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Books > Medicine > General issues > Health systems & services
This book offers a comprehensive study of the complexities of newborn survival in resource-poor regions, using the state of Bihar (India) as a case study. It provides important lessons for other low-performing countries, in similar socioeconomic contexts, where newborn survival is a major challenge. The volume opens with a brief account of the trends and regional variations in neonatal mortality. The empirical verification of socio-cultural, economic and health system barriers and the state interventions that affect newborn survival are subsequently explored. Innovative strategies are then proposed to scale up maternal newborn and child health (MNCH) services and improve neonatal health outcomes. Addressing this issue through appropriate policy action is essential to achieving Sustainable Development Goal-3, "Good Health and Well-being". This book will therefore appeal to public health scholars, professionals and policymakers interested in improving outcomes in low-income regions.
From the Preface: Collectively, the chapters in this book address application domains including inpatient and outpatient services, public health networks, supply chain management, and resource constrained settings in developing countries. Many of the chapters provide specific examples or case studies illustrating the applications of operations research methods across the globe, including Africa, Australia, Belgium, Canada, the United Kingdom, and the United States. Chapters 1-4 review operations research methods that are most commonly applied to health care operations management including: queuing, simulation, and mathematical programming. Chapters 5-7 address challenges related to inpatient services in hospitals such as surgery, intensive care units, and hospital wards. Chapters 8-10 cover outpatient services, the fastest growing part of many health systems, and describe operations research models for primary and specialty care services, and how to plan for patient no-shows. Chapters 12 - 16 cover topics related to the broader integration of health services in the context of public health, including optimizing the location of emergency vehicles, planning for mass vaccination events, and the coordination among different parts of a health system. Chapters 17-18 address supply chain management within hospitals, with a focus on pharmaceutical supply management, and the challenges of managing inventory for nursing units. Finally, Chapters 19-20 provide examples of important and emerging research in the realm of humanitarian logistics.
The book relates the history of post-war psychiatry, focusing on deinstitutionalisation, namely the shift from asylum to community in the second part of the twentieth century. After the Second World War, psychiatry and mental health care were reshaped by deinstitutionalisation. But what exactly was involved in this process? What were the origins of deinstitutionalisation and what did it mean to those who experienced it? What were the ramifications, both positive and negative, of such a fundamental shift in psychiatric care? Post-War Psychiatry in the Western World: Deinstitutionalisation and After seeks to answer these questions by exploring this momentous change in mental health care from 1945 to the present in a wide range of geographical settings. The book articulates a nuanced account of the history of deinstitutionalisation, highlighting the constraints and inconsistencies inherent in treating the mentally ill outside of the asylum, while seeking to inform current debates about how to help the most vulnerable members of society.
This data-rich work examines today's most compelling and controversial public health issues, including alcohol and drug abuse, AIDS, abortion, black and infant mortality, drug-affected babies, child abuse, teenage pregnancy, and cigarette smoking. Hammerle's theme is that individual behavioral choices often have far-reaching and costly effects. When practiced by large numbers of people, the human and fiscal costs can be monumental, taxing virtually all of our social systems as well as our financial resources. Hammerle enumerates these costs and, employing economic analytical tools, recommends public policies that will reduce the incidence of such behavior or otherwise reduce its social cost. Some recommendations are outside the mainstream, but all are well substantiated and soundly argued. This volume will be of great interest to academics, practitioners, and policy-makers in the fields of public health, health care administration, public policy, child protection, and family planning. The work will also interest economists and sociologists in the field of social welfare, as well as lay persons who are concerned about these timely public health issues.
Modern medicine and healthcare systems are in crisis. In the last fifty years, medicine has gained deep, scientific insights into the biological basis of health and disease, and while this has led to many successes, it has brought about a dramatic change of medical focus. The patient is seen as a carrier of disease rather than as a person with a unique experience of the effects of disease or illness. This book seeks to correct that, but showing how a person-centred medical consultation might overcome this crisis of modern medicine. The systemic, solution-oriented approach, outlined here in this new title, is good for both the patient and the doctor, and is a counter-model to doctor's consultations that can seem automated and impersonal. In a systemic, solution-oriented consultation, doctor and patient approach the symptom or problem and the patient's solutions. With active listening and a doctor who can ask the right questions, they create a common reality as a starting point for a targeted therapeutic process, which is tailored to the needs and possibilities of the patient. The consultation thus structured involves the patient as a person in all of his being with his own, personal resources. It initiates an individual, comprehensive and efficient healing process. In addition, the doctor feels satisfaction and joy in his work, which contributes significantly to his own well-being. The consultation process is ideally divided into seven steps, which are described in detail and justified with reference to the literature.
