Equitable Access to High-Cost Pharmaceuticals seeks to aid the development and implementation of equitable public health policies by pharmaco-economics professionals, health economists, and policymakers. With detailed country-by country analysis of policy and regulation, the Work compares and contrasts national healthcare systems to support researchers and practitioners identify optimal healthcare policy solutions. The Work incorporates chapters on global regulatory changes, health technology assessment guidelines, and competitive effectiveness research recommendations from international bodies such as the OECD or the EU. Novel policies such as horizon scanning, managed-entry agreement and post-launch monitoring are considered in detail. The Work also thoroughly reviews novel pharmaceuticals with particular research interest, including cancer drugs, orphan medicines, Hep C, and personalized medicines.

The second edition of this acclaimed book offers a critical analysis of the transition from institutional to community care for people with mental health problems. Despite the almost complete abandonment of the old Victorian asylum system, the powerful cultural legacy of segregation remains potent in modern thought. Rogers and Pilgrim analyse the impact of new policies introduced by the Labour government since it came to power in 1997, identifying both the processes and causes of policy change and assessing its value in the context of longer term debates about madness and distress.

E-health communities, also called Web-based health communities, have become popular arenas for support and sharing of experience, knowledge and advice among patients and citizens. E-health communities are used on a day-to-day basis by people who help each other cope with different health conditions and learn together about health-related issues and behaviors. E-Health Communities and Online Self-Help Groups: Applications and Usage will aim to provide relevant theoretical frameworks and the latest empirical research findings in the area. It aims to increase knowledge and understanding of applications and usage of e-health communities for self-help groups who struggle with health disorders, disabilities, lifestyle issues and other health concerns. Different e-health community settings will be presented, observations of community usage and effects discussed, and complementing ways to measure effectiveness will be introduced and analyzed.

This important new study explores how American health care evolved in the 1990s, as well as the changes in public support and policy. Birenbaum examines where the interests of consumers and professionals have dovetailed and where they differ. He considers the health care systeM's future and suggested ways the system must be adjusted to provide better and wider coverage at reasonable costs. This volume is essential reading for scholars, students, and professionals in the medical field, as well as general readers concerned with health care issues.

The 90s saw the country moving toward a realization that health care had become unaffordable--or an enormous financial burden for people with otherwise adequate incomes. Health care providers and consumers alike worried that the problem was becoming uncontrollable. Doctors saw their autonomy and control eroded, employers saw their costs rising significantly, the costs began shifting to employees, and alternative approaches to cost containment were explored.

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.

This timely study analyzes social, economic, political, provider, and patient factors shaping collective patient involvement in European health care from the postwar period to the present day. Examining representative countries England, the Netherlands, Germany, and Sweden, it documents the roles of providers and legislatures in facilitating consumer involvement, and the varied forms of patient input into hospital operations. These findings are compared and contrasted against the intent and ideals behind patient involvement to assess the effectiveness of implementation policy, strengths and drawbacks of patient participation, and patient satisfaction and outcomes. The book's conclusions identify emerging forms of patient participation and predict the impact of health policy on the future of European collective patient involvement. Included in the coverage: * Patient involvement: who, what for, and in what way? * The Netherlands: the legislative process to collective patient involvement * England: formal means of public involvement-a continuous story of discontinuity * Germany: Joint Federal Committee-the "Little Legislator" * Sweden: reasons for a late emergence of patient involvement * Lessons to be learned from implementing patient involvement The Evolution and Everyday Practice of Collective Patient Involvement in Europe will interest and inspire scholars and researchers in diverse fields, including social policy, sociology, political sciences, and nursing studies, as well as patient organizations, policymakers, and healthcare providers.

The aim of this work is to reduce the risks of medical treatment and e nhance the safety of patients in all areas of healthcare. The first se ction discusses human error, the incidence of harm to patients, and th e development of risk management. Chapters in the second section discu ss the reduction of risk in clinical practice in key medical specialti es. The third section discusses features of the healthcare systems tha t are essential to safe practice, such as communication of risk to pat ients, the design of equipment, supervision and training, and effectiv e teamwork. The fourth section describes how to put risk management in to practice, including the effective and sensitive handling of complai nts and claims, the care of injured patients and the staff involved, a nd the reporting, investigation and analysis of serious incidents.

Psychologists receive several years of specialized study on the brain, behavior, and mental health, but despite the fact that over half ultimately end up in administrative or managerial roles, they receive no formalized training in the skills necessary to be successful in these roles. This book is the first of its kind to target the managerial and administrative skills necessary for the mental health professional. The book discusses practical information such as how to deal with personnel issues, how to set budgets and allocate resources, and how to document progress and maintain schedules in the domains of private practice, hospitals, government agencies, and universities. Chapter authors are well-known and successful psychologists within these settings and include Raymond Fowler, past president of the American Psychological Association.

A holistic view of the factors that impact the health of a patient beyond the illness itself, this book examines what it is like to be a patient. It espouses the view that terminal illness may not be a tragedy but, an opportunity for emotional growth. The inadequacies of medical care today are discussed, from the failure of health care professionals to see the person with the disease, to the many ways in which managed-care organizations jeopardize the doctor/patient relationship.

The work reviews concrete ways in which health care professionals can enhance the quality of their care, by remaining compassionate, continuing to offer patients hope (even if their condition is terminal), acknowledging and addressing patients' suffering, and counseling patients so that they can obtain the support needed. A new advocacy role for doctors is presented that enables patients to make advised decisions about their own treatment. This book encourages patients to take back their lives from the diseases that overwhelm them. It also discusses advance directives, living wills, cardiopulmonary resuscitation, and do not resuscitate orders. Information is provided to help patients assume self advocacy on end-of-life issues from an emotional perspective as well as a legal perspective.

