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Books > Medicine > General issues > Health systems & services > General
Drawing on theory and empirical research, this book provides an analysis of the intersections between LGBTQ+ identification and chronic illness. Chapters focus on the theoretical meaning of chronic illness as a queer notion, as well as the lived experiences of chronically ill LGBTQ+ people. The author analyzes chronic illness as an experience that interrogates the normative notions of time, (in)visibility, and disability. Interweaving notions of heteronormativity and able-bodiedness as interwoven and mutually dependent, this book argues that the experience of chronic illness through the LGBTQ+ embodiment presents the potential to imagine bodies differently.This book will be useful for scholars and students in Disability Studies, Queer Studies, and Gender Studies.
The book presents the state of the art of the Internet of Things (IoT), applied to Human-Centered Design (HCD) projects addressed to ageing users, from the perspective of health, care and well-being. The current focus on the ageing population is opening up new opportunities for the development of niche solutions aimed at the niche category of older users who are beginning to experience physical and cognitive decline but are still independent and need to maintain their autonomy for as long as possible. The combination between the needs expressed by older users and the opportunities offered by the recent innovative technologies related to the Internet of Things allows research institutions, stakeholders, and academia to target and design new solutions for older users, safeguarding their well-being, health, and care, improving their quality of life. This book discusses and analyses the most recent services, products, systems and environments specifically conceived for older users, in order to enhance health, care, well-being and improve their quality of life. This approach is coherent with the percept of AAL or enhanced living environment, looking to the users' comfort, autonomy, engagement and healthcare. The book describes and analyses aspects of HCD with older users looking to the emerging technologies, products, services, and environments analysed in their actual application in different areas, always concerning the design for the elderly related to the IoT, just as the development of biomonitoring devices, tools for activity recognition and simulation, creation of smart living environments, solutions for their autonomy, assistance and engagement enhancing health, care and wellbeing. The book is intended for researchers, designers, engineers, and practitioners in healthcare to connect academia, stakeholders, and research institutions to foster education, research and innovation.
The pandemic that struck in late 2019 - the coronavirus, commonly referred to as COVID-19 - affected every country in the world. This book examines how the pandemic has impacted healthcare institutions worldwide, and focuses on the international experience of COVID-19 in terms of healthcare delivery since 2019 and today. It highlights how healthcare facilities around the world have managed and continue to manage their obligations to their citizens. The book's goal is to improve our understanding of the many negative and positive impacts of the pandemic on various aspects of our lives, including the health aspect, and how healthcare institutions could expand their ability to manage similar pandemics in the future without seriously compromising their ability to address other, regular health issues. At the same time, it takes a closer look at CSR, sustainability, ethics, and governance issues related to the pandemic, as well as current CSR practices in each of the countries reviewed. Given its scope, the book will be of interest to a broad readership including researchers, practitioners, and students concerned with the pandemic's societal and public health implications.
The very best journalism from one of Britain's most admired and outspoken science writers, author of the bestselling Bad Science and Bad Pharma. In Bad Science, Ben Goldacre hilariously exposed the tricks that quacks and journalists use to distort science. In Bad Pharma, he put the $600 billion global pharmaceutical industry under the microscope. Now the pick of the journalism by one of our wittiiest, most indignant and most fearless commentators on the worlds of medicine and science is collected in one volume.
In this book, the history of the Brazilian Psychiatric Reform is told by one of its main protagonists. In the early 1980s, there were about 80 thousand people admitted to psychiatric hospitals in Brazil, with average lengths of hospital stay of approximately 25 years. The psychiatric reform process that took place in the country was responsible for closing more than 60 thousand beds in mental asylums, most of them characterized by conditions of violence and abandonment.The Brazilian Psychiatric Reform was inspired by the psychosocial care model introduced by psychiatrist Franco Basaglia in Italy and was marked by the broad participation of social movements, such as the anti-asylum movement and other human rights movements. This process gave rise to a model of mental health care based on open-door territorial mental health services, guided by the principle of treatment in liberty, in addition to other strategies of deinstitutionalization. More than a proposal to restructure or modernize the mental health care model, the objective of the Brazilian Psychiatric Reform was the construction of a new social place for the diverse and singular subjective experience of madness. By intending to produce new imaginaries, new social representations and new meanings for these experiences, the Brazilian Psychiatric Reform led to one of the larger experiences of deinstitutionalization in the world and to the large scale implementation of a new model of mental health care in which the old asylum-centric paradigm was replaced by a new democratic psychosocial care model.