This book provides an insight on the importance that Internet of Things (IoT) and Information and Communication Technology (ICT) solutions can have in taking care of people's health. Key features of this book present the recent and emerging developments in various specializations in curing health problems and finding their solutions by incorporating IoT and ICT. This book presents useful IoT and ICT applications and architectures that cater to their improved healthcare requirements. Topics include in-home healthcare services based on the Internet-of-Things; RFID technology for IoT based personal healthcare; Real-time reporting and monitoring; Interfacing devices to IoT; Smart medical services; Embedded gateway configuration (EGC); Health monitoring infrastructure; and more. Features a number of practical solutions and applications of IoT and ICT on healthcare; Includes application domains such as communication technology and electronic materials and devices; Applies to researchers, academics, students, and practitioners around the world.
This book presents the concept of healthcare facilities management performance measurement (HCFMPM) using Ghana as a case study. It set forth in-depth theoretical and empirical underpinnings of performance measurement concepts for hospital facilities services, with the view to demonstrate critical performance dimensions to improve FM contributions and added value to healthcare delivery. The research approach adopted is mixed method encompassing qualitative interviews in case study setting and a questionnaire survey of sampled hospitals in Ghana. The book presents a number of useful tables, graphs as well as a pedagogic illustration of statistical analysis which are useful in understanding the concepts under reference. It develops a structural equation model for performance measurement of FM services. The book is of relevance to healthcare managers, facilities management practitioners and academics towards measuring and improving FM performance in hospitals. Although the data used in the analysis is based on the case study country Ghana, the result is by extension useful to several developing countries faced with the challenge to improve FM services delivery in public hospitals as well as other facilities management sectors.
This book presents a novel view of healthcare system transition in post-communist countries. It is the first region-wide comparative study of hospital governance in Eastern Europe. Comprehensive new material shows the evolution and significance of governance, complementing recent publications on the topic from industrialised countries. Throughout the book, governance is described and substantiated as a major component that, together with provider payment mechanisms, defines the hospital sector's operations. This view subscribes to the economists' growing appreciation of extra-financial aspects in the discussion of incentives and regulation of healthcare markets. In particular, the book explains how governance arrangements may affect the outcomes of healthcare financing reforms, and should thus be seen as a critical determinant of their success or failure. This new model of thinking about healthcare system transition emerges from an analysis of 22 countries over the course of two decades. While the primary focus of the study is on developing the hospital sector, an extensive background chapter provides a standalone introduction to the dynamically changing landscape of healthcare in Eastern Europe and an overview of the various problems and challenges the region is facing. Practitioners, policy-makers, academics and students interested in Eastern European healthcare systems, their origins, current status and ways forward, will appreciate the book's reflections on the problem complexity, the clarity of its concepts, and its accessible style of presentation.
Quality improvement (QI) is embedded in the fabric of successful healthcare organisations across the world, with healthcare professionals increasingly expected to develop and lead improvement as a core part of their clinical responsibilities. As a result, QI is rapidly becoming a feature of the education and training programmes of all healthcare professionals. Written and edited by some of the leading clinicians and managers in the field, ABC of Quality Improvement is designed for clinicians new to the discipline, as well as experienced leaders of change and improvement. Providing comprehensive coverage and clear, succinct descriptions of the major tools, techniques and approaches, this new addition to the ABC series demystifies quality improvement and develops a broader understanding of what constitutes quality in healthcare. With practical examples of improvement interventions and the common pitfalls that can befall them, this book will support and enable readers to manage change projects within their own organisations. Relevant to doctors, dentists, nurses, health service managers and support staff, medical students and doctors in training, their tutors and trainers, and other healthcare professionals at various levels, ABC of Quality Improvement will give readers the confidence to embark on their own improvement projects, whoever, and wherever they may be.
