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Books > Medicine > General issues > Health systems & services > General
This new textbook opens up the policy-making process for students, uncovering how government decisions around health are really made. Starting from more traditional insights into how ministers and civil servants develop policy with limited knowledge and money, the book goes on to challenge the conception of policy as a rational process, revealing it to be something quite different. Knee-jerk reactions to disasters, keeping voters satisfied, the powerful leverage of interest groups, and the skewing of debate through ideology and the media are each considered in turn. These processes render policy far from rational or at least require a much broader approach for considering policy 'logic', one that is open to different rationalities of values, norms and pragmatism. The book draws on historical and contemporary examples to highlight that though challenges to policy-makers may seem in some ways novel, in many senses key processes endure and indeed are rooted in historical contexts. Although the examples are drawn from UK health and social care, the book's theory-driven approach is applicable across national contexts o especially for countries where uncertainty, risk and resource pressures create significant dilemmas for policy-makers. The book's multi-perspective, thematic approach will be especially relevant to students, as will the broad range of case study examples used. "Making Health Policy" will be essential reading for students of health policy, social policy, social work, and the sociology of medicine, health and illness.
"Cultural Diversity" studies the relationship between culture and
neuropsychology. Its goal is to examine salient aspects of this
relationship and assist in bringing the issue of culture and
cultural diversity to the forefront of neuropsychological
discussions. The articles help further the understanding that
ethnic and cultural variables are important not only in research
design but also in clinical practice. In addition they urge
clinicians to make cultural variables an integral component of any
neuropsychological assessment and examine clinical data in the
context of the patient's ethnic and cultural backround.
This Handbook provides a clear introduction to the theoretical debates surrounding the topic of domestic violence, and also offers practical advice on possible interventions. Focusing on improving the care of clients it covers: the causes and consequences of domestic violence personal and professional issues for the practitioner domestic violence and the law the process of effective intervention interventions in specific health care settings interventions where children are involved multi-agency approaches education and training. Taking an evidence-based approach to practical problems, Domestic Violence is an invaluable resource for nurses, doctors and other health practitioners who deal with the consequences of domestic violence in their daily work.
The essays brought together in this volume are the product of a University of Colorado, Colorado Springs, Colloquium on Science, Technology, and Society devoted to foundations of health care practices. Prescriptions contributes to the philosophy of medicine by redefining, redrawing, and resetting the respective domains of philosophy, medicine, and healthcare. It provides a conceptual point of departure, a point from which the radical changes that will be required of health care in the next century can be envisioned and acted upon. Part I consists of three essays that provide critical analyses of the conceptual apparatus that informs the many dimensions of health care practices. In general, the contributors challenge the fundamental relationships of authority that exist between patients and health care practitioners, question the tradition of using classical ethical theories within the domain of health care, and suggest a set of different directions in which health care should develop. These essays demonstrate why a reevaluation of the culture of health care, and not just specific practices, is necessary. The two essays in Part II explore the economic, technical, legal, and public policy dimensions of contemporary medicine. The novelty of these essays lies in their response to the challenges already posed by the three preceding essays: each essay attempts to provide a specific contextual analysis for articulating and testing the broad conceptual and axiological problems raised therein. Part III provides a more specific context for exploring the issues and themes articulated in Parts I and II. Drawing attention to the techniques used to diagnose and, supposedly, cure, the contributors directly attack the view that psychoanalysis can be understood in medical or scientific terms. Those interested in the philosophical aspects of health care will find this volume provocative reading.
Recently, artificial intelligence technology has achieved much success in multiple fields, such as healthcare, security, precision agriculture, smart city, and autonomous driving. AI provides many benefits for social development, economic growth, wellbeing management, and human healthcare. Various intelligent healthcare applications have been created in order to assist in patient healthcare. The book discusses the advances of AI applications in healthcare such as disease diagnosis, diet proposal, drug prescription and trucking, and physical and psychological assistance. It also examines the applications of AI tools in healthcare such as machine learning, deep learning, soft computing, evolutionary computing techniques in the design, and implementation of healthcare solutions. This book is ideal for healthcare administrators, radiologists, medical imaging and signal specialists, diagnosticians, medical professionals, data analysts, computer science professionals, IT consultants, researchers, academicians, and students.
