From the author of Why We Get the Wrong Politicians, a gripping, provocative exploration of the NHS, told through the most critical moments in its 75-year history 'The book the NHS has always deserved' Andrew Marr 'Funny, intelligent and so beautifully written . . . a much-needed book' Chris van Tulleken 'Brilliant' Adam Kay ________________ Since its foundation in 1948, the NHS has come to define our national identity; it even topped the "what makes Britain great" poll in 2022. It has made history (and the headlines) again and again - from cutting edge discoveries like the first 'test tube baby', to its heroic response to the Coronavirus crisis. But the NHS has also become a battleground for some of the fiercest political contests of our time, perceived either as a national treasure, or as a lumbering piece of state machinery in need of renovation. In Fighting for Life, bestselling journalist Isabel Hardman cuts through the sentimentality and sloganeering on all sides of the political spectrum. Packed with gripping stories from the people at the beating heart of this venerated institution - its nurses, its doctors, its patients and the politicians who decide its fate - this is the essential book for understanding our NHS, and who we are as a nation.

In India today only 35 percent of people have access to medicines. This book examines the rise of drug prices in India, and develops a new healthcare model, which if implemented, would extend access to medicines to India's entire population. Sensitivity tests show that the proposed model is affordable, equitable and implementable

Based on twenty-five years of fieldwork, Rural Women's Sexuality, Reproductive Health, and Illiteracy: A Critical Perspective on Development examines rural women's behaviors towards health in several developing countries. These women are confronted with many factors: gender inequalities, violence from partners, and lack of economic independence. The book also gives insight into the general weakness of the health systems in place and questions the progress of numerous international conferences ICPD (International Conference on Population and Development) and MDGs (Millennium Development Goals) along with WHO (The World Health Organization) Frame Work for Action, UNFPA (United Nations Population Fund) and CEDAW (Committee on the Elimination of Discrimination Against Women) all supporting women's empowerment as related to violence, education, and reproductive health. Chapters provide numerous concrete examples and vignettes describing constraints on women in a variety of countries related to their intimate lives and their struggle between traditional and modern medicine. Widely practiced clandestine sex work is a challenge to HIV/AIDS programs. The book examines the women who choose clandestine sex work and their clients' sexual behavior and attitudes toward prostitution and HIV prevention. It also explores the negotiations between promiscuous, migratory men, and the ties of sexuality and fertility that women use to tie them to a male partner. The book argues for effective delivery of healthcare programs accompanied by multi-lateral responses from the civil society, governments, donors and agencies. Rural Women's Sexuality, Reproductive Health, and Illiteracy is a useful resource scholars, as well as consultants and staff working in development agencies and public health.

Showing that economic development and public health, often thought of as distinct, are both interdependent and dependent on social and political conditions, this book provides a new appreciation of the close relationship between microenterprise development and health in developing countries. Many of the world's poor earn a living from microenterprises, often outside the formal economy, and international practitioners have recently turned their attention to this underground economy, providing support through group poverty lending and village banking models, but overlooking the potential benefits of linking income generation with public health. This book argues for a conceptual and practical relationship between microenterprise development and household health, nutrition, and sanitation.

To support their framework, the authors look at specific actions for harnessing the power of microeconomic development to improve health and human development. They support their argument further with case studies of innovative programs carried out in Latin America, Asia, and Africa. The book challenges the reader to cross disciplinary and professional boundaries to not only understand the interrelationships between health and income generation but to use available tools to enhance those interrelationships.

Everyone knows the old adage, "an ounce of prevention is worth a pound of cure," but we seem not to live by it. In the Western world's health care it is commonly observed that prevention is underfunded while treatment attracts greater overall priority. This book explores this observation by examining the actual spending on prevention, the history of health policies and structural features that affect prevention's apparent relative lack of emphasis, the values that may justify priority for treatment or for prevention, and the religious and cultural traditions that have shaped the moral relationship between these two types of care.
Economists, scholars of public health and preventive medicine, philosophers, lawyers, and religious ethicists contribute specific sophisticated discussions. Their descriptions and claims lean in various directions and are often surprising. For example, the imbalance between prevention and treatment may not be as great as is often thought, and we may be spending excessively on many preventive measures just as we do on treatments compelled by the felt demands of rescue. A standard practice in health economics that disadvantages prevention, "discounting" the value of future lives, may rest on weak empirical and moral grounds. And it is an "apocalyptic" religious tradition (Seventh-day Adventism) whose members have put some of the strongest and most effective priority on long-term prevention.
Prevention vs. Treatment is distinctive in carefully clarifying the nature of the empirical and moral debates about the proper balance of prevention and treatment; the book pursues those debates from a wide range of perspectives, many not often heard from in health policy.

