In the late 1960s, American society entered a period of rapidly accelerating social change. Certainty that U.S. vast scientific and technical capability would be able to find solutions to all problems began to turn to concern, as organizational efforts were unable to keep pace with new developments in a variety of areas.

The health field, with its focus on the well-being of individuals, felt the impact of these changes particularly strongly. Medicines became more focused on isolated health practices, as the patient's needs were attended to within groups of unrelated biological systems. The emerging thought represented in this collection pushes for the perception of health as a right rather than as something to be earned. It argues that deprivation of life-saving and life-fulfilling opportunities to any populations should not be tolerated. The editors also demand more awareness of the implications of isolated health activities and make the case for a comprehensive total health care system. Health is no longer just a biological function; quality of life is also a concern.

First published in 1971 by administrators of health agencies, teachers, and health personnel, this work presents perspectives on problems and interpretations of forces and issues that are of continuing importance to health administrators. The emphasis on the need to focus on the whole patient rather than just their illness, and on providing them with a good life, not just a disease free one, is still as valid today as it was when this volume was initially published.

Social exclusion attempts to make sense out of multiple deprivations and inequities experienced by people and areas, and the reinforcing effects of reduced participation, consumption, mobility, access, integration, influence and recognition. This book works from a multidisciplinary approach across health, welfare, and education, linking practice and research in order to improve our understanding of the processes that foster exclusion and how to prevent it.

Theorising Social Exclusion first reviews and reflects upon existing thinking, literature and research into social exclusion and social connectedness, outlining an integrated theory of social exclusion across dimensions of social action and along pathways of social processes. A series of commissioned chapters then develop and illustrate the theory by addressing the machinery of social exclusion and connectedness, the pathways towards exclusion and, finally, experiences of exclusion and connection.

This innovative book takes a truly multidisciplinary approach and focuses on the often-neglected cultural and social aspects of exclusion. It will be of interest to academics in fields of public health, health promotion, social work, community development, disability studies, occupational therapy, policy, sociology, politics, and environment.

Social exclusion attempts to make sense out of multiple deprivations and inequities experienced by people and areas, and the reinforcing effects of reduced participation, consumption, mobility, access, integration, influence and recognition. This book works from a multidisciplinary approach across health, welfare, and education, linking practice and research in order to improve our understanding of the processes that foster exclusion and how to prevent it.

Theorising Social Exclusion first reviews and reflects upon existing thinking, literature and research into social exclusion and social connectedness, outlining an integrated theory of social exclusion across dimensions of social action and along pathways of social processes. A series of commissioned chapters then develop and illustrate the theory by addressing the machinery of social exclusion and connectedness, the pathways towards exclusion and, finally, experiences of exclusion and connection.

This innovative book takes a truly multidisciplinary approach and focuses on the often-neglected cultural and social aspects of exclusion. It will be of interest to academics in fields of public health, health promotion, social work, community development, disability studies, occupational therapy, policy, sociology, politics, and environment.

Much as it is with the nation's overall healthcare system, the survival of academic medical centers (AMC's) is threatened by a combination of economic, cultural, and demographic factors. If AMC's are to survive to fill their societal responsibilities, they must adopt a new philosophy. Challenging assumptions and providing the shift in perspective that a resolution of this crisis requires, Arthur Feldman PhD, MD provides us with a thoroughly researched and forward-thinking volume that all those concerned with healthcare must read. This brilliant manifesto will help physicians, policymakers, analysts, and regulators understand the challenges faced by today's AMCs. But more importantly, Pursuing Excellence in Healthcare: Preserving America's Academic Medical Centers offers a cogent, viable plan that will reestablish the leadership role that AMCs need to play in providing Americans with the best possible care.

