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Books > Medicine > General issues > Health systems & services
This issue of Primary Care: Clinics in Office Practice, guest edited by Drs. Anthony J. Viera and Devdutta Sangvai, is devoted to Population Health. Articles in this issue include: What is Population Health?; Measuring Health; Prevention as a Population Health Strategy; Value-Based Care; The Business Case for Population Health Management; Primary Care Transformation; Patient Engagement; Quality Improvement Principles and Practice; Lean Management; Population Health and AMCs: High cost meets high efficiency; Models of Population Health Management; Tools for Population Health Management; Clinically Integrated Networks; Assessing and Addressing Social Determinants of Health; and Population Health Policies.
This book brings readers the first scientific publication, using a mixed-method approach, on the internal migration dynamics regarding disease ecologies of informality and the interactions between social capital, lifestyles, health literacy, and health outcomes in the context of informal settlements in two developing countries - Ghana and Uganda. Through the prism of the concepts of place and scale, the book demonstrates the myriad of ways by which place or context directly and indirectly influence migrant's health knowledge, literacy, and outcomes in poor urban slums. Readers will learn about the multi-faceted linkages between social capital, acculturation, and health in places of deprivation via quantitative methods (e.g. surveys) and qualitative methods such as focus group discussions, in-depth interviews, concept mapping, and body health mapping. Chapters 1-2 provide an overview of internal migration into urban slums of Ghana and Uganda, and discuss the intersections between migration, social capital, and health in a global context. Chapters 3-7 address disease patterns, environmental risks to health, health literacy of migrants, social capital and acculturation, and social capital and health. The book will be of interest to professors and students, as well as policy makers in low to middle income countries for planning targeted interventions.
The book provides a holistic and practical approach to lean management throughout the business value chain. The lean management framework and tools demonstrate the optimal design and use of methods, tools and principles for companies and organisations. The author describes comprehensively how lean management enables companies to concentrate on value-adding activities and processes to achieve a long-term, sustainable competitive advantage. A wealth of best practices, industry examples and case studies are used to reveal the diversity and opportunities of lean management methodologies, methods and principles. Moreover, the book shows how lean management principles are ultimately applied in industries like automotive, healthcare, education and services industries.
"Everyone agrees on the need to reform Medicare but not on how to do it. Some argue the program is too comprehensive, others that it is not comprehensive enough. Some suggest it pays too much for health care, others, too little. Meanwhile, the financial stakes continue to mount. Medicare spending exceeded $400 billion in 2007, making it more expensive than the entire health systems of most other nations, as well as the largest national public program other than Social Security and national defense. In R eforming Medicare, Henry J. Aaron and Jeanne M. Lambrew deftly guide readers through this complex debate. They identify and analyze the three leading approaches to reform. Updated social insurance would retain the current system while rationalizing coverage and reducing bureaucracy. Premium support would replace the current system with a capped, per-person payment that beneficiaries could use to buy health insurance. Consumer-directed Medicare would have beneficiaries pay for care up to a high deductible from government- supported savings accounts and offer premium-support coverage above the deductible. In addition to rating each option on its ability to promote access to health care, improve the quality of care, and control costs, the authors evaluate each reform's political strengths and weaknesses. Given the heat generated by the Medicare debate, it is unlikely that any single approach will be implemented in full. Consequently, Aaron and Lambrew describe incremental strategies that blend elements of each plan. Their analysis provides essential insight into the types of hybrid policies that Congress will consider in coming years. "
The book seeks to address the intersection of food organics and the emergence of a new contractualism between producers, distributors and consumers, and between nation states. Additionally, it seeks to cater to the needs of a discerning public concerned about how its own country aims to meet their demands for organic food quality and safety, as well as how they will benefit from integration in the standard-setting processes increasingly occurring regionally and internationally. This edited volume brings together expert scholars and practitioners and draws on their respective insights and experiences in the field of organics, food and health safety. The book is organized in three parts. Part I outlines certain international perspectives; Part II reflects upon relevant histories and influences and finally, Part III examines the organic food regulatory regime of various jurisdictions in the Asia Pacific.
This short book brings together novel cross-interdisciplinary investigation from both natural and social science, representing a true hybrid across disciplines examining the 'politics' and 'science' of COVID-19. Viruses, Vaccines, and Antivirals: Why Politics Matters considers the dynamics surrounding viruses, proposed vaccines, and antiviral therapies, contextualizing what governments have done during the COVID-19 crisis. The four basic phases of a pandemic are considered with a strong focus on COVID-19, namely the anticipating and early virus detection, containment strategies, policies to control and mitigate the spread of the virus and policies aimed at opening up society. Viruses, Vaccines, and Antivirals: Why Politics Matters examines policy developments throughout these phases in key nations worldwide and puts forward a blueprint for countries developing public policies to deal with a pandemic.
