What are the moral challenges that confront doctors as they manage healthcare institutions? How do we build trust in medical organisations? How do we conceptualize moral action? Based on accounts given by senior doctors from organisations throughout the UK, this book discusses the issues medical leaders find most troubling and identifies the moral tensions they face. Moral Leadership in Medicine examines in detail how doctors protect patients' interests, implement morally controversial change, manage colleagues in difficulty and rebuild trust after serious medical harm. The book discusses how leaders develop moral narratives to make sense of these situations, how they behave while balancing conflicting moral goals and how they influence those around them to do the right thing in difficult circumstances. Based on empirical ethical analysis, this volume is essential reading for clinicians in leadership roles and students and academics in the fields of healthcare management, medical law and healthcare ethics.

It has become clear that managing and maintaining state-of-the-art healthcare facilities is more important than ever before. Healthcare consists of many different institutions and supports personnel ranging from laboratories of universities, public and private hospitals, research centers of health institutions, public health institutes, institutions, and organizations engaged in research and development in the field of medicine. For all these entities to be successful, there needs to be coordination among the bodies and quality must be kept at a very high level. Perspectives on Quality and Competitiveness in the Healthcare Services Sector considers the current state of the healthcare services sector and examines future directions. Covering topics such as quality excellence models, accreditation, and e-health, this premier reference source is an essential resource for economists, healthcare specialists, government officials, consultants, business leaders and executives, healthcare professionals, IT managers, students and educators of higher education, researchers, and academicians.

Most economic evaluations of health care programmes at the moment are cost effectiveness and cost-utility analyses. The problem with these methods is that their theoretical foundations are unclear. This has led to confusion about how to define the costs and health effects and how to interpret the results of these studies. In the environmental and traffic safety fields it is instead common to carry out traditional cost-bene: fit analyses of health improving programmes. This striking difference in how health programmes are assessed in different fields was the original motivation for writing this book. The aim of the book is to tty and provide a coherent framework within cost-bene: fit analysis and welfare economics for the different methods of economic evaluation in the health care field. The book is written in an easily accessible manner and several examples of applications of the different methods are provided. It is my hope that it will be useful both for teaching purposes and as a guide for practitioners in the field. Glenn C. Blomquist, John D. Graham, Rich O'Conor and four anonymous referees provided helpful comments on previous versions of the manuscript. I would also like to express my gratitude to the following persons for helping me to prepare the manuscript: Carl-Magnus Berglund, Carin Blanksvard, Ann Brown, and Ziad Obeid."

This book demonstrates how to successfully manage and lead healthcare institutions by employing the logic of business model innovation to gain competitive advantages. Since clerk-like routines in professional organizations tend to overlook patient and service-centered healthcare solutions, it challenges the view that competition and collaboration in the healthcare sector should not only incorporate single-end services, therapies or diagnosis related groups. Moreover, the authors focus on holistic business models, which place greater emphasis on customer needs and put customers and patients first. The holistic business models approach addresses topics such as business operations, competitiveness, strategic business objectives, opportunities and threats, critical success factors and key performance indicators.The contributions cover various aspects of service business innovation such as reconfiguring the hospital business model in healthcare delivery, essential characteristics of service business model innovation in healthcare, guided business modeling and analysis for business professionals, patient-driven service delivery models in healthcare, and continuous and co-creative business model creation. All of the contributions introduce business models and strategies, process innovations, and toolkits that can be applied at the managerial level, ensuring the book will be of interest to healthcare professionals, hospital managers and consultants, as well as scholars, whose focus is on improving value-generating and competitive business architectures in the healthcare sector.

