Since February 2020 the COVID-19 pandemic has strained health systems worldwide. Despite several measures adopted, including the deployment of emergency funds to sustain health service transformations and investment in vaccine development, the crisis has taken over a year to be controlled. The consequences are still affecting the capacity and capabilities of health systems. In light of the ongoing pandemic, this book explores the factors determining the ability of health systems to cope with and recover from a crisis, and therefore their level of resilience. The term resilience has gained momentum in health systems research, with several scholars contributing to the definition of the concept. Providing a comprehensive health system resilience agenda, policy-makers, public health specialists, health managers, scholars and practitioners will find in this work both a grounded framework for the assessment of the level of resilience of healthcare systems and organizations, and specific actionable changes that should be pursued to consolidate and improve that level of resilience. Ultimately, this work identifies desirable paths of action through the investigation of real-world cases to improve health systems and organizations capacity and capability to face any future dramatic crisis.

At a time of growing pressure on health and social care services, this book draws together contributions which highlight contemporary challenges for their management. Providing a range of contributions that draw on a Critical Management Studies perspective the book raises macro-level concerns with theory, demographics and economics on the one hand, as well as micro-level challenges of leadership, voice and engagement on the other. Rather than being an attempt to define the 'wickedness' of problems in this field, this book provides new insights designed to be of interest and value to researchers, students and managers. Contributions from international researchers explore four main topics: identifying contemporary challenges in health and social care; managing, leading and following; listening to silent voices in delivering change; and new methodologies for understanding care challenges. The concerns discussed in this volume are 'wicked' in so far as they are persistent, pernicious and beyond the curative abilities of any single organisation or profession. Such problems require collaboration but also new approaches to listening to those who suffer their effects. This book demonstrates such listening through its engagement with policy makers, leaders, followers, professions, patients, forgotten groups and silenced voices. Moreover, it considers how future research might be transformed so as to shine a more inclusive light on 'wicked' problems and their amelioration. This is a timely and engaging book that challenges you - the reader - to think again about how we should look at, engage with and support all those involved in health and social care.

The first edition of Applied Health Economics did an expert job of showing how the availability of large scale data sets and the rapid advancement of advanced econometric techniques can help health economists and health professionals make sense of information better than ever before.

This second edition has been revised and updated throughout and includes a new chapter on the description and modelling of individual health care costs, thus broadening the book s readership to those working on risk adjustment and health technology appraisal. The text also fully reflects the very latest advances in the health economics field and the key journal literature.

Large-scale survey datasets, in particular complex survey designs such as panel data, provide a rich source of information for health economists. They offer the scope to control for individual heterogeneity and to model the dynamics of individual behaviour. However, the measures of outcome used in health economics are often qualitative or categorical. These create special problems for estimating econometric models. The dramatic growth in computing power over recent years has been accompanied by the development of methods that help to solve these problems. The purpose of this book is to provide a practical guide to the skills required to put these techniques into practice.

Practical applications of the methods are illustrated using data on health from the British Health and Lifestyle Survey (HALS), the British Household Panel Survey (BHPS), the European Community Household Panel (ECHP), the US Medical Expenditure Panel Survey (MEPS) and Survey of Health, Ageing and Retirement in Europe (SHARE). There is a strong emphasis on applied work, illustrating the use of relevant computer software with code provided for Stata. Familiarity with the basic syntax and structure of Stata is assumed. The Stata code and extracts from the statistical output are embedded directly in the main text and explained at regular intervals.

The book is built around empirical case studies, rather than general theory, and the emphasis is on learning by example. It presents a detailed dissection of methods and results of some recent research papers written by the authors and their colleagues. Relevant methods are presented alongside the Stata code that can be used to implement them and the empirical results are discussed at each stage.

This text brings together the theory and application of health economics and econometrics, and will be a valuable reference for applied economists and students of health economics and applied econometrics.

