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Books > Medicine > General issues > Health systems & services
Nurses work across the health care system in a great variety of roles. From patient care to administration, nurses see where the pressures are, and how well we are managing to look after some of the most vulnerable people in our society. Clinical Challenges explores contemporary issues central to nurses' work. Part I explores clinical concerns such as pain and wound management, the role of the nurse practitioner, and the effects of extending life. For many years the health sector has been coping with cutbacks in government funding, and Part II examines how this impacts on the way we handle social illnesses such as suicide and drug dependence, as well as the needs of our growing ageing population. Part III looks at management issues affecting nurses including the growing use of business strategies and rhetoric in the health care system, and the introduction of information systems and of more flexible ways of working.Written by nurses working in a variety of professional roles in the system and critiqued by experts in the field, Clinical Challenges offers valuable insights for nurses at every level, including students.
Despite more than a decade of change, the U.S. health care delivery system is still in the early stages of its transformation into a truly effective, cost efficient and compassionate system. In Healthcare.com: RX for Reform, Dr. David Friend, trained in both medicine and business, delineates the symptoms of our ailing healthcare system and offers a vision for the future.
Develop new ways to provide ethical, effective mental health services in a world of managed care Psycho-Economics gives psychologists and mental health care administrators suggestions for handling the changes that have come with the advent of managed care. Using empirical research and practitioner accounts, this informative book assesses the impact of managed care, suggests ways to ameliorate its negative effects, and proposes ideas for the improvement of the managed care system and mental health care in general. Psycho-Economics takes a clear look at the ways in which the managed care system has altered the practice of mental health care. While acknowledging its positive effects on accountability and provision of a broader variety of care options, the chapter authors also note its powerful negative effects, including cutbacks in length of treatment, potential abuses of confidential medical records, and over-prescribing of mood-altering drugs. Yet the book also offers hope for psychologists, social workers, and other counselors.By developing diversified areas for professional practice, collaborating with primary care physicians, and creating corporate education opportunities, psychologists can contribute their expertise to people who might otherwise have never sought them out. Moreover, mental health professionals can embrace new opportunities in treating substance abuse, behavioral health, and such specialized areas as forensic psychology, domestic violence, crisis counseling, and employee screening. These areas and other new developments offer you a chance to build a solid practice devoted to serving society's needs.Psycho-Economics: brings practitioners effective, innovative approaches to clinical practice in relation to managed mental health care fosters awareness of the means by which managed care affects the quality of care that clients receive points out the steps that can be taken to minimize the negative effects that managed care dictates on the quantity and quality of mental health care highlights ethical and legal considerations that should be of concern to providers of mental health services encourages discussion of the future of the managed care system and its impact on providers and clients Psycho-Economics is a survival guide which will help contemporary practitioners like you maintain ethical and effective practices while coping with the administrative expectations of managed care systems.
Focusses on prospective scenarios in health to foresight possible futures Addresses the urgent needs of the key population, socio-technical, and health themes Covers health innovative practices as 3D models for surgeries, big data to treat rare diseases, AI robot for heart treatments Explores telemedicine using big data, deep learning, robotics, mobile and remote applications Reviews public health based on predictive analytics and disease trends
Acclaimed family therapist and author of the classic bestseller Will I Ever Be Good Enough? presents a comprehensive and actionable guide to understanding and healing from narcissistic family abuse. A pioneer on the devastating effects of narcissistic abuse, Karyl McBride, PhD, has the answer for anyone desperate for help in overcoming the damage of being raised in a family headed by a narcissistic parent. Divided into three sections, McBride explores the insidious way a narcissistic environment is developed in a family, how a narcissistic parent damages a child's emotional growth and ability to trust, and finally, how to not only move on but become truly free. Along with an easy-to-follow five-step recovery program, plus a 33-question quiz to determine if you or a family member is displaying narcissistic traits, McBride provides understanding and hope for anyone wishing to thrive after abuse.
