham Verghese, Otis Warren, Leana S. Wen, Charlotte Yeh

Welcome to the world of sexed-up medicine, where patients have been turned into customers, and clinics and waiting rooms are jammed with healthy people, lured in to have their blood pressure taken and cholesterol, smear test, bowel or breast screening done. In the world of sexed-up medicine pharmaceutical companies gloss over research they don't like and charities often use dubious science and dodgy PR to 'raise awareness' of their disease, leaving a legacy of misinformation in their wake. Our obsession with screening swallows up the time of NHS staff and the money of healthy people who pay thousands to private companies for tests they don't need. Meanwhile, the truly sick are left to wrestle with disjointed services and confusing options. Explaining the truth behind the screening statistics and investigating the evidence behind the hype, Margaret McCartney, an award-winning writer and doctor, argues that this patient paradox - too much testing of well people and not enough care for the sick - worsens health inequalities and drains professionalism, harming both those who need treatment and those who don't.

"This book bridges the fields of health care and data to clarify how to use data to manage pandemics. Written while COVID-19 was raging, it identifies both effective practices and misfires, and is grounded in clear, research-based explanations of pandemics and data strategy....The author has written an essential book for students and professionals in both health care and data. While serving the needs of academics and experts, the book is accessible for the general reader." - Eileen Forrester, CEO of Forrester Leadership Group, Author of CMMI for Services, Guidelines for Superior Service "...Rupa Mahanti explores the connections between data and the human response to the spread of disease in her new book,... She recognizes the value of data and the kind of insight it can bring, while at the same time recognizing that using data to solve problems requires not just technology, but also leadership and courage. This is a book for people who want to better understand the role of data and people in solving human problems." -- Laura Sebastian-Coleman, Author of Meeting the Challenges of Data Quality Management In contrast to the 1918 Spanish flu pandemic which occurred in a non-digital age, the timing of the COVID-19 pandemic intersects with the digital age, characterized by the collection of large amounts of data and sophisticated technologies. Data and technology are being used to combat this digital age pandemic in ways that were not possible in the pre-digital age. Given the adverse impacts of pandemics in general and the COVID-19 pandemic in particular, it is imperative that people understand the meaning, origin of pandemics, related terms, trajectory of a new disease, butterfly effect of contagious diseases, factors governing the pandemic potential of a disease, strategies to combat a pandemic, role of data, data sharing, data strategy, data governance, analytics, and data visualization in managing pandemics, pandemic myths, critical success factors in managing pandemics, and lessons learned. How Data Can Manage Global Health Pandemics: Analyzing and Understanding COVID-19 discusses these elements with special reference to COVID-19. Dr. Rupa Mahanti is a business and data consultant and has expertise in different data management disciplines, business process improvement, regulatory reporting, quality management, and more. She is the author of Data Quality (ASQ Quality Press) and the series Data Governance: The Way Forward (Springer).

Dame Cicely Saunders was the founder of the Hospice Movement, in which Britain leads the world. Her work transformed our approach to the care of the dying, and also the debate about euthanasia. She died in 2005 and her memorial service was held in Westminster Abbey in March 2006. Over 1600 people attended. This biography, by Shirley du Boulay, includes a 4-page plate section and new chapters by Marianne Rankin covering the years after 1984.

How safe are hospitals? Why do some hospitals have higher rates of accident and errors involving patients? How can we accurately measure and assess staff attitudes towards safety? How can hospitals and other healthcare environments improve their safety culture and minimize harm to patients? These and other questions have been the focus of research within the area of Patient Safety Culture (PSC) in the last decade. More and more hospitals and healthcare managers are trying to understand the nature of the culture within their organisations and implement strategies for improving patient safety. The main purpose of this book is to provide researchers, healthcare managers and human factors practitioners with details of the latest developments within the theory and application of PSC within healthcare. It brings together contributions from the most prominent researchers and practitioners in the field of PSC and covers the background to work on safety culture (e.g. measuring safety culture in industries such as aviation and the nuclear industry), the dominant theories and concepts within PSC, examples of PSC tools, methods of assessment and their application, and details of the most prominent challenges for the future in the area. Patient Safety Culture: Theory, Methods and Application is essential reading for all of the professional groups involved in patient safety and healthcare quality improvement, filling an important gap in the current market.

This pioneering volume represents the culmination of state-of-the-art research whose purpose was to investigate the relationship between health care and immigration in the USA - two broken systems in need of reform. This volume sets out to answer the question: how do medical institutions address the needs of individuals and families who are poor, lacking English fluency, and often devoid of legal documents? The book provides an examination of the challenges faced by institutions aiming to serve impoverished people and communities desperately in need of help. It represents a comprehensive portrayal of two institutional arrangements affecting the lives of millions on a daily basis. Health Care and Immigration offers accounts of the alternative paths used by immigrants to bypass dominant health-care organizations, and regional variations in health-care; the evolution and character of health-care legislation; factors explaining the persistence of altruistic institutions in a market economy, as well as the parts played by local legislation and social networks; and changes resulting from migration that affect the health of immigrants. This volume will be an invaluable resource for academics, researchers and students, as well as public officials addressing the health care needs of disadvantaged groups. This book was originally published as a special issue of Ethnic and Racial Studies.