In the post-Cold War, post financial crisis era, health care is an issue of critical political, personal and economic concern. In the US, plans to address a troubled health care model were met by vocal opposition. In the UK and post-communist Europe, attempts to introduce aspects of that model have resulted in controversy and violent protests, while China and Russia have recently backpedalled on marketising reforms. This innovative book provides a timely analysis addressing the many dimensions of radical health care change. Bringing together three major geopolitical regions with strikingly different recent histories, this international cast of contributors, examines reform in US, China and Europe within a single study frame. They look at the processes that have been involved when countries with such diverse starting points try to move towards a globally shared health care framework. An underlying theme running through the chapters is access to care, and how it is shaped by moral economies, by what can be said and known, and by political and economic power. Health Care Reform and Globalisation confronts the interpretations and experiences of patients, professionals, and politicians of health care transformation in practice. It will be of interest to scholars from a range of diverse disciplinary backgrounds, including public health, anthropology, area studies, sociology, politics, social policy, geography and economics.

There has been a dramatic spread of health markets in much of Asia and Africa over the past couple of decades. This has substantially increased the availability of health-related goods and services in all but the most remote localities, but it has created problems with safety, efficiency and cost. The effort to bring order to these chaotic markets is almost certain to become one of the greatest challenges in global health. This book documents the problems associated with unregulated health markets and presents innovative approaches that have emerged to address them. It outlines a framework that researchers, policy makers and social entrepreneurs can use to analyse health market systems and assess the likely outcome of alternative interventions. The book presents a new way of understanding highly marketised health systems, applies this understanding to an analysis of health markets in countries across Asia and Africa and identifies some of the major new developments for making these markets perform better in meeting the needs of the poor. It argues that it is time to move beyond ideological debates about the roles of public and private sectors in an ideal health system and focus more on understanding the operation of these markets and developing practical strategies for improving their performance. This book is ideal reading for researchers and students in public health, development studies, public policy and administration, health economics, medical anthropology, and science and technology studies. It is also a valuable resource for policy makers, social entrepreneurs, and planners and managers in public and private sector health systems, including pharmaceutical companies, aid agencies, NGOs and international organisations.

This book is written with an acute awareness of the need for new insight to ensure (1) universal protection in basic healthcare; (2) providing choice; (3) efficient production and consumption of healthcare services; (4) financial sustainability of the healthcare system. Defining the public interest as the welfare of the "representative individual" with no vested interest who imagines himself to have equal chance of being anyone in society, this book explores alternative ways of finance and delivery, the optimal interface between the public healthcare sector and the private healthcare sector, and that between public insurance and private insurance.

The book includes a theoretical but non-technical section that distinguishes between the stock of health and functional health, proposes a utility maximizing/behavioural framework to explain behaviour and the role of health policy and investigates the nature of risk and alternative insurance mechanisms. The book illustrates with a number of country studies, covering a large range of healthcare systems from the American and the European systems to various Asian systems as well as those of Australia and New Zealand. The survey of country experiences reinforces the theoretical conclusions about the role of the public healthcare sector and social insurance and that of the private market.

The book highlights the importance of and the workability of "pricing right" and "capping right": pricing standard or basic healthcare services at the right price can contain both demand-side and supply-side moral hazard and lead to more efficient production and consumption of healthcare services; capping annual eligible healthcare expenses will provide effective protection against financial risks. The proposal of lifetime healthcare supplement offers greater choice. Private caregivers and insurers supplement the public healthcare system by offering more choices and premium services, as well as additional protection.

How does a medical practice thrive in a business environment where the margin of management error has all but disappeared? Profit margins are being squeezed by declining reimbursement rates, capitation plans, gamesmanship on the part of the payors, and increasing operating costs. Addressing the specific needs of today's medical practice, Medical Practice Business Plan Workbook, Third Edition supplies a detailed and ordered work plan to tackle some of the most pressing issues facing the field.Peter D. Lucash delves into decades of experience helping physician groups develop business plans to guide you along the process of building the profitable practice you want and deserve. This updated edition of a bestseller begins with a review of the fundamentals, including the questions your plan should answer, how to get started, how to organize and develop your plan, and the staff support and resources you will need. Complete with a wealth of helpful sample plans and worksheets, this workbook: Reflects recent changes in the healthcare industry, including federal healthcare reform Offers a one-of-a-kind design and approach tailored to the medical practice Covers conceptualization, organization, and implementation of your business plan This updated edition reflects current and forecasted challenges for practices, including the Affordable Care Act, data security, and quality and outcome measures. It supplies detailed coverage of the different types of organizations, governance and management, personnel needs, key business relationships and contacts, demographics and economic factors, patients as customers, competitor analysis, marketing, information technology, disaster and business continuity planning, and financial strategies. The final section outlines a process for implementing your plan. Sticking to this process will help ensure your plan covers what is needed to succeed in today's complex

Capacity building - which focuses on understanding the obstacles that prevent organisations from realising their goals, while promoting those features that help them to achieve measurable and sustainable results - is vital to improve the delivery of health care in both developed and developing countries. Organisations are important structural building blocks of health systems because they provide platforms for delivery of curative and preventive health services, and facilitate health workforce financing and functions.

