First published in 1997, this volume emerged in the ongoing struggle between those favouring centralized and those favouring decentralized government, and has three goals: 1) To illustrate how theories of federalism and intergovernmental relations can provide a useful framework for examining how to 'divide up the job in the health care area'; 2) To assess the capacity of the states to actually implement health care policy changes; 3) To weigh the merits of alternative visions of the future roles of states and the federal government in health care policy.

How do health and social care professionals learn their practice? What can the professions learn from each other? This book offers a comprehensively written account of the recent organizational and conceptual changes in UK practice education. Using case examples, the authors focus on the experiences of students' learning in practice settings: how this is organized, what methods are used to help students learn their trade and how their abilities are assessed. The book offers separate chapters on nine professions, all by authors well-established in writing about practice-based learning in their field. They present an exploration in areas of similarity and difference in expertise and outlook between professions, whilst introducing the general concepts that translate between professions. This book will be of great interest to academics and professional in the fields of health studies and social work.

To date, intersex studies has not received the scholarly attention it deserves as research in this area has been centred around certain key questions, scholars and geographical regions. Exploring previously neglected territories, this book broadens the scope of intersex studies, whilst adopting perspectives that turn the gaze of the liberal, humanist, scientific outlook upon itself, in order to reconfigure debates about rights, autonomy and subjectivity, and challenges the accepted paradigms of intersex identity politics. Presenting the latest theoretical and empirical research from an international group of experts, this is a truly interdisciplinary volume containing critical approaches from both the humanities and social sciences. With its contributions to sociology, anthropology, medicine, law, history, cultural studies, psychology and psychoanalysis, Critical Intersex will appeal to scholars and clinical practitioners alike.

Young Refugees and Forced Displacement is about young Syrian and Iraqi refugees navigating the complex realities of forced displacement in Beirut. It is based on a British Academy funded two-year project with 51 displaced youths aged 8 to 17 and under the care of three local humanitarian organisations. Focus groups, interviews and innovative arts-based methods were used to learn about their everyday lives. At the end of the project, we coproduced with them a public mural, allowing unexpected epistemological and methodological reflections on researching refugees and the "right to opacity." Families and friendships, humanitarian caregiving, racism, discrimination and everyday decencies and civilities make up the stuff of their ordinary, everyday encounters within refugeedom, defining both its sharper edges and its more inadvertent and quietly political ones. Thus, refugeedom, as we conceive it, includes "the humanitarian condition" but goes a little beyond it, to become also a human condition of political alterity. In navigating refugeedom, the young Syrians and Iraqis become sophisticated political and moral actors, using emotional reflexivity as they engage layered subjectivities to define the terms of their own forced displacement. This book will be of interest to policymakers, humanitarian organisations, social science scholars and students working on refugees, displacement, humanitarianism, intimacies and emotions, racism and discrimination. It may also be of interest to displaced youth.

Currently a great deal of public discourse around health is on the assumed relationship between childhood inactivity, young people's diets, and a putative steep rise in obesity. Children and young people are increasingly being identified as a population at 'risk' in relation to these health concerns. Such concerns are driving what might be described as new 'health imperatives' which prescribe the choices young people should make around lifestyle: physical activity, body regulation, dietary habits, and sedentary behaviour. These health imperatives are a powerful force driving major policy initiatives on health and education in a number of countries in the Western world. Schools in particular have been targeted for the implementation of a plethora of initiatives designed to help children and young people lose weight, become more active and change their eating patterns inside and outside school. Addressing these issues requires an innovative theoretical approach. Neither the fields of 'eating disorders' nor 'obesity research' has addressed these issues from a sociological and pedagogical perspective. The contributors to this edited collection draw on a range of social theories, including Michel Foucault and Basil Bernstein to interpret the data collected across three countries (Australia and New Zealand, United Kingdom) and from a range of primary and secondary schools. Each chapter addresses various aspects of the relationship between health imperatives as constituted in government policies, school programs and practices, their recontextualised in school practices and the impact of this on the subjectivities of children and teachers. This book was originally published as a special issue of Discourse: Studies in the Cultural Politics of Education.

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 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.

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.

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.

This book presents papers from an International Symposium on Contact Disputes and Allegations of Domestic Violence: Identifying Best Practices, held in London in May 2017. The editors invited a group of international experts to explain the approaches taken in their jurisdictions to allegations of domestic violence in child contact cases, with a view to identifying international best practices in such cases. The book includes contributions from England and Wales, Scotland, Ireland, Canada, Sweden and Spain, as well as information presented at the symposium from New Zealand and Australia. The chapters include attention to particular issues such as specialist domestic violence courts, judicial training and hearing children's voices. Collectively, the chapters identify a set of common problems experienced across all of the jurisdictions, including an overwhelming emphasis on the value of children's ongoing contact with non-resident parents and the consequent minimisation of domestic violence and the muting of the voices of children who do not wish to have contact with abusive parents. Best practices in taking domestic violence seriously and providing adequate protection from further abuse for children and non-abusive parents were less in evidence. However, the concluding chapter draws together details of several initiatives and approaches which offer promising ways forward. The chapters in this book were originally published as a special issue of the Journal of Social Welfare and Family Law.