Starting with a working definition, this comprehensive work defines the attributes of the population health model. It clarifies what population health is and is not. It discusses health disparities and the social determinants of health and illness and provides new ways of moving forward towards a more sustainable healthcare model in a changing society, thereby pointing out the importance of multi-sector collaboration for collective impact for community health improvement. The book takes this further by providing sources of data to support the population health model. As such, this book provides a must-read for students and anyone working, teaching or consulting in population healthcare.
Approximately fifty million people in the United States have no health insurance. Dr. Charles Chen, an obstetrician and gynecologist for almost thirty years, agrees with many people in this country that health insurance should cover every citizen, not just those who can afford to pay the rates. "A Plan for a Single Payer Health Care System" takes an in-depth look at every aspect of our current health care system and provides a strategic plan, along with innovative solutions for reforming the system. In an easy-to-understand format, Dr. Chen provides clear definitions and the pros and cons of utilizing three potential health care systems. Dr. Chen presents the results from his research on several international health care systems and then proposes the best solution for America. He recommends several concrete ideas, including establishing a Department of the National Health Care System, requesting the support of large corporations who pay high medical premiums for employees, and allowing uninsured citizens to purchase a low-cost health plan from the government. The ability to receive medical treatment should be a basic human right. Dr. Chen's plan for improvement helps shine a bright light on a situation that has quickly become critical for this country. His plan will ultimately help ensure that all citizens have access to health insurance. "A Plan for a Single-Payer Health Care System" takes an in-depth look at every aspect of our current health care system and provides a strategic plan, along with innovative solutions for reforming the system. In an easy-to-understand format, Dr. Chen provides clear definitions and the pros and cons of utilizing three potential health care systems. Dr. Chen presents the results from his research on several international health care systems and then proposes the best solution for America. He recommends several concrete ideas, including establishing a Department of the National Health Care System, requesting the support of large corporations who pay high medical premiums for employees, and allowing uninsured citizens to purchase a low-cost health plan from the government. The ability to receive medical treatment should be a basic human right. Dr. Chen's plan for improvement helps shine a bright light on a situation that has quickly become critical for this country. His plan will ultimately help ensure that all citizens have access to health insurance.
Healthcare Systems Design of Intelligent Testing Centers: Latest Technologies to Battle Pandemics such as Covid-19 highlights the importance of designing intelligent testing centers requiring no human intervention during sample collection and testing of the Covid-19 virus and all similar viruses. This book introduces the background, medical requirements, and new research on medical robotics applications, including general Covid-19 testing techniques, development considerations for intelligent testing booths, kinematic and dynamic modeling, design specifications and optimization, numerical verifications, actuators, and sensors in medical applications of artificial intelligence and robotics systems.
Once regarded as taboo, it is now claimed that we are a death-obsessed society. The face of death in the 21st century, brought about by cultural and demographic change and advances in medical technology, presents health and social care practitioners with new challenges and dilemmas. By focusing on predominant patterns of dying; global images of death; shifting boundaries between the public and the private; and cultural pluralism, the author looks at the way death is handled in contemporary society and the sensitive ethical and practical dilemmas facing nurses, social workers, doctors and chaplains. This book brings together perspectives from social science, health-care and pastoral theology to assist the reader in understanding and negotiating this 'new death'. End-of-life care and old age, changing funeral and burial practices, new stigmas such as drug-related bereavements, are highlighted, and theories of dying and bereavement re-examined in their context. The concluding chapters incorporate recent case studies into an exploration of the meanings and shape of holistic and integrated care. Students interested in death studies from a sociological and cultural viewpoint as well as health and social care practitioners, will benefit from its critical appraisal and application of the established knowledge base to contemporary practices and ethical debates.
