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Books > Medicine > General issues > Health systems & services > General
Patients with unmet needs will continue to increase as no viable nor adequate treatment exists. Meanwhile, healthcare systems are struggling to cope with the rise of patients with chronic diseases, the ageing population and the increasing cost of drugs. What if there is a faster and less expensive way to provide better care for patients using the right digital solutions and transforming the growing volumes of health data into insights? The increase of digital health has grown exponentially in the last few years. Why is there a slow uptake of these new digital solutions in the healthcare and pharmaceutical industries? One of the key reasons is that patients are often left out of the innovation process. Their data are used without their knowledge, solutions designed for them are developed without their input and healthcare professionals refuse their expertise. This book explores what it means to empower patients in a digital world and how this empowerment will bridge the gap between science, technology and patients. All these components need to co-exist to bring value not only to the patients themselves but to improve the healthcare ecosystem. Patients have taken matters into their own hands. Some are equipped with the latest wearables and applications, engaged in improving their health using data, empowered to make informed decisions and ultimately are experts in their disease(s). They are the e-patients. The other side of the spectrum are patients with minimal digital literacy but equally willing to donate their data for the purpose of research. Finding the right balance when using digital health solutions becomes as critical as the need to develop a disease-specific solution. For the first time, the authors look at healthcare and technologies through the lens of patients and physicians via surveys and interviews in order to understand their perspective on digital health, analyse the benefits for them, explore how they can actively engage in the innovation process, and identify the threats and opportunities the large volumes of data create by digitizing healthcare. Are patients truly ready to know everything about their health? What is the value of their data? How can other stakeholders join the patient empowerment movement? This unique perspective will help us re-design the future of healthcare - an industry in desperate need for a change.
The COVID-19 pandemic has reminded us of how important the life science industry is, and compels us to find efficient management methods specific to the industry. Pharmaceuticals, drug and vaccine development labs, R&D labs, medical instrumentation, and tech companies, hygiene supply companies, medical distribution chains, all form an integral part of this industry. At the interface of scientific research, technology, innovation and management and embedded in regulatory and legal frameworks, life science management is still an under-researched field of practice and science. This edited volume addresses this research gap and offers a wide range of practical and theoretical contributions that provide insights into one of the most exciting industries. The book is primarily directed at practitioners and decision makers in the life science industry. Students and professionals of life science management at all levels as well as policy makers will find valuable insights and inspiration for their daily work and career development.
This volume presents a comprehensive overview of the current rural health environment by sorting topics into coverage of the demand for rural health, the supply of resources (facilities and personnel), the broad application of technology, and the roles of government policies and rural sociology. A major purpose is to guide those involved in decision making and planning to insure continued provision of health care for rural residents. A unique feature is the integration of innovative approaches throughout the work; there is a recognition that several rural institutions are undergoing transition and that fresh approaches are critical. This work will be of interest to scholars, policy-makers, and practitioners in rural health care, health care facilities, and health care management.
Learn facility-based coding by actually working with codes. ICD-10-CM/PCS Coding: Theory and Practice provides an in-depth understanding of inpatient diagnosis and procedure coding to those who are just learning to code, as well as to experienced professionals who need to solidify and expand their knowledge. Featuring basic coding principles, clear examples, and challenging exercises, this text helps explain why coding is necessary for reimbursement, the basics of the health record, and rules, guidelines, and functions of ICD-10-CM/PCS coding. 30-day access to TruCode (R) Encoder Essentials gives students experience with using an encoder software, plus access to additional encoder practice exercises on the Evolve website. ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting provide fast, easy access to instructions on proper application of codes. Coverage of both common and complex procedures prepares students for inpatient procedural coding using ICD-10-PCS. Numerous and varied examples and exercises within each chapter break the material into manageable segments and help students gauge learning while reinforcing important concepts. Illustrations and examples of key diseases help in understanding how commonly encountered conditions relate to ICD-10-CM coding. Strong coverage of medical records provides a context for coding and familiarizes students with documents they will encounter on the job. Illustrated, full-color design emphasizes important content such as anatomy and physiology and visually reinforces key concepts. Evolve website offers students online access to additional practice exercises, coding guidelines, answer keys, coding updates, and more. NEW! Updated ICD-10 codes and coding guidelines revisions ensure students have the most up-to-date information available.