Organisational capacity building involves more than training and equipment and this book discusses management capacity to restructure systems, structures and roles strategically to optimise organisational performance in healthcare. Examining the topic in a practical and comprehensive way, Organisational Capacity Building in Health Systems is divided into five parts, looking at:

• What health organisations are and do
• Management and leadership in health organisations
• How to build capacity in health systems
• Building capacity in a range of health system contexts
• Dealing with challenges in building capacity and evaluating work

Looking at how to effectively design, implement and evaluate organisational capacity building initiatives, this book is ideal for public health, health promotion and health management researchers, students and practitioners.

Contemporary globalization has had tremendous impact on health equity across the globe. However, no volume has systematically analyzed the relationship between globalization and global trends in health outcomes. This book consolidates and updates the findings of a global research project undertaken by the Globalisation Knowledge Network (GKN) of the World Health Organization's Commission on Social Determinants of Health. Chapters examine such questions as: How has trade liberalisation affected the social determinants of health? How has globalization affected food security, nutrition and equitable access to water and sanitation? How well do present global governance structures take account of the health equity effects associated with the social determinants of health? This landmark volume will be a necessary addition for researchers and scholars studying the field of globalization, health and social policy, and public health across the social sciences.

Over the last twenty years, historians have become increasingly interested in the role of non-state organizations in the development of welfare services. This study is particularly focused on the role of friendly societies and other insurance bodies in the provision of aid for the elderly and the sick.

This volume brings together experts from a variety of disciplines, such as medicine, biology, sociology, epidemiology, anthropology, economics and political science, who focus on three areas: health disparities and inequity due to gender, the specific problems women face in meeting the highest attainable standards of health, and the policies and actions that can address them. Highlighting the importance of intersecting social hierarchies (e.g. gender, class and ethnicity) for understanding health inequities and their implications for health policy, contributors detail and recommend policy approaches and agendas that incorporate, but go beyond commonly acknowledged issues relating to women's health and gender equity in health.

This well researched book provides an interesting study of the development of fever hospitals and fever nursing, mainly in nineteenth and twentieth century Britain. It provides new insights into the development of nursing roles and nurse education and looks at the lives of key figures at that time. The text examines how this once important branch of the nursing profession emerged in the nineteenth century, only to be discarded in the second half of the following century. Drawing on the work of Goffman and Foucault, the study shows how, aided by medical advances, fever nurses transformed their custodial duties into a therapeutic role and how training schemes were implemented to improve the recruitment and retention of nurses. As standards of living improved and patient's chances of recovery increased, many fever hospitals became redundant and fever nurses were no longer required. The wisdom of creating fever hospitals and then disbanding them is questioned in the light of changing disease patterns, international travel and the threat posed by biological warfare.

Medical and health tourism is a significant area of growth in the export of medical, health and tourism services. Although spas and improved well-being have long been part of the tourist experience, health tourism now includes travel for medical purposes ranging from cosmetic and dental surgery through to transplants and infertility treatment. Many countries including China, Cuba, Hungary, India, Thailand, Malaysia and Singapore actively promote and compete for the medical tourist dollar, while many developed countries also provide niche private services. However, the field of medical tourism is increasingly being subject to scrutiny and debate, particularly as a result of concerns over regulatory, ethical and wider health issues.

Drawing on a range of theoretical and methodological perspectives, this book is one of the first to critically address the substantial political, philosophical and ethical issues that arise out of the transnational practices of medical tourism. Through a series of chapters the book engages with key issues such as the role of regulatory and policy structures in influencing medical and health tourism related mobilities. These issues are investigated by considering range of developing and developed countries, medical systems and health economic perspectives.

