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Books > Medicine > General issues > Health systems & services
In the Aftermath of the Pandemic is an accessible treatment manual enabling psychotherapists to use Interpersonal Psychotherapy (IPT) to address the psychological consequences of the COVID-19 pandemic and other large-scale disasters. Well-studied and time-limited, IPT has demonstrated efficacy in treating mood disorders, anxiety disorders, and posttraumatic stress disorder (PTSD). IPT helps people to mobilize social support, to process and take control of environmental stressors, relieving symptoms. As such it appears an excellent intervention for the wave of psychiatric problems accompanying the COVID-19 pandemic. The book describes IPT techniques and focuses on treating the disaster's major outcomes-depression, PTSD, and anxiety-illustrating their treatment with multiple detailed case examples drawn from actual clinical presentations from the pandemic. The book also addresses the sudden shift from in-person to remote tele-therapy, and includes a novel COVID Behavioral Checklist of psychological risk factors. Dr. John Markowitz, a leading IPT expert, explains the psychological impacts of disasters like COVID-19 and the particular usefulness of IPT in addressing them, making this a crucial text for clinicians looking to address the psychiatric crisis the pandemic has wrought.
From exotic spa treatments to euthanasia, this book examines the background and social context of medical tourism-the practice of traveling for health care. This work also documents how this industry is reshaping the face of medicine worldwide for individuals, local communities, and national health care systems. Medical Tourism: A Reference Handbook provides an accessible overview of the state of medical tourism, written from a balanced, unbiased perspective. The authors provide relevant social context for this controversial topic, discussing the state of extremely limited research data on medical tourism; the ethical issues involved, such as traveling to have a black-market organ transplanted; and the significant impact of medical tourism on health care systems-that of the United States, and those of the destination countries. The book highlights many contemporary problems, controversies, and implications of medical tourism both for individuals and health care systems, and presents thought-provoking potential solutions. The topic of medical tourism is also addressed against the backdrop of current healthcare reforms in the United States. Readers can reference a wealth of additional material on medical tourism, ranging from original documents to extensive directories of selected organizations and resources. A timeline of important historical and contemporary events in history of medical tourism An extensive bibliography to assist readers toward additional resources for further research
One of the most urgent issues facing the United States today is how to establish a comprehensive health insurance program at a time when nearly one in seven Americans lack insurance and costs for health care and medical fees are increasing at about 20 percent annually. An interdisciplinary team of experts provides a unique overview of the most important current problems and speaks to the key questions of risk, allocation, and equity. This text is designed for college, university, and professional courses in health and medical policy, public policy, public administration, law and society, bioethics, nursing, science and technology, and hospital administration. This public policy study offers a general framework for assessing health insurance from many vantage points, in terms of health policy impacts, the care of the needy, health insurance implementation, and prevention and risk. Chapters assess various national health insurance proposals, current congressional action and Medicare decisions, the social impacts of health insurance policy, coverage for displaced workers, the uninsured and hospital care in the inner city, charity care and community benefits, insuring high-risk persons, preventive health care screening for older women, and medical malpractice insurance, among other subjects. These analyses with real-life examples provide a solid introduction to all who want to understand health insurance and public policy issues today.
Families today often face a range of urgent problems, and practitioners need to intervene with the most effective methods possible, methods which have been tested and that have proven clinical utility. Mental health service delivery systems are increasingly moving toward these empirically-validated approaches, and practitioners need guidelines as to how such treatments may be implemented in daily practice. Evidence-Based Family Interventions reviews the empirically validated treatments that are relevant for family practice in the social work setting.