Death is a natural part of life. But it has become a painful, protracted, humiliating process that is often inappropriate for the healthcare patient, puts an undue financial and emotional burden on the family, and provides a model of improper care for physicians in training. And it's expensive--about 22 percent of all medical expenditures are for people in the last year of their lives. Further, while studies show that 90 percent of all people would prefer to die at home surrounded by family and friends, the reality is that more than 70 percent die in institutions. As Dr. Ken Fisher argues so passionately in this book, it's time for a change. End-of-life care in the U.S. has evolved over the years into a nightmare for patients and family members, and it has created a near-crushing financial burden on the medical system that is not just excessive but unsustainable. It has driven the cost of healthcare out of reach for many people, and it is a large factor in preventing the creation of universal coverage. In Defiance of Death reviews the current state of end-of-life care and highlights its many problems from a variety of economic, political, and social perspectives. Fisher and Rockwell illuminate the ethical dilemmas we all face as technology allows us to prolong life--but at a huge human and financial cost. This book documents these problems and provides a historical perspective of how our medical system evolved. It argues that America's "defiance of death" is far too costly and recommend that all stakeholders--including the public, medical community, Congress, and business leaders--join together to create a system that improves end-of-life care for everyone involved. This book, withworkable solutions to improve our medical system, helps point the way.
Most leadership development activity in health and social care has been intra-organisational or confined to a particular sector. However, there is increasing recognition of the need to move beyond simple collaboration and partnership and work towards different models of care which involve addressing the whole health and social care system. This is particularly important when addressing complex and 'wicked' problems in a time of resource scarcity. This book provides a much-needed guide for individuals, professionals, and organisations making the shift towards working in radically different ways in this current climate. It provides a rationale for systems leadership, describing the basic underlying principles behind it and their origins, and explores the various aspects of it, with particular emphasis on the development of systems leaders in health and social care. It also captures good practice, which is illustrated by a number of case studies, and suggests further reading on the topic. Combining theory with practice, this book will be essential reading for those studying on courses in public service, public policy, health and social care, as well as policymakers and professionals interested in honing best practice.
This volume delineates the ways in which key areas of healthcare, well-being, patient safety and organisational change overlap with and contribute to unhealthy workplaces for healthcare professionals. There is a growing realisation within healthcare that healthcare worker well-being, patient outcomes and organisational change are symbiotically linked. Burnout and stress in healthcare workers and toxic organisational cultures can lead to a cycle of patient neglect, medical errors, sub-optimal care and further stress. This topical volume therefore outlines the ways in which worker well-being, patient outcomes and organisational change can be aligned to contribute to a healthy workplace and therefore better medical care. The volume includes an array of authors from different disciplines including primary care, clinical medicine, psychology, sociology, management, clinical governance, health policy and health services research. It succeeds in integrating different voices and reaches meaningful conclusions to address the challenges facing the healthcare workforce.
[ The main goal of this cluster is the optimisation of the medical arts and science. In a graphical representation of human life, the lifespan or time can be shown on a horizontal axis, and the incidences of disease or health can be shown on a vertical axis. Throughout, patient exists in his personal environment, in his individual pri vate sphere. th In the late 20 century, medical arts and sciences have achieved enormous pro gress resulting in highly effective diagnosis and therapy. Today in Europe, a main concern of our society centres around non-communi cable diseases, because communicable diseases have been dramatically reduced by past intensive socio-hygienic programmes. Nevertheless, medicine in Europe must be always alert to fight communicable diseases such as TB, AIDS, SARS etc. Medicine has been very successful in the past in fighting communicable and non-communicable diseases. This has resulted in an increase of our lifespan, and an ageing population. Table 1 shows life expectancy in Europe in 2001. This varies in EU member states from 78.6 up to 82.2 years in females, from 73.7 to 74.6 years in males. In the candidate countries, life expectancy varies in females from 75.2 to 78.1 years and from 66.1 to 71.1 years in males. Table 2 shows the remaining life span at age 65, which is much higher in the EU member states than in the candidate countries. This increasing life expectancy dramatically alters the structure of our society.
