Drawing on clinical experience dating from the birth of the NHS in 1948, Julian Tudor Hart, a politically active GP in a Welsh coal mining community, charts the progress of the NHS from its 19th century origins in workers' mutual aid societies, to its current forced return to the market. His starting point is a detailed analysis of how clinical decisions are made. He explores the changing social relationships in the NHS as a gift economy, how these may be affected by reducing care to commodity status, and the new directions they might take if the NHS resumed progress independently from the market. This new edition of this bestselling book has been entirely rewritten with two new chapters, and includes new material on resistance to that world-wide process. The essential principle in the book is that patients need to develop as active citizens and co-producers of health gain in a humanising society and the author's aim is to promote it wherever people recognise that pursuit of profit may be a brake on rational progress.

This book focuses specifically on the importance of managing and supporting people in health care services. Human resources are the most significant aspect of health care budgets and the attraction and retention of quality staff remains a pressing concern. This book addresses this issue directly and provides both a theoretical framework and extensive practical guidance in this vital aspect of health care management.Up-to date information on the context of health services today and the business agenda Relevant - Specifically aimed at nurses and nursing Practical - readers reflect on real life examples to see how they can use their skills in practice

This text follows the continuum of care for patients who suffer from mental disorders. From initial assessment, through patient stay to discharge into the community, the contributors focus on best practice and continuity of care. The work should be a suitable companion for qualified mental health nurses and for students on clinical placements. It is designed to be practical and relevant to everyday realities at the sharp end when nursing disturbed patients.

Effective counselling is a cornerstone of all nursing care. This new edition moves beyond the identification of a problem in order to examine fully the practical nature of counselling concentrating in particular on the potentially highly senstive nature of caring. Topics covered include support systems, the bearing of ethical issues on nurisng practice and the special skills required to give appropriate advice in the case of bereavement. The book's theoretical underpinning is once again the authors's own 'Four Questions Model', which has been expanded for this edition: What is happening? What is the meaning of it? What is your goal? and How are you going to do it? All in all, the book comprises a practical guide for student and practising nurses in all disciplines.Highly successful backlist title which fits in well with Balliere Tindall's publishing programme as a whole. New references.

For all its costs, flaws, and inequities, American health care is fundamentally rooted in a belief that treatment should be based on solid scientific research. To this end, between 2003 and 2010, three different federal laws were enacted, the most recent being the Affordable Care Act of 2010, that mandated new federal investments in a type of clinical research called comparative effectiveness research (CER) - research into what works best in medical care. Comparative Effectiveness Research: Evidence, Medicine, and Policy provides the first complete account of how - and why - the federal government decided to make CER an important feature of health reform. Despite earlier legislative uptake of policy proposals on CER, support for federal mandates took dramatic twists and turns, with eventual compromises forged amid failing bipartisan alliances, special interests, and mobilized public opinion. Based on exhaustive research and first-hand interviews, the authors examine where CER fits in the production of scientific evidence about the benefits and harms of treatments for human diseases and conditions. Their work offers sobering confirmation that contemporary American medical care falls, not surprisingly, well short of the evidence-based ideal. Comparative Effectiveness Research demonstrates that dealing constructively with the vast uncertainties inherent to medical care requires policies to make the generation of high-quality evidence an inseparable part of routine health care.

Urban planning is deeply implicated in both the planetary crisis of climate change and the personal crises of unhealthy lifestyles. Worldwide health issues such as obesity, mental illness, growing health inequalities and climate vulnerability cannot be solved solely by medicines but also by tackling the social, economic and environmental determinants. In a time when unhealthy and unsustainable conditions are being built into the physical fabric of cities, a new awareness and strategy is urgently needed to putting health and well-being at the heart of planning. The Routledge Handbook of Planning for Health and Well-being authoritatively and comprehensively integrates health into planning, strengthening the hands of those who argue and plan for healthy environments. With contributions from international leaders in the field, the Handbook of Planning for Health and Well-being provides context, philosophy, research, processes, and tools of experienced practitioners through case studies from four continents.