Language plays a major role in our daily lives. Humans are specialized to live in a social environment, and our brains are "designed" to manage interactions with others which are, for the most part, accomplished through words. Language allows us to function both cognitively and interpersonally, and without language there are constraints on our ability to interact with others. Language also plays a major role in that specialized form of interpersonal interaction that we call psychotherapy or psychoanalysis. In that setting we use words to express and communicate meaning clearly, and through spoken language we help our patients to organize and modify their experiences of self and of the world, fostering adaptive change. Like the air we breathe, when our language serves its function it is transparent to us. We notice it most when it fails. When it does fail its basic function, in life and in psychotherapy, it fails to reliably, effectively, and comfortably help us to connect with others, as we deal with the world around us. In Language and Connection in Psychotherapy: Words Matter, Dr. Mary Davis addresses the role of language in our lives, both internally, in creating psychic structure and regulating affect, and interpersonally, in facilitating relationships with the figures that have shaped our development and that inhabit our adult lives. Using clinical material to illustrate, Davis looks at the development of language and its role in creating our personalities, at the life events which can distort our use of language to interact with others, and the ways that language can lead to misunderstanding as well as to understanding. Throughout, Language and Connection in Psychotherapy: Words Matter explores various facets of the ways in which words matter as well as the times when words are important but not sufficient to our ability to communicate interpersonally. Davis suggests that the psychotherapist is a master in bridging the gap between being and saying: she can be conceptualized as an "interpreter," one who turns behavioral language into verbal language, action language into words, emotions into thoughts, who focuses and uses the capacity of words to help us connect both with our internal selves and with others.
Health care organizations have made investments in health information technologies such as electronic health records, health information exchanges, and many more, which have increased the importance of Health Information Technology studies. Cases on Healthcare Information Technology for Patient Care Management highlights the importance of understanding the potential challenges and lessons learned from past technology implementations. This comprehensive collection of case studies aims to help improve the understanding of the process as well as challenges faced and lessons learned through implementation of health information technologies.
This unique resource is an ideal career-planning guide for advanced practice students, recent graduates, and practicing nurse practitioners who want to expand their careers. It's filled with helpful guidelines and proven strategies for success in every aspect of NP practice, including certification and licensure, finding and negotiating a practice opportunity, and developing community and professional partnerships. Guidelines for completing the necessary requirements for certification and licensure Tips for finding and negotiating a practice opportunity Strategies for using available technology and tools, such as the internet and PDAs, to create a successful clinical practice environment Ideas for developing a community partnership by creating successful professional and clinical contacts in the community Practical advice on how best to market oneself and interview with potential employers Key information on establishing systems in practice, using tools to enhance clinical judgment, and other important responsibilities related to clinical practice A wealth of real-world examples, including resumes, collaborative agreements, contracts, business plans, billing and coding, and productivity flowcharts, provide essential resources for a successful practice
This expertly prepared policy issues handbook surveys the changing workplace and the failures of America's public health and education systems to prepare the future work force to compete at home and abroad. Carl Stenberg and William Colman analyze the key issues; review a mass of information, ideas, and insights about policy options that are available; and assess their pros and cons. Students, teachers, administrators, policymakers, and concerned citizens will find a wealth of clearly presented data along with careful analyses of the major proposals for reform. Figures, tables, short summaries, appendices, bibliographical aids, and a full index make this one-volume landmark reference accessible to researchers and readers at different levels and for varied use.