Discover how gay men 's health care can be improved Smearing the Queer: Medical Bias in the Health Care of Gay Men explores how social prejudices embedded in scientific research and practice often act as a detriment to gay men 's health. This book provides an agenda for addressing heterosexism in the health sciences and in medical care while broadening approaches to gay male wellness beyond the limited scope of HIV infection. This groundbreaking book explore a number of neglected concerns affecting the sexual health of gay men, calling for the recognition of their scientific, political, and cultural significance. In Smearing the Queer, gay men, HIV prevention workers, health care providers, mental health professionals, policymakers, researchers, and instructors in related fields will appreciate the in-depth examination of such issues as: research and development on rectal microbicides why many gay men should be receiving periodic anal Pap smears to screen for anorectal cancer an in-depth critique of the problematic diagnosis of "Gay Bowel Syndrome" gay men 's use of the Reality Female Condom for anal sex Viagara 's impact on gay men 's sexual cultures, erectile dysfunction, and recreational drug use a broad-based advocacy agenda for improving relations between gay men and the health sciences the politics surrounding gay men 's restricted access to new and prospective safer sex technologies Smearing the Queer challenges heterosexist bias within the health care delivery and health sciences research and calls for the development of public policy initiatives that address gay men 's wellness in more sophisticated and complex ways. This is the only publication that provides in-depth social, cultural, and political analysis of the topics of Gay Bowel Syndrome, gay men 's use of the female condom, rectal microbicides, and anal Pap smears while examining the social forces that direct scientific research under the guise of objectivity.
Alignment: A Provider s Guide to Managing the Practice of Health Care uses the method of alignment with proven examples and strategies to help health care providers achieve and maintain optimum effectiveness through continuous enhancement. Focusing on defining information and using it to distinguish your company or practice from the competition, this book is designed to help you take a proactive and cooperative role in health care to benefit patients or your business. From Alignment: A Provider s Guide to Managing the Practice of Health Care, you ll receive proven solutions to current problems in order to deliver the best possible services to clients and patients.This book defines alignment as the shortest distance from initiation to successful completion of any desired activity. With this goal in mind, Alignment offers you dozens of recommendations, proven strategies, and examples that will improve your services, including: designing health care systems to meet patient needs and accreditations by stressing clear communication and keeping up with current medical technology developing a checklist that includes four-year goals, defining your capabilities, analyzing finances for cost-effectiveness, and deciding important features to attract new patients and satisfy customers improving service quality by evaluating satisfaction surveys and developing short-term and long-term health care packages that meet employees'individual needs ensuring customer satisfaction by asking patients about their expectations and their needs educating physicians on customer-oriented service and rewarding them for competence and caring reducing the time between the initial patient visit and when the final bill is paid to enhance revenue flow Alignment is complete with graphs, tables, recommendations, objectives and solutions, examples, and a glossary to give you a thorough understanding of current concepts and ideas. Within Alignment: A Provider s Guide to Managing the Practice of Health Care, you ll discover innovative and proven techniques that will improve physician/administrator and physician/patient relationships to make your business effective and successful for you and your clients.
During this era of continuous improvement, healthcare organizations need to be staffed by engaged, motivated, and hard-working frontline employees. As these clinical and non-clinical personnel handle most of the important tasks in any organization and are often the people who directly interact with patients and customers, it's the job of managers to oversee and motivate their staff members. Using Lean management strategies, this easy-to-read book for leaders and managers provides useful, insightful, and innovative information to help managers engage, motivate, and retain their employees during any Lean or other continuous improvement initiative.
