Taking a 'decentred' approach to the analysis of health policy means being attentive to the historical contingencies and circumstances within which reforms are located, the influence of dominant or elite narratives in the shaping of policy, the local traditions and customary practices through which policies are mobilised, and the way local actors contest, negotiate and co-construct policy. This book offers a unique analysis of the changing landscape of healthcare reform in Britain, as an example of decentralized reforms across the developed world. The collection is framed by the recognition that healthcare reform has resulted in variegated and decentralized forms of governance. The chapters look at distinct aspects of reform within the British NHS to bring to light the influence of local histories, traditions, coalitions, and values, in the remaking of a national healthcare system. Each chapter focuses on a different aspects of reform, and in others developing cross-national and comparative analysis. However, each offers a unique contribution and analysis of contemporary theories of healthcare governance. This book will be of key interest to scholars, students and practitioners in healthcare, health and social policy, political science, and public management and governance.

This volume charts new methodological territories for rhetorical studies and the emerging field of the rhetoric of health and medicine. In offering an expanded, behind-the-scenes view of rhetorical methodologies, it advances the larger goal of differentiating the rhetoric of health and medicine as a distinct but pragmatically diverse area of study, while providing rhetoricians and allied scholars new ways to approach and explain their research. Collectively, the volume's 16 chapters: Develop, through extended examples of research, creative theories and methodologies for studying and engaging medicine's high-stakes practices. Provide thick descriptions of and heuristics for methodological invention and adaptation that meet the needs of needs of new and established researchers. Discuss approaches to researching health and medical rhetorics across a range of contexts (e.g., historical, transnational, socio-cultural, institutional) and about a range of ethical issues (e.g., agency, social justice, responsiveness).

The Handbook of the Sociology of Death, Grief, and Bereavement sets issues of death and dying in a broad and holistic social context. Its three parts explore classical sociology, developments in sociological thought, and the ways that sociological insights can be useful across a broad spectrum of grief-related topics and concerns. Guidance is given in each chapter to help spur readers to examine other topics in thanatology through a sociological lens. Scholars, students, and professionals will come away from the handbook with a nuanced understanding of the social context -cultural differences, power relations, the role of social processes and institutions, and various other sociological factors - that shape grief experiences.

This title was first published in 2003: As new medical technologies and treatments develop with increasing momentum, the legal and ethical implications of research involving human participants are being called into question as never before. Human Experimentation and Research explores the philosophical foundations of research ethics, ongoing regulatory dilemmas, and future challenges raised by the rapid globalisation and corporatisation of the research endeavour. This volume brings together some of the most significant published essays in the field. The editors also provide an informative introduction, summarizing the area and the relevance of the articles chosen.

This title was first published in 2003. Logistics are the set of activities that move products through the supply chain to the ultimate customer, these are of vital importance to the success of health programmes in the developing world. This volume comprises the best practices learned and promoted by the Family Planning Logistics Management (FPLM) project, set up in 1986, run by John Snow, Inc., and funded by the U.S. Agency for International Development. The project covered approximately 40 countries in Africa, Asia, Latin America and the Caribbean, and collaborated with national family planning and health programmes and non-governmental organizations that were interested in improving their supply chains. Using a range of international case studies, the book highlights the importance of logistics and transportation in health and family planning programmes, and focuses on the approaches and tools that are most effective for their settings.

Biomedical revolutions seem to have radically altered the environment for HIV transmission: anti-retrovirals (ARVs) and drugs to reduce mother-to-child transmission promise to cut HIV transmission rates, as does male medical circumcision. However, the hopeful messages of UNAIDS are tempered with warning about expenditure shortfalls and calls for funding. Contributions to this book remind us that, along with the external financial constraints, there have been new fractures in state power and in the organisation of health systems. More than this, the book fundamentally calls into question whether biomedical interventions can change the social roots of this disease. As well as considering new policy approaches, the book reasserts a long-standing political economy approach to HIV and to adapt it to reflect new competing theoretical approaches. The chapters attempt to connect the debates about HIV/AIDS to larger discussions about globalisation, class differentiation, inequity and uneven development in African countries. This book was originally published as a special issue of Review of African Political Economy.