A comprehensive, state-of-the-art contribution to a field that is rapidly developing, "The Behavioral Consequences of Stroke" provides a broad overview of the cognitive and neurobehavioral effects of stroke. As attention to paralysis and the more obvious physical disabilities stroke patients incur expands, greater attention is being paid today to the cognitive and neurobehavioral complications that impact stroke morbidity and even functional neurological recovery in patients. Written by an international panel of experts and edited by a neurosurgeon and by a cognitive neuroscientist, this unique title addresses the full range of issues relevant to the field, including epidemiology, general treatment, sensorimotor control after stroke, post-stroke aphasia, memory loss after stroke, post-stroke depression, the role of imaging after a stroke, and an update on some stroke clinical trials, to name just some of the areas covered. Illuminative and an influential addition to the literature, "The Behavioral Consequences of Stroke" will serve as an invaluable resource for neurologsits, neurosurgeons, physiatrists and other physicians, as well as physical, speech and occupational therapists, nurses, psychologists, and other professionals. "
Medical doctors have been made political scapegoats for the financial crisis of healthcare and the failed war on drugs in the United States, says author Ronald T. Libby. In order to combat health fraud and abuse, the government launched tough new laws and guidelines designed to battle rising urban violent crimes, illegal drugs, and terrorism. But, by eliminating safeguards to protect the innocent, those same laws and guidelines also made it far easier for agents and prosecutors to arrest, charge, fine, convict, and imprison physicians. Current "witch hunts" for doctors include wiretaps and whistleblowers who get 35 percent of the fines, even before conviction. Under a new doctrine of "harmless error" a doctor receives no protection against false testimony. Libby explains all of this, offering cases from media reports, personal interviews, and records of trial as examples in this compelling book. Huge law enforcement bureaucracies have been created to target doctors for alleged fraud, kickbacks, and drug diversion. Federal, state, and local police are rewarded for prosecuting doctors and other healthcare professionals, while investigators and prosecutors receive pay raises and promotions, and law enforcement agencies seize the assets of doctors charged with felonies. Libby explains that doctors are prosecuted for billing mistakes, for referring patients to clinics, or treating pain patients with pain-relieving drugs. They receive large fines and long prison sentences, some even harsher than those given common criminals who've committed the most violent offenses. As a consequence of "overzealous investigations and prosecutions" of physicians, many more doctors are demoralized, refuse toaccept Medicare and Medicaid patients, and are fearful of prescribing pain-relieving medication. Join Senior Research Fellow Libby, who is also a Professor of Political Science, as he shows us why doctors have been "demonized" as corrupt and greedy entrepreneurs, how media sensationalizes doctors' arrests, and what unjust prosecution could mean for the future of healthcare.
All over the world, women are organizing to improve their status in society and to better their health and health care. Women's activism is rooted in the global context of resource inequities between the North and the South and among genders, races, and classes within countries. Women fight for better health services and struggle with the pharmaceutical industry, and their responses to the violence they experience are at the very heart of their health movements. Most women organize first around demands for reproductive rights, and then expand to question care for the mentally ill, disabled, and malnourished.
In an effort to combat human error in the medical field, medical professionals continue to seek the best practices and technology applications for the diagnosis, treatment, and overall care of their patients. Improving Health Management through Clinical Decision Support Systems brings together a series of chapters focused on the technology, funding, and future plans for improved organization and decision-making through medical informatics. Featuring timely, research-based chapters on topics including, but not limited to, data management, information security, and the benefits of technology-based medicine, this publication is an essential reference source for clinicians, scientists, health economists, policymakers, academicians, researchers, advanced level students, and government officials interested in health information technology.
Research has shown that interventions providing psychoeducation and assistance to family members significantly reduce hospitalizations for people with serious mental illness, and help families cope. But research-based models have not been implemented in most mental health systems. This volume looks at the political and socioeconomic realities involved, and describes ways innovative family services have been provided, despite those factors, in many countries throughout the world. Written by some of the world's leading researchers on psychoeducation, the text also includes material on the rise of family advocacy organizations worldwide. Professionals looking for innovative, culturally appropriate ways to help families and patients cope with mental illness will be most interested.
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.
There is little doubt that information technology is a major force in transforming healthcare systems: physicians need to have considerable patient data at hand, even if diagnosis and treatment are relatively straightforward. But data are only as useful as ICT-information communication technology-systems make them. Inefficient handling of data can quickly lead to chaos, and possibly to fatalities. Strategic ICT Planning in Pathology illuminates these problems, as well as their potential solutions, based on a unique body of research from Australia. Focusing on core strategic factors such as laboratory information systems capability and effectiveness, business-IT alignment, strategic spending, research and education, and end-user involvement, the book explains why pathology labs lag behind other hospital departments. Survey and focus group findings pinpoint the importance of Strategic Information System Planning (SISP), and its relationship to quality service delivery and an improved bottom line [ok?]. Among the topics covered: Approaches to SISP and IS effectiveness measurement. The OpenLabs project and pathology practice. Development of a framework for SISP. Focus groups: the view from the hospital laboratory, the private pathology lab, and the experts. Key findings and their implications for strategy, planning, and business outcomes. Future research directions, including reverse SISP. Strategic ICT Planning in Pathology is a go-to resource for healthcare administrators and researchers in healthcare management, health policy, and health services research interested in troubleshooting systems, conducting surveys on IS, or better understanding how quality ICT works.