"This book argues that the new actors in global health constitute a 'private turn' in global health governance, and provides theoretical and practical grounds for viewing global health partnerships and philanthropic foundations as closely aligned in their ideational and material approaches to a range of important issues and crises"--Provided by publisher.

This highly practical resource brings new dimensions to the utility of qualitative data in health research by focusing on naturally occurring data. It examines how naturally occurring data complement interviews and other sources of researcher-generated health data, and takes readers through the steps of identifying, collecting, analyzing, and disseminating these findings in ethical research with real-world relevance. The authors acknowledge the critical importance of evidence-based practice in today's healthcare landscape and argue for naturally occurring data as a form of practice-based evidence making valued contributions to the field. And chapters evaluate frequently overlooked avenues for naturally occurring data, including media and social media sources, health policy and forensic health contexts, and digital communications. Included in the coverage:* Exploring the benefits and limitations of using naturally occurring data in health research * Considering qualitative approaches that may benefit from using naturally occurring data * Utilizing computer-mediated communications and social media in health * Using naturally occurring data to research vulnerable groups * Reviewing empirical examples of health research using naturally occurring data Using Naturally Occurring Data in Qualitative Health Research makes concepts, methods, and rationales accessible and applicable for readers in the health and mental health fields, among them health administrators, professionals in research methodology, psychology researchers, and practicing and trainee clinicians.

This book covers the scope of current knowledge of cancer in the LGBT community across the entire cancer continuum, from understanding risk and prevention strategies in LGBT groups, across issues of diagnosis and treatment of LGBT patients, to unique aspects of survivorship and death and dying in these communities. Each chapter includes an in depth analysis of the state of the science, discusses the many remaining challenges and unanswered questions and makes recommendations for research, policy and programmatic strategies required to address these. Focus is also placed on the diversity of the LGBT communities. Issues that are unique to cancer in LGBT populations are addressed including the social, economic and cultural factors that affect cancer risk behaviors, barriers to screening, utilization of health care services, and legislation that directly impacts the health care of LGBT patients, healthcare settings that are heterosexist and unique aspects of patient-provider relationships such as disclosure of sexual orientation and the need for inclusion of expanded definition of family to include families of choice. The implications of policy change, its impact on healthcare for LGBT patients are highlighted, as are the remaining challenges that need to be addressed. A roadmap for LGBT cancer prevention, detection, diagnosis, survivorship, including treatment and end of life care is offered for future researchers, policy makers, advocates and health care providers.

The first English hospitals appeared soon after the Norman Conquest. By the year 1300 they numbered over 500, caring for the sick and needy at every level of society - from the gentry and clergy to pilgrims, travellers, beggars and lepers. Excluded from towns, but placed by main highways where they could gather alms, they had a complex relationship with medieval society: cherished yet marginalised, self-contained yet also parasitic. This book - the first general history of medieval and Tudor hospitals in eighty-five years - traces when and why they originated and follows their development through the crisis periods of the Black Death and the English Reformation when many disappeared. Nicholas Orme and Margaret Webster explore the hospitals' religious, charitable and medical functions, examine their buildings, staffing and finances, and analyse their inmates in terms of social background and medical needs. They reconstruct the daily life of hospitals, from worship to living conditions, food and care. The general survey is complemented by a regional study of hospitals in the south-west of England, including detailed histories of all the recorded institutions in Cornwall and Devon.

Sold worldwide and translated into 13 languages, John Murtagh's General Practice is widely recognised as the gold standard reference for general practice and primary health care. Its emphasis on the importance of clinical reasoning, early diagnosis and treatment makes this the essential reference for medical students, trainees and general practitioners. Written by renowned general practitioners and educators, and with all content reviewed for currency by leading experts, the eighth edition provides fundamental knowledge and skills required for the challenging field of general practice. Key features: *Diagnostic strategy models for common presenting problems, including diagnostic triads *Clinical frameworks, including management and treatment *Evidence-based research, with all content reviewed for currency by leading experts *Extensive coverage of mental health, health promotion, women's health, and paediatric and geriatric care New to this edition: *New chapters on obesity, mood disorders, breast disorders, and traveller's health and tropical medicine *Updated and new information on genetic disorders, chronic pain and infectious diseases, including acute respiratory distress syndrome with reference to coronaviruses and COVID-19 *Restructure of table of contents to allow for easier navigation About the authors John Murtagh is Emeritus Professor in General Practice at Monash University; Professional Fellow of General Practice at the University of Melbourne; and Adjunct Clinical Professor in the Graduate School of Medicine, University of Notre Dame. Jill Rosenblatt is a general practitioner and was Adjunct Senior Lecturer in the School of Primary Health Care at Monash University. She received a Distinguished Service Award of the RACGP in 2014. Jill has a wealth of rural and urban medical experience. Justin Coleman is a general practitioner in the Tiwi Islands and was Senior Lecturer at Flinders University. He's on the Editorial Advisory Board of Diabetes Management Journal, a member of Choosing Wisely Australia (NPS) and a prolific writer for a number of publications. Clare Murtagh is a general practitioner in Sydney. She holds postgraduate qualifications in Dermatology, Medical Education, and Sexual and Reproductive Health.

