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Books > Medicine > General issues > Health systems & services
In "Finding Myself, " author Gelasia Marquez puts the puzzle pieces of her life together in this memoir. She not only reflects on the significant milestones in her life, but she also provides insight into the important people who touched her and impacted her existence.Born in Cuba in 1938, Marquez tells about growing up as a boarding student and as a confused young adult who suffered the effects of the political, religious, economic, and socio-cultural changes that destroyed her country of origin. She narrates her experiences as a student of Colegio del Apostolado, as a consecrated lay minister, a nine-year Cuban exile, a concerned bilingual school psychologist, a cancer survivor, a friend of friends, and a woman of faith. "Finding Myself" reflects on the transitions, crises, and challenges in Marquez's life and how these events-transpiring across three countries-played a substantial role in shaping her, her profession, and her future.
This book provides a psychoanalytic perspective on female psychology and includes articles with divergent theoretical viewpoints. It is useful for both research and clinical study and may also provide a bridge to scholars, teachers, and clinicians outside of psychoanalysis itself.
Since the launch of Telemedicine Technologies (Wiley, 2010), the technologies surrounding telemedicine have changed immeasurably, particularly with the emerging trends of Internet-of-Things (IoT), digital/e-Health, and wearable, smart and assistive technologies. This second edition overhauls and expands on the original text to reflect the technical advances of the last decade. It covers applications from traditional healthcare services to remote patient monitoring and recovery, to alternative medicine and general health assessment for maintaining optimal health. This welcome update brings together a broad range of topics demonstrating how information and wireless technologies can be used in healthcare.
Organizational cultures and subcultures have played vital roles in the quality care of the healthcare industry in both the public and private forms of medical practice and education, leaving opportunity for the integration of principles focused on cross- cultural teamwork. Cross-Cultural Training and Teamwork in Healthcare explores the complex relationships between patients, physicians, and nurses with different cultural backgrounds. Integrating theoretical and empirical perspectives on medical teamwork, this book assesses the impact of diverse backgrounds among team members on the quality of care they provide so that medical practitioners, decision-makers, and educators can effectively make use of their cultural differences to provide patients with the best possible care.
This book is a thorough, balanced, and insightful study of what is happening and what should be happening in health care financing. Americans want unlimited access to the best care at affordable prices. Fiscal pressures in American health care point in all different directions, like a pile of jackstraws. This important book analyzes how new payment incentives stimulate planned competition or reregulation; and the far-reaching impact these changes have on hospitals, physicians, long-term care facilities, HMOs, public health clinics, and multihospital systems. Tools for survival include better financial planning, productivity improvement, better scheduling systems, and total quality management. Steven R. Eastaugh begins his book with a general overview of cost management, accounting, product-line selection, and new payment incentives. Part II provides an in-depth survey of fiscal trends in long-term care, managed care, HMOs, and PPOs. Part III analyzes five basic strategies that a provider may consider; with special focus on market analysis, diversification, and pricing. The next part reviews physician payment options, the new Medicare 1992 payment systems for hospitals and physicians, and cost analysis of hospital patient care, research, and education. Part V considers productivity enhancement methods, incentives to assist productivity programs, and the Deming method of total quality management. Part VI focuses on investment, financing, and capital structure decisions in health care institutions and also in large multifacility systems. The last part summarizes major strategies for success in the 1990s, future policy alternatives, and suggests a number of alternative roads to universal entitlement and national health care reform. As Eastaugh suggests in this book, Our health system faces . . . immense opportunity and danger in a reformation on four fronts: access, efficiency, effectiveness, and quality of life. The challenge for providers and managers during this period of unparalleled opportunity is to win a clear victory on all four fronts, and not erode either access or quality in the name of efficiency. The range of coverage in Health Care Finance is extremely wide and detailed--making it essential and useful reading for health care professionals and students alike.
Written by experts, this first encyclopedia about U.S. biomedical policy since the 1970s covers a broad array of key issues and developments in human genetics, reproduction, neonatal intensive care, organ transplantation, intervention in the brain, and medical interventions at the end of life. This easily accessible reference describes court cases, legislation, public policies, technologies, issues, key government agencies, and private organizations dealing with the complex economic, cultural, social, and political context for biomedical decisionmaking today. A chronology, directory of major organizations, carefully selected sources for further reading, and index further enrich this interdisciplinary guide designed for students; teachers; policymakers; public administrators in college, university, and institutional libraries; and general readers in public libraries. This easily accessible reference describes court cases, legislation, public policies, technologies, issues, key government agencies, and private organizations dealing with the complex economic, cultural, social, and political context for biomedical decisionmaking today. A chronology, directory of major organizations, carefully selected sources for further reading, extensive cross references and index further enrich this interdisciplinary guide designed for students; teachers; policymakers; public administrators in college, university, and institutional libraries; and general readers in public libraries.
