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Books > Medicine > General issues > Health systems & services
"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.
This book addresses major aspects of inequity, such as access, financing, financial risk protection, gender, service delivery and utilization, in the healthcare sector in India,. Further, it discusses various measures for defining inequity in each of these aspects, and employs different indices for each dimension of inequity, which include financing, utilization, region, health outcomes, caste and class, and gender. The book covers both theoretical and empirical issues, examining fifteen major Indian States, as well as selected case studies at the district level. Combining quantitative and qualitative analyses, the book provides an overall view of the outcomes attributable to both economic development and policy changes per se. While providing essential data and insights for policymakers and researchers alike, the book also outlines further feasible policy changes that could potentially mitigate the current inequities in Indian healthcare. As such, it offers a valuable resource for upper graduate-level students in health economics, as well as for researchers and policymakers.
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.
Digital Therapeutics for Mental Health and Addiction: The State of the Science and Vision for the Future presents the foundations of digital therapeutics with a broad audience in mind, ranging from bioengineers and computer scientists to those in psychology, psychiatry and social work. Sections cover cutting-edge advancements in the field, offering advice on how to successfully implement digital therapeutics. Readers will find sections on evidence for direct-to-consumer standalone digital therapeutics, the efficacy of integrating digital treatments within traditional healthcare settings, and recent innovations currently transforming the field of digital therapeutics towards experiences which are more personalized, adaptable and engaging. This book gives a view on current limitations of the technology, ideas for problem-solving the challenges of designing this technology, and a perspective on future research directions. For all readers, the content on cultural, legal and ethical dimensions of digital mental health will be useful.
Now, more than ever, the field of rehabilitation psychology is growing. Research programs are focusing on involving consumer participation from communities and society at large. Interventions are now designed to make fundamental changes so that all people - regardless of sensory, physical, or cognitive capacity - can fully participate. In addition, the field has begun to address central concerns in health care delivery and health policy. This book - one of the few that focuses solely on rehabilitation psychology research - provides recommendations for future research programs, policy changes, and clinical interventions from the various perspectives within rehabilitation psychology research and practice, and demonstrates how much the field can evolve with the implementation of these changes. Topics covered include: assistive technology; cultural diversity; community integration; future of rehabilitation research; health policy; employment; and health disparities.
This volume examines how local actors respond to Africa's high dependence on donor health funds. It focuses on the large infusion of donor money to address HIV and AIDS into Malawi and Zambia and the subsequent slow-down in that funding after 2009. How do local people respond to this dynamic aid architecture and the myriad of opportunities and constraints that accompany it? This book conceptualizes dependent agency, and the condition in which local actors can simultaneously act and be dependent, and investigates conditions under which dependent agency occurs. Drawing upon empirical data from Malawi and Zambia collected between 2005 and 2014, the work interrogates the nuanced strategies of dependent agency: performances of compliance, extraversion, and resistance below the line. The findings elucidate the dynamic interactions between actors which often occur "off stage" but which undergird macro-level development processes.
Health Care is a central pillar of the Welfare State, in fact, the second pillar in terms of expenditure after pensions. However, we know little about how they perform. European Health Care Systems have been put increasingly under pressure during the last two decades. They have had to face a quadrilemma: to control costs and the increase in public expenditure; to guarantee equality of access; to maximize the quality of care; and to guarantee the responsiveness of the health system and the satisfaction of patients and professionals working in the field. Achieving good results on all these four objectives is extremely difficult and often trade-offs arise among different objectives. Using in-depth case study analysis on eight health care systems, belonging to different Welfare State traditions, and comparative statistical analysis on a broader group of countries, the book connects the main policy reforms of the last two decades with how well these systems perform, in terms of economic efficiency, medical achievements, social inequalities, and patients' and workers' conditions.
This second volume to result from the Diebold Institute Infostructure Project focuses on the roles that information-based technology can play in improving our society's overall health and well-being and in solving the major current and anticipated future problems of the cost and quality of and access to health care. The work outlines the general problem of healthcare in the U.S. and then examines the possibilities and problems inherent in developing and implementing healthcare infostructures. Also provided are expert policy analyses comparing medical information systems in the U.S. with those in Japan and Europe. This book will be crucial to an understanding of the future potential of information systems in America's healthcare sector.
This book is the second edited compilation of selected, refereed papers submitted to ERTEP 2007. The book is organized into 10 chapters along four of the key themes that were discussed at the conference: Environmental Health Management; Mining and Environment; Environmental Monitoring and Policy Development; and Susta- ability and Social Responsibility. It is hoped that the contents of the book will p- vide an insight into some of the environmental and health management challenges confronting the developing world and the steps being taken to address them. The ?rst three chapters under the Environmental Health and Management theme discusses issues related to food security and related environmental distress in sub- Saharan Africa. Chapter 1 argues that pervasive poverty and low agricultural p- ductivity are important factors in understanding food insecurity in the region, and broader global processes are examined. This chapter maintains that while poverty undermines individual and household access to suf?cient food through market p- chase, land inequalities, corruption, structural adjustment programs, civil con?ict, HIV/AIDS and the role of the World Trade Organization Agreement on Agric- ture are decisive. The authors argue that achieving food security in sub-Saharan Africa requires policies and actions that are integrated with efforts to reduce poverty, enhance livelihoods and incomes and increase agricultural output, while also paying attention to underlying structural factors that bear on agriculture in the region.