It takes 17 years on average to bring new medical treatments ideas into evidence-based clinical practice. The growing replicability crisis in science further delays these "new miracles." Blockchain can improve science and accelerate medical research while bringing a new layer of trust to healthcare. This book is about science, its value to medicine, and how we can use blockchain to improve the quality and impact of both. The book looks at science and medicine from an insider's perspective and describes the processes, successes, shortcomings and opportunities in an accessible way for a broad audience. It weaves this a non-technical look at the emerging world of blockchain technology; what it is, where it is useful, and how it can improve science and medicine. It lays out a roadmap for this application to transform how we develop knowledge about health and medicine to improve our lives. In the first part, Blockchain isn't Tech, the authors look at blockchain/distributed ledger technology along with critical trade-offs and current explorations of its utility. They give an overview of use cases for the technology across industries, including finance, manufacturing and healthcare, with interviews and insights from leaders across government, academia, and tech/health industry both big and start-up. In the second part, Science is Easy, the authors look at science as a process and how this drives advancement in medicine. They shed a light on some of science's shortcomings, including the reproducibility crisis and problems with misaligned incentives (i.e. publish or perish). They apply a breakdown of critical components to the functional steps in the scientific process and outline how the open science movement is looking to improve these, while highlighting the limit of these fixes with current technology, incentives and structure of science. In the third part, DAO of Science, the authors look at how blockchain applied to open science can impact medical research. They examine how this distributed approach can provide better quality science, value-based research and faster medical miracles. Finally, they provide a vision of the future of distributed medical research and give a roadmap of steps to get there.

Medical partnerships are highly complex legal and financial entities. This book navigates the reader through the key issues and deals with the less tangible aspects such as partnership dynamics and organisational behaviour. Examples illustrate common difficulties and offer possible choices. It is clear, practical and readable and essential for all GPs entering a partnership. It is also relevant for GPs currently in partnerships, practices considering their partnership deed, Senior House Officers and GP registrars.

Although the last two decades have seen the healthcare systems of most developed countries face pressure for major reform, the impact of this reform on the relationship between empowerment, consumerism and citizen's rights has received limited research attention. Globalisation, Markets and Healthcare Policy sets out to redress this imbalance. This book explores the extent to which globalisation and commercialisation relate to current and emerging health policies. It also looks at the implications for citizens, patients and social rights, as well as how policy making interacts with the interests of global and European trade and economic policies. Topics discussed include: How the impact of globalisation on health systems is apparent in the influence of international actors and European policies. How the impact of globalisation is mediated by national priorities and policies and is therefore reflected in diverse influences. How commercialisation of health is presented as benefiting citizens and patients but has the potential to undermine the aims and values inherent in health systems. How the role of citizens' interests, social rights, patient's rights and priorities of patient and public involvement need to be separated from commercialisation, choice and consumerism in health care. Essential reading for policy makers and students of public policy, politics, law and health services, Globalisation, Markets and Healthcare Policy will also appeal to those interested in patient involvement international healthcare, international relations, trans-national organisations and the EU.

Satire plays a prominent and often controversial role in postcolonial fiction. Satire and the Postcolonial Novel offers the first study of this topic, employing the insights of postcolonial comparative theories to revisit Western formulations of satire and the satiric.

The U.S. health care system faces well-known problems: 47 million people without health insurance, rapidly rising costs that consume 16 percent of the country's economic output, and widely uneven quality of care. Even many people with coverage are experiencing serious problems paying for the rapidly rising costs of health care and insurance.This book - a joint product of the National Academy of Public Administration and the National Academy of Social Science - undertakes a sweeping analysis of the management and administrative issues that arise in expanding health care coverage. The book identifies the core administrative functions that need to be performed in assuring access to health coverage, describes how these functions are performed at present and under proposed alternatives, draws lessons from experience in the U.S. and abroad, and assesses suggested administrative approaches designed to facilitate the improvement and expansion of health care coverage.Adequate health care is one of today's most crucial domestic policy concerns. "Expanding Access to Health Care" is designed to bring together in one place some of the best thinking on the subject, not as an exercise in advocacy, but rather to lay out the issues in a balanced way so that policymakers, researchers, and citizens can better understand the complex details of health care reform.

Designed for easy reference, this concise manual provides hospital board members and executives with practical guidance on how to become actively engaged in the transformation of their organization. It focuses on how the healthcare industry as a whole is transforming and stresses the importance of having board members who are knowledgeable and skilled enough to provide leadership during this time of great opportunity. This manual is ideal for orienting new board members and for providing more experienced members with insight on key issues. It supplies a list of questions to ask stakeholders that will facilitate engagement and ultimately encourage participation. Each of the chapters is organized around action steps referred to as Top Healthcare Transformers. These are designed to disseminate best practices, build organizational quality, establish transparency, and develop the culture and leadership needed to facilitate change that is intelligent and progressive. Each of those 10 chapters includes - The Problem: A brief, quantitative look at the problem The Transformer: What will transform and make healthcare different Best Practices: Examples of current best practices indicative of the transformer Board Questions: Questions every board member should consider asking and every executive should be prepared to answer A concluding chapter provides the overall governance engagement checklist-the things to do to make certain that board members and senior colleagues are engaged and prepared to lead your organization's transformation. Includes a foreword by John R. Combes, MD, President and Chief Operating Officer, Center for Healthcare Governance

