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Books > Medicine > General issues > Health systems & services
Public Health Policy and Ethics brings together philosophers and practitioners to address the foundations and principles upon which public health policy may be advanced. What is the basis that justifies public health in the first place? Why should individuals be disadvantaged for the sake of the group? How do policy concerns and clinical practice work together and work against each other? Can the boundaries of public health be extended to include social ills that are amenable to group-dynamic solutions? These are some of the crucial questions that form the core of this volume of original essays sure to cause practitioners to engage in a critical re-evaluation of the role of ethics in public health policy. This volume is unique because of its philosophical approach. It develops a theoretical basis for public health and then examines cutting-edge issues of practice that include social and political issues of public health. In this way the book extends the usual purview of public health. Public Health Policy and Ethics is of interest to those working in public health policy, ethics and social philosophy. It may be used as a textbook for courses on public health policy and ethics, medical ethics, social philosophy and applied or public philosophy.
Concise expert guide to important business research topic Summarises the state of the art in available and emerging research Includes references to key research publications in the field
For courses in basic trauma life support. A decades-long leader in trauma education For over 30 years, International Trauma Life Support for Emergency Care Providers has been at the forefront of trauma education for all levels of prehospital emergency care worldwide. This complete resource is filled with practical, hands?-on training that guides readers through the how's and why's of all the skills needed for rapid assessment, resuscitation, stabilization, and transportation of the trauma patient. Updated with the latest approaches to the care of the trauma patient, the 9th edition conforms to the most recent AHA/ILCOR guidelines for artificial ventilation and CPR.
This book examines the relationship between media and medicine, considering the fundamental role of news coverage in constructing wider cultural understandings of health and disease. The authors advance the notion of 'biomediatization' and demonstrate how health knowledge is co-produced through connections between dispersed sites and forms of expertise. The chapters offer an innovative combination of media content analysis and ethnographic data on the production and circulation of health news, drawing on work with journalists, clinicians, health officials, medical researchers, marketers, and audiences. The volume provides students and scholars with unique insight into the significance and complexity of what health news does and how it is created.
In 1983 Congress changed the way Medicare pays for hospital care. Under the new prospective payment system, hospitals are paid a fixed rate, set in advance, to cover a patient's stay. If costs are less than the fixed rates, the hospital keeps the profit; if the costs are more, it absorbs the loss. From the beginning, prospective payment was recognized as a revolutionary change in Medicare. Congress wanted a system that would make federal expenditures more predictable and controllable, and expected hospitals to respond by becoming more efficient. Some observers have hailed it as a successful way to control the spiraling costs of the Medicare program. Others have criticized it as arbitrary and a threat to the health of the elderly. In the six years since prospective payment was introduced, a substantial amount of evidence has accumulated about its effects. Russell looks at the major characteristics of the rate payment system, how it has changed the pattern of medical service, how these changes have affected the health of the beneficiaries, and the system's effects on Medicare outlays. She reviews what is known and what needs to be learned to arrive at a valid assessment of the system. Moreover, she contributes to the larger debate on Medicare by making what are frequently quite technical evaluations accessible to the general public.
The increasing demand for health care and advances in healthcare technologies has exacerbated the present shortage of health personnel. In response to these changes, physicians may choose to offer their services elsewhere. Labor and Health Economics in the Mediterranean Region: Migration and Mobility of Medical Doctors addresses the mobility of physicians in the Mediterranean region within a global context, focusing on the role mobility has played in the global health system in both developed and developing economies. Besides universities and researchers, public and private medical practitioners and agencies can make use of this book to further their knowledge of the changing healthcare industry.
This innovative volume introduces Trajectory Analysis, a new systems-based approach to measuring nonlinear dynamics in continuous change, to public health and epidemiology. It synthesizes influential strands of statistical and probability science (including chaos theory and catastrophe theory) to complement existing methods and models used in the health fields. The computational framework featured here pinpoints complex cause-and-effect processes in behavioral change as individuals and populations adjust to health interventions, with examples from neuroscience and cardiology. But this is no mere academic exercise, as the author illustrates how these methods can be harnessed toward finding real-world answers to longstanding public health problems, starting with treatment recidivism. Included in the coverage: * The universality of physical principles in the analysis of health and disease * The problem of recidivism in healthcare intervention studies * Stability and reversibility/irreversibility of health conditions * Chaos theory and sensitive dependence on initial conditions * Applications in health monitoring and geographic systems * Simulations, applications, and the challenge for public health A stimulating new take on statistics with powerful implications for future study, practice, and policy, Trajectory Analysis in Health Care should interest public health epidemiologists, researchers, clinicians, and policymakers.
