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Books > Medicine > General issues > Health systems & services
Warning Read this book at your own risk. Upon reading it, some
readers may be afraid to visit doctors or hospitals for the rest of
their lives. However, other readers might die laughing as they
indulge themselves to the variety of the many interesting and
scaring subjects that they will read about. If you're planning to
visit a doctor or hospital, you should read this book before taking
that major step that will probably change your life. If your
decision is to go ahead with that visit, let us hope that you don't
run into some of the bad doctors and hospitals mentioned in this
story. If you ever had any kind of bad experience as a result of
visiting a doctor or hospital, or if you ever heard of anyone else
who had a bad experience, you should definitely read this book.
This story, although fictional, has been comically exaggerated.
However, there is a great deal of reality, and some readers will
find it very convincing, especially if they had similar experiences
as the ones stated in this book. The story deals with the daily
occurrences in certain doctors' offices, as well as certain
hospitals in a major metropolitan city in the Northeast of The
United States. You will see the worst treatments performed by the
worst doctors. However, later on in the story, you will also see
the best treatments offered by the best doctors. The story contains
a generous amount of extremely grim occurrences, but it also
contains a great deal of generosity and compassion. You will see
that there are some people in this story who went out of their way
to do the right thing. You will also see that there are numerous
people who kept the promises that they made to others when they
were in need. If this storychanges the life of only one person for
the better, even for a brief moment, then it was worth writing this
book. The names used in this story have been chosen by the author
as a description of each person or place involved. Actual names
were not used in order to protect the innocent - and the guilty. It
may take some readers a little time to accept the names, but after
they have accepted them, they will find the story extremely
enjoyable and very interesting. Some readers may find it to be a
very valuable and educational account of situations that they
should avoid.
Our health care system is broken and messy. It is serving neither
the patient nor the doctor well. It behooves us, the physicians, to
take the lead and diligently try to fix it. --from THE SENSE OF
DIRECTION The "invisible hand" will start healing and Adam Smith's
"what is good for me" will still be vehemently pursued but not at
the expense of others. With a restored sense of direction, it will
be easy to not only fix the health care mess but tackle other
problems also. --from THE SENSE OF DIRECTION
Human Resources in Healthcare, Health Informatics and Healthcare
Systems addresses two major problems that threaten the health of
the human race. The first of which is the lack of human resources
in healthcare. We need to ensure that we have an adequate number of
healthcare professionals who are highly motivated and properly
trained. Furthermore, we need to ensure that they have the latest
health technology at their disposal, which is the second major
issue facing the world today. The world's most respected scholars
and practitioners describe their experiences and propose possible
theoretical and practical solutions in this relevant and timely
handbook.
Managing and living a normal and healthy life after renal (kidney)
failure.
Contents of the book:
Preface.
Acknowledgements.
1. Events leading to my kidney failure.
2. The author as a renal patient.
3. The Kidneys. Definition of kidney failure and kidney disease.
Types of renal failure: Acute, chronic, and end stage.
4. Causes, symptoms, and detecting renal failure.
5. Dialysis.
6. Kidney transplants.
7. Problems associated with renal failure.
8. Treatment of renal failure.
9. Diet.
10. Medication.
11. Living a normal, healthy life after renal failure.
12. Attitudes and beliefs.
13. Lifestyle.
14. Organ donor shortage.
15. Research into stem cell technology for kidney failure.
16. Conclusion. 17. About the author. Glossary. References. Lists
of books and jornals.
An inside look into how hospitals, nurses, and patients are faring
under the Affordable Care Act More and more not-for-profit
hospitals are becoming financially unstable and being acquired by
large hospital systems. The effects range from not having necessary
life-saving equipment to losing the most experienced nurses to
better jobs at other hospitals. In Health Care in Crisis, Theresa
Morris takes an in-depth look at how this unintended consequence of
the Affordable Care Act plays out in a non-profit hospital's
obstetrical ward. Based on ethnographic observations of and
in-depth interviews with obstetrical nurses and hospital
administrators at a community, not-for-profit hospital in New
England, Health Care in Crisis examines how nurses' care of
patients changed over the three-year period in which the Affordable
Care Act was implemented, state Medicaid funds to hospitals were
slashed, and hospitals were being acquired by a for-profit hospital
system. Morris explains how the tumultuous political-economic
changes have challenged obstetrical nurses, who are at the front
lines of providing care for women during labor and birth. In the
context of a new environment where hospital reimbursements are tied
to performance, nursing has come under much scrutiny as
documentation of births-already laboriously high-has reached even
greater levels. Providing patient-centered care is an
organizational challenge that nurses struggle to master in this
context. Some nurses become bogged down by new processes and
bureaucratic procedures, while others focus on buffering patients
from the effects of these changes with little success. Morris
maintains that what is most important in delivering quality care to
patients is the amount of interaction time spent with patients, yet
finding that time is a real challenge in this new environment. As
questions and policies regarding health care are changing rapidly,
Health Care in Crisis tells an important story of how these changes
affect nurses' ability to care for their patients.