Responding to demographic changes among physicians and six years of new experiences since the first edition, Dr. Myers has revamped his well received work. He includes new information on older physicians, gay and lesbian physicians, medical student abuse, economic strain on interns, depression, malpractice, ethical violations, and other stressors which may cause marital difficulties. Therapists seeking to council symptomatic physicians, as well physicians themselves, will find this a humane, readable, and useful book.
This book provides an analysis of the role of fog computing, cloud computing, and Internet of Things in providing uninterrupted context-aware services as they relate to Healthcare 4.0. The book considers a three-layer patient-driven healthcare architecture for real-time data collection, processing, and transmission. It gives insight to the readers for the applicability of fog devices and gateways in Healthcare 4.0 environments for current and future applications. It also considers aspects required to manage the complexity of fog computing for Healthcare 4.0 and also develops a comprehensive taxonomy.
Applying a trans-disciplinary approach, this book provides a comprehensive, research-based guide to understanding, implementing, and strengthening sustainable community health in diverse international settings. By examining the interdependence of environmental, economic, public health, community wellbeing and development factors, the authors address the systemic factors impacting health disparities, inequality and social justice issues. The book analyzes strategies based on a partnership view of health, in which communities determine their health and wellness working alongside local, state and federal health agencies. Crucially, it demonstrates that communities are themselves health systems and their wellbeing capabilities affect the health of individuals and the collective alike. It identifies health indicators and tools that communities and policy makers can utilize to sustain truly inclusive health systems. This book offers a unique resource for researchers and practitioners working across psychology, mental health, rehabilitation, public health, epidemiology, social policy, healthcare and allied health.
Transforming the American Hospital Provides an exciting, values-centered approach to leading organizational change that produces rapid and lasting results. At a time when the health care industry is going through a crisis--closures, layoffs, soaring costs, dissatisfied customers, and increased turnover--some hospitals have dramatically improved quality, productivity, and profitability. How? They have met the challenges of operating in today's health care environment through a complete, revolutionary transformation in how hospitals are managed. This book offers health care leaders an in-depth picture of how this new hospital operates and presents detailed, proven guidance for undertaking the transition.
International cooperation has developed rapidly on a wide range of policy areas in the last decades. National governments have learned to look across national borders in order to improve their policy systems, as in the case of health care, the subject of this book. There is a need to compare policy results, and therefore international comparison of statistical data is of great importance. For decades, international organisations like OECD and WHO have collected and distributed statistical information of member states in order to describe developments within these countries. However, comparability across countries has always been problematic. The task of international comparison of statistical data has only reluctantly been adopted due to difficulties caused by differences in definition and methods of data collection. In this book a method is presented for the advancement of international comparison of health care. Starting points are the determination of the boundaries of national health care systems and the activities that take place within these boundaries. This book is meant for all those working in the international health care field or interested in international comparison, who want to be aware of the pitfalls of international comparison and who want to learn, from the described experiences, how to solve problems of comparability.
Some children inherit the family nose. Autumn Stringam and her brother Joseph inherited bipolar disorder, a severe mental illness that led to the suicides of their mother and grandfather. Autumn, at 22, was in a psychiatric hospital on suicide watch; Joseph, at 15, was prone to violent episodes so terrifying that his family members feared for their lives. But after Autumn and her brother began taking a nutritional supplement developed by their father--and based, incredibly, on a formula given to aggressive hogs--their symptoms disappeared. Today they both lead normal, productive lives. " A Promise of Hope " chronicles Stringam's personal flight from madness to wellness. The true story moves from a kitchen table in Alberta to the offices of a distinguished Harvard psychiatrist, to the labs of a skeptical medical establishment. Now updated with a new afterword, "A Promise of Hope "is a powerful call for a new understanding of a mental illness that affects thousands of Canadians.
Two renowned healthcare transformation experts reveal how you can implement the principles and behaviors that leaders at all levels must embrace in order to create lasting change. Healthcare is on the brink of a quality revolution-one that requires deeply personal as well as organizational changes. In Becoming the Change, two pioneers in the healthcare transformation movement show you how to cultivate principle-driven behaviors that can turn the tantalizing possibilities on the healthcare horizon into reality. Transformational improvement has often been aimed at frontline healthcare workers rather than leaders at all levels, resulting in "islands of excellence" that are unsustainable. Toussaint and Barnas demonstrate how change needs to start at the top-whether you're an executive, a governing board member, a manager, or a physician. Drawing on a wealth of case studies, they explore how change actually happens, and reveal how healthcare systems led by people who are compassionate, principled, and engaged can undergo profound and lasting transformation.