Health and the American Indian discusses contemporary health and social concerns in American Indian communities and offers recommendations for prevention, treatment, and future research. You?ll benefit from recent research that examines topics relating to physical and mental health, such as health care, gambling, historical trauma response, child welfare, and Native American involvement in the Human Genome Diversity Project. In Health and the American Indian, you?ll find cutting-edge information about various concerns in American Indian society that will assist you in offering culturally sensitive services to clients. Using in-depth studies and statistics to highlight issues facing Native Americans, this book provides you with an understanding of American Indian views on family, health, and being Native American. With Health and the American Indian, you?ll find suggestions and methods to sharpen your service skills, including: exploring differences in the historical trauma response between men and women to effectively treat both groups investigating the positive and negative effects that gambling has had on members of the community by using Grounded Theory combating problems related to gambling by redistributing a percentage of gaming income towards gaming abuse prevention and treatment programs, traditional community activities, and child care participating in continuing education or in-service training on cultural issues and understanding a client's cultural background in order to better help clients utilize the benefits of the Indian Child Welfare Act using the Family Systems approach along with community health representatives in health care interventions to provide better health care for Native AmericansExploring the topic of genetic engineering, Health and the American Indian discusses the Human Genome Diversity Project, gene patents, and how Native Americans who supply genetic material are being exploited and see no compensation for their assistance. Examining how exploitation and fear stand in the way of better physical and mental well-being, Health and the American Indian offers you methods and suggestions to help prevent and improve existing health issues in Native American communities.
This important work offers the first detailed analysis of recent changes in health care for the elderly. The contributors examine primary care in urban, suburban, and rural settings and show what makes each of these successful care-providers.
Written by twenty-eight experts, filled with recommendations that can immediately be put into action, this book provides the strategies and tactics required to link and harmonize manufacturing processes with GMP to achieve optimum operability and cost-effective regulatory compliance. Drawn from name brand and generic companies and regulatory and contract organizations across the globe, the contributing authors bring readers a combined 450+ years of hands-on experience. They offer thought-provoking questions to help readers diagnose their company's challenges, needs, and available options, all with the single purpose of achieving their ultimate goals: quality, high productivity, and profitability.
At a time of increasing demands on budgets, governments around the world are seeking to reduce health expenditure and introduce market-oriented reforms to the health sector. This is leading to profound shifts in the relationship between the state and the individual, as policy makers dismantle the welfare state and move towards a user-pays sytem.Health Policy in the Market State offers an overview of health policy in Australia, locating it within the broader context of power and interests analysis and shifts in government policy and public sector restructuring. It outlines the key issues in current health policy and assesses the strengths and weaknesses of specific policies and programs.Contributors include Ian Anderson and Maggie Brady, Mary Draper, Stephen Duckett, Liz Eckerman, Sophie Hill, Sharon Moore, Michael Muetzelfeldt, Janine Smith and Beth Wilson.Health Policy in the Market State is a valuable overview for students, as well as a comprehensive reference for health professionals and policy-makers.
First published in 1998. Routledge is an imprint of Taylor & Francis, an informa company.
First published in 1998. Routledge is an imprint of Taylor & Francis, an informa company.
Today's healthcare organizations must focus on a lot more than just the health of their clients. The infrastructure it takes to support clinical-care delivery continues to expand, with information technology being one of the most significant contributors to that growth. As companies have become more dependent on technology for their clinical, administrative, and financial functions, their IT departments and expenditures have had to scale quickly to keep up. However, as technology demands have increased, so have the options for reliable infrastructure for IT applications and data storage. The one that has taken center stage over the past few years is cloud computing. Healthcare researchers are moving their efforts to the cloud because they need adequate resources to process, store, exchange, and use large quantities of medical data. Cloud Computing in Medical Imaging covers the state-of-the-art techniques for cloud computing in medical imaging, healthcare technologies, and services. The book focuses on Machine-learning algorithms for health data security Fog computing in IoT-based health care Medical imaging and healthcare applications using fog IoT networks Diagnostic imaging and associated services Image steganography for medical informatics This book aims to help advance scientific research within the broad field of cloud computing in medical imaging, healthcare technologies, and services. It focuses on major trends and challenges in this area and presents work aimed to identify new techniques and their use in biomedical analysis.