Based upon the popular college text Essentials of Anatomy and Physiology, 4e by Fredric H. Martini and Edwin F. Bartholomew, Dr. Bledsoe has taken this work and added clinical correlations and applications specific to emergency care. Anatomy & Physiology for Emergency Care 2e presents material in a clear, concise format and places emphasis on essential fundamental concepts, applications and terminology. Innovative EMS content and pedagogical elements make this an excellent choice for brief A&P courses that build a foundation of essential knowledge in human anatomy and physiology. This material provides a framework for interpreting and applying information that can be used in problem-solving, as well as an introduction to common injuries and illnesses in a manner that will reinforce basic anatomy and physiology principles.
The expanding importance of health as a global issue has focused attention on the value of applying the concept of Global Public Goods from economics to international health. The Global Public Goods for health concept considers 'goods' i.e. services, technologies and information, such as knowledge of an infectious disease outbreak or control of climate change, that are important for promoting the health of all populations and which are of benefit globally. Since these are 'public goods' there is often a lack of incentive to provide or feel responsible for them. The central challenge of the Global Public Goods for health concept is to ensure collective action at international level. The main focus of this book is whether and how best Global Public Goods for health can be used to advance the health of poor populations. Written by experts from both the health, legal and economics worlds, Global Public Goods for Health develops the concept in relation to international health and health policy. Numerous case studies are used to illustrate the usefulness of the concept and consider the aspects of health that may be classed as Global Public Goods and how this helps to ensure their provision.
This book is the first authoritative study of the research output and scientific impact of Nigerian health academics, including those in the diaspora. Around the world, policymakers and academics measure the scientific impact of research at national and international levels using bibliometric measures. Unfortunately, there is limited data on scientists' research productivity and impact in developing countries, particularly in Africa. Therefore, normative bibliometric information from different countries is needed to address the challenges faced by scientists in Africa. This book contributes to filling this research gap. Additionally, the author addresses the controversies surrounding the use of bibliometrics in judging research productivity and offers recommendations to improve research systems.
The 1980 Black Report by Sir Douglas Black has kept health inequalities at the forefront of the public health agenda. This volume explores the history and development of studies and concern over health inequalities especially in relation to the 1980 report.
This book aims to present the impact of Artificial Intelligence (AI) and Big Data in healthcare for medical decision making and data analysis in myriad fields including Radiology, Radiomics, Radiogenomics, Oncology, Pharmacology, COVID-19 prognosis, Cardiac imaging, Neuroradiology, Psychiatry and others. This will include topics such as Artificial Intelligence of Thing (AIOT), Explainable Artificial Intelligence (XAI), Distributed learning, Blockchain of Internet of Things (BIOT), Cybersecurity, and Internet of (Medical) Things (IoTs). Healthcare providers will learn how to leverage Big Data analytics and AI as methodology for accurate analysis based on their clinical data repositories and clinical decision support. The capacity to recognize patterns and transform large amounts of data into usable information for precision medicine assists healthcare professionals in achieving these objectives. Intelligent Health has the potential to monitor patients at risk with underlying conditions and track their progress during therapy. Some of the greatest challenges in using these technologies are based on legal and ethical concerns of using medical data and adequately representing and servicing disparate patient populations. One major potential benefit of this technology is to make health systems more sustainable and standardized. Privacy and data security, establishing protocols, appropriate governance, and improving technologies will be among the crucial priorities for Digital Transformation in Healthcare.