Table of Contents

Introduction: The political economy of HIV Deborah Johnston, Kevin Deane and Matteo Rizzo

1. Trapped in the prison of the proximate: structural HIV/AIDS prevention in southern Africa Bridget O’Laughlin

2. The political economy of concurrent partners: toward a history of sex–love–gift connections in the time of AIDS Mark Hunter

3. Wealthy and healthy? New evidence on the relationship between wealth and HIV vulnerability in Tanzania Danya Long and Kevin Deane

4. Paying the price of HIV in Africa: cash transfers and the depoliticisation of HIV risk Deborah Johnston

5. Exploring the complexity of microfinance and HIV in fishing communities on the shores of Lake Malawi Eleanor MacPherson, John Sadalaki, Victoria Nyongopa, Lawrence Nkhwazi, Mackwellings Phiri, Alinafe Chimphonda, Nicola Desmond, Victor Mwapasa, David G. Lalloo, Janet Seeley and Sally Theobald

6. Revisiting the economics of transactional sex: evidence from Tanzania Kevin Deane and Joyce Wamoyi

Debates

7. The key questions in the AIDS epidemic in 2015 Alan Whiteside OBE

8. 15 years of ‘War on AIDS’: what impact has the global HIV/AIDS response had on the political economy of Africa? Sophie Harman

9. Breaking out of silos – the need for critical paradigm reflection in HIV prevention Justin O. Parkhurst and Moritz Hunsmann

10. Microfinance and HIV prevention Janet Seeley

The History of Gay People in Alcoholics Anonymous documents and honors the ways thousands of LGBT people have carried Alcoholics Anonymous' message. This illuminating chronicle includes interviews and documents that detail the compelling history, recovery, and wisdom of gay people in AA. The book examines the challenges AA faced as the fellowship endeavored to become a more inclusive and cohesive community. The first-person accounts narrate the important work of influential gay and straight AA members that led key events in AA's history. The author includes material on the steps and traditions of AA, and on becoming an ally to LGBT people on the road to recovery. Topics in The History of Gay People in Alcoholics Anonymous include: the gay origins of AA's Third Tradition a comparison of treatments for alcoholism and homosexuality compelling portraits of sober gay life in the 1950s and 1960s the debate in AA over meetings for gay alcoholics interviews with members and co-founders of the first gay AA meetings the history of the first gay AA/Al-Anon conference interviews with pioneering gay addiction professionals the history of AA pamphlet "AA and the Gay/Lesbian Alcoholic" Alcoholics Together, and why a parallel AA organization for gay alcoholics formed in southern California strategies AA's gay members developed to make their meetings simultaneously safe and public-and why some of them are still necessary today much more The History of Gay People in Alcoholics Anonymous is an enlightening book for members of the LGBT and heterosexual recovering community, alcoholism and addiction professionals, as well as physicians, counselors, psychiatrists, psychologists, social workers, clergy, historians, sociologists, educators, students, and anyone interested in learning more about AA or this aspect of the community's history.

Does the state still frame debates about new technology? Can policy-makers ensure the benefits of health developments through genomics while still satisfying the expectations of society and the economic imperatives? In this critique of the new governance agenda for research and innovation in life sciences, the authors discuss the world-wide policy decisions needed, with particular reference to genomics. They suggest the many facets of policy and could be treated as a government-governance continuum, where different aspects of genomics may sit at different points, and co-exist. Their findings offer valuable insights for the future and will help promote a global solution to this problem.

First published in 1986, this study explores the increased public concern with policies of 'community care' and their effects on informal carers, at that time. It looks at the widespread evidence that one particular group of informal carers- parents looking after their severely disabled child- lack information, advice and a co-ordinated pattern of supporting services. The author, who carried out research on disabled children and their families for a number of years, describes in detail a low-cost experimental project in which specialist social workers set out to remedy these shortcomings. Drawing on the results of this particular study, the author argues strongly for widespread assignment of 'key' social workers to this and other groups of informal carers. Despite being written in the mid-1980s, this book discusses topic that will still be of interest and use today.

