First published in 1998, this volume why and how genetic engineering has emerged as the technology most likely to change our lives, for better or worse, in the opening century of the third millennium. Over twenty international experts, including moral philosophers and social scientists, describe the issues and controversies surrounding modern biotechnology and genetic engineering. They explore ways in which lay individuals and groups can join in an effective and constructive dialogue with scientists and industrialists over the assessment, exploitation and safe management of these new and important technologies. Topics covered include a discussion of the issues surrounding 'Dolly', the cloned sheep, the politics and ethics of the international research programme to sequence the entire human genome, the ethical questions raised by the creation of transgenic farm animals, the morality of genetic experimentation on animals, the controversy surrounding the patenting of genetic material and of the transgenic animals themselves, the ethical implications of engineering animals for transplanting their organs into humans, and the environmental hazards of releasing genetically engineered organisms.

This volume explores the nature of health and health-care experiences in Russia by comparing societies and communities with different socio-cultural conditions. The unique use of longitudinal data collected over ten years, allows the authors to address key questions on Russians individual experiences of health care and their understanding of its influencing factors. They explore the methods of self treatment and illness prevention in combination with the effects poverty and treatment availability can have on the standards of living for the people surveyed. This pertinent issue follows a time of rapidly worsening health status amongst the Russian population and a grave decline in male life expectancy. The findings are set within the context of experience from Finland and the UK, allowing the authors to explore the challenge of the Russian health-care crisis to Western European models of health status and health care.

First published in 1999, this volume responds to a large and growing interest among health policy and research circles on the use of purchasing alliances to leverage change in health care. This book gives detailed and useful specifics on how a leading alliance has fared in California, the most competitive health care market in the United States. Although it is generally accepted that large organizations are more effective purchasers of health insurance, little work has been done to carefully examine the reasons that underlie that phenomenon. Yet, creating interventions and designing potential solutions requires a thorough understanding of the issues. The econometric analysis adds to the limited literature on the influence of premium on choice behaviour for employees of small firms, and introduces an analysis of choice behaviour in a purchasing cooperative setting. The political section of this book presents a much more detailed historical account and analysis of California's small group market reforms, the most significant health-related legislation in the state in the prior decade, than has been previously available. The conclusions are becoming particularly relevant, both in California and elsewhere, as the issues of reform of the individual market for health insurance comes to the forefront.

The telling of stories lies at the heart of human communication. In this important new book Peter Brophy introduces and explains the concept of story-telling or narrative-based practice in teaching, research, professional practice and organizations. He illustrates the deficiencies in evidence-based practice models, which focus on quantitative rather than qualitative evidence, and highlights the importance of narrative by drawing on insights from fields as disparate as pedagogy, anthropology, knowledge management and management practice. This book is essential reading for professionals, scholars and students in the many disciplines currently using evidence-based practice, such as information management, health, social policy, librarianship and general management.

Architecture for Residential Care and Ageing Communities confronts urgent architectural design challenges within residential innovation, ageing communities and healthcare environments. The increasing and diversified demands on the housing market today call for alterability and adaptability in long term solutions for new integrated ways of residing. Meanwhile, an accentuated ageing society requires new residential ways of living, combining dignity, independence and appropriate care. Concurrently, profound changes in technical conditions for home healthcare require rethinking healing environments. This edited collection explores the dynamics between these integrated architectural and caring developments and intends to envision reconfigured environmental design patterns that can significantly enhance new forms of welfare and ultimately, an improved quality of life. This book identifies, presents, and articulates new qualities in designs, in caring processes, and healing atmospheres, thereby providing operational knowledge developed in close collaboration with academics, actors and stakeholders in architecture, design, and healthcare. This is an ideal read for those interested in health promotive situations of dwelling, ageing and caring.

First published in 1998 , This timely book describes the challenges that need to be met in bringing together health and social services into a partnership to create effective and responsive services. It presents the reader with both conceptual frameworks and practical examples on how change can be managed and the momentum maintained towards the development of a quality service. The authors present practical examples and reflect on what worked and what was not successful. Over twenty writers (staff and managers, senior and junior, qualified and unqualified) describe focused work in particular areas which will be of interest to any service for this user group. Throughout, the emphasis is on how to deliver an accessible good quality service and how this can be safeguarded in the future. Fifty years after the establishment of the NHS, and nearly twenty five years since the establishment of British Social Services departments, this book articulates a modern, practical and principled vision of community based services to vulnerable people.

First published in 1994. Routledge is an imprint of Taylor & Francis, an informa company.