The textbook provides insights and understanding on how companies and organizations are using advances in Information Technology to adapt to global pandemics such as COVID-19. The textbook explores how everything from data mining to cloud computing is used for strategic purposes including competitive advantages and decision making relating to global pandemics. Many organizations including governments' institutions and agencies continue to increase their financial investment in technology. Despite these huge investments, during the global pandemics, employees and managers are either struggling or not well equipped on how to effectively and efficiently use these tools for sustainability, competitive advantages, and decision makings. In addition, the textbook exposes managers, practitioners, students, and government officials to strategies to implement to gain knowledge and insights from data during global pandemics for competitive advantages and better decision making.
This book sets out unique findings on whether social capital influences health and health inequalities in European welfare states. Drawing on cross-national data from the European Social Survey (ESS) as well as Swedish national survey data and registers, the book develops a new theoretical definition of social capital that guides the books empirical studies. The findings suggest that welfare state generosity is a decisive factor for social capital and that social capital is of significance for health inequalities both between and within European welfare states. The book also discusses the potential dark sides of social capital and examines evidence of circumstances in which social capital has negative health externalities.
The ageing of the European population brings new financial risks that call for state, market and societal responses. In 2011, the first baby-boom generation is turning 65, and forecasts predict that the size of the old-age population in need of long-term care will double in the next 50 years in Europe. However, how different countries are responding to the challenge of financing long-term care is still a question open to further examination, including the role of market development, changing intergenerational contracts and especially the constraints of state intervention. Growing long-term care needs in several European countries as well as the reshaping of traditional modes of care-giving further increase the pressure for sustainable funding of more comprehensive long-term care systems. This book examines different forms of partnership and the potential cooperation of state, market and societal stakeholders. It not only offers a full understanding of the institutional responses and mechanisms in place for financing old age but also provides a deep analysis of both the demand and supply factors underpinning the development of financial instruments to cover long-term care needs in Europe.
This book examines the often tough questions raised by infectious diseases through essays that explore a host of legal and ethical issues. The authors also offer potential solutions in order to ensure that past errors are not repeated in response to future outbreaks. The essays touch on a number of key themes, including institutional competence, the accountability and responsibility of non-state actors, the importance of pharmaceuticals, and the move towards a rights-based approach in global health. Readers gain insights into such important questions as follows: How can we help victims in other countries? What (if any) responsibility should be placed upon international organizations whose actions exacerbate infectious diseases? How can we ensure that pharmaceutical research helps all communities, even those who cannot afford to pay for the products? While broadly covering global health law, the book adopts an inter-disciplinary approach that draws on public international law, philosophy, international relations, human rights law, and healthcare economics. As such, it is a valuable resource for academic libraries, appealing to scholars and postgraduates engaged in relevant research, as well as to those engaged with global health and policy at the international level.
This book explores dominance in Australia's medical culture through the positioning of international medical graduates (IMGs). It argues that IMGs are 'othered' and ultimately positioned as an underclass, a positioning validated and reinforced by the intersecting inequalities of class, race and nation. It also suggests that the positioning of IMGs is organised through the dimensions of structural power, hegemonic power and interpersonal power, which allow an exploration of power relations between the structures of the health system, the Australian medical profession and the agency of IMGs. The Australian narrative presented to the world espouses a community of social justice and human rights. Instead, an historical lens traces the formation and persistence of difference represented in ethnocentrism, racism and xenophobia from 1788 to the present. The research presented is multidisciplinary in scope. An anti-oppressive theoretical framework enables the voices of lived experience to penetrate throughout and a social justice platform engages the participants and the reader into the interwoven conversations. The data set comprises a focus group, 10 individual interviews with IMGs and a selection of inquiry submissions revealing rich and sometimes shocking evidence to paint a stark picture. Other medical voices join the conversation via media responses to revelations of experiences not only by IMGs but also by Australian-trained doctors. It exposes a toxic culture endemic with bullying and sexual harassment.This book is of interest to practitioners, researchers and administrators in the fields of medical education, human resource management, legal studies, health sciences, social sciences, health services, government departments, universities and hospitals, as well as those tasked with duty of care and the provision of a safe workplace. The voices gifted to this study raise awareness of current issues within medicine in Australia at a very personal level and begin to formulate a policy and practical response to address these disturbing revelations.
Tuberculosis was perceived for the first time in the early twentieth century as a major problem warranting state involvement in a national campaign for its eradication. This book examines the rise of the anti-tuberculosis movement in Britain, and the development of a new public health service and medical specialism, discussing why the campaign took the particular form it did. The importance of the study lies in its conception of medical history not as a series of scientific discoveries and technological developments, but as an integral part of a broader social and political scene. The patient, often neglected in medical history, is given close attention in an attempt to understand how the disease has been viewed during this century, and the impact it has had on society. Below the Magic Mountain shows that medicine cannot be understood in isolation from the society of which it is a part.