The focus of this book is the journey babies have made over the past century. The rise of the middle class in America dictated major changes in the ways babies were fed, cared for, and raised. Social programs focused on improving water and sanitation programs for all, which led directly to decreased infection among infants and improved morbidity and mortality rates. Other programs also focused attention on babies. Advances in medicine allowed infants to be immunized against once-deadly and disabling diseases and to survive congenital defects, premature birth, and infectious disease. Physicians helped infertile couples conceive and carry a baby to term. Prenatal care helped mothers give birth to a healthy baby. Early intervention services gave infants an advantage as they faced growing up in the modern era. Today, most American babies are better off than they were in 1901. Overall they are bigger, healthier, and much more likely to survive the first year. But challenges remain. By reviewing the events of the past century, Reedy hopes we can make even more of a difference in the lives of American babies in the century to come. In 1900, most babies were born at home. Infant mortality was high and most families could expect to lose one or more of their babies within the first year of life. A family was expected to have babies, and they were certainly wanted in most situations, however, they did not generally receive the attention they do today. In the early years of the 21st century, the birth of a baby is a time of joy for most parents and extended families. Birth occurs most often in a hospital delivery room with the father and sometimes other family members present. While the infant mortality rate in the United States still lags behind many other developed countries, it has significantly improved over the past century, and infant death is not a family expectation. The main focus of this book is the journey babies have made over the past century. The rise of the middle class in America dictated major changes in the ways babies were fed, cared for, and raised. No longer a financial necessity as in an agrarian society, babies became a symbol of middle class prosperity and parents basked in the reflected glow. Social programs, authorized and regulated by federal and state government, became a reality. Progressive Era reformers focused on improving water and sanitation programs for all, which led directly to decreased infection among infants and improved the dismal morbidity and mortality rates prevalent among all social classes. Other programs, such as the Shepard-Towner Act, the Social Security Act, and Lyndon Johnson's Great Society initiatives also focused attention on babies. Advances in medicine allowed infants to be immunized against once-deadly and disabling diseases and to survive congenital defects, premature birth, and infectious disease. Physicians discovered the means to help infertile couples conceive and carry a baby to term. Prenatal care helped mothers prepare for the birth of a healthy baby. Early intervention services by educators, social workers, and others gave infants an advantage as they faced growing up in the modern era. At the beginning of the 21st century, most American babies are better off than they were in 1901. Overall they are bigger, healthier, and much more likely to survive the first year. But challenges remain. By reviewing the events of the past century, Reedy hopes we can make even more of a difference in the lives of American babies in the century to come.
Ideal for high school and lower undergraduate readers, this book provides a holistic and multifaceted look at the state of health in the United States today by examining a wide variety of health indicators against necessary background and contextual information. Wellness by the Numbers: Understanding and Interpreting American Health Statistics presents the factual data that underlies health summaries-information that is not often readily available to readers. The statistical data regarding a variety of health indicators, accompanied by contextual information and analyses, serves to inform high school and lower undergraduate readers about the state of health in America today. Just as importantly, this book will document how scholars and health professionals analyze data to draw conclusions and sharpen readers' critical thinking skills. The book begins with an introductory essay that provides a conceptual framework for readers and a general overview of the topic of analyzing health across the nation. The "Locating Accurate and Current Data on Health-Related Information" section clearly explains the process of analyzing and interpreting statistical information, describes how to find authoritative sources of data, and defines the steps to reading and interpreting data and how to draw conclusions from the information. Each of the more than 40 key health topics includes an introduction of the particular health indicator being discussed, presents the data in tables, charts, or figures with concise analysis and interpretation, and concludes with discussion questions that challenge the reader to find additional meaning or patterns in the data. Provides up-to-date, easy-to-understand, and thematically organized information on many key health topics Covers a wide array of important and often controversial health topics, from cancer risk to depression to teen pregnancy Models data analysis and interpretation to demonstrate how scholars and health professionals analyze data to draw conclusions, thereby guiding readers through thinking critically about the information presented Presents thought-provoking discussion questions that invite readers to explore topics further and think more deeply about the information presented
Unlike the rest of the advanced industrialized world, the United States does not have a national healthcare system that guarantees that all residents have access to medical services. Over the past century a number of unsuccessful attempts have been made to create and implement a unified, coordinated healthcare system. Piecemeal progress has been made, such as with the passage of Medicare, Medicaid, and the Affordable Care Act. However, the US still has the dubious distinction of possessing the most expensive healthcare in the world as well as health-related outcomes that are shameful for a wealthy country, mostly due to the number of people who lack decent care. The continuing escalation in medical costs is also threatening the financial stability of the nation. In his first book, Rationing is Not a Four-Letter Word, Philip M. Rosoff argued that the only way to control costs is to impose rationing, and the only way to do so fairly is to have it apply to all. The key to rationing is how it is accomplished. He outlined a general approach to making rationing decisions that involved a comprehensive explication of procedural fairness and illustrated this with the real-life accepted system of solid organ allocation for transplantation. In this book, he discusses how to decide what should and should not be covered in a generous benefits plan for all. He considers a variety of ways this might be done and concludes that the most just approach is to utilize a transparent process in which experts and lay people develop a consensus on what should be covered by focusing on both clinical evidence of need and the effective and appropriate means to address those needs. He also considers the various objections and impediments to this proposal and concludes that they are obstacles that can be successfully met.
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