Developments in telepathology are progressing at a great speed. As a consequence, there is a need for a broad overview of the field. This first ever book on telepathology is presented in such a way that it should make it accessible to anyone, independent of their kno- edge of technology. The text is designed to be used by all prof- sionals, including pathologists, surgeons, nurses and allied health professionals, and computer scientists. In a very short time, driven by technical developments, the field of telepathology has become too extensive to be covered by only a small number of experts. Therefore, this Telepathology book has been written with chapter contributions from a host of renowned international authorities in telepathology (see the Table of Contents and the List of Contributors). This ensures that the subject matter focusing on recent advances in telepathology is truly up to date. Our guiding hope during this task was that as editors of multiple chapters we could still write with a single voice and keep the content coherent and simple. We hope that the clarity of this book makes up for any limitations in its comprehensiveness.

The outsourcing of clinical trials to Latin America by the transnational innovative pharmaceutical industry began about twenty years ago. Using archival information and field work in Argentina, Brazil, Costa Rica, Mexico and Peru, the authors discuss the regulatory contexts and the ethical dimensions of human experimentation in the region. More than 80% of all clinical trials in the region take place in these countries, and the European Medicines Agency has defined them as priority countries in Latin America. The authors raise questions about the quality of data obtained from the trials and the violation of human rights during their implementation. Their findings are presented in this volume, the first in-depth analysis of clinical trials in the region.

This textbook provides an overview for students in Criminology and Criminal Justice about the overlap between the criminal justice system and mental health. It provides an accessible overview of basic signs and symptoms of major mental illnesses and size of scope of justice-involved individuals with mental illness. In the United States, the criminal justice system is often the first public service to be in contact with individuals suffering from mental illness or in mental distress. Those with untreated mental illnesses are often at higher risk for committing criminal acts, yet research on this population continues to shed light on common myths - such a prevailing assumption that those with mental illness tend to commit more violent crimes. Law enforcement agents may be called in as first responders for cases of mental distress; and due to a lack of mental health facilities, resources, and pervasive misconceptions about this population, those with mental illness often end up in the corrections system. In this environment, students in Criminology and Criminal Justice are likely to encounter those with mental illness in their future career paths, and need to be prepared for this reality. This timely work covers the roles of each part of the criminal justice system interacting with mentally ill individuals, from law enforcement and first responders, social services, public health services, sentencing and corrections, to release and re-entry. It also covers the crucial topic of mental health for criminal justice professionals, who suffer from high rates of job stress, PTSD, and other mental health issues. The final section of the book includes suggestions for future research. This work will be of interest to students of criminology and criminal justice with an interest in working in the professional sector, as well as those in related fields of sociology, psychology, and public health. It will also be of interest to policy-makers and practitioners already working in the field. The overall goal of this work is to inform, educate, and inspire change.

This book discusses theoretical issues, standards, and professional considerations arising when legal and health practitioners undertake legal capacity assessments in the context of wills, enduring powers of attorney and advance health directives. The potential loss of cognition can erode autonomy as individuals lose the ability to make their own legally recognised decisions. This is an inescapable problem with significant legal, social, health and policy repercussions. This work synthesises and critically analyses the existing literature, including some of the best assessment models and guiding principles internationally, to generate a new methodology and understanding of what capacity assessment best practice means. This includes the impact of assessments on individual autonomy - the ideal method building upon respect for both autonomy as well as fundamental human rights. The triggers to assess capacity, who to involve in the assessment process, as well as how to conduct that assessment process are discussed. The crucial relationship between the legal and health professionals involved in assessments, including growing concerns around practitioner liability, is also explored. This analysis is undertaken through the innovative use of a therapeutic jurisprudence lens, the effect of which is to contribute new knowledge to this complex field.

