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Books > Medicine > General issues > Health systems & services
* Fully updated to match the new specification, changes to legislation and the sector. * Now covers management in adult and children's services. * Contains a topic-based structure that shows clear mapping to the units of the new qualification. * Contains enough mandatory and optional units to cover a route through the full qualification for all four management pathways. * Features a new chapter, 'Risk and health and safety'. * Includes new case studies and questions throughout to highlight issues around real workplace practice. * Also covers the Welsh specifications for Level 5 Management qualifications for adults' and children's services.
This book examines the drivers of inbound medical tourism in Germany. In light of growing international trade of medical services, it provides a quantitative analysis of the determinants of international patients' choice of destination. It develops coherent definitions of medical tourism and medical travel, and presents multiple unique data sets to identify inbound medical travelers in Germany. Further, it introduces an empirical modeling framework for investigating and quantifying the drivers and effects of a patient's choice of destination at the national, hospital and individual level. A particular focus of the analysis lies on cultural proximity and personal networks as key channels to convey trust in a destination's service. In addition, real consideration sets of international patients are presented. The findings presented are embedded in a global context and will help inform future empirical investigations and modeling.
When little things have big impacts. This book is for anyone who feels that they're sleepwalking through life, looking for answers to challenging emotions and the practical tools to begin living the life they want. 'How are you really feeling? A bit blah, meh or simply 'I don't actually know'. If this is your honest, knot-in-the-throat response, take a moment - breathe - and let me reassure you that it's not you, it's what's happened to you over the years. You can't quite put your finger on it, but somehow you just don't feel like you're thriving or truly participating in your own life. This is the result of a build-up of life's scrapes, papercuts and bruises that have left you feeling simply 'not ok'. Emotional illiteracy, microaggressions, challenging familial relationships, toxic positivity and gaslighting are some examples of what I call 'Tiny T' trauma - the impact of which often leads to problems such as high-functioning anxiety, languishing, perfectionism, comfort eating and sleep disturbance, to name but a few. We have been fooled into believing that 'Tiny T' trauma doesn't matter. There always seem to be huge, intractable problems in the world, so we tend to overlook those small, everyday injuries that drill down to your core. This leaves us with an undercurrent of constant melancholy and niggling pinpricks of anxiety, all wrapped up in the film of other people's Insta-perfect lives. But life doesn't have to be experienced in this suffocating way; we owe it to ourselves to develop Awareness, Acceptance, and take Action on our Tiny T trauma, no matter how 'small', and to start living every day as we deserve.'
This book presents an extensive study on the effectiveness of recent regulations on pharmaceutical prices in India, exploring the weaknesses in the design and implementation of pharmaceutical price controls and investigating what can be done to fix the broken system. In addition, it examines the extent to which essential medicines are actually made affordable by price controls. The book argues that companies make the pharmaceutical price control regime largely ineffective by coordinating to increase pre-regulation prices; by diversifying horizontally away from the regulated markets and increasing prices in the unregulated markets; by manipulating trade margins; and by refusing to comply with the regulation because the penalties remains negligible. The book draws on extensive empirical research involving India's 2013 Drug Price Control Order and widely-used medicines such as paracetamol and metformin to illustrate how firms have weakened regulation. It argues that the regulatory regime can be strengthened by using systematic analysis of product- and region-level data in the Indian pharmaceutical industry, and by screening for the strategies that firms currently employ to circumvent regulation. In closing, it discusses recent efforts to strengthen the implementation of price controls in India and expanding the scope of price controls to medical devices.
This book fosters a scientific debate for sophisticated approaches and cognitive technologies (such as deep learning, machine learning and advanced analytics) for enhanced healthcare services in light of the tremendous scope in the future of intelligent systems for healthcare. The authors discuss the proliferation of huge data sources (e.g. genomes, electronic health records (EHRs), mobile diagnostics, and wearable devices) and breakthroughs in artificial intelligence applications, which have unlocked the doors for diagnosing and treating multitudes of rare diseases. The contributors show how the widespread adoption of intelligent health based systems could help overcome challenges, such as shortages of staff and supplies, accessibility barriers, lack of awareness on certain health issues, identification of patient needs, and early detection and diagnosis of illnesses. This book is a small yet significant step towards exploring recent advances, disseminating state-of-the-art techniques and deploying novel technologies in intelligent healthcare services and applications. Describes the advances of computing methodologies for life and medical science data; Presents applications of artificial intelligence in healthcare along with case studies and datasets; Provides an ideal reference for medical imaging researchers, industry scientists and engineers, advanced undergraduate and graduate students, and clinicians.
