This book examines and explains changes in Chinese health care policy during the 1949-1977 period. It is concerned with analyzing the reasons for policy change and deriving a coherent view of the Chinese political process from that analysis.

This work provides a rich mine of ideas to stimulate thinking about organisational interaction, and organisations in relation to various socio/cultural values.

Although many books have been published on the application of GIS in emergency management and disaster response, this is the first one to bring together a comprehensive discussion of the critical role GIS plays in hospital and healthcare emergency management and disaster response.

Illustrating a wide range of practical applications, GIS in Hospital and Healthcare Emergency Management explores how GIS data is being used to assess need, determine surge capacity, and improve logistics in emergency or disaster scenarios. Leading experts in the field provide authoritative coverage of all areas of emergency management involving GIS and related technologies.

Making this complex subject accessible for professionals who want to improve their preparedness and response capabilities, this complete resource provides numerous examples, case studies, and proven simulation and modeling tools to aid in the development of effective and efficient emergency response plans. It also includes a CD-ROM with a user interface that supplies access to helpful forms, exercises, color versions of the figures in the book, hundreds of valuable resources, as well as a composite bibliography of all references included in the text.

In today s technology driven environment, failure to plan is planning to fail. This accessible resource provides emergency planners, operations managers, and hospital and healthcare administrators with the understanding and the tools needed to create emergency management and disaster preparedness systems that will help hospitals save lives, time, and money when the next emergency strikes.

Effective communication is at the heart of good management. This comprehensive book describes effective communication skills including organisational structures group dynamics overcoming barriers to good communication effective listening and counselling skills in primary care. It provides the reader with the tools needed to manage effectively including those essential for leadership interviewing teaching and supervision. In addition it looks at strategies for dealing with stress such as problem solving techniques and improving personal organisation. Communication and the Manager's Job is a concise yet comprehensive guide for GPs practice managers and all members of the primary care team with an interest in their own personal and professional development.

Typically entrenched and systemic, healthcare problems require the sort of comprehensive solutions that can only be addressed by a change in culture and a shift in thinking. Applying Lean in Healthcare: A Collection of International Case Studies demonstrates how honest appraisal, intelligent planning, and vigilant follow-up have led to dramatic improvements in a variety of healthcare settings across the world. It teaches us how innovative organizations can find sustainable solutions to seemingly intractable problems by following a path guided by Lean Thinking. Lean methods may not solve every healthcare problem, but as these cases prove, changing a culture rather than personnel results in more effective sustainable change.

Alessandra Lemma - Winner of the Levy-Goldfarb Award for Child Psychoanalysis

The contemporary relevance of psychoanalysis is being increasingly questioned; Off the Couch challenges this view, demonstrating that psychoanalytic thinking and its applications are both innovative and relevant, in particular to the management and treatment of more disturbed and difficult to engage patient groups. Chapters address:

• clinical applications in diverse settings across the age range
• the relevance of psychoanalytic thinking to the practice of CBT, psychosomatics and general psychiatry
• the contribution of psychoanalytic thinking to mental health policy and the politics of conflict and mediation.

This book suggests that psychoanalysis has a vital position within the public health sector and discusses how it can be better utilised in the treatment of a range of mental health problems. It also highlights the role of empirical research in providing a robust evidence base.

Off the Couch will be essential reading for those practicing in the field of mental health and will also be useful for anyone involved in the development of mental health and public policies. It will ensure that practitioners and supervisors have a clear insight into how psychoanalysis can be applied in general healthcare.

First published in 1997, this volume approaches the controversial issue of Medicare and its future. First passed in 1965 to aid payments for elderly and disabled medical care, the costs had ballooned in the 1990s, asking questions about how to improve its efficiency. An original goal of this book was to contextualise Medicare within the anticipated comprehensive restructuring of American healthcare. With Medicare 10% of the federal budget at the original time of publication, Marilyn Moon now takes another look at Medicare and discusses how the budget could be tightened without threatening the function of Medicare, with an emphasis on better targeting. In particular, the novel issue of means testing is explored. Having researched Medicare since 1981, Moon recasts her book by discussing issues including Medicare's context, ensuring access, containing costs, the Medicare Catastrophic Coverage Act, the potential for marginal changes, reducing costs, expanding Medicare and ultimately how Medicare should look to change.

There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we're overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet. Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med's emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms. In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised. This is an essential read for understanding the current state of the health care system in America-and the steps urgently needed to create an environment of better care for all of us.