"One Day at a Time" is potentially a landmark text in understanding care provision needs of families in a changing social context. Its applied and holistic orientation reflects an exceptional level of experiential insight and of scholarship that should ensure both relevance and widespread appeal. This book not only provides readers with a practical theoretical framework, but also incorporates applications that are imaginative, and yet simple to implement. (From the Foreword by Dr. Otto von Mering and Dr. Leon Earle)

Dementia attacks not only the body, but in particular the mind and the very personhood of the patient. For family members, the alteration in the person's identity and the loss of a shared past and shared memories is devasting. The purpose of this book is to show how families go about day-to-day living with this condition. Le Navenec and Vonhof provide a holistic view of caring as a reciprocal relationship that involves all members of the family as well as their surrounding social network. The book is intended primarily for professionals, educators, and students in the fields of geriatrics, nursing, rehabilitation, social work, gerontology, family sociology, medical anthropology, and family therapy. Family members who are caring for an older person may also benefit from reading about the experiences of others.

'Jha is the right scholar and economist to take readers through the development of the Indian economy. Readers will be in good hands.' -Edmund Phelps, Columbia University, USA, and winner of the 2006 Nobel Prize in Economics 'This is perhaps the best and most scholarly contribution to understanding the Indian Economy and Society. Its rich historical perspective and a profound understanding of how India has evolved into a major economic power set standards of scholarship and analytical rigour that will be hard to surpass". -Raghav Gaiha, University of Manchester, UK 'Linking of economy and society is increasingly recognised as essential for addressing policy challenges by the current phase of globalisation. As such this study should be valuable not just for those studying India, but also for those interested in global developments.' -Mukul Asher, National University of Singapore, Singapore 'This book is a tour-de-force review of the fundamental topics on the Indian political economy and society that are relevant for any committed social scientist to be aware of.' -Sumit K. Majumdar, University of Texas at Dallas, USA 'Over the years, I have benefited from reading the works of Professor Jha, and from teaching from them. I enthusiastically recommend these two volumes.' -Raaj Kumar Sah, University of Chicago, USA This two-volume work provides an account of how India has been meeting its myriad of economic, political and social challenges and how things are expected to evolve in the future. Despite enormous challenges at the time of independence, India chose to address them within a secular, liberal, democratic framework, which guaranteed several fundamental rights. Challenges included intense mass poverty and hunger, very poor literacy and educational abilities of the population, the task of uniting a country with scores of languages and ethnicities ruled by different entities for decades and persistent threats of external aggression, to name just a few. Over time, incomes and opportunities have expanded enormously and India has regained her self-confidence as a nation. In this second volume, Jha examines the performance and prospects for India's agriculture, manufacturing and services sectors. In addition, India's links with the external world through international trade, investment, migration and remittances are discussed, as well as gender issues, inter-community relations and India's future prospects.

The Oxford Handbook of Health Economics provides an accessible and authoritative guide to health economics, intended for scholars and students in the field, as well as those in adjacent disciplines including health policy and clinical medicine. The chapters stress the direct impact of health economics reasoning on policy and practice, offering readers an introduction to the potential reach of the discipline.
Contributions come from internationally-recognized leaders in health economics and reflect the worldwide reach of the discipline. Authoritative, but non-technical, the chapters place great emphasis on the connections between theory and policy-making, and develop the contributions of health economics to problems arising in a variety of institutional contexts, from primary care to the operations of health insurers. The volume addresses policy concerns relevant to health systems in both developed and developing countries. It takes a broad perspective, with relevance to systems with single or multi-payer health insurance arrangements, and to those relying predominantly on user charges; contributions are also included that focus both on medical care and on non-medical factors that affect health. Each chapter provides a succinct summary of the current state of economic thinking in a given area, as well as the author's unique perspective on issues that remain open to debate. The volume presents a view of health economics as a vibrant and continually advancing field, highlighting ongoing challenges and pointing to new directions for further progress.

In the middle decades of the twentieth century, Asia was at the heart of international efforts to create a new utopia: a world free from disease. Positioned at the unexplored boundary between international history and the history of colonial/postcolonial medicine, the book is a political, intellectual, and social history of public health in Asia, from the 1930s to the early 1960s. The discussion takes India as its core focus, but highlights the international networks connecting developments in India with the Asian region and the wider world, from Rangoon to New York. Drawing on a diverse range of sources, the book contributes to debates on nationalism, internationalism and the post-colonial State.

