This book analyzes the diverse facets of the social history of health and medicine in colonial India. It explores a unique set of themes that capture the diversities of India, such as public health, medical institutions, mental illness and the politics and economics of colonialism. Based on inter-disciplinary research, the contributions offer valuable insight into topics that have recently received increased scholarly attention, including the use of opiates and the role of advertising in driving medical markets. The contributors, both established and emerging scholars in the field, incorporate sources ranging from palm leaf manuscripts to archival materials.

This book will be of interest to scholars of history, especially the history of medicine and the history of colonialism and imperialism, sociology, social anthropology, cultural theory, and South Asian Studies, as well as to health workers and NGOs.

Partnership working is recognised as the most effective way of improving social care services, and a non-negotiable part of the government s aim is to provide a seamless care service. However, for students undertaking placements or for more experienced professionals moving to a different service area, the question is: what does it mean in practical terms?

This book is both an introduction and an in-depth analysis of partnership working across the public sector in the UK. In a comprehensive discussion of partnership working, Anthony Douglas explores:

• The history of partnership working, its theoretical base and practical applications
• Why partnership working is important
• How professionals are already working together
• How to develop good partnerships and address common difficulties
• How to ensure that partnership working really does result in better practice
• The future of partnership working

The analysis and examples range across the whole of the public sector with a primary focus on social care. Drawing on up-to-date research evidence and using plenty of practical examples and thinking points, Partnership Working will be of interest to students and researchers at all levels and practitioners and managers of front-line services.

Drawing on the findings of a series of empirical studies undertaken with boards of directors and CEOs in the United States, this groundbreaking book develops a new paradigm to provide a structured analysis of ethical healthcare governance. Governance Ethics in Healthcare Organizations begins by presenting a clear framework for ethical analysis, designed around basic features of ethics - who we are, how we function, and what we do - before discussing the paradigm in relation to clinical, organizational and professional ethics. It goes on to apply this framework in areas that are pivotal for effective governance in healthcare: oversight structures for trustees and executives, community benefit, community health, patient care, patient safety and conflicted collaborative arrangements. This book is an important read for all those interested in healthcare management, corporate governance and healthcare ethics, including academics, students and practitioners.

Partnership working is recognised as the most effective way of improving social care services, and a non-negotiable part of the government 's aim is to provide a seamless care service. However, for students undertaking placements or for more experienced professionals moving to a different service area, the question is: what does it mean in practical terms?

This book is both an introduction and an in-depth analysis of partnership working across the public sector in the UK. In a comprehensive discussion of partnership working, Anthony Douglas explores:

• The history of partnership working, its theoretical base and practical applications
• Why partnership working is important
• How professionals are already working together
• How to develop good partnerships and address common difficulties
• How to ensure that partnership working really does result in better practice
• The future of partnership working

The analysis and examples range across the whole of the public sector with a primary focus on social care. Drawing on up-to-date research evidence and using plenty of practical examples and thinking points, Partnership Working will be of interest to students and researchers at all levels and practitioners and managers of front-line services.

The American health care system is a unique mix of public and private programs that critics argue has produced a two-tier system - one for the rich and the other for the poor - that delivers dramatically unequal care and leaves millions of Americans seriously underinsured or with no coverage at all. This book examines the root causes of the inequalities of the American health care system and discusses various policy alternatives. It systematically documents the demands on and the performance of our health care system for different population groups as defined on the basis of gender (women), age (children), race and ethnicity (African Americans, Hispanics, Native Americans), and residence in high poverty areas (rural and inner city locales).For each population, the book documents: historical and demographic profile, data on health status, aspects of inequality including access; quality of care; and endemic, cultural, and lifestyle issues affecting health; policies, laws, and programs relevant to health care; and, indicators of improvement or negative trends.

"This featherweight volume packs a heavyweight punch. It's a how-to guide to emergency general medical practice, which omits no important subject - the most practical book ever for general practitioners...the ideal book to keep by your side when on call." Update, 1997 Here is the fully revised fourth edition of this unique book that provides general practitioners with an easy-to-read, easy-to-use guide to the management of the vast majority of emergencies. The first contact a GP has with an emergency case is almost always a telephone call, and the advice given here by the doctor is of paramount importance in the subsequent management of the case. A unique feature of the book is that each topic begins with advice on how to handle the initial telephone call. Each presenting problem is then approached logically with concise notes on assessment, advice and management necessary when the patient is seen. The emphasis is on practical primary care, with discussion of differential diagnosis taken as far as is needed to decide the best immediate course of action. Tables are used liberally to summarise useful information.For each emergency, the ultimate advice and strategy is emphasised within heavy horizontal lines. Emergencies in General Practice is an indispensable book for the practising GP, whether in the practice, on call, or working for the co-op or deputising service. It is also a valuable teaching text for GP registrars.