Healthcare managers, professionals and service users operate in an increasingly complex environment in terms of policy, regulation and governance arrangements. The policy process is becoming pluralised as competing narratives are drawn upon to influence practice. A wide range of contradictory and inconsistent policies are on offer to healthcare stakeholders, which ultimately results in a broad spectrum of responses, adaptations and improvisations throughout the process of policy implementation. The impact on managerial and professional practice is significant: Whilst some voices are suppressed or ignored, the complex nature of contemporary policy contexts can also help local actors exercise their agency and advance their agenda. This edited volume investigates how contemporary policy trends are influencing healthcare systems, organisations and professions and explores the various ways in which policy implementation could be enacted, resisted and reinvented by healthcare managers and professionals on the ground. It sheds light on the complex web of connections that exist between policy development (Part I), its translation into practice (Part II), and the activities of organisational leaders who are trying their best to make sense of - and succeed in - challenging policy contexts (Part III).
This timely monograph focuses on India and Brazil's use of compulsory licensing, one of the most significant and controversial TRIPS flexibilities. This is a topical work at this critical time when the COVID-19 has stirred up the debate about compulsory licensing and access to medicines. A closer look into the historical use of compulsory licences in certain countries can offer some takeaways for the current situation. The author studies historical developments and political conditions of the patent system and compulsory licensing from the earliest stage to the modern arena, with a great emphasis on TRIPS. After conducting a cross-national study of India and Brazil, the book moves on to evaluate the different philosophies on compulsory licensing of multilateral organizations such as the EU, the WIPO, the WTO, and NGOs. This important book will strongly appeal to intellectual property students, academics, policymakers, and lawyers practicing in the area. It will also be of interest to academics working in the areas of international law, development, and public health as well as state actors and others with relevant concerns working in multilateral organizations.
Paralleling emerging trends in cyber-health technology, concerns are mounting about racial and ethnic disparities in health care utilization and outcomes. This book brings these themes together, challenging readers to use, promote, and develop new technology-based methods for closing these gaps. Edited by a leading urban health advocate and featuring 16 expert contributors, the book examines cyber-strategies with the greatest potential toward effective, equitable care, improved service delivery and better health outcomes for all. The rise of e-Patients and the transformation of the doctor-patient relationship are also discussed.
Few issues concern the American public today more than health care. Just ask anyone who has sat for hours in an HMO waiting room or made countless phone calls trying to have a claim settled-or anyone who can't get coverage. But whenever basic reform is proposed the insurance industry opens a massive campaign against it. Health care today is part of big business, which in defeating the Clinton plan successfully pushed any kind of basic reform off the political agenda. Continuing citizen support for some form of public insurance is, says Milton Fisk, a sign that basic reform is still possible. In his new book, he argues persuasively that basic reform goes beyond a matter of life and death-it's integral to maintaining a society where concern for others holds its own against the market. Health care, observes Fisk, is not simply an individual responsibility but a public good much like education, and commitment to the social values underlying these public goods is essential to any just society. A healthy society as a value worth pursuing becomes an empty slogan when the poor get inferior health care, when workplaces are dangerous to health, and when a focus on medical treatment leaves out our bodies' environment. Taking in the broad sweep of social policy in the last half-century, Fisk describes the shift from welfare toward competitiveness as a key factor in the rise of corporate care in the United States. He analyzes the failure of the Clinton health care plan in detail and shows that its commitment to corporate health care was at odds with its reforming intent. He then argues that without national health insurance, needless obstacles will stand in the way of a healthy society. Ideally, the public fund behind this insurance would be derived from a progressive income tax. Skillfully blending philosophy, economics, and public policy, Fisk's book breaks new ground in political morality and raises important questions about the way people's needs for health care are being defined to satisfy corporate priorities. At a time when so many Americans can barely afford to get sick, no one concerned with this issue can afford to ignore this work of realism and vision.