Highlights the contributions of different optimization techniques, decision analytics (predictive, prescriptive, and descriptive), multi-criteria decision making "Helps develop intelligent machines to provide solutions to real-world problems, which are not modelled or are too difficult to model mathematically in hospital management systems " Discusses machine learning-based analytics such as GAN networks, autoencoders, computational imaging, quantum computing will be rigorously applied to smart cloud computing Explores evolutionary algorithms that demonstrate their ability as robust approaches to cope with the fundamental steps of image processing, image analysis, and computer vision pipeline (e.g., restoration, segmentation, registration, classification, reconstruction, or tracking), Creates a bridge between Industrial Engineering concepts and Computational Intelligence for designing complex and convoluted hospital management problems
The LSE Companion to Health Policy covers a wide range of conceptual and practical issues from a number of different perspectives introducing the reader to, and summarising, the vast literature that analyzes the complexities of health policy. The Companion also assesses the current state of the art. Health policy is a wide-ranging subject covering many academic disciplines, but what most studies in health policy have in common is an interest in applying theory to improve practice. This Companion brings academic rigor to bear evidence on a range of central areas within health policy. It covers key issues on the quality, access and inequalities in health and health care; supply and health markets; insurance and expenditures; pharmaceuticals and new technologies; ageing and long-term care; and behavior and health production. This unique Companion on health policy contains the most important features for health system reform at a time of funding constraints and will therefore hold great appeal for policy analysts and makers, students, academics and management professionals. Contributors: S. Allin, R.G. Bevan, R. Butterfield, C. Campbell, A. Comas-Herrera, Z. Cooper, J. Costa-Font, M. Di Cesare, H.A. Elgazzar, J.-L. Fernandez, A. Gibbs, C. Henderson, C. Hernandez-Quevedo, L. Kossarova, C. Masseria, A. McGuire, P. Mladovsky, A. Morton, M. Murphy, I. Papanicolas, M. Raikou, C. Rudisill, V. Serra-Sastre, C. Stavropoulou, N. Varol, J.M. Wiener, R. Wittenberg, V. Zigante
In the 1960s, feminists voiced their outrage about the health care
system in the United States which routinely discriminated against
women and, in so doing, literally jeopardized their health and
well-being. Over a decade later, women's health advocates still
stressed the need for reform of this male-dominated institution
because of the on-going threat to the health of American women. In
the 1990s, nearly 40 years after women began their fight for
quality and equitable treatment from the medical profession, women
unfortunately continue to confront problems on numerous levels
including discrimination in medical research and in the
availability of insurance and health care providers. Most alarming,
however, is the fact that women today--like women in the '60s and
before--lack information, understanding, and adequate diagnoses and
treatment from their health caregivers.
Presents a view of hospice care through the eyes of a long-term hospice nurse. This title includes stories which are accompanied by discussion of end-of-life issues that arise among the families hospice nurse has served. It is useful for health care and social worker and layperson alike.
Project management skills are valuable for any healthcare project, not just technology projects. Non-technology activities that would benefit from project management skills include implementing a new policy housewide, updating training for use of the electronic health record (EHR), creating a new orientation program, quality assurance activities, submitting an article or presentation, writing a research proposal, or opening a new patient care unit. In addition, project management skills are not just for project managers, but they can be used by anyone leading these types of activities, such as managers, staff, educators, and researchers. Many books on healthcare project management have been focused on technology projects while non-technology projects flounder without the required knowledge or skills of the person leading the project. The purpose of this book is to discuss these skills based on the Project Management Institute (PMI) standards in a way that non-project managers would be able to understand and apply. Concepts from project initiation through project closure will be presented twice, first for novices and then for project leaders with more advanced skills. Practical, accessible, and containing numerous examples for each phase of the PMI Framework, this book will be a valuable resource for all healthcare professionals and both novice and experienced project managers.