Ever since the discovery of blood types early in the last century, transfusion medicine has evolved at a breakneck pace. This second edition of Blood Banking and Transfusion Medicine is exactly what you need to keep up. It combines scientific foundations with today's most practical approaches to the specialty. From blood collection and storage to testing and transfusing blood components, and finally cellular engineering, you'll find coverage here that's second to none. New advances in molecular genetics and the scientific mechanisms underlying the field are also covered, with an emphasis on the clinical implications for treatment. Whether you're new to the field or an old pro, this book belongs in your reference library. Integrates scientific foundations with clinical relevance to more clearly explain the science and its application to clinical practice. Highlights advances in the use of blood products and new methods of disease treatment while providing the most up-to-date information on these fast-moving topics Discusses current clinical controversies, providing an arena for the discussion of sensitive topics. Covers the constantly changing approaches to stem cell transplantation and brings you the latest information on this controversial topic.

Every health professional interacts with patients from different cultures to their own, not just those from different countries, ethnic or religious groups, but also those with cultural differences due to sexual orientation, lifestyle, beliefs, age, gender, social status or perceived economic worth. The potential for confusions in communication and consequent problems are even greater in primary care mental health than in other areas.This guide for all health professionals provides a model for working in mental health across cultures, and outlines practical ways of using psychotherapy skills across cultures. It can be used as personal preparation by individuals in any primary care setting at home or abroad, or as a teaching tool for use with health professionals travelling to another culture, including overseas aid workers and those moving to a new country. It is also of great value to everyone interested in transcultural medicine. 'Wherever we work, whoever we are, we are working across cultures, often without realising it. The first step is to become conscious of this fact. The next step is to read this book' - Jill Benson and Jill Thistlethwaite.

First published in 1999, this is the first scholarly study of the Socialist Medical Association (SMA), an organisation of left-wing medical practitioners founded in 1930 and affiliated to the Labour Party in the following year. The SMA's aim was a free, comprehensive, and universal state medical service, democratically controlled and with all personnel, including doctors, working as salaried employees. In the 1930s and early 1940s the organisation gained increasing influence over Labour Party health policy, and consequently saw its activities as central to the creation of the National Health Service (NHS). However, once Labour was actually in power, the SMA became more and more marginalised, in part because of its difficult relationship with the Minister of Health, Aneurin Bevan. Bevan, while inaugurating a service which had many features desired by the Association, none the less also felt obliged to make compromises with the medical profession. The SMA's activities are therefore of historical interest in providing a further view of the creation of the NHS, while its ideas and proposals continue to raise serious questions about issues such as the nature and control of social welfare and the possibility of achieving a truly socialised health service.

The phrase 'medical humanities' has a currency that is wider than any agreement as to what it means, though those engaged in the field usually know what they are attempting. This volume examines the idea of 'symptom' as a route to understanding the structure of clinical practice. Actual symptoms are always experienced by real, actual individuals - however much those experiences are mediated by language, culture, expectation and the conventions of the clinical consultation. And this in turn is important because it reminds us that health, illness, well-being, suffering are first and foremost aspects of experience. This book asks questions - and offers answers - about the meaning of actual symptoms and of the concept of 'symptom' as a prelude to a cumulative interdisciplinary understanding of illness as a source of human need, and clinical medicine as a human response to it.

Paul Dugdale argues that Australia's health policy scene is in rude health, with regular debates about major reform and a steady stream of minor reforms. What motivates these debates and reforms? How can nine governments, and scores of professional associations, charities and businesses interact effectively without a master plan? Why are some health policy changes met with widespread enthusiasm and others enormous resistance?Dugdale traces the history of the economic and social forces which have shaped Australia's health system. He examines the thinking of government as it is expressed through contemporary health policy, and the roles of the key players including hospitals, the medical profession and health departments. He also discusses major current concerns including Indigenous health, health finance, the medical labour market, health protection and safety issues.With its insider's perspective on the health system and policy debates, Doing Health Policy in Australia is essential reading for health professionals working in management and policy roles.Paul Dugdale's account of health policy in Australia is engaging, philosophical, reflective and socially informed. - Professor Stephen Leeder, University of SydneyA distinctive addition to the pantheon of Australian books on health policy, weaving together social theory, history and philosophy with reflective commentaries on the Australian health system and health policy, and on being an activist within the policy-making world. It challenges convention and standard expectations. - Professor Vivian Lin, La Trobe University