"Hospital Preparation for Bioterror" provides an extremely timely guide to improving the readiness of hospitals or healthcare organizations to manage mass casualties as a result of bioterrorism, biological warfare, and natural disasters. Contributions from leading law enforcement agencies, hospital administrators, clinical engineers, surgeons and terror-prevention professionals provide the most comprehensive, well-rounded source for this valuable information. Chapters on logistics and protecting the infrastructure help personnel distinguish the specific risks and vulnerabilities of each unique institution and assists in identifying specific solutions for disaster and bioterrorism preparedness.
-Principles and techniques discussed are applicable to all disasters, both large and small, not just bioterrorism
-Technical aspects such as hospital power and telecommunications are covered, in addition to patient care, response to mass casualties, large-scale drills, and surge capacity.
-Organized along functional lines, patient flow, medical specialty, and infrastructure
-A complimentary website with supplementary materials, check-lists, and references enhances the text and provides additional resources for preparedness.

In this remarkable book, Gary Wright focuses thirty years experience as a family physician, and his Ph.D. in philosophy, to address the nature of good medical reasoning. Wright folds cognitive science into a pragmatist framework developed by John Dewey; this alternative view of mind and medical judgment leads to a model of reasoning that offers realistic guidance for medical decisions, one that each of us would want our own physicians to adopt.

Millions of people and their families are affected by mental illness; it causes untold pain and severely impairs their ability to function in the world. In recent years, we have begun to understand and develop a range of effective treatments for mental illness. Even with this shift from moralistic views to those emphasizing the biological and genetic origins of mental illness, punitive treatment and outright rejection remain strong. Public attitudes toward mental illness are still more negative than they were half a century ago, and the majority of those afflicted either do not receive or cannot afford adequate care. As a result of all of these troubling facts, applying the term "stigma" to mental illness is particularly appropriate because stigma conveys the mark of shame borne by those in any highly devalued group.
Mental illness tops the list of stigmatized conditions in current society, generating the kinds of stereotypes, fear, and rejection that are reminiscent of longstanding attitudes toward leprosy. Mental disorders threaten stability and order, and media coverage exacerbates this situation by equating mental illness with violence. As a result, stigma is rampant, spurring family silence, discriminatory laws, and social isolation. The pain of mental illness is searing enough, but adding the layer of stigma affects personal well being, economic productivity, and public health, fueling a vicious cycle of lowered expectations, deep shame, and hopelessness.
In this groundbreaking book, Stephen Hinshaw examines the longstanding tendency to stigmatize those with mental illness. He also provides practical strategies for overcoming this serious problem, including enlightenedsocial policies that encourage, rather than discourage, contact with those afflicted, media coverage emphasizing their underlying humanity, family education, and responsive treatment.
Stigma is a deeply inspiring and passionate work that is realistic and filled with hope. It combines personal accounts with information from social and evolutionary psychology, sociology, and public policy to provide messages that are essential for anyone afflicted or familiar with mental illness.

"In this 2nd edition, Robinson and Reiter give us an updated blueprint for full integration of behavioral health and primary care in practice. They review the compelling rationale, but their real contribution is telling us exactly HOW to think about it and how to do it. This latest book is a must for anyone interested in population health and the nuts and bolts of full integration through using the Primary Care Behavioral Health Consultation model." Susan H McDaniel Ph.D., 2016 President, American Psychological Association Professor, University of Rochester Medical Center The best-selling guide to integrating behavioral health services into primary care is now updated, expanded and better than ever! Integration is exploding in growth, and it is moving inexorably toward the model outlined here. To keep pace, this revised text is a must for primary care clinicians and administrators. It is also essential reading for graduate classes in a variety of disciplines, including social work, psychology, and medicine. This updated edition includes: * A refined presentation of the Primary Care Behavioral Health (PCBH) model * The latest terms, trends and innovations in primary care * Comprehensive strategies and resource lists for hiring and training new Behavioral Health Consultants (BHC) * Step-by-step guidance for implementing the PCBH model * A plethora of evolved practice tools, including new Core Competency Tools for BHCs and primary care providers * Sample interventions for behaviorally influenced problems * The use of "Third Wave" behavior therapies in primary care * Detailed program evaluation instructions and tools * The latest on financing integrated care * An entire chapter on understanding and addressing the prescription drug abuse epidemic * Experienced guidance on ethical issues in the PCBH model * Improved patient education handouts With all of the changes in health care, the potential for the Primary Care Behavioral Health (PCBH) model to improve primary care-and the health of the population-is greater than ever. This book should be the first read for anyone interested in realizing the potential of integration.