The book adopts a multi-layered perspective to not only investigate the business and marketing practices of medical and health tourism but places these within a broader framework of contemporary globalisation, policy and practice. By doing so it opens up debate of the ethical space in which medical and health tourism operates as well as reinforce the wide ranging perspectives that exist on the subject in both the public and academic imagination.

This significant contribution will be of interest to students, academics in tourism and medical policy, trade and economic development fields.

This unique book enhances our understanding of the links between professions, the state and the market - and their implications for the public in terms of professional practice. In so doing, the book adopts a neo-Weberian perspective, in which professions are seen as a form of exclusionary social closure based on legal boundaries established by the state. To illustrate the overarching theme, the book considers how healthcare in general, and medicine in particular as a form of professional work, is organized in public and private arenas in three societies with different socio-political philosophies - namely, Britain, the United States and Russia. As such, it examines the varying extent to which the development of independent professional organizations has been enhanced or restricted in public, as compared to more privatized social contexts. The comparative perspective adopted in this book thereby provides insight into the organization of professional work in different contexts and the all-important effects of this on delivery to the public. This book will be of particular interest to scholars, researchers and students of Management, Public Policy and Health Care.

Examining the world of popular healing in South Asia, this book looks at the way that it is marginalised by the state and medical establishment while at the same time being very important in the everyday lives of the poor. It describes and analyses a world of 'subaltern therapeutics' that both interacts with and resists state-sanctioned and elite forms of medical practice. The relationship is seen as both a historical as well as ongoing one. Focusing on those who exist and practice in the shadow of statist medicine, the book discusses the many ways in which they try to heal a range of maladies, and how they experience their marginality. The contributors also provide a history of such therapeutics, in the process challenging the widespread belief that such 'traditional' therapeutics are relatively static and unchanging. In focusing on these problems of transition, they open up one of the central concerns of subaltern historiography. This is an important contribution to the history of medicine and society, and subaltern and South Asian studies.

The past three decades have seen enormous changes in the organisation of health care. This book explores the role of knowledge production and technology on these transformations, focusing on the market (attempts to embed principles of economic rationality and efficient use of resources in the shaping and delivery of health care), the laboratory (science, experiments and 'evidence' in the management of research, practice and policy) and the forum (the application of deliberative procedures and other forms of public consultation to health care decision making).

With increasing recognition of the international market in health professionals and the impact of globalism on regulation, the governance of the health workforce is moving towards greater public engagement and increased transparency. This book discusses the challenges posed by these processes such as improved access to health services and how structures can be reformed so that good practice is upheld and quality of service and patient safety are ensured. With contributions from regulators, academics, lawyers and health professionals, this book presents arguments from multiple perspectives. Of global relevance, it brings together concerns about access, quality and safety within the framework of the health workforce governance continuum and will be of interest to policy makers, regulators, health professionals, academics legal practitioners, insurers, students and researchers.

The advancement of the life sciences and the technosciences has enhanced the longevity of citizens in the Western world, and half of the generation born in the first decade of the new millennium is now expected to live to the age of one hundred years. In a society with such longevity and affluence, consumption of health-related goods and services such as pharmaceuticals and scanning procedures may be seen as a sustainable source of income for the industries that promote it. Though the healthcare sector has traditionally been organized in the public sector in Europe and in the private sector in the US, the recent advancement of new therapies and direct-to-consumer marketing have opened up new streams of consumption and revenue for health care goods and services around the globe. This book examines the so-called 'bioeconomy' as a new economic and commercial field that emphasizes the management of individual life, including the regulation and control of weight and food consumption and other issues pertaining to individual well-being. In addition, the bioeconomy includes a variety of practices based on commercial interests such as organ donations, reproductive medicine and technologies, and what has been referred to as the tissue economy - the various forms of trade with human tissues. Author Alexander Styhre provides a thorough introduction to the bioeconomy, exploring this new and unique intersection of the life sciences and the technosciences with more traditional consumer markets.