Healthcare Strategies and Planning for Social Inclusion and Development: Volume Two: Social, Economic, and Health Disparities of Rural Women examines rural women, particularly in developing countries, and how social and economic constraints they experience impact their ability to advocate for their own health and impede their access to healthcare. This volume discusses the economic and social barriers rural women confront in exercising their right to health care. It explains how geographical isolation, economic instability, healthcare provider shortages, lack of appropriate funding, resource limitations, and lack of health education are just few factors that make rural health care difficult. The book also covers the impact of social isolation on the health needs of rural women which include chronic diseases, mental health, and OB/GYN services as well as how the lack of opportunities for formal education restrict rural women from working outside the household. This volume will be a useful resource to graduate students in public and global health, public health professionals, health and social work researchers, and health policymakers interested in women's health, especially in developing countries.
This open access book explores ways to leverage information technology and machine learning to combat disease and promote health, especially in resource-constrained settings. It focuses on digital disease surveillance through the application of machine learning to non-traditional data sources. Developing countries are uniquely prone to large-scale emerging infectious disease outbreaks due to disruption of ecosystems, civil unrest, and poor healthcare infrastructure - and without comprehensive surveillance, delays in outbreak identification, resource deployment, and case management can be catastrophic. In combination with context-informed analytics, students will learn how non-traditional digital disease data sources - including news media, social media, Google Trends, and Google Street View - can fill critical knowledge gaps and help inform on-the-ground decision-making when formal surveillance systems are insufficient.
This book gathers extended versions of the best papers presented at the Global Joint Conference on Industrial Engineering and Its Application Areas (GJCIE), held as a hybrid event on October 29-30, 2022, in/from Istanbul Technical University. Continuing the tradition of previous volumes, it highlights recent developments of industrial engineering at the purpose of using and managing digital and intelligent technologies for application to a wide range of field, including manufacturing, healthcare, e-commerce and sustainable development. A special emphasis is given to engineering methods and strategies for managing pandemics and reducing their adverse effects on businesses.
Many factors have changed interactions between people, animals, and our environment including the emergence and reemergence of diseases such as swine flu, rabies, and diphtheria. By practicing the concept of one health, which relates the close interactions between people, animals, and our environment to overall health, a solution for global wellbeing can be found. Global Applications of One Health Practice and Care provides in-depth research on the concept of one health and the ability to achieve universal health by connecting human health with animal health and a safe environment. Featuring coverage on a broad range of topics such as holism health, drug resistance, and parasitic zoonoses, this book is ideally designed for policy planners, program managers, public health practitioners, animal health specialists, environmentalists, researchers, and academicians seeking current research on achieving better public health outcomes.
The COVID-19 Pandemic has been an ultimate challenge for leadership resiliency. Resilient leaders are thoughtful and deliberate. They balance logic and emotion, ego and humility. They lead through compassionate empathy by focusing on the 'how', not only the 'what'. They use their influence to drive positive change, diversity and inclusion, and create an equitable community. Most books on resilient leadership appear to focus on spirituality and tools to grow an "unshakable core of calm, strength, and happiness" or "bounce back without getting stuck in the toxic emotions of guilt, false guilt, anger, and bitterness". These books are very similar to handbooks focusing on mental toughness and providing guides for overcoming adversity and managing negative emotions. This book, however, defines resilience as a critical competency of high-performing leaders. Leaders must cultivate resilience in themselves and foster it throughout their organizations and multidisciplinary teams in order to adapt and succeed. Resilience in Healthcare Leadership is differentiated by offering practical strategies and self-assessment instruments for identifying strengths and weaknesses and for developing and sustaining the performance of resilient leaders. The book will also focus on best practices to help build a talent pipeline and develop resilient care team leaders to effectively manage the challenges of disruptive environments. Whether senior or mid-level manager the reader will learn to apply knowledge and skills to initiate cultural change, assess strengths and weaknesses, align leadership roles with organizational goals, and position themselves to become a resilient leader. The reader will also learn how to identify message strategies consistent with stakeholders' needs, resolve conflicts, lead multidisciplinary teams, and realize the impact of resilient leadership in influencing outcomes. Takeaways and tools are included to guide progressive learning and leadership development and build a strong succession pipeline, to help organizations become more prepared to respond to challenges facing healthcare leaders in the future.