This volume charts new methodological territories for rhetorical studies and the emerging field of the rhetoric of health and medicine. In offering an expanded, behind-the-scenes view of rhetorical methodologies, it advances the larger goal of differentiating the rhetoric of health and medicine as a distinct but pragmatically diverse area of study, while providing rhetoricians and allied scholars new ways to approach and explain their research. Collectively, the volume's 16 chapters: Develop, through extended examples of research, creative theories and methodologies for studying and engaging medicine's high-stakes practices. Provide thick descriptions of and heuristics for methodological invention and adaptation that meet the needs of needs of new and established researchers. Discuss approaches to researching health and medical rhetorics across a range of contexts (e.g., historical, transnational, socio-cultural, institutional) and about a range of ethical issues (e.g., agency, social justice, responsiveness).

Health care is constantly undergoing change and refinement resulting from the adoption of new practices and technologies, the changing nature of societies and populations, and also shifts in the very places from which care is delivered. Primary Health Care: People, Practice, Place draws together significant contributions from established experts across a variety of disciplines to focus on such changes in primary health care, not only because it is the most basic and integral form of health service delivery, but also because it is an area to which geographers have made significant contributions and to which other scholars have engaged in 'thinking geographically' about its core concepts and issues. Including perspectives from both consumers and producers, it moves beyond geographical accounts of the context of health service provision through its explicit focus on the practice of primary health care. With arguments well-supported by empirical research, this book will appeal not only to scholars across a range of social and health sciences, but also to professionals involved in health services.

What is the relationship between politics and health policy in the UK? How are the interests of the medical profession, civil society and the state weighed and balanced in the making of health policy? Health Policy and Politics offers a sophisticated critical analysis of policy-making in the National Health Service. The team of contributors comprises established academics who have been actively involved in both research and policy-making in this field. They examine the 'macro' level of policy-making at governmental level, and then consider professional institutional relationships and struggles, and interpersonal decision-making and power relations within small organizations and departments. Unique in the variety of perspectives and topics covered, the volume will be required reading for those teaching and studying on a range of courses in health, social care and public policy, and for health professionals within the NHS.

This volume brings together researchers from different European countries and disciplines who are involved in Clinical Ethics Consultation (CEC). The work provides an analysis of the theories and methods underlying CEC as well a discussion of practical issues regarding the implementation and evaluation of CEC. The first section deals with different possible approaches in CEC. The authors explore the question of how we should decide complex cases in clinical ethics, that is, which ethical theory, approach or method is most suitable in order to make an informed ethical decision. It also discusses whether clinical ethicists should be ethicists by education or rather well-trained facilitators with some ethical knowledge. The second chapter of this book focuses on practical aspects of the implementation of CEC structures. The analysis of experienced clinical ethicists refers to macro and micro levels in both developed and transitional countries. Research on the evaluation of CEC is at the centre of the final chapter of this volume. In this context conceptual as well as empirical challenges with respect to a sound approach to judgements about the quality of the work of CECs are described and suggestion for further research in this area are made. In summary this volumes brings together theorists and healthcare practitioners with expertise in CEC. In this respect the volume serves as good example for a multi- and interdisciplinary approach to clinical ethics which combines philosophical reasoning and empirical research.

There has been a general assumption in the international debate surrounding organ procurement that Presumed Consent (opting-out) systems produce better results than Express Consent (opting-in) systems. This study uses the French case to challenge this widely held assumption and argues that the French presumed consent systems coexist with patterns of behaviour that in practice do not mobilize the law. It explores four key areas to current research in socio-legal studies focussing on the state and nature of social solidarity, social engineering and the changing nature of the citizen-state relations, state intervention in the event of death and discretion in use of corpses and recent modifications of the status of medical professionals as figures of authority and agents of state policy. Using material based on interviews with medical professionals, this title will be a valuable resource for researchers, academics, policy-makers and practitioners with an interest in this complex and topical subject.