First published in 1998, this volume considers the Nuremberg Code in light of new ethical grey areas which have become evident due to recent scientific advancements, particularly the questions of DNA and cloning. The contributors reflect in 26 articles on the impact of the Code, events which prompted it including Japan, and more recent ethical issues raised. The book contains the results of two European/American preparatory workshops for the First World Conference on Ethics Codes in Medicine and Biotechnology (October 1997 Freiburg, Germany) supported by the leading national institutions in the field. It aims to stimulate research about codes, the effects of codification and other forms of implementing ethics. It breaks new ground with interdisciplinary and international discourse on the subject, emphasising the need for a complete collection of codes for systematic research and evaluation and filling the gap in literature on the subject to date.

This is the ultimate guide to liferaft survival for all boaters and its purpose is to ensure the survival of skipper and crew in the event of their boat sinking. In this essential safety book, expert authors, Frances and Michael Howorth, cover how to be mentally and physically prepared for a sailor’s ultimate nightmare. It includes invaluable advice on the essentials to pack into the emergency grab bag for a short or long cruise, hot or cold climate, coastal or offshore trip. Packed full of checklists and clear diagrams, there are lessons learned from disasters, flowcharts to prioritise abandon ship procedure, sections on first aid and emergency treatment. Featuring some essential content from the authors’ previous title The Grab Bag Book but completely revised and updated, the new Liferaft Survival Guide is what you need right now to stay safe at sea and covers up to date information on the way satellites and beacons work, world monitoring of distress signals and advances in medical practice. Preparation and planning are key for safe enjoyable sailing. Every boater needs to plan and prepare, and every boater should read this book. This unique survival at sea handbook helps you ensure your crew’s survival in a liferaft. Buy it, build your own grab bag and be sure to be prepared!

The once productive association feminism and the sociology of health and illness has broken down in recent years. In a social world marked by significant social change in men's and women's lives and their health, a gender-based analysis is urgently needed.
This books achieves this by bringing feminist theory and health sociology back together again in an innovative and insightful analysis of gender and health in contemporary society.

The once productive association between feminism and the sociology of health and illness has broken down in recent years. In a social world marked by significant social change in men's and women's lives and their health, a gender-based analysis is urgently needed.
This books achieves this by bringing feminist theory and health sociology back together again in an innovative and insightful analysis of gender and health in contemporary society.

Much of the scientific work on environmental health research has come from the clinical and biophysical sciences. Yet contributions are being made from the social sciences with respect to economic change, distributional equities, political will, public perceptions and the social geographical challenges of the human health-environments linkages. Offering the first comprehensive and cohesive summary of the input from social science to this field, this book focuses on how humans theorize their relationships to the environment with respect to health and how these ideas are mediated through an evaluation of risk and hazards. Most work on risk has focused primarily on environmental problems. This book extends and synthesizes these works for the field of human health, treating social, economic, cultural and political context as vital. Bringing disparate literatures from across several disciplines together with their own applied research and experience, John Eyles and Jamie Baxter deal with scientific uncertainty in the everyday issues raised and question how social theories and models of the way the world works can contribute to understanding these uncertainties. This book is essential reading for those studying and researching in the fields of health geography and environmental studies as well as environmental sociology, social and applied anthropology, environmental psychology and environmental politics.

The Handbook provides an essential resource at the interface of Genomics, Health and Society, and forms a crucial research tool for both new students and established scholars across biomedicine and social sciences. Building from and extending the first Routledge Handbook of Genetics and Society, the book offers a comprehensive introduction to pivotal themes within the field, an overview of the current state of the art knowledge on genomics, science and society, and an outline of emerging areas of research. Key themes addressed include the way genomic based DNA technologies have become incorporated into diverse arenas of clinical practice and research whilst also extending beyond the clinic; the role of genomics in contemporary 'bioeconomies'; how challenges in the governance of medical genomics can both reconfigure and stabilise regulatory processes and jurisdictional boundaries; how questions of diversity and justice are situated across different national and transnational terrains of genomic research; and how genomics informs - and is shaped by - developments in fields such as epigenetics, synthetic biology, stem cell, microbial and animal model research. Chapter 13 of this book is freely available as a downloadable Open Access PDF under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. https://www.routledgehandbooks.com/doi/10.4324/9781315451695-13 Chapter 28 of this book is freely available as a downloadable Open Access PDF under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. https://www.routledgehandbooks.com/doi/10.4324/9781315451695-28

