Although forced migration is not new in human history it has become, in our time, one of the world's major problems. In the last few decades, armed conflict and political unrest have created vast numbers of asylum seekers, refugees and displaced persons. This has led, in turn to increasing involvement of professional care workers and agencies, both governmental and nongovernmental. While there is no doubt on the part of helping parties that care is necessary, there is considerable debate about the kind of care that is needed. This book presents a critical review of mental health care provisions for people who have had to leave their homeland, and explores the controversies surrounding this topic. Providing fresh perspectives on an age old problem, this book covers humanitarian aid and reconstruction programs as well as service provision in host countries. It is of interest to all those who provide health services, create policy, and initiate legislation for these populations.

For more than a century, New York City's public hospitals have played a major role in ensuring that people of every class had a place to turn for care. A comparison of the history of Bellevue Hospital with that of the private New York Hospital illuminates the unique contribution that public hospitals have made to the city and confirms their continued value today. This book is set against the rich economic, cultural and political backdrop of new York City, which played an important role in the fortunes of both hospitals.

Without new ways to think and manage itself strategically, academic healthcare faces terminal deterioration. Heightened competition and changing dynamics have brought turbulence to teaching hospitals, and the main impact has been financial. Langabeer and Napiewocki give health care executives the tools and concepts of strategic management they need and ways to strengthen analytic skills, all based on up-to-date empirical research, cast in language they can grasp and relate to, and specially tailored to help teaching hospital administrators cope successfully with today's marketplace challenges. Board members, trustees, and others with decision- and policy-making responsibilities will also find the book essential, as well as their teaching colleagues and students on their way up in the hospital industry.

The authors maintain that if nonprofit teaching hospitals are to compete successfully with private for-profit hospital chains, not only must they learn the terrain of the playing fields, they must also learn how the game itself is played. Langabeer and Napiewocki offer that knowledge, and in doing so have written the first book of its kind to address comprehensively the entire realm of strategic management aimed clearly at teaching hospitals and major academic medical centers. With findings from primary empirical research into a large sample of teaching hospitals and focusing on the statistical relationships to economic performance, they provide crucial insights into why certain hospitals are more effective than others. Their book will also help healthcare executives relate strategy research on industrial organizations to their own teaching hospital environments. In doing so, their book fills a void in the literature on business strategy that for too long has caused consternation among healthcare administrators and aspirants alike.

For the first time, an accomplished scholar offers a painstakingly researched examination of the United States' involvement in deliberate disease spreading among native peoples in the military conquest of the West. The speculation that the United States did infect Indian populations has long been a source of both outrage and skepticism. Now there is an exhaustively researched exploration of an issue that continues to haunt U.S.-Native American relations. Barbara Alice Mann's The Tainted Gift: The Disease Method of Frontier Expansion offers riveting accounts of four specific incidents: The 1763 smallpox epidemic among native peoples in Ohio during the French and Indian War; the cholera epidemic during the 1832 Choctaw removal; the 1837 outbreak of smallpox among the high plains peoples; and the alleged 1847 poisonings of the Cayuses in Oregon. Drawing on previously unavailable sources, Mann's work is the first to give one of the most controversial questions in U.S. history the rigorous scrutiny it requires.

What are the human consequences of conflict and what are the appropriate service responses? This book seeks to provide an answer to these important questions, drawing on over twenty-five years of work by the author in Northern Ireland and elsewhere. Focusing on the work undertaken following the Omagh bombing, the book describes how needs were assessed and understood, how evidence-based services were put in place, and the training and education programmes that were developed to assist first those communities affected by the bombing and later the wider population affected by the years of conflict. The author places the mental-health needs of affected communities at the heart of the political and peace processes that follow. This is a practical book and will be of particular interest to those planning for and responding to conflict-related disasters, policy makers, service commissioners and providers, politicians, civil servants and peace makers. -- .

Combined oral contraceptives are the most convenient and accepted method of hormonal contraception. Nevertheless, the medical community and consumers constantly demand innovation, additional benefits during use and lower hormonal load despite the high safety profile of available products. At the Ernst Schering Research Foundation Workshop 52, new perspectives and mechanisms for tissue-selective, estrogen-free contraception were discussed. The aim of the workshop was to bring together experts in the field of molecular and pharmacodynamic action of progestins with clinicians and medical experts to discuss potential medical endpoints, physiological reactions and (bio)marker useful describing the tissue selectivity and the contraceptive action of new progestins in different target organs. A major factor for successful realization of these new concepts is a deeper understanding of local pharmacological responses to progestins in general and to new progestins in particular.

Each Student Book and ActiveBook has clearly laid out pages with a range of supportive features to aid learning and teaching: Getting to know your unit sections ensure learners understand the grading criteria and unit requirement. Pause Point features support formative assessment and enable learners to gauge attainment of knowledge at regular intervals. Case Study and Theory into practice features enable development of problem-solving skills and place the theory into real life situations learners could encounter. Assessment practice features provide scaffolded assessment practice activities that help prepare learners for assessment. Within each assessment practice activity, a Plan, Do and Review section supports learners' formative assessment by making sure they fully understand what they are being asked to do, what their goals are and how to evaluate the task and consider how the could improve. Literacy and numeracy activities provide opportunities for reinforcement in these key areas, placing the skills into a Health and Social Care context. Dedicated Think future pages provide case studies from the industry, with a focus on aspects of skills development that can be put in practice in a real work environment and further study.