The relationship between health and work is widely recognized as complex and multifaceted. In the context of an aging population, our ability to enable individuals with health issues to continue working is becoming more critical. Addressing these current policy concerns, "Work, Health and Wellbeing" brings together new, original research from diverse disciplinary backgrounds to investigate how we can define and act on a biopsychosocial model of ill health to improve work participation in middle and later life.
Every era, it is said, has its defining malady. What will be ours? Will it be a new human pandemic caused by an animal-borne infectious disease, such as swine flu? Will it be a lethal microbe like anthrax deliberately released by terrorists bent on causing mass civilian casualties? Or will it be one of our new 'lifestyle' diseases - the epidemics of smoking, obesity and excessive alcohol consumption that threaten to engulf modern societies? Perhaps our era will even be remembered for its tragic neglect of certain health issues - endemic diseases such as malaria, tuberculosis and HIV/AIDS that continue to ravage millions in developing countries. In this book Stefan Elbe shows that in the new millennium international politics is no longer characterized by its preoccupation with a single disease, but precisely by its need to urgently confront what is now an epidemic of epidemics. Over the past decade a whole host of diverse global health issues have raised the highest levels of political concern, provoking governments and international institutions to tackle such health threats through the prism of security - be it national security, biosecurity, or human security. This convergence between health issues and security concerns has also produced the new notion of health security, which has already begun to shape the way international health policy is formulated. The intersection of the worlds of health and security is beginning to change our very ideas of what security means and how it is achieved. At the outset of the twenty-first century, practising security increasingly demands that citizens become patients, that states resemble huge hospitals, and that security itself becomes a technology of medical control. It is this transformation of security, Elbe argues in an innovative and engaging re-conceptualization of the health-security nexus, that marks nothing short of the medicalization of security.
In less than four months, beginning with a staff of five, an obscure office buried deep within the federal bureaucracy transformed the nation's hospitals from our most racially and economically segregated institutions into our most integrated. These powerful private institutions, which had for a half century selectively served people on the basis of race and wealth, began equally caring for all on the basis of need. The book draws the reader into the struggles of the unsung heroes of the transformation, black medical leaders whose stubborn courage helped shape the larger civil rights movement. They demanded an end to federal subsidization of discrimination in the form of Medicare payments to hospitals that embraced the ""separate but equal"" creed that shaped American life during the Jim Crow era. Faced with this pressure, the Kennedy and Johnson Administrations tried to play a cautious chess game, but that game led to perhaps the biggest gamble in the history of domestic policy. Leaders secretly recruited volunteer federal employees to serve as inspectors and an invisible army of hospital workers and civil rights activists to work as agents, making it impossible for hospitals to get Medicare dollars with mere paper compliance. These triumphs did not come without casualties, yet the story offers lessons and hope for realizing this transformational dream.
The COVID-19 pandemic has affected individuals and caused destabilization of households and business activities. In emerging economies, many sectors and companies, especially small and medium enterprises (SMEs), are severely influenced by the reduction or cessation of economic activity. Overcoming the COVID-19 virus and allowing the world to heal will allow the economy to grow more resilient. First, however, we must understand that old managerial practices can no longer generate competitive advantage in the post-pandemic world. Public Health and Economic Resiliency in the Post-COVID-19 Era presents epidemiological studies of the COVID-19 pandemic, identifies the impacts it has on human health, and analyzes the impacts on public health and economy. This management tool also discusses the socio-economic human vulnerability related to the COVID-19 pandemic. Covering topics such as risk analysis, quality management systems, and therapeutic systems, this book is a dynamic resource for academic researchers and investigators, university professors, students, epidemiologists, health professionals, economists, managers, sociologists, physicians, policymakers, government officials, and academicians.
This work deals with the current health policy environment, organization and delivery of health services in the Kingdom of Saudi Arabia. It discusses present financing means, and future financing methods such as a proposed national health insurance program and user-changes as well as important strategic issues. It is for healthcare directors, planners and strategists and will be of interest to experts and international investors in health system reorganization. |
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