Quality care of patients requires evaluating large amounts of data at the right time and place and in the correct context. With the advent of electronic health records, data warehouses now provide information at the point of care and facilitate a continuous learning environment in which lessons learned can provide updates to clinical, administrative, and financial processes. Given the advancement of the information tools and techniques of today's knowledge economy, utilizing these resources are imperative for effective healthcare. Thus, the principles of Knowledge Management (KM) are now essential for quality healthcare management.

The Healthcare Knowledge Management Primer explores and explains essential KM principles in healthcare settings in an introductory and easy to understand fashion. This concise book is ideal for both students and professionals who need to learn more about key aspects of the KM field as it pertains to effecting superior healthcare delivery. It provides readers with an understanding of approaches to KM by examining the purpose and nature of its key components and demystifies the KM field by explaining in an accessible manner the key concepts of KM tools, strategies and techniques, and their benefits to contemporary healthcare organizations.

Quality care of patients requires evaluating large amounts of data at the right time and place and in the correct context. With the advent of electronic health records, data warehouses now provide information at the point of care and facilitate a continuous learning environment in which lessons learned can provide updates to clinical, administrative, and financial processes. Given the advancement of the information tools and techniques of today s knowledge economy, utilizing these resources are imperative for effective healthcare. Thus, the principles of Knowledge Management (KM) are now essential for quality healthcare management.

The Healthcare Knowledge Management Primer explores and explains essential KM principles in healthcare settings in an introductory and easy to understand fashion. This concise book is ideal for both students and professionals who need to learn more about key aspects of the KM field as it pertains to effecting superior healthcare delivery. It provides readers with an understanding of approaches to KM by examining the purpose and nature of its key components and demystifies the KM field by explaining in an accessible manner the key concepts of KM tools, strategies and techniques, and their benefits to contemporary healthcare organizations.

Interest in community psychology, and its potential has grown in parallel with changes in welfare and governmental priorities. Critical Community Psychology provide students of different community based professions, working in a range of applied settings, at both undergraduate and postgraduate levels, with a text which will underpin their community psychological work. Key Features: * Clear learning objectives and chapter contents outlined at the start of each chapter * Key terms highlighted with definitions, either as marginal notes or in chapter glossaries * Case examples of community psychology in action * Each chapter ends with a critical assessment section * Discussion points and ideas for exercises that can be undertaken by the reader, in order to extend critical understanding * Lists of further resources -- e.g. reading, film, electronic * Authors are members of the largest community psychology departmental team in Europe

The U.S. health care system faces well-known problems: 47 million people without health insurance, rapidly rising costs that consume 16 percent of the country's economic output, and widely uneven quality of care. Even many people with coverage are experiencing serious problems paying for the rapidly rising costs of health care and insurance.This book - a joint product of the National Academy of Public Administration and the National Academy of Social Science - undertakes a sweeping analysis of the management and administrative issues that arise in expanding health care coverage. The book identifies the core administrative functions that need to be performed in assuring access to health coverage, describes how these functions are performed at present and under proposed alternatives, draws lessons from experience in the U.S. and abroad, and assesses suggested administrative approaches designed to facilitate the improvement and expansion of health care coverage.Adequate health care is one of today's most crucial domestic policy concerns. "Expanding Access to Health Care" is designed to bring together in one place some of the best thinking on the subject, not as an exercise in advocacy, but rather to lay out the issues in a balanced way so that policymakers, researchers, and citizens can better understand the complex details of health care reform.

Contemporary globalization has had tremendous impact on health equity across the globe. However, no volume has systematically analyzed the relationship between globalization and global trends in health outcomes. This book consolidates and updates the findings of a global research project undertaken by the Globalisation Knowledge Network (GKN) of the World Health Organization's Commission on Social Determinants of Health. Chapters examine such questions as: How has trade liberalisation affected the social determinants of health? How has globalization affected food security, nutrition and equitable access to water and sanitation? How well do present global governance structures take account of the health equity effects associated with the social determinants of health? This landmark volume will be a necessary addition for researchers and scholars studying the field of globalization, health and social policy, and public health across the social sciences.