A unique contribution to research on feminist care ethics. Drawing on a wealth of practical experience across eight different disciplinary fields, the international contributors demonstrate the significance of care ethics as a transformative way of thinking and highlight the necessity of thinking about the ethics of care within policies and practice.

As public accountability has increased and resources have become scarcer, public health, like clinical medicine, has been forced to re-examine the benefits and costs of its activities. Decision and economic analysis are basic tools in carrying out that mission. These methods have become standard practice in clinical medicine and health services research. This book, now in its second edition, was written in an effort to apply and adapt that experience to public health situations.

The book was originally written to introduce Centers for Disease Control and Prevention staff to the concepts of decision and economic analysis, to provide guidance on methods to maximize comparability of studios, and to provide access to frequently used reference information. It has been adapted to meet the needs of scientists and managers in state and local health departments and managed care organizations as well as students in schools of public health and clinicians for an introductory text - a text that shows how these methods can be applied in population-based practice, to facilitate better comparability of studies, and to solidify understanding of the scientific basis for use of these tools in decision making. Decision makers will learn how these studies are conducted so they can be critical consumers, understanding the strengths and limitions, and apply findings to policy and practice.

The second edition updates and expands upon the standard methodology for condcuting prevention effectiveness analyses. Each chapter has been revised or re-written. The chapters on measuring effectiveness, decision analysis, and making information useful for decision makers as well as several appendices are entirely new.

Artificial intelligence (AI) is revolutionizing every aspect of human life including human healthcare and wellbeing management. Various types of intelligent healthcare engineering applications have been created that help to address patient healthcare and outcomes such as identifying diseases and gathering patient information. Advancements in AI applications in healthcare continue to be sought to aid rapid disease detection, health monitoring, and prescription drug tracking. Advancement of Artificial Intelligence in Healthcare Engineering is an essential scholarly publication that provides comprehensive research on the possible applications of machine learning, deep learning, soft computing, and evolutionary computing techniques in the design, implementation, and optimization of healthcare engineering solutions. Featuring a wide range of topics such as genetic algorithms, mobile robotics, and neuroinformatics, this book is ideal for engineers, technology developers, IT consultants, hospital administrators, academicians, healthcare professionals, practitioners, researchers, and students.

Covering a wide range of topics in medical economics, the author provides a comprehensive study of cost containment and financial management. The issues of health care competition, regulation, marketing, and the impact of health finances on the quality of care are addressed.

Rising health care costs consumed one-fifth of the economic growth in the United States between 1980 and 1987, and increased at a rate much greater than that of inflation. One of the ways in which the country is seeking to control these costs is through health maintenance organizations. With their emphasis on prepayment for comprehensive medical care, and their use of risk-sharing with providers, they represent a distinct change from traditional fee-for-service medicine. This book examines the growth and development of HMOs over the past two decades, detailing the success that they have had in controlling costs, and assesses the quality of care they provide to their 33 million current enrollees.

Perry Moore begins his study with a brief survey of the health care crisis and HMOs, covering such topics as regulation versus competition and decreasing patient satisfaction. He then presents a detailed history of HMOs and a look into their future, an analysis of utilization and costs in these organizations, and an assessment of the quality of care provided. Subsequent chapters examine the interaction between HMOs and employers, physicians, pharmacists, Medicaid, and Medicare; the particular problems that are faced by HMOs in rural areas; the characteristics of preferred provider organizations and how they compare with HMOs; and issues of managed competition and cost containment as they will affect the future of HMOs. This timely work will be a most valuable reference source for professionals in human resources and benefits management, as well as for students in these and related fields.

No matter what type of healthcare insurance coverage you have, "Jiggered" will help you understand where you fit into the overall scheme of things, how your specific type of insurance works and how it will be affected in both quality and quantity over the next few years. You'll find that the only real crisis in healthcare is the one caused by the Federal government's inability to fiscally control and monitor itself. Who is being jiggered? Who is being unethically manipulated for someone else's gain? It's probably you and everyone like you. You have a job, pay your taxes, feed, clothe, educate and insure your children, own a home or are saving for one and generally behave in a lawful, fiscally responsible and upstanding manner. You're an ordinary upper or middle class American. Some of you have made it through the daily struggle to realize your dreams and have found financial rewards and others of you are still working at it. You all have one thing in common. You're part of the solution, not part of the problem. Are you jiggered? You figure it out.

In the Himalayan Kingdom of Bhutan, medical patients engage a variety of healing practices to seek cures for their ailments. Patients use the expanding biomedical network and a growing number of traditional healthcare units, while also seeking alternative practices, such as shamanism and other religious healing, or even more provocative practices. The Patient Multiple delves into this healthcare complexity in the context of patients' daily lives and decision-making processes, showing how these unique mountain cultures are finding new paths to good health among a changing and multifaceted medical topography.

The second edition of this very successful 'how to do it' book on clinical governance. * The second edition of this successful book now includes more detail on NICE, CHI and other government initiatives * Expanded to include information appropriate for the whole of the UK * Completely updated in line with recent changes in the NHS * Additional examples of good practice from primary care and other specialties