The Covid 19 pandemic transformed the slow morphing of work modes into rapid shifts that heightened VUCA characteristics globally. The management of these shifts in work dynamics is the focus of the chapters in this volume. The variation of post-pandemic outcomes for businesses, from complete collapses to profit booms, easily motivates an interest in the values that influence truly positive outcomes. Also, the health sector, globally, has borne much of the brunt of the pandemic and needs to draw practical lessons to promote its adaptability and sustainability through future crises. Responsible Management of Shifts in Work Modes - Values for Post Pandemic Sustainability, Volume 2 looks at specific issues relating to ethical leadership, people management, resilience, and the management of consequences for business and healthcare systems. In the process, contributors identify challenges to and engage in in-depth discussions of work values that enrich people management. The necessary qualities needed to develop these work values both now and in the future are thus highlighted in the different chapters: both individual and organisational characteristics are explored while developing ways to promote responsible management through fairness to stakeholders and ethical leadership. As a post-pandemic future incorporates new realities distinct from the old normal and yet does not change the purpose of all responsible management, this book deliberates on the necessity of values, virtues, and skills to make the necessary work mode shifts in small, medium, and large organisations positively impactful for the future of humanity.

A unique historical review that traces health spending from ancient times to the present and forecasts 21st century trends. There are many histories of medicine, yet none that assess the dynamics of expenditures over decades and centuries. Economists have not yet addressed the magnitude of the transformation that occurred during the twentieth century as payments shifted from solo physician practices to health systems, nor the legacy effects of social practices accumulated over millennia that will shape health spending in the twenty-first. In Money and Medicine, Thomas E. Getzen provides a unified narrative of medical spending from ancient Egypt and Babylonia to the present day. Drawing on a wealth of historical reports, data, and documents, Getzen concentrates on a single ratio-the share of income devoted to medical care-to frame the evolutionary path of medicine, revealing an S-shaped growth curve that rose rapidly after 1900 as science made therapies more effective and more expensive, inflected as national health systems coalesced and rates of expansion peaked in the 1960s, then decelerated after 1975. International trends in forty-three countries are graphically illustrated with analysis supporting a parsimonious financial model. Significant lags are seen between medical innovation or macroeconomic shocks and the corresponding changes in national health expenditures. Getzen explains inertial responses to the 2008 financial crisis and Covid-19 recession, provides a method for projecting trends over the next fifty years, and suggests why spending is so much higher in the United States than other countries. As rising costs and unequal distribution of medical care have created a sense of crisis in many countries, Money and Medicine shows that we must look beyond the last few years to craft sensible solutions.

This new resource in the series provides vital perspectives across entire new disease and service areas not previously covered in other volumes. The books of the first and second series are well established as the key sources of data on needs assessment. Together, they describe the central role and aim of health care needs assessment in the National Health Service. The epidemiological approach to needs assessment is explained thoroughly, and is then applied to the effectiveness and availability of services. This definitive guide is ideal for all those involved in commissioning health care. It is invaluable for public health professionals, epidemiology and public health academics, and students of public health and epidemiology. Key reviews of the First Series: "An excellent balanced account...the definitive resource" - "Journal of the Association for Quality in Healthcare". "Excellent...it should be delved into deeply" - "Pharmaceutical Times". "This excellent work moves us closer to implementing a market in health care" - "British Medical Journal".

The combined effect of chewing tobacco (areca quid chewing) alcohol drinking and smoking greatly increase the risk of Oral Precancerous Disorders (like Leukoplakia, Erythroplakia, Oral submucous fibrosis and Verrucous lesions) in oral cavity. In developing countries of South East Asia, Indian people develop more oral precancerous disorders like Leukoplakia, Erythroplakia, Oral submucous fibrosis and Verrucous lesions compare to many other developed countries. It is estimated that in India 75% of cancers of oral cavity are attributable to tobacco chewing, smoking and alcohol drinking. So the purpose of this book is to present the correlations of these premalignant disorders microscopically with in tobacco users and alcohol drinkers.

The Patient Protection and Affordable Care Act marked a watershed in U.S. health policy, but controversy over its passage rages on, and much uncertainty surrounds the law's transformation from blueprint into operational program. How can the experience of other nations help us to reconcile the competing goals of universal coverage, cost control, and high quality care? Following an analysis of the 2010 statute, this book surveys developments in different parts of the globe to identify important lessons in health politics, policy design, and program implementation. A concluding chapter examines the issue of resistance to foreign remedies within the process of U.S. health reform.