This book investigates public medical insurance reform in China and studies its effects from both institutional and empirical study perspectives. It provides the reader with academic evidence for understanding the transformation of public medical insurance and its effect on the utilization of healthcare services, expenditure for medical care, individuals' financial portfolio allocation, and well-being. The main content of the book comprises two parts. First, institutional transformations of public medical insurance are considered: medical insurance reform in rural and urban China, and problems of medical insurance reform in the country. Second, it looks at the impact of public medical insurance reforms in China: evidence-based on empirical studies, including determinants of participation in medical insurance, the New Rural Cooperative Medical Scheme and its effects on the utilization of healthcare services, medical insurance and its effects on out-of-pocket expenditure, risky financial market participation, and well-being in China. This study provides academic evidence about these issues based on economic theories and econometric methods using many kinds of nationwide Chinese representative survey data. The book is highly recommended to readers who are interested in up-to-date and in-depth empirical studies on the mechanisms of participation in medical insurance and the impact of public medical insurance reforms on individuals and household behaviors in China. This volume will be of interest to those who are interested in the Chinese economy, social security policymakers, and scholars with an econometric analysis background.
Athletes are always aiming to be faster, better, stronger. New techniques to enhance their sporting performance have increasingly been linked to use of novel psychoactive substances (NPS) and other hard-to-detect substances like performance-enhancing drugs. This book offers a timely analysis of the new challenges posed by this phenomenon in the anti-doping community. The authors present the first comprehensive perspective on the rapidly shifting doping scenario and reflect on use, regulation, policy, and market structure of NPS used in sports. They highlight the challenges with the list of prohibited substances and methods in and out of competition. They also evaluate how methods to detect new drugs present an ongoing battle for doping control as they have to be adapted constantly. Topics covered within the chapters include: Contamination of Sports Supplements with Novel Psychoactive Substances Untested Supplement Use Among Athletes: An Overlooked Phenomenon? International Drug Control: Protecting the Health of the Athlete Analysis of New Chemical Entities in a Sport Context Emerging Drugs in Sport establishes a clear benchmark on the policy discussion, drawing from available evidence and sources, including athletes' personal experiences, to generate a fact-based resource that informs a research as well as wider audience. The book is essential reading for those working in anti-doping, substance misuse, sports, ethics, and human enhancement. It also is useful for policy-makers, legislative personnel, and other professionals with an interest in protecting clean sport. "Doping is one of the greatest threats to the integrity of sport. We must never be tempted to turn our back on the problem and hope it will disappear. The benefits and values of clean sport have never been more important to the world. That is why this book with its wide-ranging approach is so valuable." Thomas Bach, President, International Olympic Committee "Physical activity is vital to a healthy living, which is why doping is not just an assault on fair competition, but also on health. I strongly commend this book for compiling advanced knowledge on performance-enhancing drugs and promoting health through sport." Tedros Adhanom Ghebreyesus, Director-General, World Health Organization
Personalized healthcare -- or what the award-winning author Donna Dickenson calls "Me Medicine" -- is radically transforming our longstanding "one-size-fits-all" model. Technologies such as direct-to-consumer genetic testing, pharmacogenetically developed therapies in cancer care, private umbilical cord blood banking, and neurocognitive enhancement claim to cater to an individual's specific biological character, and, in some cases, these technologies have shown powerful potential. Yet in others they have produced negligible or even negative results. Whatever is behind the rise of Me Medicine, it isn't just science. So why is Me Medicine rapidly edging out We Medicine, and how has our commitment to our collective health suffered as a result? In her cogent, provocative analysis, Dickenson examines the economic and political factors fueling the Me Medicine phenomenon and explores how, over time, this paradigm shift in how we approach our health might damage our individual and collective well-being. Historically, the measures of "We Medicine," such as vaccination and investment in public-health infrastructure, have radically extended our life spans, and Dickenson argues we've lost sight of that truth in our enthusiasm for "Me Medicine." Dickenson explores how personalized medicine illustrates capitalism's protean capacity for creating new products and markets where none existed before -- and how this, rather than scientific plausibility, goes a long way toward explaining private umbilical cord blood banks and retail genetics. Drawing on the latest findings from leading scientists, social scientists, and political analysts, she critically examines four possible hypotheses driving our Me Medicine moment: a growing sense of threat; a wave of patient narcissism; corporate interests driving new niche markets; and the dominance of personal choice as a cultural value. She concludes with insights from political theory that emphasize a conception of the commons and the steps we can take to restore its value to modern biotechnology.