This book studies the sociology of health and medicine across three different countries, the USA, UK and Australia, examining the nature of disciplines and their specialties and posing sociological questions about the formation of intellectual fields and their social relations.
Health has been conceptualized by world and national health organizations (WHO, CDC, Healthy People 2010) as more than the absence of disease. It involves a focus on physical, psychosocial, and functional aspects of life as well as the prevention of future illnesses. At this point in the development of quality health care for cancer survivors, there is sufficient knowledge and expert opinion to push efforts forward to improve the health of cancer survivors. Clearly there is more research in the most prevalent forms of cancers (e.g., breast cancer) than others that provide us with guidance on how to optimize their health, but there are data on other forms of cancers that can also better inform practice. There may also be general care practices that can cut across cancer types. There has been an emergence of epidemiological and clinical research in cancer survivors that can form the basis for a revolution in the quality and nature of health care that survivors receive. This book not only provides the reader with diverse perspectives and data but also integrates this information so it can serve as the foundation necessary to improve and maintain the health of cancer survivors. Reporting of symptoms to health care providers is a complex, multi-determined problem influenced not only by the pathophysiology but also, as we have learned over the years through pain research, by societal, cultural, and biobehavioral factors. This book will consider this important aspect of follow-up for millions of cancer survivors because of the strong reliance on symptom reporting for clinical decision making. In order for us to generate meaningful and effective treatment, we need to better understand the symptom experience in cancer survivors. This book provides much information that will assist us to better understand and manage this complicated end point. The presenting problems need to be articulated and "conceptualized" as clearly as possible by both parties so appropriate actions can be taken. Since health care costs are a major concern for patients, payers, and providers, this area will also be addressed in all the relevant sections. In taking an interdisciplinary perspective, this book illustrates the importance of a team approach to the improvement of health care and associated health, well-being, and functioning in cancer survivors. The 17 chapters cover critical topics of which physicians and providers of all types must be aware in order to provide the most comprehensive and responsive care for cancer survivors. All of the clinical care chapters include case studies to illustrate the real-world application of these approaches in cancer survivors. Information about sources of referral both within and outside the traditional health care communities will be provided in tabular form. There is no other text that provides both an overview of the problems and their challenges, case illustrations of direct application, and the reality of reimbursement for such care. The editors hope that there may be no need for the clinician or the survivor to adapt to a "new normal" if the presenting problems are understood and handled from an interdisciplinary perspective as outlined here.
Discusses the relationship between depression and medical illness and the diagnosis and management of depression in the medically ill. Covers methodological issues related to assessment and diagnosis of depression and analyzes psychological, social and biological factors associated with depression.
This book contains a series of articles, written by international experts in the fields of intellectual disability and quality of life, that explore a broad range of issues that impact on the quality of life of people with intellectual disabilities and their families. The book commences with a general discussion on defining quality of life and family quality of life and the appropriateness of using these constructs in the field of intellectual disability, and is followed by an analysis on the effects of living arrangements and employment on quality of life. The book concludes with discussions on the unique issues facing children with intellectual disabilities and people living in developing countries and the effect these issues have upon their quality of life.
Over the next few years, the Connecting for Health IT programme for the NHS in England is due to implement electronic prescribing systems at all hospitals in England. Furthermore, the other UK countries are likely to follow suit with clinical IT implementation programmes, and these developments will generate interest in electronic prescribing at European and international level. There is therefore likely to be an exponential growth in the significance of electronic prescribing over the next ten years. Principles of Electronic Prescribing discusses the basic principles of design and implementation of secondary care electronic medicines management systems, and how their design and configuration can impact on benefits realization, hospital workflow and clinical practice.
This book provides an accessible case study approach to European health care systems, medicine and nursing. It explains how 'new' managerialism has impacted on the professions of hospital medicine and nursing across eight countries and questions assumptions of convergence. In addition it identifies a trend undermining medical dominance as well as traditional cultural forces inhibiting nurse professionalization. The institutional analysis explains how welfare states have reformed hospitals and health professions with varying degrees of success.
Newly revised and updated, this book provides geriatricians and orthopedic surgeons with the most vital tools to treat elderly patients who sustain a variety of fractures. The text uniquely encompass the etiologies of fracture in the elderly, perioperative management, the surgical treatment of common fractures in the elderly, as well as rehabilitation and prevention in the older patient. It focuses on the most current data and opinions regarding assessment and management of geriatric conditions that predispose the elderly to fracture, perioperative complications and subsequent functional decline. Unlike any other text, experts in both orthopedics and geriatrics review the content of each chapter for readability and appeal to his/her respective discipline, making this the physician's ultimate guide to treating elderly patients with injuries. Fractures in the Elderly, Second Edition is a valuable resource for geriatricians, orthopedic surgeons, physiologists, and rehabilitation specialists. |
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