This book engages theoretically and empirically with the unprecedented wave of public management reforms in public hospitals in Europe in the past 25 years. It provides a useful overview of these reforms and studies the way in which they have influenced the ability of national policy-making institutions to co-ordinate the system of public hospitals as a whole. Using a comparative structure, as well as original empirical data collected by the author, the book examines case studies on which little has so far been published for an international audience in English.
COVID-19: Proportionality, Public Policy and Social Distance explores the social and political response to the COVID-19 pandemic. It details the sociological aspects of the spread of the virus, the role played by social distancing in virus mitigation, and the comparative effect of social proximity and distance on national anti-viral behavior. Peter Murphy discusses various public policy approaches to the pandemic and their successes and failures. In this engaging analysis, he investigates the way that contemporary societies think about risk, threat and harm, and how social mood affected the response to COVID-19.
The very idea of 'public service' came under fierce attack in the Thatcherite 1980s. This book takes the two key services, broadcasting and the NHS, and traces the heated debates and political pressures which radically transformed them both. It points to the parallels between them, and describes issues of health, sickness and the provision of medical care as they were reflected in the radio and television output. Across a wide range of programming, from popular drama to investigative journalism, the book captures the mood of the decade as it traces the politics of the NHS, from the Winter of Discontent to the Aids crisis; and the politics of broadcasting, from the coming of Channel Four to the increasing government attacks on the BBC. Concluding in 1990 with two pivotal Acts of Parliament, "Broadcasting and the NHS in the Thatcherite 1980s" traces the roots of the present crisis in the public services.
This well-written text thoroughly addresses two quality of life issues in patients with a variety of neurological disorders: sexual and reproductive function. The de vasta stating effects of a variety of neurological diseases are well known to both the lay and medical communitIes, and are treated in numerous texts. However, as we continue to experience therapeutic breakthroughs in the tields of neurology and rehabilitation medicine, physicians and patients must become more aware of the issues discussed in this text. It is particularly important, as emphasized throughout the chapters, that the physician or therapist initiate conversations with the patients concerning both the possibility of parenting a child, as well as the ability of the patient to enhance his/her sexual functioning. Commonly in the patient who is otherwise perfectly normal, there is a reluctance to discuss these topics and couples often feel embarrassed to initiate a conversation with their physi cians. This reluctance to initiate a discussion is even more apparent in patients with a variety of neurological disorders, in which there are overriding fears concerning both function and survival, as well as deep concerns about their own attractiveness, and their sexual and repro ductive ability."
This book is a study of infant mental health which blends knowledge and understanding from three perspectives: international research, theory, and intervention. The volume increases awareness of the significance of infant mental health, adding to the growing body of literature on influences upon lifestyles, communities, society, and attainment. The significance of mental health to development has come to the fore in recent years and research in neuroscience is used to explore, and to understand the complexities of the human brain. Each infant is exposed to unique influences before and after birth. Neuroscience, genetics, adverse childhood experiences, and personalities feature in the chapters as mitigating factors to attainment. Exemplars create a bridge between research and implementation of recommendations, and illustrate the myriad of influences and permutations that can enhance or hinder development. This book discusses internal influences from an infant's biological make-up, alongside the circumstances and relationships within a family unit, as understanding these key aspects is integral to promotion of each infant's life chances. The volume concludes by considering future approaches to nurturing infant mental health. Carefully designed to stimulate discussion and professional inquiry, this volume is an invaluable resource for researchers, academics, and scholars with an interest in infant mental health.
This book offers the first comprehensive introduction to Results Mapping, an in novative approach for assessing the worth of hard-to-evaluate social, health, and education programs. Results Mapping represents a true milestone in program evaluation-a milestone both as methodology for program accountability and as a technique for program improvement. It is relevant across a wide spectrum of pub lic health, social service, and systems-building initiatives. It introduces "new sci ence" into the field of program evaluation. It merges common sense with structured logic. It retains the richness of real world success stories without sacri ficing a hard-nosed focus on quantitative data and measurable outcomes. The contents of this book are directly pertinent for program leadership and staff, for sponsors and funders in the public and private sectors, and for those charged with assessing, documenting and analyzing the effects of program activ ity. Success Stories as Hard Data is designed to be readable, practical, and clear. Its author does not ignore previous scholarly work, but chooses to emphasize real world applications. For this Dr. Kibei is to be applauded."