Architecture for Residential Care and Ageing Communities confronts urgent architectural design challenges within residential innovation, ageing communities and healthcare environments. The increasing and diversified demands on the housing market today call for alterability and adaptability in long term solutions for new integrated ways of residing. Meanwhile, an accentuated ageing society requires new residential ways of living, combining dignity, independence and appropriate care. Concurrently, profound changes in technical conditions for home healthcare require rethinking healing environments. This edited collection explores the dynamics between these integrated architectural and caring developments and intends to envision reconfigured environmental design patterns that can significantly enhance new forms of welfare and ultimately, an improved quality of life. This book identifies, presents, and articulates new qualities in designs, in caring processes, and healing atmospheres, thereby providing operational knowledge developed in close collaboration with academics, actors and stakeholders in architecture, design, and healthcare. This is an ideal read for those interested in health promotive situations of dwelling, ageing and caring.

The book is intended as a practical guide to setting up, staffing and running eating disorders services. The guidance and advice given is based on the experience of the eating disorder service at the Royal Free, which does not have specialised beds, but which is nevertheless considered to offer one of the best services in the UK. Each element of the service will be considered from referral, inpatient and outpatient treatment, service evaluation and multi-disciplinary teamworking. The book also discuss's innovative approaches in treatment, including an evaluation of Email Bulimia Therapy.* Ties in with NICE guidelines, which highlight the need for local services for treating eating disorders* Offers practical guidance on setting up a community model of treatment and on working within a multi-disciplinary team* Based on the Royal Free experience - their Eating Disorders Service has twice been a finalist in the Hospital Doctor Team of the Year awards

Except in schoolboy jokes, the subject of human waste is rarely aired. We talk about water-related diseases when most are sanitation-related - in short, we don t mention the shit. A century and a half ago, a long, hot summer reduced the Thames flowing past the UK Houses of Parliament to a Great Stink, thereby inducing MPs to legislate sanitary reform. Today, another sanitary reformation is needed, one that manages to spread cheaper and simpler systems to people everywhere. In the byways of the developing world, much is quietly happening on the excretory frontier. In 2008, the International Year of Sanitation, the authors bring this awkward subject to a wider audience than the world of international filth usually commands. They seek the elimination of the Great Distaste so that people without political clout or economic muscle can claim their right to a dignified and hygienic place to go . Published with UNICEF

Worldwide, there has been a growth in service user involvement in education and research in recent years. This handbook is the first book which identifies what is happening in different regions of the world to provide different countries and client groups with the opportunity to learn from each other. The book is divided into five sections: Section One examines service user involvement in context exploring theoretical issues which underpin service user involvement. In Section Two we focus on the state of service user involvement in human services education and research across the globe including examples of innovative practice, but also identifying examples of where it is not happening and why. Section Three offers more detailed examination of such involvement in a wide range of professional education learning settings. Section Four focuses on the involvement of service users in research involving a wide range of service user groups and situations. Lastly, Section Five explores future challenges for education and research to ensure involvement remains meaningful. The book includes forty-eight chapters, including seventeen case-studies, from all regions of the world, this is the first book to both highlight the subject's methodological and theoretical issues and give practical examples in education and research for those wishing to engage in this field. It will be of interest to all service users, scholars and students of social work, nursing, occupational therapy, and other human service subjects.

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.

How does social spending relate to economic growth and which countries have got this right and wrong? Peter Lindert examines the experience of countries across the globe to reveal what has worked, what needs changing, and who the winners and losers are under different systems. He traces the development of public education, health care, pensions, and welfare provision, and addresses key questions around intergenerational inequality and fiscal redistribution, the returns to investment in human capital, how to deal with an aging population, whether migration is a cost or a benefit, and how social spending differs in autocracies and democracies. The book shows that what we need to do above all is to invest more in the young from cradle to career, and shift the burden of paying for social insurance away from the workplace and to society as a whole.

This book offers a critical inquiry into the framing of health and disease as a security issue. In particular, the book examines what happens in the United Nations when the ostensibly 'low' politics of global health meet the 'high' politics of security, and when the logic of security comes to shape global health initiatives. It offers a critical re-assessment of efforts in the United Nations system to position HIV as a security threat with the hope that this would attract greater attention and resources for the global HIV response. The book advances securitization theory by presenting a new framework for studying HIV as a policy process, uniting several theoretical strands into a single, powerful model for empirical application. It uses this model to draw attention to important, understudied aspects of HIV securitization, including the role played by discourses about Africa, and the evolution of ideas about HIV and security as actors learned over time. On the basis of this empirically grounded assessment of how securitization works as a theory and a political strategy, the book suggests that securitization is inherently limited, and perhaps dangerous, as a strategy for 'securing' social change. This book will be of much interest to students of critical security studies, global health, development studies, and IR in general.