Compact, hand-carried ultrasound devices are revolutionizing how healthcare providers practice medicine in nearly every specialty. The 2nd Edition of this award-winning text features all-new chapters, a greatly expanded video library, and new review questions to keep you fully up to date with the latest technology and its applications. Access to this product, which may be at the discretion of your institution, is up to 3 years of online and perpetual offline access. Elsevier reserves the right to restrict or remove access due to changes in product portfolio or other market conditions. Provides comprehensive guidance for any specialty on the latest point-of-care ultrasound applications for physicians and other health care providers. Helps you interpret findings with a peer-reviewed, online video library with more than 1,000 ultrasound videos of normal and pathologic findings. These videos are complemented by anatomical illustrations and text descriptions to maximize learning. Offers new online resources, including over 120 clinical cases and 350 review questions in every chapter. Features fully updated content throughout, plus all-new chapters on hemodynamics, transesophageal echocardiography, transcranial Doppler ultrasound, pediatrics, neonatology, and 2nd/3rd trimester pregnancy. Shares the knowledge and expertise of expert contributors who are internationally recognized faculty from more than 60 institutions. Recipient of British Medical Association's President's Choice Award and Highly Commended in Internal Medicine at the BMA Medical Book Awards 2015 (first edition). Enhanced eBook version included with purchase gives you access to all the text, figures, videos, cases, review questions, and references while on the go.

Health policy emphasises the role of primary and community-based services in achieving strategic change throughout the NHS. However, despite lead roles assigned to social service departments and residential and nursing home care services, difficulties remain in achieving closer working relationships. This book is a concise guide to the new initiatives in this area, including models and practical examples. It covers the recent developments encouraging partnerships between health and social care services, and is essential reading for all those involved in primary care and the social services, especially those with an interest in the care of older people. The National Primary Care Research and Development Centre series provides policy makers, commissioners, managers, primary care professionals and user organisations with up-to-date multi-disciplinary research on important issues that inform future decision-making for primary care development.

This book considers how mental health services have evolved over the past three decades to meet the needs of people with intellectual disability, focusing on the ways that theories and policies have been applied to clinical practice.

Nick Bouras and Geraldine Holt both have extensive experience in developing and running mental health services and bring together international contributors all with longstanding expertise in the fields of mental health and intellectual disability. They present the current evidence-based practice on how people with intellectual disability can be best cared for in clinical settings. The book embraces a foreword by Professor David Goldberg and is divided into three sections: development of specialist mental health services, clinical practice, and training as an integrated component of service delivery.

Chapters cover topics including:

• the association between psychopathology and intellectual disability
• international perspectives
• neuroimaging and genetic syndromes
• training professionals, families and support workers.

Mental Health Services for Adults with Intellectual Disability provides an overview of the many improvements that have been made in services for people with intellectual disability, as well as examining the shortcomings of the services provided. It offers strategies and solutions for the wide array of interdisciplinary professionals who want to develop the range of resources on offer for people with intellectual disability.

This book contributes to the scientific and ideological debate on child sexual abuse and illuminates the trainer practitioner in the process by recognizing that human services training is built on the ideology and values of the sponsoring organisation, the participants, and the trainer.

This book deals with problems related to the analysis and treatment of borderline and psychosomatic patients. It demonstrates how psychoanalytic practice has had to accomodate the range of "borderline syndromes" and produce new models of theory and treatment.

This book describes how neural circuitry develops epigenetically, in a manner that directly reflects early environmental influences. It provides a systematic and comprehensive overview of the state of the art in the field, and discusses the structure and function of memory.

Although best known as a disseminator of Freudian and Kleinian ideas, the author also contributed important and original material to the body of psychoanalytic literature. This volume presents some of this material and highlights the importance of the author's contribution.

How has a theory of man as a social being to be formulated if we are to do justice to his individuality, to the subtle ways in which his love and hate compete within his relations with others and to the anxieties and resistances he shows when he seeks to change himself? To answer this question is the task which the author sets himself. After assessing Freud's basic principles, the author proceeds to make a uniquely comprehensive review of subsequent theoretical contributions to psychoanalysis with special emphasis on the work of Fairbairn and Melanie Klein. From a background of philosophy, theology and social studies, the author went on to take a personal psychoanalysis and to become a full time psychotherapist, and it is from this combination of wide knowledge and intensive work with people beset by conflicts in their relations with themselves and others that he evolves his views.

The advanced technologies being used in diagnosis and care within modern medicine, whilst supporting and making medical practices possible, may also conflict with established traditions of medicine and care. What happens to the patient in a technologized medical environment? How are doctors', nurses' and medical scientists' practices changed when artefacts are involved? How is knowledge negotiated, or relations of power reconfigured? Technology and Medical Practice addresses these developments and dilemmas, focusing on various practices with technologies within hospitals and sociotechnical systems of care. Combining science and technology studies with medical sociology, the history of medicine and feminist approaches to science, this book presents analyses of artefacts-in-use across a variety of settings within the UK, USA and Europe, and will appeal to sociologists, anthropologists and scholars of science and technology alike.