1 Historical Introduction INTRODUCTION This chapter is mainly about the history of medicine and its ethics. As usually c- ceived, history is retrograde: It is what happened yesterday, and, much as we may try, it is what happened yesterday seen with a set of today's eyes. Trying to understand yesterday's culture may help us put on a pair of corrective glasses, but it fails in - tirely correcting our vision. Contemporary cultural anthropology may likewise help us understand the way today's events and cultural habits shape what we call history tomorrow. Past events and the kaleidoscopic pattern of today's cultures may help guide us into a future that in at least some respects is ours to forge. Learning about ethics yesterday and thinking about ethics as it expresses itself in various cultures today can help us shape the ethics of tomorrow: This is true whether we are speaking of that part of social ethics called "medical" or of any other part of social ethics. The social aspects of medical practice-how the institution called medicine fits into and works within the greater society called culture-shape the way its ethics ultimately must play itself out.
The Future of Mental Health drills to the heart of the current mental health crisis, where hundreds of millions of individuals worldwide receive unwarranted "mental disorder diagnoses." It paints a picture of how mental health providers can improve their practices to better serve individuals in distress and outlines necessary steps for a mental health revolution. Eric Maisel's goal is to inject more human interaction into the therapeutic process. Maisel powerfully deconstructs the "mental disorder" paradigm that is the foundation of current mental health practices. The author presents a revolutionary alternative, a "human experience" paradigm. He sheds a bright light on the differences between so-called "psychiatric medication" and mere chemicals with powerful effects, explains why the DSM-5 is silent on causes, silent on treatment, and wedded to illegitimate "symptom pictures." Maisel describes powerful helping alternatives like communities of care, and explains why one day "human experience specialists" may replace current mental health professionals. An important book for both service providers and service users, The Future of Mental Health brilliantly unmasks current mental health practices and goes an important step further: it describes what we are obliged to do in order to secure better mental health services-and better mental health-for everyone.
Public humiliation, broken families, and ruined careers are just some of the tragic results when sex behavior is out of control. And as the media reports each new case, we ask ourselves the disturbing question, Why? A revolutionary breakthrough came with the publication of "Out of the Shadows, " now acknowledged as the definitive resource for understanding sexual addiction.
Drawing on insights from international organization and securitization theory, the author investigates the World Health Organization and how its approach to global health security has changed and adapted since its creation in 1948. He also examines the organization's prospects for managing global health security now and into the future.
Numerous studies suggest that people with a variety of health concerns are increasingly turning to online networks for social support. As a result, the number of online support communities has risen over the past two decades. Global Perspectives on Health Communication in the Age of Social Media is a critical scholarly resource that examines the illness and pain-and-suffering narrative of health communication. Featuring coverage on a broad range of topics, such as social networks, patient empowerment, and e-health, this book is geared towards professionals and researchers in health informatics as well as students, practitioners, clinicians, and academics.
OF 'SOLIDARITY' IN UK SOCIAL WELFARE Here then, perhaps, is a British version of solidarity in social welfare, but early there are strong tensions between the powerfully liberal individualistic strands of the British understanding of the functions of the state and the socialistic or communitarian tendency of a commitment to universal welfare provision. In the search for the roots of this understanding of welfare we shall survey, fitst, the historical background to these tensions in some early British political philosophers, starting with Hobbes and ending with Mill. We then consider the philosophical and social influences on the Beveridge Report itself, and we will trace the emergence of the philosophy of the welfare state in the era following the Second World War. Finally we consider the contemporary debate, as it relates to the 'Third Way' thinking of New Labour. 2. A mSTORICAL SKETCH In the previous section we observed that the philosophy underlying the Beveridge Report could be described as 'liberal collectivism'. What are the historical antecedents of this strange amalgam of individualism and collectivism? Within the short scope of this chapter, any account of the philosophical history must be little more than a sketch, but we can perhaps understand most debates in British socio-political thought as a continuing dialogue with the well known claim of Thomas Hobbes in Leviathan that all political institutions are founded on egoistic motives.
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