As most Americans know, conflicts of interest riddle the US health care system. They result from physicians practicing medicine as entrepreneurs, from physicians' ties to pharma, and from investor-owned firms and insurers' influence over physicians' medial choices. These conflicts raise questions about physicians' loyalty to their patients and their professional and economic independence. The consequences of such conflicts of interest are often devastating for the patients--and society--stuck in the middle.
In Conflicts of Interest and the Future of Medicine, Marc Rodwin examines the development of these conflicts in the US, France, and Japan. He shows that national differences in the organization of medical practice and the interplay of organized medicine, the market, and the state give rise to variations in the type and prevalence of such conflicts. He then analyzes the strategies that each nation employs to cope with them.
Unfortunately, many proposals to address physicians' conflicts of interest do not offer solutions that stick. But drawing on the experiences of these three nations, Rodwin demonstrates that we can mitigate these problems with carefully planned reform and regulation. He examines a range of measures that can be taken in the private and public sector to preserve medical professionalism--and concludes that there just might be more than one prescription to this seemingly incurable malady.

Originally published in 1995, the first edition of Managing Your Mind established a unique place in the self-help book market. A blend of tried-and-true psychological counseling and no-nonsense management advice grounded in the principles of CBTand other psychological treatments, the book straddled two types of self-help literature, arguing that in one's personal and professional life, the way to success is the same. By adopting the practical strategies that mental health experts Butler and Hope have developed over years of clinical research and practice, one can develop the "mental fitness" necessary to resolve one's personal and interpersonal challenges at home and work and to live a productive, satisfying life.
The first edition addressed how to develop key skills to mental fitness (e.g., managing one's time better, facing and solving problems better, keeping things in perspective, learning to relax, etc.), how to improve one's relationships, how to beat anxiety and depression, and how to establish a good mind-body balance. For this new edition, Butler and Hope have updated all preexisting material and have added five new chapters-on sexuality and intimate relationships; anger in relationships; recent traumatic events and their aftermath; loss and bereavement; and dealing with the past.

Occupational Health: Management and practice for health professionals explains the relationship between health and work as a two-way process.

This book is aimed at those completing the occupational health component of a basic healthcare programme or pursuing a career in occupational health practice. An update is needed as the research and legislation is dated and there are new developments in the field of environmental health.

The previous edition was published in 2016.

Evaluation is crucial for determining the effectiveness of social programs and interventions. In this nuts and bolts handbook, social work and health care professionals are shown how evaluations should be done, taking the intimidation and guesswork out of this essential task. Current perspectives in social work and health practice, such as the strengths perspective, consumer empowerment, empowerment evaluation, and evidence-based practice, are linked to evaluation concepts throughout the book to emphasize their importance. This book makes evaluation come alive with comprehensive examples of each different type of evaluation, such as a strengths-based needs assessment in a local community, a needs assessment for Child Health Plus programs, comprehensive program descriptions of HIV services and community services for the aged, a model for goals and objectives in programs for people with mental illness, a monitoring study of private practice social work, and process evaluations of a Medicare advocacy program and a health advocacy program to explain advance directives. Equal emphasis is given to both quantitative and qualitative data analysis with real examples that make statistics and concepts in qualitative analysis un-intimidating. By integrating both evaluation and research methods and assuming no previous knowledge of research, this book makes an excellent reference for professionals working in social work and health settings who are now being called upon to conduct or supervise program evaluation and may need a refresher on research methods. With a pragmatic approach that includes survey design, data collection methods, sampling, analysis, and report writing, it is also an excellent text or classroom resource for students new to the field of program evaluation.

‘How can there be only one dedicated hospital in the country for our children?’

When Madiba asked this question, he sowed the seeds of a challenge that would grow into a legacy.

A seed may be small but its size is disproportionate to what it can become over time. The Nelson Mandela Children’s Hospital was a project that seemed impossible when it was just an idea that started with ten people seated around a dinner table. As they discussed the state of healthcare in the country and shared their experiences, they realised that it was the children of Southern Africa who were the most disadvantaged by the lack of dedicated paediatric facilities. At the end of the evening a statement by the late Dr Nthato Motlana took hold and became the catalyst for a remarkable journey: ‘I will speak to Nelson,’ he said.

With South Africa’s first democratically elected president Nelson Mandela’s backing, the board of the Children’s Fund was inspired to take up the challenge to address this vital need. After years of global research and advice from experts in numerous different fields a Trust was formed to oversee the project and, critically, to set about raising the one billion rand it would take to build, equip and staff a state-of-the-art children’s hospital.

The stories behind the planning for, fundraising and building of the Nelson Mandela Children’s Hospital are inspiring, personal, and sometimes heart-breaking. It was a long and arduous journey, beset with difficulties, but the dedicated team’s commitment and courage prevailed to create a living legacy that will truly impact the lives of children for generations to come.

Today, the Nelson Mandela Children’s Hospital in Johannesburg is a proud testimony to a uniquely African story which honours the memory of a great statesman and celebrates the children for whom he cared so deeply.