Understand the roles of these three unique professions and how collaboration can make each more effective This is the first book to clarify the roles and interprofessional dynamics of these three professions and describe how they can best work together. Here you'll find theological perspectives on each profession, practice models of collaborative programs, and new resources to aid your professional growth. In addition, this book gives you a thorough historical overview of parish nursing and an introduction to health care chaplaincy as well as insightful analyses of the relationships of clergy and congregation to health care institutions. Parish Nurses, Health Care Chaplains, and Community Clergy: Navigating the Maze of Professional Relationships is a vital addition to your reference shelf. This unique book, written by experts in all three fields, provides: the necessary background to be an effective parish nurse, including information on spiritual formation, clinical pastoral education, and more instruction on starting a parish health ministry effective ways that the disciplines can work together in congregational health ministries to provide the best possible spiritual care successful practice models that your ministry can emulate an examination of the health care institution's role in forming the spiritual care team resources to use to increase your ministry's effectiveness Parish Nurses, Health Care Chaplains, and Community Clergy is a must for practitioners, educators, and students who will be entering these vital professions
Who pays for long-term care? Discover the unique approaches of seven countries around the Pacific Rim!Long-Term Care in the Twenty-First Century discusses policies and programs for long-term care in seven countries around the Asia-Pacific Rim: the United States, Canada, Japan, Australia, Singapore, Hong Kong, and Taiwan. Each country is covered in two chapters, one to examine the philosophy and values that underlie its approaches to long-term care, the second to discuss its systems of service delivery. These thoughtful analyses, backed up with facts and figures, explain program successes and failures in the context of demographic and social trends and with reference to the differing political systems across the region. Its breadth of perspective and insightful examination of cultural differences make Long-Term Care in the Twenty-First Century an important contribution to the international comparative study of aging. The programs in the United States, Australia, and Canada offer a fascinating contrast with the longer-established and very different programs in the Asian countries, including Japan, the world's oldest country.Long-Term Care in the Twenty-First Century provides practical information on essential gerontological issues for each country, including: financing arrangements development of client classification systems case management in both residential and community-based systems key source documents, references, and Web sites political and cultural influences home-based and family caregivingThis valuable book provides a critical record of developments in the current transition period. This multicultural perspective contributes a chance for all countries to learn from the experience of others in dealing with a problem that is increasingly important as the world population ages. Long-Term Care in the Twenty-First Century is an essential resource for scholars, service providers, policymakers, and anyone concerned with care of the aged, not only in Pacific Rim countries but around the world.
This is the only collection of its kind to offer an inside view of life and work in contemporary nursing homes with the purpose of developing a theory of the culture of long term care. The anthropological research in nursing homes presented here produces a seldom seen native view of patients, staff, and the day-to-day workings of American nursing homes. The use of ethnographic methods penetrates the reality barriers found in industry descriptions, muck-raking discourse, and general societal aversion toward nursing homes. The tensions found between and within staff culture and patient culture are explored in terms of adaptations to institutional life in the context of current policy and the larger American ageist culture.
Public silence in policymaking can be deafening. When advocates for a disadvantaged group decline to speak up, not only are their concerns not recorded or acted upon, but also the collective strength of the unspoken argument is lessened - a situation that undermines the workings of deliberative democracy by reflecting only the concerns of more powerful interests. But why do so many advocates remain silent on key issues they care about and how does that silence contribute to narrowly defined policies? What can individuals and organizations do to amplify their privately expressed concerns for policy change? In "Healthy Voices, Unhealthy Silence", Colleen M. Grogan and Michael K. Gusmano address these questions through the lens of state-level health care advocacy for the poor. They examine how representatives for the poor participate in an advisory board process by tying together existing studies; extensive interviews with key players; and, an in-depth, first-hand look at the Connecticut Medicaid advisory board's deliberations during the managed care debate. Drawing on the concepts of deliberative democracy, agenda setting, and nonprofit advocacy, Grogan and Gusmano reveal the reasons behind advocates' often unexpected silence on major issues, assess how capable nonprofits are at affecting policy debates, and provide prescriptive advice for creating a participatory process that adequately addresses the health care concerns of the poor and dispossessed. Though exploring specifically state-level health care advocacy for the poor, the lessons Grogan and Gusmano offer here are transferable across issue areas and levels of government. Public policy scholars, advocacy organizations, government workers, and students of government administration will be well-served by this significant study.
The point of departure for "Managing to Care" is widespread concern that the present delivery of health and social welfare services is fragmented, uncoordinated, inefficient, costly, wasteful, and ultimately detrimental to clients' health and wellbeing. Dill traces the evolution of case management from its start as a tool for integrating services on the level of the individual client to its current role as a force behind the most significant trends in health care. Those trends include the entrenchment of bureaucracy, the challenges of once dominant professions, and the rise of corporate control. The author's purpose in adopting this analysis is to invite further scrutiny of the case management profession, and at the same time to identify new possibilities for its application. This volume brings together thoughts developed over many years of observing and participating in case management programs. It provides a multilayered perspective of case management, showing linkages among its social and historical contexts and the ways it is practiced today in diverse service settings. The author emerged convinced about the essential need for care coordination, and that present ways of providing care can work against our highest objectives in doing so. The paradoxes and contraindications embedded in case management practice became a major theme of the book. "Managing to Care" is highly critical of the ways case management has come to absorb and reflect the organizational flaws of the very service systems it was intended to reform. Too often management of the case comes to dominate care. The author does not call for a rejection of professional systems in favor of a resurrected informal community. While much can and should be done to strengthen our ties to one another, there will always be people whose problems require more expert help. Dill argues here that case management can provide such help, and provide it well, but only if it is grounded in the human dimension of a caring relationship. "Ann E. P. Dill," associate professor of sociology and gender studies at Brown University, is a medical sociologist and social gerontologist. Her research examines issues affecting the long-term provision of health care and social services, both in the United States and in countries formerly part of Yugoslavia.