Public-private partnerships are increasingly advocated to alleviate deficiencies in the public health system as well as to reduce economic stress on those who seek services from an expensive, burgeoning and unregulated private health sector. Focusing on India, this book examines how the private sector in developing countries is tapped to deliver health care services to poor and under-served sections of society through collaborative arrangements with the government. Having emerged as a key reform initiative, aspects of public-private partnership are examined such as the genesis of private sector partnerships, the ways in which the private sector is encouraged to deliver public health services, and the models and formats that make such partnerships possible. Based on in-depth case studies from different states of India and drawing on experiences in other countries, the authors analyse challenges, opportunities and benefits of implementing public-private partnerships and explore whether partnership with the private sector can be designed to deliver health care services to the poor as well as the consequences for beneficiaries. This book will be of interest to scholars of public policy and development administration, health policy and development economics as well as South Asian Studies.

Over the past two decades, rates of adult and childhood obesity in the developed world have risen sharply. By the year 2000, 65% of the United States population were overweight, 30% of these obese. Whilst medical treatment has tended to focus on individual habits of diet and exercise, this approach does little to account for globally increasing levels of obesity, and the external, environmental factors that may be responsible. This in-depth study assembles the evidence for a geographical explanation of current obesity trends, and is the first work to examine the ways in which environment and living conditions promote an imbalance of energy intake over energy expenditure. The book calls upon the expertise of geographers, nutritionists, epidemiologists, sociologists and public health researchers, resulting in a broad, multidisciplinary analysis of this important health issue. Cover graphic designed by Georgia Witten-Sage.

Primary schoolchildren are frequently shielded from education on sexuality and sexually transmitted diseases in an effort to protect their innocence. In countries like South Africa, where AIDS is particularly widespread, it is especially important to address prevention with younger boys and girls as active social agents with the capacity to engage with AIDS as gendered and sexual beings. This volume addresses the question of children's understanding of AIDS, not simply in terms of their dependence but as active participants in the interpretation of their social worlds. The volume draws on an interview and ethnographic based study of young children in two socially diverse South African primary schools, as well as interviews conducted with teachers and mothers of young children. It shows how adults sustain the production of childhood sexual innocence, and the importance of scaling up programs in AIDS intervention, gender and sexuality. It makes significant contributions to the global debate around childhood sexualities, gender and AIDS education.

How can we care so much about health care yet so little about public health? Before Covid-19, public health programs constituted only 2.5 percent of all US health spending, with the other 97.5 percent going towards the larger health care system. In fact, the United States spends on average $11,000 per citizen per year on health care, but only $286 per person on public health. It seems that Americans value health care, the medical care of individuals, over public health, the well-being of collections of people. In Me vs. Us, primary care doctor and public health advocate Michael Stein takes a hard, insightful look at the larger questions behind American health and health care. He offers eight reasons why our interest in the technologies and delivery of health care supersedes our interest in public health and its focus on the core social, economic, and environmental forces that shape health. Stein documents how public health has continually "lost out" to medicine-from a loss in funding and resources to how we view our personal priorities-and suggests how public health may hold the solutions to our most concerning crises, from pandemics to obesity to climate change. Me vs. Us concludes that individual and public health are inseparable. In the end, Stein argues, we need to recover and sharpen our sense of health based on a reverent appreciation of both perspectives.

When Therapists Cry addresses one of the most authentic and singularly human experiences a therapist can have in therapy: crying. While therapist crying in therapy is the explicit focus of this book, it is used as a springboard for understanding the various ways in which therapists' emotions come alive-and become visible-in the therapy room. In depth clinical examples and conceptualizations from expert contributors illustrate what the experience of therapist crying looks and feels like: why therapists cry, how crying impacts the therapist and the treatment, what therapists feel about their tears, and the many ways in which therapists may engage with their own tears in order to facilitate therapeutic progress, ensure appropriate professional conduct, and deepen their clinical work.