Presenting a brief analysis of health care systems in industrialized nations, the author includes the history, current realities, financing and delivery of services, as well as the impact of the systems on the core sociological variables--age, sex, social class, and race and ethnicity. The systems spotlighted are those in the United States, Canada, Great Britain, Germany, Sweden, and Japan. The author's study of these varied health care systems shows two models are significantly more comprehensive, regardless of country, and that health outcomes are differentiated on the basis of sociological variables, regardless of health care systems.
Medical breakthroughs and adult literacy have made it easier than ever before to acquire the knowledge, skills, and values needed to lead a productive and satisfying life, yet many Americans have difficulty understanding and acting upon the health information they acquire. The Handbook of Research on Adult and Community Health Education: Tools, Trends, and Methodologies presents educational and social science perspectives on the state of the healthcare industry and the information technologies surrounding it. It presents a collection of the latest research on methods, programs, and procedures practiced by health literate societies. This groundbreaking compilation provides cutting-edge content for researchers, social scientists, academicians, and adult educators and learners interested in how available technologies affect our health today.
Based upon the popular college text Essentials of Anatomy and Physiology, 4e by Fredric H. Martini and Edwin F. Bartholomew, Dr. Bledsoe has taken this work and added clinical correlations and applications specific to emergency care. Anatomy & Physiology for Emergency Care 2e presents material in a clear, concise format and places emphasis on essential fundamental concepts, applications and terminology. Innovative EMS content and pedagogical elements make this an excellent choice for brief A&P courses that build a foundation of essential knowledge in human anatomy and physiology. This material provides a framework for interpreting and applying information that can be used in problem-solving, as well as an introduction to common injuries and illnesses in a manner that will reinforce basic anatomy and physiology principles.
This unique book reveals how Collaborative Innovation Networks (COINs) can be used to achieve resilience to change and external shocks. COINs, which consist of 'cyberteams' of motivated individuals, are self-organizing emergent social systems for coping with external change. The book describes how COINs enable resilience in healthcare, e.g. through teams of patients, family members, doctors and researchers to support patients with chronic diseases, or by reducing infant mortality by forming groups of mothers, social workers, doctors, and policymakers. It also examines COINs within large corporations and how they build resilience by forming, spontaneously and without intervention on the part of the management, to creatively respond to new risks and external threats. The expert contributions also discuss how COINs can benefit startups, offering new self-organizing forms of leadership in which all stakeholders collaborate to develop new products.
For courses in Paramedic Emergency Medical Services. Paramedic Care: Principles & Practice, Fourth Edition, is intended to serve as a foundational guide and reference to paramedicine. Developed to stay ahead of current trends and practices in paramedicine, all seven volumes are based on the National EMS Education Standards and the accompanying Paramedic Instructional Guidelines. Volume 2, Paramedicine Fundamentals, covers basic paramedic-level knowledge in pathophysiology, human life-span development, and pharmacology. It also covers key advanced-level skills in intravenous access and medication administration as well as airway management and ventilation.
For courses in Paramedic Emergency Medical Services. Paramedic Care: Principles & Practice, Fourth Edition, is intended to serve as a foundational guide and reference to paramedicine. Developed to stay ahead of current trends and practices in paramedicine, all seven volumes are based on the National EMS Education Standards and the accompanying Paramedic Instructional Guidelines. Volume 7, Operations, focuses on Paramedic-related operational issues and includes a review of ground ambulance operations, new changes in terminology that have been established through the NIMS process, a new chapter on air medical operations, and updated coverage on responding to terrorist acts.
For courses in Paramedic Emergency Medical Services. Paramedic Care: Principles & Practice, Fourth Edition, is intended to serve as a foundational guide and reference to paramedicine. Developed to stay ahead of current trends and practices in paramedicine, all seven volumes are based on the National EMS Education Standards and the accompanying Paramedic Instructional Guidelines. Volume 4, Medicine, covers medical emergencies and includes new material on the use and interpretation of capnography, the role of CPAP in respiratory diseases, comprehensive coverage of cardiology, more information about stroke therapy and similar treatments, current toxicological practices, more material on drug-induced psychosis and similar problems, and a new chapter on non-traumatic musculoskeletal disorders.