Orchestrating Value: Population Health in the Digital Age focuses on the leadership thinking and mindset changes needed to transition from brick and mortar healthcare to digital health and connected care. The fourth industrial revolution, with convergent disruptions in biology, business models, computer science, and culture, has the potential to transform the healthcare system like never before. Digital health startups, Big Tech and progressive health systems will change the way health and healthcare are delivered to increasingly digitally savvy consumers. This book challenges readers to rethink the role of data and technology in creating and designing the future. Rather than hooking value-based care and population health management onto traditional healthcare business models, it focuses on the emergence of digital ecosystems. Using the analogy of an orchestra, the book introduces the importance of platforms in the formation of communities and markets with network effects to allow participants to collaborate, create, and innovate. With quotes from healthcare industry leaders and change agents, it helps the strategist understand the three stages of the transition from volume to value. As conductor of the orchestra, the CEO must navigate important leadership pivots to move beyond silo-based thinking. Finally, the Care Management Platform is described as a new operating model for population health in the digital age. As the next generation beyond foundational EHRs, capabilities such as interoperability, analytics, care management and patient/consumer engagement will fundamentally change the way healthcare enterprises operate and deliver value to customers.

Food--how we produce, prepare, share and consume it--is fundamental to our wellbeing. It also connects the human body to the complex and dynamic systems of our environment. This is more significant than ever before in human history, as climate change and increasing population impact on global ecosystems. This fourth edition of Food and Nutrition has been completely rewritten to reflect an ecosystems approach to human health. It is shaped around four dimensions of human nutrition: biology, society, environment and economy. Food and Nutrition provides a comprehensive overview of food components and the biochemistry of foods and digestion. It outlines nutrition needs at different life stages, dietary disorders, and social and cultural influences on food selection and consumption. It also explores the increasing influence of technology on agriculture and food preparation, and recent research into intergenerational nutrition and nutrigenomics. At every stage it points to how you can impact your own health and the health of others as a global citizen and as a health or other food-system-related professional. Extensively illustrated with informative graphs, diagrams and data, and with examples, glossaries and reflective exercises, Food and Nutrition is the ideal introduction to the field of nutrition and dietetics for the 21st century, and a valuable professional reference for early career dietitians.

Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer for help.

• Decode and analyze reimbursement problems, loopholes, and contract stipulations you are likely to encounter
• Learn tried-and-true tricks, tools, shortcuts, and techniques to evaluate agreements
• Negotiate contracts that won t leave you open to unanticipated expenses

Written by Maria K. Todd, a seasoned professional in managed care contracting, this handbook is written for managers, analysts, and finance officers who have the daunting task of negotiating contracts for medical services. It offers an in-depth examination of managed care and its organizations and covers key areas, such as pay-for-performance initiatives, reimbursement methods, contract law basics, and negotiating strategies.

The Managed Care Contracting Handbook offers critical details and strategic information as well as resources on everything from HMOs and PPOs to Consumer Driven Health Plans (CDHP), self-funded ERSIA payers, and Medicaid managed care.

Fully updates the first edition, which was used widely in the U.S. and overseas.

Designed to equip you with the confidence that comes with knowing the right questions to ask and more answers than you are supposed to know, this easy-access resource

It is widely known today that not only are the aged ageing, or the old getting older, but they are also increasing in number the world over. At the same time, proper care and support for our aged is increasingly at risk. Without some form of support, the quantitative extension of life cannot be matched by a qualitative one. This may mean that the opportunity provided by a longer life is squandered, and life itself, of course, is nothing if not opportunity. Societies find that self-sufficiency and independence not only contribute to individual well-being, but are also economically desirable due to the resultant increase in productivity. The challenges of daily living for a growing population of the aged form the basis of the independent living platform, the AGE@HOME platform, which is described in this book. The platform combines both existing and emerging technologies suitable for the home. Its use and application is considered in the wider context of Web 2.0, the internet of things, and other elements of the burgeoning digital world. It is time that a holistic and multi-disciplinary approach to this constantly enlarging area of human existence is taken. This book is written for researchers and designers of wireless tools, analog and digital circuits as well as academics who are active in the various fields of Human Sciences. Foreword "This book appears at the right moment when several developments have made age and its consequences an important element of human existence. It makes for informative reading, being based on considerations related to independence for the aged and the application of emerging technologies to enhance this independence......." From the foreword by: Houlin Zhao Deputy Secretary-General of the International Telecommunication Union