"A must-read for both current and future retirees." --Robert Powell, Retirement Daily Includes the Most Up-to-Date Information for 2020-2021 Confused by Medicare? Get answers from Maximize Your Medicare, an informative guide by nationally recognized expert Jae W. Oh. Maximize Your Medicare helps readers understand how and what to choose when deciding on Medicare options. This book shows readers how to: Enroll in Medicare and avoid never-ending penalties Compare Medigap vs. Medicare Advantage Discern the differences among Parts A, B, and D Increase benefits every year Avoid costly errors Deal with special circumstances Get the most from the plan Written in a clear and concise style, Maximize Your Medicare is a vital resource for every American aged sixty-five or older, as well as for their families and care coordinators.
A 360-degree look at health care politics, policy, providers, and personalization that offers leaders important perspectives to successfully shape US health care after COVID-19 Over the past decade, the health economy has experienced the most dramatic change since the passage of Medicare and Medicaid in 1965. The Affordable Care Act's expansion of Medicaid, demographic-driven Medicare growth, and the digitization of health records have rapidly changed the traditional dynamics of the field-and the pandemic has accelerated this process. Experienced and aspiring health sector leaders must navigate an increasingly complex health care landscape in order to conceive, create, and implement solutions to improve our health care system now and in the future. The New Health Economy provides health professionals with a 360-degree look at the field by exploring four pillars of the health economy: politics, policy, providers, and personalization. Topics covered include the federal government's role as the largest payer and regulator of health care, health care finance and the shift from the fee-for-service model toward value-based care, the increasing consolidation of provider networks, and data-driven personalizations inside and outside of the field. Drawing from interviews with top leaders in the field-including a former CDC director, a former FDA commissioner, and the current CEOs of Pfizer and Johnson & Johnson-this essential guide compares each sector before and during the COVID-19 crisis. These comparisons shed light on how the pandemic has accelerated recent trends in health care and provide leaders with an outline for a strategic path forward. The New Health Economy brings together the best thinking from across the health care sector, providing insight into COVID-19's impact on the health economy and setting the ground rules required to shape a new health care system as we emerge from the pandemic. This valuable resource will benefit CEOs and other leaders in the health economy, from hospitals to provider networks and beyond.
Instances of euthanasia or mercy killing date back to antiquity. However, it is only recently that the unprecedented grassroots efforts to legalize euthana sia have begun building. "Terminal Illness, Assistance with Dying," a California ballot initiative for the No vember 1992 election, might for the first time in modem history legalize euthanasia and assisted suicide by physicians. Similar initiatives are planned in other states. To vote intelligently, citizens in California and throughout the United States need to learn who is likely to request euthanasia or assisted suicide, and why. How we care for the terminally ill eventually af fects us all. In over half of all deaths, a chronic dis ease process such as cancer or congestive heart failure leads to a terminal phase that may last for days, weeks, or months. Most people are more afraid of the suffering associated with this terminal phase than they are afraid of dying itself. When polled, most Americans tell us they would prefer to die at home, surrounded by loved ones, rather than in a hospital receiving high-tech tests and treatments until the last. Yet the majority of people, even those with term inal illnesses, die in the hospital. What factors in our culture and health care system have led to this dichotomy? Unrelieved suffering is also the primary reason for euthanasia requests."
Improving partnership working between health and social care agencies has long been a feature of government policy but has recently gained increased impetus as a result of New Labour's commitment to joined-up government. This book provides a detailed but accessible introduction to policy and practice at the interface between health and social care. Drawing on key research, government policies and real-life case studies, the book assists health and social care professionals to work more effectively together in order to improve services for users and carers. The health and social care divide: explains why partnerships are important and what helps or hinders partnership working; reviews the legal and policy framework, providing a chronological overview and placing current initiatives in their historical and social policy context; summarises existing research findings with regard to key health and social care policy debates; uses case studies to explore the implications of this research for health and social care practitioners; provides good practice guidance for both students and frontline practitioners. The book is designed as an introductory text for those working or training to work in a multi-agency environment. In particular, it will be of interest to social work, nursing, therapy and medical students, frontline practitioners and those undertaking post-qualification training courses. |
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