Nursing is typically understood, and understands itself, as a care-giving occupation. It is through its relationships with patients whether these are absent, present, good, bad or indifferent that modern day nursing is defined. Yet nursing work extends far beyond direct patient care activities. Across the spectrum of locales in which they are employed, nurses, in numerous ways, support and sustain the delivery and organisation of health services. In recent history, however, this wider work has generally been regarded as at best an adjunct to the core nursing function, and at worse responsible for taking nurses away from their real work with patients. Beyond its identity as the other to care-giving, little is known about this element of nursing practice.

Drawing on extensive observational research of the everyday work in a UK hospital, and insights from practice-based approaches and actor network theory, the aim of this book is to lay the empirical and theoretical foundations for a reappraisal of the nursing contribution to society by shining a light on this invisible aspect of nurses work. Nurses, it is argued, can be understood as focal actors in health systems and through myriad processes of translational mobilisation sustain the networks through which care is organised. Not only is this work an essential driver of action, it also operates as a powerful countervailing force to the centrifugal tendencies inherent in healthcare organisations which, for all their gloss of order and rationality, are in reality very loose arrangements."

The Invisible Work of Nurses "will be interest to academics and students across a number of fields, including nursing, medical sociology, organisational studies, health management, science and technology studies, and improvement science."

This book examines the encounter between western and Asian models of public health and medicine in a range of East and Southeast Asian countries over the course of the twentieth century until now. It discusses the transfer of scientific knowledge of medicine and public health approaches from Europe and the United States to several Asian countries Singapore, Hong Kong, Indonesia, Sri Lanka, Japan, Taiwan, and China and local interactions with, and transformations of, these public health models and approaches from the nineteenth century to the 1950s. Taking a critical look at assumptions about the objectiveness of science, the book highlights the use of scientific knowledge for political control, cultural manipulation, social transformation and economic needs. It rigorously and systematically investigates the historical developments of public health concepts, policies, institutions, and how these practices changed from colonial, to post-colonial and into the present day."

This book provides an overview of state-of-the-art research that has been conducted within Australia, funded by the Bushfire Cooperative Research Centre. The chapters source and contextualize their own research practice within the context of the international research literature. Therefore, while the research has occurred within Australia it will be of particular interest to scholars, students and practitioners in a number of other countries, particularly within the United States of America and in Europe. The fire and emergency services is a particularly large industry - in Australia alone it employs 250,000 personnel - yet there is very little by way of published human factors books addressing this sector directly. Emergency events frequently involve problems for which there may be unanticipated consequences and highly interdependent consequential effects. In short, emergency events are not necessarily as containable as may be work in other domains. As Karl Weick once commented, emergency events do not 'play by the rules'. This means that these research chapters tell us something about a potential future world of work that is highly dynamic, interdependent and for which improvisation and critical thinking and problem-solving are necessary pre-requisites. The discussions about individual and team performance will also be pertinent to others working in similar high-reliability, high-consequence domains. The chapters connect into an integrated body of work about individual and group performance and their limitations.

Despite the scope and sophistication of contemporary health care, there is increasing international concern about the perceived lack of compassion in its delivery. Citing evidence that when the basic needs of patients are attended to with kindness and understanding, recovery often takes place at a faster level, patients cope more effectively with the self-management of chronic disorders and can more easily overcome anxiety associated with various disorders, this book looks at how good care can be put back into the process of caring. Beginning with an introduction to the historical values associated with the concept of compassion, the text goes on to provide a bio-psycho-social theoretical framework within which the concept might be further explained. The third part presents thought-provoking case studies and explores the implementation and impact of compassion in a range of healthcare settings. The fourth part investigates the role that organizations and their structures can play in promoting or hindering the provision of compassion. The book concludes by discussing how compassion may be taught and evaluated, and suggesting ways for increasing the attention paid to compassion in health care. Developing a multi-disciplinary theory of compassionate care, and underpinned by empirical examples of good practice, this volume is a valuable resource for all those interesting in understanding and supporting compassion in health care, including advanced students, academics and practitioners within medicine, nursing, psychology, allied health, sociology and philosophy.

Heated debate surrounds the topic of health care in both the US and in Canada. In each country, these debates are based in some measure on perceptions about health care in their neighboring country. The perceptions held by Canadians about the US health care system, or those held by Americans about Canada, end up having significant impact on health policy makers in both countries. Health Care Policy and Opinion in the United States and Canada examines these perceptions and their effects using an extensive cross-national survey made up of two public opinion polls of over 3,500 respondents from the US and Canada. The book first develops a rigorous and detailed explanation of the factors that contribute to levels of satisfaction among Americans and Canadians with respect to their health care systems. It then attempts to study the perceptions of Canadians vis-a-vis the US health care system as well as the perception of Americans toward Canada's health care system. The authors examine how these perceptions impact health policy makers, and show how the survey results indicate remarkable similarities in the opinions expressed by Americans and Canadians toward the problems in the health care system, heralding perhaps a measure of convergence in the future. The authors present how perceptions on health care indicate elements of convergence or divergence between the views of Canadians and Americans, and discuss how these citizen opinions should inform health care policy change in both countries in the near future. This book should generate interest in scholars of health care, public opinion, and comparative studies of social policies and public opinion.