'This book, which shares the poignant lived voices of the racialised experience, is a welcome contribution to the mission to heal and positively transform our mental health, physical health and well-being.' - Dr Jacqui Dyer, health and social care consultant, Black Thrive Global Director The Colour of Madness is a groundbreaking collection that amplifies the voices of people of colour and their experiences with mental health. These are the voices of those who have been ignored. Updated for 2022, The Colour of Madness is a vital and timely tribute to all the lives that have been touched by medical inequalities and aims to disrupt the whitewashed narrative of mental health in the UK. A compelling collection of memoir, essays, poetry, short fiction and artwork, this book will bring solace to those who have shared similar experiences, and provide a powerful insight into the everyday impact of racism for those looking to further understand and combat this injustice. Statistics show that people from Black and minority ethnic backgrounds in the UK have not only experienced inadequate mental health treatment in comparison to their white counterparts, but are also more likely to be detained under the Mental Health Act. From micro-aggressions, inherent bias, religious/cultural influences and social stigma, people of colour are consistently fighting to be heard, believed, and offered help beyond the need for ticking off diversity boxes. The book was first published in 2018. Editors Dr Samara Linton and Rianna Walcott ended their relationship with their previous publisher in 2021 when the press was linked to a far-right group. The editors have since collaborated with a new publisher and present this revised edition complete with more contributions and powerful artwork.
Recent global and national debates have shown that demographic change, the rising incidence of chronic disease, and the unmet need for more personalized care are trends demanding a new, integrated approach to health and social care. The advancement and adoption of technology in both health and social care settings is a valuable tool for encouraging change and improving the quality and efficiency of care provided to patients and care clients. Achieving Effective Integrated E-Care Beyond the Silos presents a collection of real-life examples, frameworks, business models, financial implications, and methods of evaluating the technological tools that are enabling a more human-centered approach to health and social care. Based on relevant research in the field of integrated e-care, this publication is ideally designed for use by practitioners, researchers, and decision-makers in the care field.
This book explore assumptions underpinning contemporary health policy discourses that emphasize personal responsibility for health, consider how they attach to changing information technologies, and discuss their influence on emerging forms of health 'work'.
"The healthcare industry in the United States consumes roughly 20% of the gross national product per year. This huge expenditure not only represents a large portion of the country's collective interests, but also an enormous amount of medical information. Information intensive healthcare enterprises have unique issues related to the collection, disbursement, and integration of various data within the healthcare system.Information Systems and Healthcare Enterprises provides insight on the challenges arising from the adaptation of information systems to the healthcare industry, including development, design, usage, adoption, expansion, and compliance with industry regulations. Highlighting the role of healthcare information systems in fighting healthcare fraud and the role of information technology and vendors, this book will be a highly valued addition to academic, medical, and health science libraries."
This book examines the extent to which social position impacts exposure to intimate partner violence (IPV) and whether women with IPV exposure are more vulnerable to social inequities in health. At the intersection of sociological theories on health, gender, and policy, this book explores these issues against the social policy contexts of the United States, Germany, and Norway. It applies a conceptual framework which argues that differential exposure to IPV and differential vulnerability to poor health are two primary mechanisms driving health inequities for IPV survivors. Empirical analysis reveals context-specific nuances in the interactions of social position and IPV exposure in their impact on health, and suggests that encouraging women's economic independence and ensuring access to health care are vital policy intervention points for reducing the health inequities of IPV survivors. This book offers a cross-national comparative look at the role of social policy in the lives of IPV survivors, highlighting the effects of various policy approaches in three modern welfare states and suggesting policy implications.
This book analyzes the rhetorical strategies employed by the four Democratic presidents, Truman, Johnson, Clinton and Obama, who tried to expand access to and affordability of healthcare in the United States. It considers how they made such arguments, the ethics they advanced, and the vision of America they espoused. The author combines rhetoric analysis, policy analysis, and policy history to illuminate the dynamic nature of the way American presidents have imagined the moral and social bonds of the American people and their exhortations for governance and policy to reflect and honor these bonds and obligations. Schimmel illustrates how Democratic presidents invoke positive liberty and communitarian values in direct challenge to opposing conservative ideologies of limited government and prioritization of negative liberty and their increasing prominence in the post-Reagan era. He also draws attention to the ethical and policy compromises entailed by the usage of specific rhetorical strategies and their resulting discursive effects.