‘Highly eloquent, fascinating and deeply compassionate’ Henry Marsh, author of Do No Harm We cannot know how to fix a problem until we understand its causes. But even for some of the most common mental health problems, specialists argue over whether the answers lie in the person’s biology, their psychology or their circumstances. As a cognitive neuropsychiatrist, Anthony David brings together many fields of enquiry, from social and cognitive psychology to neurology. The key for each patient might be anything from a traumatic memory to a chemical imbalance, an unhealthy way of thinking or a hidden tumour. Patrick believes he is dead. Jennifer's schizophrenia medication helped with her voices but did it cause Parkinson’s? Emma is in a coma – or is she just refusing to respond?  Drawing from Professor David’s career as a clinician and academic, these fascinating case studies reveal the unique complexity of the human mind, stretching the limits of our understanding.

Health service policy and health policy have changed considerably over the past fifteen years and there is a pressing need for an up-to-date sociological analysis of health policy. Not only have policies themselves changed but new policy themes - such as evidence-based policy and practice, an increasing focus on a primary care led health service, a growing recognition of the need to address inequalities through public health policies and a focus on the views and the voice of the user and the public- have emerged alongside some of the old. Following up the very successful The Sociology of the Health Service, this all-new volume covers a broad range of key contemporary health services issues. It includes chapters on consumerism, technology, evidence-based practice, public health, managerialism and social care among others, and incorporates references to new developments, such as regulation and incentivization, throughout. The New Sociology of the Health Service provides a vital new sociological framework for analyzing health policy and healthcare. It is an important read for all students and researchers of medical sociology and health policy.

Analyzing twenty-first century innovations in global health governance, this volume addresses questions of pandemics, essential medicines and disease eradication through detailed case studies of critical and rapidly spreading infectious diseases such as HIV/AIDS and SARS and 'lifestyle' illnesses such as tobacco-related illnesses, all of which are at the centre of the current global health challenge. Given its contemporary focus and wide range of world leading experts, this study is highly suitable for courses on global governance generally and global public health specifically across political science, economics, law, medicine, nursing and related fields. Scholars, practitioners and clinicians seeking a context for their front line health care provision will find this volume invaluable.

This volume provides school-based practitioners with a comprehensive and comparative guide to the strategic interventions, therapeutic modalities, and treatment approaches that are most commonly and effectively used in educational settings. Three main sections of the text present a foundation of universal interventions, targeted interventions, and alternative interventions appropriate for use in schools. Unifying the chapters are two central case examples, allowing the reader to see and evaluate the strengths and potential challenges of each technique in a familiar situation. This emphasis on case examples and the comparative structure of the volume will provide a level of hands-on and practical learning that is helpful for both students and mental health practitioners working in schools for the first time, and as a resource for more seasoned professionals who need to expand the tools at their disposal.

Challenging many of the assumptions scholars have made about the Cuban Revolution's impact on healthcare, this volume recounts one anthropologist's quest to discover the truth behind the complicated relationship between Cuba's revolution, politics, and healthcare system. Katherine Hirschfeld became interested in Cuba in the mid-1990s, after reading numerous laudatory books and articles describing the Castro regime's achievements in health and medicine. Cuba's population health indicators seemed to be far superior to those of neighboring countries, the national health costs low, and medical care free at point-of-service to the entire people. Historical records indicated that most of these positive health trends resulted from the changes instituted by Castro in 1959. Few of these authors, however, had actually spent time on the island. Thus, Hirschfeld found that academic writing on Cuba was often long on praise, but short on empirical research about what exactly had changed in Cuban medicine since 1959.

After much bureaucratic wrangling, Hirschfeld managed to secure permission to conduct long-term ethnographic research in Cuba, where she lived with families from Havana and Santiago, conducted clinic observations, interviewed doctors and patients, and was treated in a Cuban hospital during an epidemic of dengue fever. The reality of the Cuban healthcare system turned out to be different than the scholarly ideal: it was bureaucratized, authoritarian, and repressive, and most people preferred to seek healthcare in the informal economy rather than endure the material shortages, red tape, and political surveillance of the public sector. Written in the form of a first-person narrative, Health, Politics, and Revolution in Cuba Since 1898 not only critically reevaluates Cuban healthcare after the 1959 revolution; it includes chapters detailing Cuban health trends from the Spanish-American War (1898) through the fall of Fulgencio Batista in 1959 and into the present.