For courses in Paramedic Emergency Medical Services. Paramedic Care: Principles & Practice, Fourth Edition, is intended to serve as a foundational guide and reference to paramedicine. Developed to stay ahead of current trends and practices in paramedicine, all seven volumes are based on the National EMS Education Standards and the accompanying Paramedic Instructional Guidelines. Volume 1, Introduction to Paramedicine, provides paramedic students with the principles of advanced prehospital care and EMS operations, including an overview of the various aspects of paramedic practice as well as an introduction to workforce safety and wellness, EMS research, the EMS role in public health, legal and ethical considerations, and EMS system communications and documentation.
Appropriate for Paramedic courses and courses in EKG Interpretation The value of over 30 years of combined EMS educational experience enables Brenda M. Beasley and Michael West to bring a unique and insightful approach to the topic of 12-lead EKGs and their interpretation. The authors have presented a complex yet vitally important subject in a comprehensive, straightforward, and easy-to-understand format. UNDERSTANDING 12-LEAD EKGS, 3/e serves a wide audience of health-care providers, including prehospital providers, nurses, physician assistants, respiratory therapists, and anyone requiring a thorough understanding of electrocardiography. I believe that this book fills a void in the subject matter of EKG interpretation. It demonstrates the ability to educate medical personnel who are new to the subject matter while providing a review to those who are more experienced. Using a reader-friendly writing style, the authors create a text that begins with the basics of EKG interpretation and then introduces a building-block approach to a more detailed discussion of this topic. Many illustrations, tables, and graphs are used to help highlight the important issues of each topic. Also, the reader will find the review questions at the end of each chapter useful in helping to solidify knowledge of salient issues.
This provocative appraisal unpacks commonly held beliefs about healthcare management and replaces them with practical strategies and realistic policy goals. Using Henry Mintzberg's "Myths of Healthcare" as a springboard, it reveals management practices that undermine care delivery, explores their cultural and corporate origins, and details how they may be reversed through changes in management strategy, organization, scale, and style. Tackling conventional wisdom about decision-making, cost-effectiveness, service quality, and equity, contributors fine-tune concepts of mission and vision by promoting collaboration, engagement, and common sense. The book's multidisciplinary panel of experts analyzes the most popular healthcare management "myths," among them: * The healthcare system is failing. * The healthcare system can be fixed through social engineering. * Healthcare institutions can be fixed by bringing in the heroic leader. * The healthcare system can be fixed by treating it more as a business. * Healthcare is rightly left to the private sector, for the sake of efficiency. The Myths of Health Care speaks to a large, diverse audience: scholars of all levels interested in the research in health policy and management, graduate and under-graduate students attending courses in leadership and management of public sector organization, and practitioners in the field of health care.
"This timely book provides insight into the changing role of the 'hospital' in the face of technological, organizational innovation and ever-tightening health budgets."James Barlow, Imperial College Business School, UK "This book covers various relevant aspects of the hospital in different states and contexts. Underlining the importance of business models for future hospitals, this publication presents models of care from a historic and a current perspective. All authors possess a deep insight into different health care systems, not only as scholars but as experts working for world-renowned health policy institutions such as the World Health Organization, the World Bank or the European Observatory for Health Systems."Siegfried Walch, Management Center Innsbruck, Austria "For an organisation like mine, representing those involved in the strategic planning of healthcare infrastructure, this book provides invaluable insights into what really matters - now and for the future - in the complex and contentious field of hospital development."Jonathan Erskine, European Health Property Network, Netherlands This book seeks to reframe current policy discussions on hospitals. Healthcare services turn expensive economic resources-people, capital, pharmaceuticals, energy, materials-into care and cure. Hospitals concentrate the use and the cost of these resources, particularly highly-trained people, expensive capital, and embedded technologies. But other areas of health, such as public health and primary care, seem to attract more attention and affection, at least within the health policy community. How to make sense of this paradox? Hospitals choose, or are assigned, to deliver certain parts of care packages. They are organised to do this via "business models". These necessarily incorporate models of care - the processes of dealing with patients. The activity needs to be governed, in the widest senses. Rational decisions need to be taken about both the care and the resources to be used. This book pulls these elements together, to stimulate a debate.