This ground-breaking book challenges us to re-think ourselves as techno-sapiens-a new species we are creating as we continually co-evolve ourselves with our technologies. While some of its chapters are imaginary, they are all empirically grounded in ethnography and richly theorized from diverse disciplines. The authors go far beyond a techno-optimism vs. techno-pessimism stance, stretching our thinking about birthing techno-sapiens to consider not only how our cyborgian reproductive lives are constrained and/or enabled by technology but are also about emotions and spirit. The world of reproductive health care and particularly that of genetic engineering is developing exponentially, and current challenges are vastly different from those of a decade ago. The book is provocative, intended to generate debate, ideas, and future research and to influence ethical policy and practice in human techno-reproduction. It will be of interest across the social sciences and humanities, for reproductive scholars, bioethicists, techno-scientists, and those involved in the development and delivery of maternity services.

The Handbook of Rural Aging goes beyond the perspective of a narrow range of health professions, disciplines, and community services that serve older adults in rural America to encompass the full range of perspectives and issues impacting the communities in which rural older adults live. Touching on such topics as work and voluntarism, technology, transportation, housing, the environment, social participation, and the delivery of health and community services, this reference work addresses the full breadth and scope of factors impacting the lives of rural elders with contributions from recognized scholars, administrators, and researchers. This Handbook buttresses a widespread movement to garner more attention for rural America in policy matters and decisions, while also elevating awareness of the critical circumstances facing rural elders and those who serve them. Merging demographic, economic, social, cultural, health, environmental, and political perspectives, it will be an essential reference source for library professionals, researchers, educators, students, program and community administrators, and practitioners with a combined interest in rural issues and aging.

This title was first published in 2001. Enhancing the quality of health services remains a key challenge for all health systems, whatever their stage of development. This collection of leading-edge research from Europe and America explores both quantitative and qualitative approaches to identifying and remedying deficiencies in health care.

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 book builds on the person-centred medicine movement to promote a shift in the philosophy of care of distress. It discusses the vital importance of whole person health, healing and growth. Developing a new transdisciplinary concept of sense of safety, this book argues that the whole person needs to be understood within their context and relationships and explores the appraisal and coping systems that are part of health. Using clinical vignettes to illustrate her argument, Lynch draws on an understanding of attachment, and trauma-informed approaches to life story and counsels against an over-reliance on symptom-based fragmentation of body and mind. Integrating literature from social determinants of health, psychology, psychotherapy, education and the social sciences with new research from the fields of immunology, endocrinology and neurology, this broad-ranging book is relevant to all those with an interest in person-centred healthcare, including academics and practitioners from medicine, nursing, mental health and public health.

Originally published in 1979, The Care of the Sick is a detailed and comprehensive exploration of the emergence of modern nursing. Beginning with primitive and early historical nursing, the book traces the development of nursing through the ages and covers a variety of key topics, including the rise of the trained nurse; the problems faced by nursing during its development as a profession; education and working conditions; the government and nursing; the economics of nursing; and how the image of nursing has changed over time. Extensive and thorough, The Care of the Sick will appeal to those with an interest in the history of nursing, the history of medicine, and social history.

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.

What is the goal of public health promotion today? If the leading causes of mortality are primarily attributable to lifestyle behaviours, is the purpose of research to develop the power to change those behaviours, in the same way that science has been able to control infectious diseases? Or is the quest for effective behaviour modification techniques antithetical to the idea of promoting well-being defined in terms of individual autonomy, dignity and integrity? An Ethic for Health Promotion explores these questions.

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.

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 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

Patients are increasingly encouraged to take an active role in managing their health and health care. New technologies, cultural shifts, trends in healthcare delivery, and policies have brought to the forefront the "work" patients, families, and other non-professionals perform in the pursuit of health. This volume closely examines notable application areas for the emerging discipline of Patient Ergonomics - the science of patient work. The Patient Factor: Applications of Patient Ergonomics, Volume II reviews the definition of Patient Ergonomics and discusses the application of Patient Ergonomics across contexts. It analyzes patient work performed in emergency departments, transitions of care, home and community settings, retail pharmacies, and online communities. It also examines applications to groups including veterans, pediatric patients, older adults, the underserved, and people engaged in health promotion. The Patient Factor is ideal for academics working in health care and patient-centered research, their students, human factors practitioners working in healthcare organizations or at technology companies, frontline healthcare professionals, and leaders of healthcare delivery organizations.

Patients are increasingly encouraged to take an active role in managing their health and health care. New technologies, cultural shifts, trends in healthcare delivery, and policies have brought to the forefront the "work" patients, families, and other non-professionals perform in pursuit of health. Volume I provides a theoretical and methodological foundation for the emerging discipline of Patient Ergonomics - the science of patient work. The Patient Factor: Theories and Methods for Patient Ergonomics, Volume I defines Patient Ergonomics, explains its importance, and situates it in a broader historical and societal context. It reviews applicable theories and methods from human factors/ergonomics and related disciplines, across domains including consumer technology, patient-professional communication, self-care, and patient safety. The Patient Factor is ideal for academics working in health care and patient-centered research, their students, human factors practitioners working in healthcare organizations or at technology companies, frontline healthcare professionals, and leaders of healthcare delivery organizations.

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.