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 book is a study of the pioneer early county asylums, which were intended to provide for the 'cure', and 'safe custody' of people suffering from the ravages of insanity. It considers the origins of the asylums, how they were managed, the people who staffed them, their treatment practices, and the experiences of the people who were incarcerated. 'Community care' in the late twentieth century has led us to abandon the network of nineteenth century lunatic asylums. This book reminds us of the ideals that lay behind them. The book contains extensive material regarding particular cities/counties, e.g. Nottingham, Lincoln, Stafford, Wakefield, Lancaster, Bedford, West Riding, Norfolk, Cornwall, Dorset, Suffolk, etc.

Health care reforms around the world--from Europe and North America to Africa, Latin America and Asia--seem to all be market-oriented reforms driven by international business interests and right wing political parties. There seems to be a sudden and broad concern with the "efficiency" of medical care, with the assertion that democratically or professionally run systems are inherently inefficient. Far less concern is evident for the more traditional values held regarding medical care, "effectiveness" (or quality) and "equity." The fact is that we have little good cross-national research that systematically addresses the reform issue.

This book addresses that problem, and attempts to look at health care reforms in a number of countries, representing as wide a spectrum as possible, and using a common conceptual framework that allows for comparable information to be gathered and presented on each, despite differing levels of socio-economic development. The authors agreed on a set of models that were thought to provide reasonable guidance in answering the questions of the source of pressures for reform, the alternative modes of organization that have been found in the world in recent years, and the direction of change among those alternatives.

Multilevel modelling facilitates the analysis of hierarchical data where observations may be nested within higher levels of classification. In health care research, for example, a study may be undertaken to determine the variability of patient outcomes where these also vary by hospital or health care region. Inference can then be made on the efficacy of health care practices.

• Focuses on multilevel modelling for health and medical research
• Covers the majority of analytical techniques required by health care professionals
• Repeated measures, outliers, institutional performance and spatial analysis are all examined in a multilevel framework
• All the methodology is applied to data sets relating to the health of individual or populations
• Includes in-depth discussion of the software packages used in multilevel modelling

Health care professionals and public health researchers interested in the application of statistics will benefit greatly from this text. It will also be of interest to postgraduate students studying medical statistics.

This is a significant and timely book. The chapters are rich in describing clinical considerations and approaches to the immigrant patient in a broad range of disease areas. I recommAnd this book to all administrators and clinicians who serve or plan to serve the growing immigrant populations in the United States.
--Henry Chung, medical director, Chinatown Health Clinic, New York, New York

Immigrant Women's Health offers doctors, nurses, and administrators the knowledge and tools they need to meet the challenge to provide quality care for one of the United States' most vulnerable patient populations?immigrant women.

Providing readers insights into the knowledge, attitudes, health beliefs, health care practices, and health care seeking behavior of immigrant women, the contributors offer effective strategies for providing culturally-competent, high-quality, cost-effective care to migrant women. Health care planners, policy makers, and administrators who seek a clear understanding of the issues surrounding health services utilization by immigrants and the devastating effects of recent changes to federal policies will find this book a vital and practical reference.

The book begins with a public health/epidemiologic examination of the situation, with a systematic view of the problem based on classic (infectious disease) epidemiologic principles applied to this behavioral health issue. This application is expanded to take into account the fact that unlike most epidemics in our species' history, a unique factor that must be accounted for in any public health analysis is that the host (opioid-dependent/misusing patient) is generally not under sufficiently strong motivation to avoid the disease. The introduction concludes with a survey of recent containment approaches, categorized epidemiologically by target (agent, vector, host.) The remainder of the book is organized according to this framework, addressing agent, vector/transmission and host, respectively. Sections Three and Four comprise the major focus of the book, and are dedicated primarily to practical education for primary care providers in preventing opioid use disorder, and overcoming it after the fact.

With the collapse of the Eastern Bloc, Central and Eastern European states have had to confront fundamental changes in economic, social, and governmental structures. So far, many of these countries in transition from a command to a market-based system have experienced rapid deterioration of socioeconomic conditions and standards of living. Although there have been successes in some areas, such as greater political and consumer choices, the overall situation has reached crisis proportions, as evidenced by increased unemployment, crime, and family disorganization.

The essays in this collection address significant issues dealing with the frameworks of social justice and equality, policies for families and women, implications for the welfare state, and the impact on health care. As such, the collection is invaluable for all scholars and researchers involved with contemporary Central and Eastern European public policy and social conditions.

In 2009 three consultants, green to the consulting industry were tasked with a new challenge, the activation and licensing of a new, 100 bed hospital, in only 90 days. Pulling from concept of "Day in the Life" simulations used in the military, the Hospital Incident Command System (HICS), and adult learning theories the consultants developed a method that healthcare facilities could use to ensure readiness. Thus, was born the concept of Dress Rehearsal. A Guide to Healthcare Facility Dress Rehearsal Simulation Planning: Simplifying the Complex provides a step-by-step scalable framework to coordinate an Interdisciplinary Dress Rehearsal event for a project or facility of any size. Developed for use as a resource throughout your Dress Rehearsal journey, each chapter of this guide builds upon the last and should be read in succession. We hope you leverage our lessons learned and experience and apply them to your facility to support a safe Day 1 activation.