Among the most critical issues facing society today is the provision of community support for people of all ages who require assistance in performing daily living tasks. Researchers have documented the support systems and needs of older persons, children with special health care needs, and young persons transitioning into adulthood. While the United States may not yet have solved many of the challenges of providing adequate supports to these populations, researchers at least have a good sense of the nature of those challenges and are working toward that end. Somewhat surprising, then, is the nearly complete lack of knowledge about the support systems and needs of a rapidly growing population of adults who are not yet considered old but who nevertheless need help due to traumatic injury, the congenital illnesses of childhood and young adulthood, and/or the early onset of chronic diseases typically associated with later life (e.g., arthritis, heart disease and cancer). Specifically, researchers know little about the millions of Americans who require assistance during the period of late middle age, a transition phase between middle age and the older years, when activity limitations associated with a chronic condition escalate sharply. The largest generation in American history to date--the baby boom generation--has begun to enter late middle age, the oldest of whom turned sixty in 2006. While the research community looks ahead to the likely strains this generation will place on the formal long-term care system, Medicare, and the Social Security system in the near future, those who find themselves in need of personal care in late middle age must first pass through a particularly vulnerabletime before they are eligible to benefit from the safety net these systems afford. Because late-middle-aged adults are often considered the "carers" of society (many caring for dependent children or aging parents, and often both), we do not often think of this group as vulnerable and in need of help themselves. They, more than others, are left to rely on their own financial and family support systems to get through their difficult time, while at the same time planning and preparing for the possibility of living another 20 years or more with chronic illnesses and conditions. Up until now, we have known very little about how, and how well, they manage. In this first critical study of the availability and receipt of care for late-middle-aged adults, Julie Lima and Susan Allen uncover a host of vulnerabilities that challenge the wellbeing of those who find themselves in need of personal assistance at a critical point in their lives. Using a lifecourse approach, they outline the care needs of older adults in various stages of life, as well as the sociodemographic and policy trends that influence the amounts and types of care that are available, and that will likely be available in the near future. Since so little was known about the care needs of this group prior to this work, this book is largely descriptive in nature, and the authors intend for it to lay the groundwork for future work in this area. This is an important book for all gerontology, disability, and lifecourse collections.
In recent decades, American medicine has become increasingly politicized and politics has become increasingly medicalized. Behaviors previously seen as virtuous or wicked, wise or unwise are now dealt with as healthy or sick--unwanted behaviors to be controlled as if they were health issues. The modern penchant for transforming human problems into diseases and judicial sanctions into treatments, replacing the rule of law with the rule of medical discretion, leads to the creation of a type of government social critic Thomas Szasz calls pharmacracy. Medicalizing troublesome behaviors and social problems is tempting to voters and politicians alike: it panders to the people by promising to satisfy their needs for dependence on medical authority and offers easy self-aggrandizement to politicians as the dispensers of more and better health care. Thus, the people gain a convenient scapegoat, enabling them to avoid personal responsibility for their behavior. The government gains a rationale for endless and politically expedient wars against social problems defined as public health emergencies. The health care system gains prestige, funding, and bureaucratic power that only an alliance with the political system can provide. However, Szasz warns, the creeping substitution of pharmacracy for democracy--private medical concerns increasingly perceived as requiring a political response--inexorably erodes personal freedom and dignity. "Pharmacracy: Medicine and Politics in America" is a clear and convincing presentation of this hidden danger, all too often ignored in our health care debates and avoided in our political contests.
This book examines the causes and consequences of suicide from the perspective of economics. The approach here differs from those in medical, psychiatric, epidemiological, and sociological studies of suicide and is thus novel in a way that highlights the importance of economic and institutional settings in the problem of suicide. The authors argue that suicide imposes a tremendous economic cost on contemporary society in a variety of ways, requiring the government to develop an effective prevention strategy. An empirical analysis using data from Japan and other developed countries shows that natural disasters and economic crises increase suicide rates, while liberal government policies favorable to the poor can decrease them. Further, the types of effective prevention strategies in the context of railway/subway suicides, celebrity suicides, public awareness campaigns, and education using data primarily from Japan are revealed. This book ultimately contributes to an understanding of suicides and the development of evidence-based policy proposals. The Japanese version of this book won the 56th Nikkei Prize for Economics Books (Nikkei Keizai Tosho Bunka Award) in 2013. Yasuyuki Sawada is Chief Economist of the Asian Development Bank and Professor of Economics at The University of Tokyo. Michiko Ueda is Associate Professor in the Faculty of Political Science and Economics at Waseda University. Tetsuya Matsubayashi is Associate Professor of Osaka School of International Public Policy (OSIPP) at Osaka University.
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