Medical Professionals: Conflicts and Quandaries in Medical Practice offers a fresh approach to understanding the role-related conflicts and quandaries that pervade contemporary medical practice. While a focus on professional conflicts is not new in the literature, what is missing is a volume that delves into medical professionals' own experience of the conflicts and quandaries they face, often as a result of inhabiting multiple roles. The volume explores the ways in which these conflicts and quandaries are exacerbated by broader societal forces, including changing scientific and technological paradigms, commercialization, and strengthened consumer movements, which simultaneously expand the scope of roles and responsibilities that medical professionals are expected to fulfill, and make it more difficult to do so. Several empirical chapters analyze data from qualitative interview studies with clinicians and other stakeholders. The studies highlight the burdens on clinicians who are expected to make informed and justified judgments and decisions in the midst of competing pressures; authors describe the methods that clinicians use to address the associated tensions within specific contexts. Two conceptual chapters follow and offer some innovative ways to think about the challenges facing medical professionals as they strive to make sense of the changing landscape within healthcare. The first reflects on the challenges to clinical practice in the midst of shifting and often competing definitions of disease and associated ideologies of care. The second reflects more broadly on the utility of value pluralism as a framework for conceptualizing and working through moral and professional quandaries. The book concludes with a chapter containing suggestions for how members of the medical profession might reframe their thinking about their roles, responsibilities, and decision-making in the midst of inevitable quandaries such as those presented here. This book will be of vital reading for academics, researchers, educators, postgraduate students, and interested health care practitioners and administrators.
This book offers a clear, yet comprehensive guide to how to structure a design project, focusing in particular on the key questions designers, architects, policy makers and health professionals should consider when working towards inclusion through design. The book is based on a series of lessons held by the author and his colleague Avril Accolla, whose aim was to train technicians at all levels to be capable of catering for the needs of the elderly. It clearly draws the outline of their "Ask the Right Question" approach, whose purpose is to help convey the notions in question appropriately to people with such widely different backgrounds, curricula, interests and cultures. Using a minimalist approach, based mainly on the discussion of eye-catching real-life examples placed in logical order and a crystal clear, engaging style, this book is a must-have for designers, technicians, customers and health practitioners, as well as social scientists and policy makers who deal with inclusive design at different levels and anyone interested in topics related to technological evolution and social integration.
Medicaid is the primary means for providing medical care to the nation's indigent and disabled populations. Almost 13 percent of all Americans received some form of medical coverage, such as physician services or long-term care, through Medicaid in the early 1990s. The costs continue to rise dramatically, and state governments have become alarmed by the growing share of their budgets that Medicaid consumes. Daniels and his contributors present the efforts of 16 states to reform their Medicaid programs through a system of managed care--programs that seek to control or manage the use by patients of physicians and other heath care services. They present an overview of the inconsistency and paradox of American health care, pointing to the ways each state's unique political and economic variables give rise to individually stylized approaches to the delivery of Medicaid services. The most comprehensive look at state efforts in Medicaid reform, the book will be an invaluable resource for scholars and researchers in the fields of public and health administration, for practitioners, and for policymakers.
This book collects several contributions, written both by statisticians and medical doctors, which focus on the identification of new diagnostic, therapeutic and organizational strategies in order to improve the occurrence of clinical outcomes for Acute Coronary Syndromes (ACS) patients. The work is structured in two different parts: the first one is focused on cooperative project mainly on statistical analysis of large clinical and administrative databases; the second one faces the development of innovative diagnostic techniques, with specific reference to genetic and proteomic, and the evolution of new imaging techniques for the early identification of patients at major risk of thrombotic, arrhythmic complications and at risk of poor revascularization.
An exploration of how empowerment, lifelong learning and social inclusion are closely connected to the concept of recovery from mental illness, showing how mental health services in general need to restructure to enable people with the lived experience of mental illness to lead a meaningful life with and beyond the illness. |
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