This is a creative, comprehensive and user-friendly manual comprising a curriculum for residencies and medical schools looking to implement new, or enhance existing, curricula in culturally responsive care. It meticulously describes teaching strategies that will prove engaging to learners and faculty alike, challenging them to grow in their attitudes, awareness, desire, knowledge and skills to effectively practice culturally responsive medicine. It demonstrates commitment to teaching culturally responsive medicine towards the elimination of health disparities, be they related to gender, race/ethnicity, income, sexual orientation, religious background or world view. The manual includes a step-by-step guide for each year of the curriculum, with detailed session descriptions, and sections on teaching techniques, evaluation tools, cultural competence exercises, together with information on further resources. The curriculum provides a solid foundation upon which educational programs can build as they evolve to meet the needs of patients and their communities toward preventing and treating illness, and improving access to excellence in medical care.

"Medical Professionals and the Organization of Knowledge" conveys how medical people shape and organize the knowledge, perception, and experience of illness, as well as the substance of illness behavior, its management, and treatment. It is now well established that the unique symbolic equipment of the human animal is intimately connected with the functioning of the body. Freidson and Lorber believe that the proper understanding of specifically human rather than generally "animal" illness requires careful and systematic study of the social meanings surrounding illness.

The content of social meanings varies from culture to culture and from one historical period to another. As important as the content of those social meanings, is the organization of groups who serve as carriers and, sometimes, creators. In the case of illness, a critical difference exists between those considered to be competent to diagnose and treat the sick and those excluded from this special privilege--a separation as old as the shaman or medicine-man. Such differences become solidified when the expert healer becomes a member of an organized, full-time occupation, sustained in monopoly over the work of diagnosis and treatment by the force of the state and invested with the authority to make official designation of the social meanings to be ascribed to physical states.

The medical profession in advanced nations is in a vise between professional needs and political demands. Its organization and its knowledge establish many of the conditions for being recognizably and legitimately ill, and the professional controls for many of the circumstances of treatment. It thus plays a central role in shaping the experience of being ill. With this fact of modern life in mind, this collection on the character of experts or professionals in general and of medicine as a profession in particular is uniquely fashioned.

Eliot Freidson was professor emeritus of sociology in the Graduate School of Arts and Science of New York University. He served on scientific advisory boards for the Social Security Administration, the National Institutes of Health, and the National Center for Health Services Research.

"Judith Lorber" is a professor emerita of sociology at Brooklyn College and the City College of New York Graduate Center. She is author of "Gender Inequality: Feminist Theories and Politics, Breaking the Bowls: Degendering and Feminist Change," and "Gender and the Social Construction of Illness."

The American health care system is a unique mix of public and private programs that critics argue has produced a two-tier system - one for the rich and the other for the poor - that delivers dramatically unequal care and leaves millions of Americans seriously underinsured or with no coverage at all. This book examines the root causes of the inequalities of the American health care system and discusses various policy alternatives. It systematically documents the demands on and the performance of our health care system for different population groups as defined on the basis of gender (women), age (children), race and ethnicity (African Americans, Hispanics, Native Americans), and residence in high poverty areas (rural and inner city locales).For each population, the book documents: historical and demographic profile, data on health status, aspects of inequality including access; quality of care; and endemic, cultural, and lifestyle issues affecting health; policies, laws, and programs relevant to health care; and, indicators of improvement or negative trends.

Health care utilization routinely generates vast amounts of data from sources ranging from electronic medical records, insurance claims, vital signs, and patient-reported outcomes. Predicting health outcomes using data modeling approaches is an emerging field that can reveal important insights into disproportionate spending patterns. This book presents data driven methods, especially machine learning, for understanding and approaching the high utilizers problem, using the example of a large public insurance program. It describes important goals for data driven approaches from different aspects of the high utilizer problem, and identifies challenges uniquely posed by this problem. Key Features: Introduces basic elements of health care data, especially for administrative claims data, including disease code, procedure codes, and drug codes Provides tailored supervised and unsupervised machine learning approaches for understanding and predicting the high utilizers Presents descriptive data driven methods for the high utilizer population Identifies a best-fitting linear and tree-based regression model to account for patients' acute and chronic condition loads and demographic characteristics