The competition for limited health care resources is intensifying. We urgently need an acceptable method for deciding how they should be allocated. But the goods that health care produces are of very different kinds. Health care can extend the lives of children and of older people. It can make it possible for a person to walk, when without health care that person would be permanently bedridden; and it can reduce the pain and distress of people who are terminally ill. How can we possibly decide which of these - and many more - diverse achievements of health care are more deserving than others? We need a common unit by which we might be able to measure these very different goods. The Quality-Adjusted Life Year, or QALY, is the most developed proposal for such a unit of measure. In this book a distinguished team of ethicists and economists defend the core of the QALY proposal: that health care resources should be used so as to produce more years of life, of the highest possible quality. This leads to a discussion of such fundamental questions as whether all lives are of equal value, whether health care should be allocated on the basis of need and whether the QALY approach incorporates an adequate account of fairness or justice. The result is the most thorough account yet of the ethical issues raised by the use of the QALY as a basis for allocating health care resources.

This book examines the issue of ethics in the context of the provision of military health care in an epidemic. Outbreaks of epidemics like Ebola trigger difficult ethical challenges for civilian and military health care personnel. This book offers theoretical reflections combined with reports from recent military and NGO missions in the field. The authors of this volume focus on military medical ethics adding a distinct voice to the topic of epidemics and infectious diseases. While military health care personnel are always crucially involved during disaster relief operations and large-scale public health emergencies, most of the current literature treats ethical issues during epidemics from a more general perspective without taking into account the specifics of the military context. The contributions in this volume provide first-hand insights into some of the ethical issues encountered by military health care personnel in missions during the Ebola outbreak in 2014/2015. This practical perspective is complimented by academic analyses and theoretical reflections on ethical issues associated with epidemics. This book will be of much interest to students of military studies, ethics and African politics.

The government, the media, HMOs, and individual Americans have all embraced programs to promote disease prevention. Yet obesity is up, exercise is down, teenagers continue to smoke, and sexually transmitted disease is rampant. Why? These intriguing essays examine the ethical and social problems that create subtle obstacles to changing Americans' unhealthy behavior.

The contributors raise profound questions about the role of the state or employers in trying to change health-related behavior, about the actual health and economic benefits of even trying, and about the freedom and responsibility of those of us who, as citizens, will be the target of such efforts. They ask, for instance, whether we are all equally free to live healthy lives or whether social and economic conditions make a difference. Do disease prevention programs actually save money, as is commonly argued? What is the moral legitimacy of using economic and other incentives to change people's behavior, especially when (as with HMOs) the goal is to control costs?

One key issue explored throughout the book is the fundamental ambivalence of traditionally libertarian Americans about health promotion programs: we like the idea of good health, but we do not want government or others posing threats to our personal lifestyle choices. The contributors argue that such programs will continue to prove less than wholly successful without a fuller examination of their place in our national values.

Risks, Identities and the Everyday focuses on the individual and the lived experience of everyday risks - a departure from the focus on risk from a macro level. The contributors look at risk and how perceptions of risk, risk taking, and risk assessment increasingly dominate our everyday lives and explore it in a variety of settings not previously associated with risk theory, including: plastic surgery, teenage sub-cultures, ageing and independent travel. The volume moves risk away from abstract theorising about what people may or may not fear about risks, to focus on how it actually materialises and operates in everyday 'real' social interactions and contexts. It also interrogates the rational self at the heart of macro social theories by thinking through the construction of risk choices and the socio-cultural dynamics that 'present' some risks as acceptable, appropriate and necessary.

Wide-ranging research suggests that partners in gay male and bisexual relationships do not necessarily expect monogamy, or see it as an important issue. Although the frequency of gay male and bisexual non-monogamous partnerships tends to be widely acknowledged in social science literature, these relationships have rarely been explored in more detail. By providing rich empirical data, thoughtful analysis and theoretical debate, this book makes a significant contribution to the sociological literature on sexual and intimate relationships. More specifically it explores the diversity of gay male and bisexual relationship practices in the context of heteronormative citizenship and intra-social movement conflict, and highlights the complexity of power relations that circumscribe queer people's relationships and sexual lives. Written in an accessible and engaging manner, The Spectre of Promiscuity provides important insights for further studies on sexual culture, discourse, citizenship, politics and ethics.