This Handbook expertly instructs the reader on how to conduct applied health research across a number of disciplines. Particularly aimed at postgraduate health researchers and students of applied health research, it presents and explains a wide range of research designs and other contemporary issues in applied health research. Focusing on learning outcomes, it takes the reader from underpinning epistemological, ontological and methodological considerations through to the key features of highlighted research designs and how to apply these in practice. In so doing, the experienced group of authors guides the reader in the choice of design for their own studies. They both examine the underpinning paradigmatic questions that guide important design choices and also explore the practical considerations that have to be taken into account when conducting research in this field. This book covers a range of designs from different traditions and also points readers to the key literatures in their areas of interest. Master's students across a range of disciplines will find this book invaluable and it will also be an essential reference tool for PhD students and new researchers in applied health research. Contributors include: F. Ahmed, H. Aveyard, S. Baines, A. Bingley, S. Brearley, G. Chatzidamianos, M. Collins, A. Dodd, M. Edwards, N. Fisher, I. Fletcher, T. Gatrell, A. Grinyer, E. Halliday, C. Murray, R.J. Parker, G. Perez Algorta, N. Preston, S. Reilly, J. Simpson, C. Thomas, S. Varey, C. Walshe, D. Wilde
Organizations spend large amounts of money to purchase, deploy, and optimize their Electronic Health Records (EHRs). They are not plug-n-play systems so a commitment to an ongoing improvement cycle is necessary. When done well, this responds to the people, the process, and the technology. When not done well, complete failure of the system could result in costing the organization thousands of dollars. Based on the foundational premise that EHR governance done right speeds up change and leads to a positive user experience, this book draws upon more than a decade of work with government, academic, and nonprofit organizations using Epic, Allscripts, McKesson, Meditech, and Cerner. Designed to be practical and pragmatic, it outlines a strategic process that can scale to small and large organizations alike. It begins with how to articulate a clear vision to organizational leaders so they can champion strong EHR governance both theoretically and financially. It then walks through each step required for leading successful change, calling out critical lessons learned to help the reader avoid pitfalls and achieve measurable improvement more rapidly. It concludes with a commitment to ongoing growth and refinement through benchmarked metrics, innovation, and out-of-the-box thinking.
Organizations spend large amounts of money to purchase, deploy, and optimize their Electronic Health Records (EHRs). They are not plug-n-play systems so a commitment to an ongoing improvement cycle is necessary. When done well, this responds to the people, the process, and the technology. When not done well, complete failure of the system could result in costing the organization thousands of dollars. Based on the foundational premise that EHR governance done right speeds up change and leads to a positive user experience, this book draws upon more than a decade of work with government, academic, and nonprofit organizations using Epic, Allscripts, McKesson, Meditech, and Cerner. Designed to be practical and pragmatic, it outlines a strategic process that can scale to small and large organizations alike. It begins with how to articulate a clear vision to organizational leaders so they can champion strong EHR governance both theoretically and financially. It then walks through each step required for leading successful change, calling out critical lessons learned to help the reader avoid pitfalls and achieve measurable improvement more rapidly. It concludes with a commitment to ongoing growth and refinement through benchmarked metrics, innovation, and out-of-the-box thinking.
As managed care continues to increase in the United States, hospital and system executives consider mergers and acquisitions more frequently for both aggressive and defensive reasons. Predicting Successful Hospital Mergers and Acquisitions can help you learn to analyze data to determine which hospitals are potential candidates for merger and which are risky business ventures. You will learn to take into account not only the marketing and financial elements of mergers and acquisitions, but also the operational factors crucial for success. You will also acquire a set of guidelines and financial analytical approaches that prepare you for forecasting the results of proposed mergers or acquisitions between acute units. Because few new markets are available for hospitals and competition is increasing, performing mergers and acquisitions may be the only route available for organizations wishing to grow. Predicting Successful Hospital Mergers and Acquisitions teaches hospital, system, and other health service industry executives how to keep abreast of their market positions to remain competitive and efficient in the current, intense managed care environment.As you read Predicting Successful Hospital Mergers and Acquisitions, you learn to identify significant financial variables in the market that will differentiate between merger candidates and non-targeted hospitals. The book's coverage of the following topics is important to your understanding of the health care market and the options available: market penetration product development market development diversification significant variables one year prior to merger use of accounting numbers to predict takeovers managed care staffing issues Predicting Successful Hospital Mergers and Acquisitions gives you a practical, proven model for predicting the outcome of merger and acquisition maneuvers. This model is developed from accurate, consistent, and complete data from California, a trendsetting market in health care delivery, during the years 1984 to 1992. It can be applied not only to hospital mergers and acquisitions, but also to skilled nursing facilities, psychiatric care centers, and rehabilitation facilities seeking growth.Educators and program directors in health care administration programs and executives and boards of imaging centers, surgi-centers, and home health agencies can also employ this model to stimulate growth and expansion. |
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