Epidemics know no borders and are often characterized by a high level of uncertainty, causing major challenges in risk governance. The author shows the emergence of global risk governance processes and the key role that the World Health Organization (WHO) plays within them.
Powerful new approaches and advances in medical systems drive increasingly high expectations for healthcare providers internationally. The form of digital healthcare - a suite of new technologies offering significant benefits in cost and quality - allow institutions to keep pace with society's needs. This book covers the need for responsible innovation in this area, exploring the issues of implementation as well as potential negative consequences to ensure digital healthcare delivers for the benefit of all stakeholders. This book offers a considered view on what a responsible innovation process might involve and how this will enable multiple stakeholders - users, medics, businesses and policymakers - to create a system of delivering better care at lower costs. Illustrated by international case studies, the contributing authors explore the dimensions of responsible innovation with patient engagement and the ways in which this can lead to better design, enhanced diffusion of knowledge and improvement in healthcare. A much-needed exploration of the role of innovation in healthcare with patients in mind, this book will be essential for academics in innovation, ethics, social entrepreneurship and healthcare studies.
Mental Health and Psychological Practice in the United Arab Emirates provides a broad overview the practice of psychology in the UAE. Topics covered span the profession from research to clinical practice to the place of Islam within the broader context of psychology.
Cancer survivors are returning to the workplace in higher numbers than ever before. This is a positive outcome of the "war on cancer", however, many of these cancer survivors face the possibility of illness- or treatment-related complications; employer discrimination or harassment; and other serious concerns. Cancer Survivorship and Work reviews many of the issues relevant to cancer survivors in the workplace from the survivors', employers', and global perspectives. This interdisciplinary and international volume brings together experts in fields as varied as epidemiology, economics, rehabilitation, psychology, human factors and ergonomics; law, and public policy to create a unique, up-to-date reference of what is currently known and what needs to be considered in the future. With this knowledge, challenges faced by this growing population can be better addressed by health care providers, employers, survivors and their families.
A multidisciplinary international team examines the safety, ethics, and health implications of the emerging global market for health care, and the issues that arise when patients cross borders for medical procedures they cannot afford or access at home, from liposuction to kidney transplants. Risks and Challenges in Medical Tourism: Understanding the Global Market for Health Services provides an in-depth, comprehensive assessment of the benefits and risks when health care becomes a global commodity. The collection includes contributions from leading scholars in law and public policy, medicine and public health, bioethics, anthropology, health geography, and economics. This timely and informative handbook looks at medical tourism from the perspective of some of the major regions that send and receive medical tourists, including the United States, the European Union, Southeast Asia, and Latin America. Contributors examine how government agencies, medical tourism companies, international hospital chains, and other organizations promote medical tourism and the globalization of health care. The topics explored include the legal remedies available to medical tourists when procedures go awry; potential consequences when patients cross borders for medical procedures that are illegal in their home countries; the relationship of medical tourism to international spread of infectious disease; and the lack of adequate transnational policies and regulations governing the global market for health services.
Since the passage in 1990 of the Americans with Disabilities Act, society has made considerable strides in improving the quality of life and the productivity of individuals with disabilities. At the same time, however, the American health care system has undergone considerable change, with some unforeseen consequences for those with disabilities. Birenbaum analyzes all of the disability and health policy issues that have emerged from our reliance upon managed care. First, he examines how disability has been defined and redefined in social science and in government regulations. Then, he discusses the major changes in health care over the last decade--in particular, the financial and organizational principles behind managed care. After reviewing the structural advantages and disadvantages of managed care for people with disabilities, he concludes with observations on the future of health care for people with disabilities, particularly in the context of the quality of life and the possible functional outcomes following medical interventions.
Shelton confirms the power of talk in the specific case of the 1994 debate on comprehensive health care reform and beyond. He provides a context rich with detail concerning health care and health care reform in America and a social scientific examination of specific discourse factors that includes narratives, naming, and medical metaphors. Shelton's assessment of the debate reveals that opposition discourse was much more directly impacted and broader in scope. This is followed by a rhetorical analysis that extends the genre of crisis rhetoric. Shelton's rhetorical analysis reveals that the virtual crisis of big government both subsumed and overwhelmed the actual health care crisis. Such an assessment--including an ethical analysis of the 1994 floor debate and detailed consideration of the social existence of hatred for government--produces a host of research and scholarly implications. A thoughtful analysis that will be of value to scholars and researchers in political communication and public policy.
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.
"Europeanization, Care and Gender" addresses the recent underexamined developments concerning care as a crucial part of the restructuring of care labour markets in Europe, including contents of care and different forms of care that range from EU legislation level to individual care workers' and cared for experiences. Through a comparative and interdisciplinary approach, this collection examines and further develops current theoretical and political debates about complexities of care and the impact of multilevel changes in Europe. This book provides a foundation for understanding the major restructuration of care that is taking place at the European level as part of the global phenomena of care markets and the complexity of care within research and how it is no longer restricted to the domain of social policy but a pertinent issue within political science, sociology, legal studies and feminist research.
This book provides a practical introduction to and overview of the development and implementation of evidence-based practice. It focuses on how to look for and appraise the available evidence, how to apply the evidence using a variety of approaches and in different organisational contexts, and how to understand different dimensions of personal and organisational change and its ethical components. Numerous examples from practice and case studies clarify theory Very readable writing style and user-friendly format with checklists of key issues Opportunities for reflective learning Update on current policy and regulatory frameworks Role of clinical governance in evidence-based practice considered. |
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