Millions of people each year decide to participate in clinical
trials--medical research studies involving an innovative treatment
for a medical problem. For the patient, such participation can
sometimes be a life-saving choice. But it can also be just the
opposite. Our country years ago adopted rules designed to assure
that people are making informed choices about participation. This
book explains the reality behind those rules: that our current
system of clinical trials hides much of the information patients
need to make the right choices.
Witness the following scenarios:
-Hundreds of patients with colon cancer undergo a new form of
keyhole surgery at leading cancer centers--never being told that
85% of colorectal surgeons, worried that it increases the risk of
the cancer returning, would not themselves undergo that
procedure.
-Tens of thousands of women at high risk of developing breast
cancer are asked to participate in a major research study. They are
told about the option of having both breasts surgically
removed--but not told about the option of taking a standard
osteoporosis pill that might cut the risk of getting breast cancer
by one-half or more.
What The Doctor Didn't Say, principally written by a nationally
prominent expert, is the first book to reveal many heretofore
hidden aspects about the true nature of participation in clinical
trials. It shows why options not commonly known--including getting
a new treatment outside of a research study--can often be the best
choice. It explains how patients can make good decisions even if
there is only limited information about a treatment's effect. And
it does this through the eye-opening stories of what is
happeningdaily to thousands of people.
This book ends up confronting the fundamental dilemma of medical
research: Participation in clinical trials plays a vital role in
advancing knowledge, and many experts fear that if the information
provided herein became widely known, fewer people would
participate. But the authors demonstrate that there is no need to
deceive people into participating in research. We can have a system
that promotes participation while still providing truthful
information to participants.
Within the last years a variety of new healthcare concepts for
supporting and assisting users in technology-enhanced home
environments emerged. These so-called smart healthcare technologies
are characterized by a combined use of information and
communication technologies and health monitoring devices in the
home domain. Smart Healthcare Applications and Services:
Developments and Practices provides an in-depth introduction into
medical, social, psychological, and technical aspects of smart
healthcare applications as well as their consequences for the
design, use and acceptance of future systems. The knowledge and
insights provided in this book will help students as well as
systems designers understand the fundamental social and technical
requirements smart healthcare technologies have to meet.
In 1997, Vagus Nerve Stimulation (VNS) therapy (Cyberonics,
Houston, Texas) was approved by the United States Food and Drug
Administration for the treatment of epilepsy refractory to
antiepileptic medications. In 2005, VNS received FDA approval for
treatment-resistant depression refractory to antidepressants, and
Cyberonics recently received FDA approval for the clinical study of
VNS for rapid cycling bipolar depression. Many researchers continue
to investigate the anxiolytic effects of VNS in human and non-human
animal models. The author presents a study of VNS effects on
anxiety and the capacity of atropine methyl nitrate to attenuate
these effects. The results indicate that VNS decreases anxiety in
the laboratory animals tested. These findings provide evidence to
support the testing and subsequent use of VNS therapy for the
treatment of clinical anxiety in humans. Because many therapies
that are effective in the treatment of depression effectively treat
anxiety, VNS therapy should be effective and approvable for
clinical anxiety. This book can serve as a research tool, training
mechanism, or surgical guide to the implantation of the vagus nerve
stimulating electrode in the laboratory rat. Hopefully, this
resource provides information that facilitates FDA approval of VNS
for treatment-resistant anxiety, a chronic, devastating and often
debilitating illness.
This is the first reference book to provide a detailed assessment
of the Affordable Care Act, explaining the realities and myths
surrounding one of the most divisive political struggles in recent
U.S. history. The Affordable Care Act—also known as
Obamacare—is one of the most controversial and politicized topics
in the United States today. This timely book examines prominent
claims about the legislation's drafting, debate, passage, and
implementation, and discerns what is true and false about the law.
Each of the text's eight chapters delves into the common beliefs,
misinterpretations, and myths surrounding the act, tracing the
history of the assertion and supporting or challenging its veracity
through nonpartisan research and analyses. Chapters begin with an
objective look at the claim's origins—with a brief focus on the
person or group that conceived it and why—then set about
clarifying or debunking it using evidence from research studies and
reports from authoritative sources. Entries feature primary
documents, a further reading section, and tables and graphs. Topics
include the impact on health care costs for families, states, and
the federal government; the effect of the Affordable Care Act on
employer-sponsored insurance; and the role of health status on
coverage under the Affordable Care Act.
Human, Social, and Organizational Aspects of Health Information
Systems offers an evidence-based management approach to issues
associated with the human and social aspects of designing,
developing, implementing, and maintaining health information
systems across a healthcare organization - specific to an
individual, team, organizational, system, and international
perspective. Integrating knowledge from multiple levels, this book
will benefit scholars and practitioners from the medical
information, health service management, information technology
arenas.
The health services environment differs from other industries, as
it deals with the wellbeing and lives of people. It is therefore
imperative to understand: The importance of ethical codes; The
correct way of dealing with labour-related issues. This work
provides a practical and up-to-date guide for health services
managers who deal with personnel and who wish to create a working
environment that facilitates bilateral cooperation and avoid
industrial action as far as possible. It sets out current
legislation that affects both employers and employees, and informs
them of their rights and obligations in very clear terms,
supplemented by ample practical examples and specimen
documentation.
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