Tourette syndrome (TS) is finally recognized as a common neurodevelopmental disorder, and has gained increasingly high social awareness and scientific interest worldwide. Knowledge of its clinical presentation, mechanisms of disease, and available treatment approaches has increased remarkably over the last decade. Likewise, the way clinicians, teachers, social care workers and families face the problems manifested by patients with TS is rapidly evolving. Tourette Syndrome, edited by Davide Martino and James F. Leckman, offers a unique opportunity to capture this interesting momentum through a comprehensive and up-to-date overview. Tourette Syndrome covers all of the main aspects related to TS, analyzing the complexity of its clinical presentation, the novel viewpoints of causes and mechanisms, the best way to assess TS patients, and the multifaceted and multidisciplinary treatment options. The multidisciplinary and up-to-date content is the main asset of this volume, which represents a useful source of consultation for a wide audience of professionals, all of whom will have access to what is known so far on TS within their particular area of expertise, at the same time being able to expand and update their knowledge in other areas. Medical and PhD students, as well as post-doctoral scientists, will be able to use the volume as a valuable learning source. Also, questions for future research are clearly presented in the volume, providing a summary of the viewpoint of the contributing authors upon where research on TS should be heading. Finally, clinicians and other health professionals will have access at a glance to the main patients' associations and organizations dedicated to TS worldwide, which can facilitate the direct contact with patients.

Essential medical codes of the Diagnostic and Statistical Manual of Mental Health Disorders 5-TR at your fingertips in 6 laminated pages. Succinctly written by author Rona Bernstein, PsyD to cover the most used codes and core of the DSM. The previous version of this quick reference guide (before this TR version) was a best seller on Amazon and was highly praised. Customers say it is invaluable for those in medical coding and billing for mental health. The value at this price is unbeatable so add this tool to your library to make finding common codes easy until you are seasoned and have them memorized. 6-page laminated guide includes medical codes for common disorders including: Neurodevelopmental Disorders Schizophrenia Spectrum & Other Psychotic Disorders Bipolar & Related Disorders Depressive Disorders Anxiety Disorders Obsessive-Compulsive & Related Disorders Trauma- & Stressor-Related Disorders Dissociative Disorders Somatic Symptom & Related Disorders Sleep-Wake Disorders Feeding & Eating Disorders Sexual Dysfunctions Elimination Disorders Disruptive, Impulse-Control & Conduct Disorders Gender Dysphoria Substance-Related & Addictive Disorders Neurocognitive Disorders Personality Disorders Paraphilic Disorders Other Mental Disorders & Additional Codes Medication-Induced Movement Disorders & Other Adverse Effects of Medication Other Conditions That May Be a Focus of Clinical Attention

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.

"In Caring for Our Own, Sandra Levitsky has written a moving and perceptive account of the dilemma facing those who provide care for frail family members. Based on in-depth interviews and participant observation with family caregivers and the social workers that attempt to ameliorate their burden, this book uncovers the complex ideological and political factors that have made long term care the neglected stepchild of the welfare state in the United States."-Jill Quadagno, Mildred and Claude Pepper Eminent Scholar in Social Gerontology, Florida State University Aging populations and dramatic changes in health care provision, household structure, and women's labor force participation over the last half century have created what many observers have dubbed a "crisis in care": demand for care of the old and infirm is rapidly growing, while the supply of private care within the family is substantially contracting. And yet, despite the well-documented adverse effects of contemporary care dilemmas on the economic security of families, the physical and mental health of family care providers, the bottom line of businesses, and the financial health of existing social welfare programs, American families have demonstrated little inclination for translating their private care problems into political demands for social policy reform. Caring for Our Own inverts an enduring question of social welfare politics. Rather than asking why the American state hasn't responded to unmet social welfare needs by expanding social entitlements, this book asks: Why don't American families view unmet social welfare needs as the basis for demands for new state entitlements? How do traditional beliefs in family responsibility for social welfare persist even in the face of well-documented unmet need? The answer, this book argues, lies in a better understanding of how individuals imagine solutions to the social welfare problems they confront and what prevents new understandings of social welfare provision from developing into political demand for alternative social arrangements. Caring for Our Own considers the powerful ways in which existing social policies shape the political imagination, reinforcing longstanding values about family responsibility, subverting grievances grounded in notions of social responsibility, and in some rare cases, constructing new models of social provision that would transcend existing ideological divisions in American social politics.