This book presents the problem of attempted suicide as a meaningful and momentous event in the person's life with special consideration of its effects on the human environment. Five groups of people who have made suicide attempts were studied.
What is it like to be sued for medical malpractice? Bad medical outcomes traumatize patients but they also traumatize physicians. The litigation that often follows is a profoundly human, rather than just a legal experience. Although every physician's case is different, this book shows how each case goes through the same judicial stages of complaint, discovery, depositions, motions, and delays that lead to trial, settlement, or being dropped. It also gives doctors an understanding of how lawyers think and work to help defendants. Written by a physician and a lawyer, the book provides unique insights - through real-life stories - into the personal experience of litigation as well as recommendations for dealing with each of the legal process. It also includes up-to-date reviews of HIPAA legislation, the controversial subject of disclosure, and recent developments in the law affecting medical practitioners. Only about thirty percent of plaintiffs win their cases against doctors, but the journey from bedside to witness stand tests both the personal character and the professional skills of those accused. This well-documented book will help doctors understand and navigate the legal system while honouring their own ideals and emerging changed but stronger from the experience.
This book aims to identify, understand and qualify barriers to the patient-centred knowledge sharing (KS) in interprofessional practice of Traditional Chinese Medicine (TCM) and Western Medicine (WM) healthcare professionals in Chinese hospitals. This collaboration is particularly crucial and unique to China since, contrary to Western practice, these two types of professionals actually work together complimentary in the same hospital. This study adopted a Grounded Theory approach as the overarching methodology to guide the analysis of the data collected in a single case-study design. A public hospital in central China was selected as the case-study site, at which 49 informants were interviewed by using semi-structured and evolving interview scripts. The research findings point to five categories of KS barriers: contextual influences, hospital management, philosophical divergence, Chinese healthcare education and interprofessional training. Further conceptualising the research findings, it is identified that KS is mostly prevented by philosophical and professional tensions between the two medical communities. Therefore, to improve KS and reduce the effects of the identified barriers, efforts should be made targeted at resolving both types of tensions. The conclusion advocates the establishment of national policies and hospital management strategies aimed at maintaining equality of the two medical communities and putting in place an interprofessional common ground to encourage and facilitate communication and KS.
Achieving value-based healthcare, increasing quality, reducing cost, and spreading access, has proven to be extremely challenging, in part due to research that is siloed and largely focused on singular risk factors, ineffective care coordination resulting from service fragmentation, and costly unintended consequences of reform that have emerged due to the complexity of healthcare systems. Understanding the behaviour of the overall system is becoming a major concern among healthcare managers and decision-makers intent on increasing value for their systems. This book fills a gap in the literature that is becoming more evident as reform efforts proliferate: a holistic Modeling and Simulation (M&S) approach to value-based healthcare within a framework that enables designing, testing and implementing concepts to integrate resource allocations, health phenomenon dynamics, individual behaviour, and population dynamics. It presents a pathways-based efficient coordination of care model involving all stakeholders including patients, providers, care deliverers, managers, and payers. It shows how M&S can help design a better service infrastructure and describes the information technologies that are necessary to implement it successfully. It also presents global and national healthcare perspectives from Europe, USA, Asia and Africa, as well as research directions needed to realize the value-based M&S healthcare vision.
Healthcare organizations depend on managers to build effective peer relationships to manage complex patient needs. Today, top management is fighting the many headed monster Hydra from Greek Mythology. The organization is steeped in conflict between peers. But, as soon as one problem is resolved, two more have grown in its place. These appear to be personal conflicts, but instead follow patterns of dysfunction. This book provides the conceptual frameworks for identifying these and for developing peer to peer relationship competence in the healthcare organization.
Despite emancipation from the evils of enslavement in 1838, most people of African origin in the British West Indian colonies continued to suffer serious material deprivation and racial oppression. This book examines the management and treatment of those who became insane, in the period until the Great War. |
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