Today, healthy ageing and active, meaningful lives are core values and aims for international and national health policies. Health services are challenged to ensure that the recipients of their services are active participants in their own care and beyond. Participation allows patients to become less dependent on healthcare providers, increasing their control over their own treatment and health. Increasingly, the idea of 'participation' is shifting, from participation in services to participation in mainstream society. This book examines the concept of participation, as well as the different meanings it takes on in the context of health and welfare services. It asks how services can enable and stimulate participation outside of those services. The contributions in this volume particularly focus on participation as engagement in daily life and 'everyday life' in order to develop the field of participation beyond the sphere of health and social care services. This book will appeal to researchers in the fields of health and social care, social services, occupational therapy and the sociology of health and illness. It will be of interest to practitioners of health and welfare services.

In the twenty-first century there is increasing global recognition of pain relief as a basic human right. However, as Susan Honeyman argues in this new take on child pain and invisible disability, such a belief has historically been driven by adult, ideological needs, whereas the needs of children in pain have traditionally been marginalised or overlooked in comparison. Examining migraines in children and the socially disabling effects that chronic pain can have, this book uses medical, political and cultural discourse to convey a sense of invisible disability in children with migraine and its subsequent oppression within educational and medical policy. The book is supported by authentic migraineurs' experiences and first-hand interviews as well as testimonials from a range of historical, literary, and medical sources never combined in a child-centred context before. Representations of child pain and lifespan migraine within literature, art and popular culture are also pulled together in order to provide an interdisciplinary guide to those wanting to understand migraine in children and the identity politics of disability more fully. Child Pain, Migraine, and Invisible Disability will appeal to scholars in childhood studies, children's rights, literary and visual culture, disability studies and medical humanities. It will also be of interest to anyone who has suffered from migraines or has cared for children affected by chronic pain.

Responding to the public concern caused by recent hospital scandals and accounts of unintended harm to patients, this author draws on her experience of analysing the health care systems of over a dozen countries and examines whether greater regulation has increased patient safety and health care quality. The book adopts a new approach to mapping developments in health care systems in Europe, North America and Australia and pieces together evidence of which regulatory strategies and mechanisms work well to ensure safer patient care. It identifies the regulatory bodies, the regulatory principles and the implementation strategies adopted to improve governance in health care systems and suggests a conceptual framework for responsive regulation. The book will be of interest to government actors, health care professionals and medico-legal scholars.

This step-by-step guide takes the reader logically through the process of undertaking a literature review, from determining when this methodology might be useful, through to publishing the findings. It is designed particularly for students undertaking a dissertation using literature review methodology. However, it also caters to practitioners who wish to review the existing evidence in order to develop practice. Key features of the text include: a chapter on what makes a good literature review, so that readers are clear and confident about what they're aiming for; discussion of the value of literature reviews, whether for fulfilling the requirements of a course or for developing practice; a chapter structure that reflects the structure of a typical dissertation by literature review, making the material intuitive and easy to navigate; case examples throughout to illustrate how methodological principles work in practice; a troubleshooting guide to provide support and advice on common problems when carrying out a literature review; advice on the dissemination of findings. Written by an established author with significant experience teaching and supervising students doing literature reviews, this invaluable text offers systematic and insightful advice on all aspects of literature review methodology, from problem identification to synthesizing information to forming conclusions. It is ideal for any student or practitioner in health and social care looking to undertake a literature review for study or practice purposes.

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.

Early Warning for Infectious Disease Outbreak: Theory and Practice is divided into three parts, with the first section introducing basic theory and key technologies of early warning and the basic principles of infectious disease surveillance. The second section introduces the technical details in the process of establishment, operation and usage of CIDARS and Pudong Syndromic Surveillance and the Early Warning System of the Shanghai World Expo. The third part explores the study of early warning technology, collecting some useful exploration in the fields of infectious diseases involving sentinel setting, data analysis, influence factors study, calculation and evaluation of early warning models.