**Shortlisted for the BSA Sociology of Health and Illness Book Prize 2010** What is good care? In this innovative and compelling book, Annemarie Mol argues that good care has little to do with 'patient choice' and, therefore, creating more opportunities for patient choice will not improve health care. Although it is possible to treat people who seek professional help as customers or citizens, Mol argues that this undermines ways of thinking and acting crucial to health care. Illustrating the discussion with examples from diabetes clinics and diabetes self care, the book presents the 'logic of care' in a step by step contrast with the 'logic of choice'. She concludes that good care is not a matter of making well argued individual choices but is something that grows out of collaborative and continuing attempts to attune knowledge and technologies to diseased bodies and complex lives. Mol does not criticise the practices she encountered in her field work as messy or ad hoc, but makes explicit what it is that motivates them: an intriguing combination of adaptability and perseverance. The Logic of Care: Health and the problem of patient choice is crucial reading for all those interested in the theory and practice of care, including sociologists, anthropologists and health care professionals. It will also speak to policymakers and become a valuable source of inspiration for patient activists.

Taking a different approach to biobanks - genetic databases that combine genetic information derived from blood samples with personal data about environment, medical history, lifestyle or genealogy, this book draws attention to their political and governance implications. It argues that for biobanks to be created, shaped, maintained, and to operate properly, a number of interrelated conditions need to exist, from legal environment to funding mechanisms and social acceptance.

The book takes a comparative focus, with chapters on biobanks in Iceland, Estonia, Scandinavia, France, US, Japan, UK, Germany, Australia and Israel, and is divided into three parts which:

• introduce the conceptual framework that underpins the volume
• focus on biobanks as a challenge for governance
• emphasize biobanks as a tool and site for governance.

This groundbreaking book makes clear that biobanks are a phenomenon that cannot be disconnected from considerations of power, politics, and the reshaping of current practices in governance. It will be a valuable read for scholars and students of genetics, bioethics, risk, public health and the sociology of health and illness.

The previous edition of this book for the Membership of the Royal College of General Practitioners examination proved to be hugely popular since publication in 2005. But now the MRCGP exam and Summative Assessment have merged to become the compulsory nMRCGP, and with this has come a change in the format of the written exam. Rather than Paper 1 and Paper 2 there is now a single Applied Knowledge Test consisting of one three hour exam. This new edition reflects all these changes. In addition, updates include revised guidelines and questions on relatively new topics such as practice based commissioning. This book will continue to familiarise you with the types of questions found in the new exam and also covers good exam technique to optimise your results with the knowledge you have. The questions have been divided into papers, so you can practice exam timing, and you can also use the book to test yourself on specific subjects by referring to the topic-based question index. Compared with the limited alternative preparation material for this examination, this book gives far better explanations of answers, and the information is presented more accessibly. It is essential for all examination candidates.

In 1905, the University of Kansas School of Medicine opened in the basement of a building in downtown Kansas City, Kansas. By 1991 it occupied 2.3 million square feet of space in Kansas City and many thousands more in Wichita and area health education centers; it had an annual budget of over $235 million and a staff of over 5,000.

A lot has happened in the last eighty-seven years.

In 385 black-and-white photographs, historians Lawrence Larsen and Nancy Hulston portray the tremendous changes that have taken place and illustrate a story of dramatic institutional growth from the humblest of beginnings.

From its opening in the fall of 1905, the University of Kansas School of Medicine grew in fits and starts. Progress depended on legislative and public support, which was often unreliable, especially at first. Larsen and Hulston chronicle the development of the school in a brief text, in quotations from contemporary sources, and in carefully chosen photographs. "Photographic evidence was so complete," the authors note in their introduction, "that had we wanted to, we could have devoted an entire chapter to the development of the Medical Center power plant."

Instead, they focused on the changes in the physical facilities at 39th and Rainbow and the accompanying evolution of medical education there. Action shots show buildings under construction, as well as doctors and students in settings that range from primitive, turn-of-the-century laboratories to the gleaming present-day facilities. Many photographs portray doctors, nurses, and students going about their daily activities-conducting clinical examinations, performing nursing demonstrations, rehabilitating children, and caring for patients. Others depict social life, fraternal activities, and fun. One fascinating set of photographs documents the changes in operating rooms through the years.

Larsen and Hulston also place the development of the school in its larger social context, exploring programs like the Murphy Plan, designed to bring medical care to outlying areas of Kansas, and the effect of the two world wars on the school.