While there are a growing number of books based on the Toyota Production System, or lean, focused on healthcare, there are very few that detail the tools that make lean more than just a way of thinking and put the methodology into practice. Based on Hiroyuki Hirano's classic 5 Pillars of the Visual Workplace and modeled after the Shingo Prize-winning Shopfloor Series for Lean Manufacturers, 5S for Healthcare adopts a proven reader-friendly format to impart all the information needed to understand and implement this essential lean methodology. It provides examples and cased studies based on the experiences of the principals involved with the Rona Consulting Group, who were responsible for the groundbreaking implementation of the Toyota Production System at the Virginia Mason Medical Center. Written to readily assist with hands-on implementation efforts, this volume offers innovative features designed to improve understanding and support application. This includes helpful how-to-steps and practical examples taken directly from the healthcare industry.

Each year more people die in health care accidents than in road accidents. Increasingly complex medical treatments and overstretched health systems create more opportunities for things to go wrong, and they do. Patient safety is now a major regulatory issue around the world, and Australia has been at its leading edge. Self-regulation by professional and industry groups is now widely regarded as insufficient, and government is stepping in.In Patient Safety First eading experts survey the governance of clinical care. Framed within a theory of responsive regulation, core regulatory approaches to patient safety are analysed for their effectiveness, including information systems, corporate and public institution governance models, the design of safe systems,the role of medical boards, open disclosure and public inquiries. Patient Safety First includes chapters by Bruce Barraclough, John Braithwaite, Stephen Duckett and Ian Freckleton SC. It is essential reading for all medical and legal professionals working in patient safety as well as readers in public health, health policy and governance.

Applies the Principles of Informatics to the Pharmacy Profession Emphasizes Evidence-Based Practice and Quality Improvement Approaches Leading the way in the integration of information technology with healthcare, Pharmacy Informatics reflects some of the rapid changes that have developed in the pharmacy profession. Written by educators and professionals at the forefront in this field, the book shows how informatics plays a central role in providing productive and efficient healthcare services. After defining pharmacy informatics, the text explores the information and biomedical technologies that are the drivers of change. It then discusses the basics of maintaining the reliability and security of computers in a connected world, the need for standardization in the healthcare industry, and effective strategies for searching, evaluating, and managing the wide variety of information resources available today. The next section covers the types of information systems that exist in hospitals and pharmacies, including bar coding. The book then presents tools for evidence-based practice, computerized clinical pharmacokinetics methods, clinical decision support, and data mining methods to improve therapy, reduce adverse outcomes, and cut costs. The final section examines various developments driven by the Internet and how current informatics solutions must evolve to maximize their potential. The continual growth and increasing complexity of therapeutic information necessitate new ways for effectively handling medical data and ultimately providing better patient care. This book discusses how these changes affect pharmacy students and practicing pharmacists, preparing them for what lies ahead in this evolving field.

Knowledge-in-Practice in the Caring Professions explores the nature and role of knowledge in the practical work of the caring professions. It focuses on knowledge of the practical over the theoretical, looking at the application of theory and the implementation of skill, judgment and discretion. Containing contributions from experts in a variety of fields, the research within this book offers a unique perspective on professional practice as multi-disciplinary, illustrating shared and overlapping understandings in knowledge-in-practice between the different professions as well as understandings that are distinctive to each discipline. It underlines that in order to effectively address the range of social, psychological and health problems facing contemporary societies, professionals need to engage in cooperative models of practice.

'In these pages you will find a rich mixture of the best in leadership and organisation development practice and theory, based on a lifetime of studying and applying the principles of why some healthcare organisations succeed and why some fail.' This inspirational book analyses the attitudes and disciplines which make people and the organizations for which they work more effective, more productive and generally more successful. The author, who has experience of working in healthcare and manufacturing and with senior civil servants, and is also familiar with key academic literature, sets out a highly practical combination of practice, theory and policy applicable in a wide variety of healthcare situations. Now revised, including an entirely new chapter on being patient-focused, this remains an invaluable resource for health service leaders and future leaders including managers, clinicians, policy makers and academics.

Supporting People with Dementia at Home details a groundbreaking study of an intensive care management scheme designed for older people with dementia that are at risk of entry into residential care. The authors use a quasi-experimental approach to compare how the individuals on the mental health team in one community were matched to a similar community without the service. They analyze the evidence focusing on the eventual placement of the individual suffering, the quality of care they receive, and also the needs of their carers. This book offers valuable evidence about the factors which can maximize the independence and well being of older people with dementia, from the perspective of older people and their carers. For those who commission services, it is highly relevant to service models for the National Dementia Strategy in England.

This volume brings together experts from a variety of disciplines, such as medicine, biology, sociology, epidemiology, anthropology, economics and political science, who focus on three areas: health disparities and inequity due to gender, the specific problems women face in meeting the highest attainable standards of health, and the policies and actions that can address them. Highlighting the importance of intersecting social hierarchies (e.g. gender, class and ethnicity) for understanding health inequities and their implications for health policy, contributors detail and recommend policy approaches and agendas that incorporate, but go beyond commonly acknowledged issues relating to women's health and gender equity in health.