This collection originated from a conference at Templeton College, Oxford by leading practitioners and researchers and has been revised, updated and edited for publication. The collection is intended to provide an evaluation of the implementation of health reforms and will be of interest to readers interested in health policy and health management.
This book broadens the visioning on new care environments that are designed to be inclusive, progressive, and convergent with the needs of an aging population. The contents cover a range of long-term care (LTC) settings in a single collection to address the needs of a wide audience. Due to the recent COVID-19 pandemic, rethinking the spatial design of care facilities in order to prepare for future respiratory and contagious pathogens is one of the prime concerns across the globe, along with social connectedness and autonomy in care settings. This book contributes to the next generation of knowledge and understanding of the growing field of the design of technology, programs, and environments for LTC that are more effective in infection prevention and control as well as social connectedness. To address these issues, the chapters are organized in four sections: Part I: Home- and community-based care; Part II: Facility-based care; Part III: Memory care and end-of-life care; and Part IV: Evidence-based applied projects and next steps. (Re)designing the Continuum of Care for Older Adults: The Future of Long-Term Care Settings is an essential resource for researchers, practitioners, educators, policymakers, and students associated with LTC home and healthcare settings. With diverse topics in theory, substantive issues, and methods, the contributions from notable researchers and scholars cover a range of innovative programming, environments, and technologies which can impact the changing needs and support for older adults and their families across the continuum of care.
Too often, cultural competence training has led to the inadvertent marginalization of some individuals and groups and the reinforcement of existing stereotypes. This text explores the concept of cultural humility, which offers an exciting way forward for those engaged in the helping professions. In contrast to cultural competence, cultural humility challenges individuals to embark on a lifelong course of self-examination and transformational learning that will enable them to engage more authentically with clients, patients, colleagues, and others. The book traces our understanding of and responses to diversity and inclusion over time with a focus on the United States. Topics explored include: Us and Them: The Construction of Categories Cultural Competence as an Approach to Understanding Difference Transformational Learning Through Cultural Humility Fostering Cultural Humility in the Institutional/Organizational Context Cultural Humility and the Helping Professional The book presents examples that illustrate how the concept of cultural humility can be implemented on an institutional level and in the context of individual-level interactions, such as those between a healthcare provider or therapist and a client. Diversity, Cultural Humility, and the Helping Professions: Building Bridges Across Difference is essential reading for the health professions (nursing, medicine), social work, psychology, art therapy, and other helping professions.
Transformational Collaborative Outcomes Management (TCOM) is a comprehensive, multi-level conceptual framework for system management and improvement. This book provides a comprehensive understanding of TCOM by using person-centered, collaborative processes for decision making. The issue with current human services systems is that there is a lack of access to care and that the system is focused on providing services as cheaply as possible. TCOM focuses on helping the greatest number of people while maximizing effectiveness. By fully understanding the nature of the business of helping, the author seeks to offer ways to create and sustain effective and positively evolving helping systems. He lays out a series of goal-directed social change processes which allow people at every level of a system to begin a shift towards transformational practice and the emergence of transformational systems. Building on three decades of work in a large community of scholars and practitioners, this book will represent the first full description of the conceptual framework and will appeal to an interdisciplinary group of scholars across nonprofit management, healthcare management, and social work.
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.
According to the World Health Organisation (WHO), e-health is the combined use of electronic communication and information technology in the health sector and, moreover, it enables a safer, higher quality, more equitable, and sustainable health system. Emerging Communication Technologies for E-Health and Medicine is a fundamental source for the advancement of knowledge, application, and practice in the interdisciplinary areas of healthcare, e-health, m-health, u-health, sensors, biomedical engineering, and telemedicine. Due to its grounding in research and theory evidence, this book is designed for use in graduate courses in health management, medicine, nursing, health professionals, and medical informatics. The book can help to e-health contents, applications, and interesting experiences. It is an important way to communicate e-health concepts.
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