"This is a good bit more than a 'coffee table' book It should do well in its institutional role, but should also attract attention from historians of medicine and education more generally."--Charles E. Rosenberg, coauthor (with Janet Golden) of "Pictures of Health: A Photographic History of Health Care in Philadelphia" and president of the American Association for the History of Medicine.

This volume provides the theoretical, methodological, and praxis-driven issues in research on interpretive, critical, and cultural approaches to health communication. It includes an international collection of contributors, and highlights non-traditional (non-Western) perspectives on health communication.

Move through emotional triangles toward a natural systems view of the individual in the context of the family and society Triangles: Bowen Family Systems Theory Perspectives presents clear applications of Murray Bowen's concept of the emotional triangle in the family, the organization, and society. This comprehensive book discusses in detail the theory, the theory's application to the therapist's own family, clinical applications, organizational applications, and societal applications. This unique resource examines the value of the triangle concept for understanding the emotional process of the family, the organization, and society. Triangles: Bowen Family Systems Theory Perspectives provides a theoretical context for understanding the triangle concept and its application, then progresses to exploring and applying the concept of the triangle and interlocking triangles to self, family, and other contexts. This book is devoted to explicating Bowen's seminal concept of the triangle, and providing a clear description of the process of detriangling in clinical practice. The text includes several case studies and vignettes to illustrate concepts. Topics in Triangles: Bowen Family Systems Theory Perspectives include: a historical and conceptual overview the triangle's function in the effort to increase differentiation of self the presence of triangles in non-human primates Bowen's differentiation of self effort in his own family and business the functioning of triangles at the time of chronic illness and death emotional triangles involving pets and humans the application of the concept of triangles and interlocking triangles to clinical issues in marriage the presence of triangles in the child-focused family triangles in stepfamilies the triangle's presence and function in families with substance abusing teens triangles involving extramarital relationships triangles in organizations and businesses the triangle's function in the context in societal emotional process and much more! Triangles: Bowen Family Systems Theory Perspectives is a stimulating, enlightening resource for family therapists, social workers, psychologists, pastoral counselors, and counselors.

There is currently a lively debate ongoing in society about the nature of trust and the conditions necessary to establish and sustain it. Given the role of trust in bridging uncertainty, it is perhaps not surprising that as our consciousness of risk has increased, the role and nature of trust in social practices has come under growing scrutiny. These developments are particularly relevant to health because participation in health practices is arguably based on and engendered through trust. There is thus a need for empirically based research, which intelligently unravels this complexity to support all stakeholders in the health arena. This multidisciplinary volume of work addresses this gap by contributing substantively to the exploration of trust in the experience, practice and organization of health. It offers an overview of recent scholarship, based on empirical research, which explores the significance of trust in relation to key health-related issues. At the same time, this text examines conceptual themes in relation to trust more generally, including the relationship between trust and auditing, consent, expert knowledges and social capital.

Syracuse, New York, in the late 1980s led U.S. cities in African American infant deaths. Even today, in this "all American city," infants of color die more than two times as often as white babies. Infant mortality is too often addressed as if it were an isolated problem, rather than part of a systemic and repeating pattern of embedded racism and structural violence. The clearing of whole neighborhoods during urban renewal, coupled with the collapse of industry, brought unintended consequences. Dilapidated rental housing, abandoned houses, and empty lots provide the conditions for lead poisoning, gonorrhea, and illicit drug use. Inadequate education, unemployment, and racially biased arrest and sentencing underpin the epidemic of African American male incarceration. Inmate fathers cannot provide financial support and only limited emotional support during collect calls from jail or prison. Supermarkets fled the inner city, where corner stores sell cigarettes, malt liquor, lottery tickets, and drug paraphernalia in place of healthy food. The stories and the data in this book show that low birth weight, premature birth, and infant death are a part of life patterns resulting from systemic discrimination increasing risk over a lifetime and, in some cases, reaching the next generation.

Series Information:
International Studies in Healthcare

As three young, dynamic GPs working in London we realised that there was a dearth of well written up-to-date MCQ revision guides with satisfactory explanations. Since we all achieved distinctions in the MRCGP exam we believed we could incorporate our revision notes on hot topics to develop a high-quality contemporary MCQ resource...This comprehensive revision aid covers the entire nMRCGP syllabus over four exam papers. It's the most up-to-date guide available for the new exam and, alongside its online resources, provides a wide-ranging tool for candidates. It's easy to read and comprehend, and exam topics are grouped in the index to make for easy reference and further study.