Cancer Informatics: Essential Technologies for Clinical Trials describes the National Cancer Institute¿s vision of a Cancer Informatics Infrastructure (CII). By exploiting the best that the Internet and information technology have to offer, the CII will facilitate clinical trials, for all who are involved, including the patient along with the myriad of health professionals involved in cancer trials. To bridge the chasm between discoveries and best clinical practices, the editors describe the CII and how it can function to expedite the clinical trial life cycle, facilitate faster and safer drug development, and make more appropriate treatment choices available to cancer patients. Presented in four comprehensive sections edited by leading experts, the book highlights: ¿ E-commerce ¿ Digital libraries ¿ Standards development ¿ Public health informatics ¿ Common data elements (CDEs) ¿ Clinical trials information systems ¿ Consumer education and support Cancer Informatics: Essential Technologies for Clinical Trials is an indispensable guide to clinical trials. Its contributors speak to oncologists and primary care physicians, as well as researchers, trial managers, administrators, informaticians, and consumers. Today, science is extending our knowledge of genes, proteins, and pathways, and pharmaceutical companies are developing more and more new therapies. In this rapidly changing world, the technologies that cancer informatics provides are essential to efforts to translate cancer research into cancer care, control, and, ultimately, prevention. John S. Silva, M.D., Center for Bioinformatics, National Cancer Institute Marion J. Ball, Ed.D., Vice President, Clinical Solutions, Healthlink, Inc.; Adjunct Professor, The Johns Hopkins University School of Nursing Christopher G. Chute, M.D., Dr.P.H., Professor of Medical Informatics, Head, Section of Medical Information Resources, Mayo Clinic Judith V. Douglas, M.A., M.H.S., formerly Associate, First Consulting Group Curtis P. Langlotz, M.D., Ph.D., Assistant Professor of Radiology, Epidemiology, and Computer and Information Science, University of Pennsylvannia Joyce. C. Niland, Ph.D., Chair, Division of Information Sciences, Director, Department of Biostatistics, City of Hope National Medical Center William L. Scherlis, Ph.D., Principal Research Scientist, School of Computer Science, Carnegie Mellon University

Alignment: A Provider s Guide to Managing the Practice of Health Care uses the method of alignment with proven examples and strategies to help health care providers achieve and maintain optimum effectiveness through continuous enhancement. Focusing on defining information and using it to distinguish your company or practice from the competition, this book is designed to help you take a proactive and cooperative role in health care to benefit patients or your business. From Alignment: A Provider s Guide to Managing the Practice of Health Care, you ll receive proven solutions to current problems in order to deliver the best possible services to clients and patients.This book defines alignment as the shortest distance from initiation to successful completion of any desired activity. With this goal in mind, Alignment offers you dozens of recommendations, proven strategies, and examples that will improve your services, including: designing health care systems to meet patient needs and accreditations by stressing clear communication and keeping up with current medical technology developing a checklist that includes four-year goals, defining your capabilities, analyzing finances for cost-effectiveness, and deciding important features to attract new patients and satisfy customers improving service quality by evaluating satisfaction surveys and developing short-term and long-term health care packages that meet employees'individual needs ensuring customer satisfaction by asking patients about their expectations and their needs educating physicians on customer-oriented service and rewarding them for competence and caring reducing the time between the initial patient visit and when the final bill is paid to enhance revenue flow Alignment is complete with graphs, tables, recommendations, objectives and solutions, examples, and a glossary to give you a thorough understanding of current concepts and ideas. Within Alignment: A Provider s Guide to Managing the Practice of Health Care, you ll discover innovative and proven techniques that will improve physician/administrator and physician/patient relationships to make your business effective and successful for you and your clients.

Financial identity theft is well understood with clear underlying motives. Medical identity theft is new and presents a growing problem. The solutions to both problems however, are less clear.

The Economics of Financial and Medical Identity Theft discusses how the digital networked environment is critically different from the world of paper, eyeballs and pens. Many of the effective identity protections are embedded behind the eyeballs, where the presumably passive observer is actually a fairly keen student of human behavior. The emergence of medical identity theft and the implications of medical data privacy are described in the second section of this book.

The Economics of Financial and Medical Identity Theft also presents an overview of the current technology for identity management. The book closes with a series of vignettes in the last chapter, looking at the risks we may see in the future and how these risks can be mitigated or avoided.

As managed care continues to increase in the United States, hospital and system executives consider mergers and acquisitions more frequently for both aggressive and defensive reasons. Predicting Successful Hospital Mergers and Acquisitions can help you learn to analyze data to determine which hospitals are potential candidates for merger and which are risky business ventures. You will learn to take into account not only the marketing and financial elements of mergers and acquisitions, but also the operational factors crucial for success. You will also acquire a set of guidelines and financial analytical approaches that prepare you for forecasting the results of proposed mergers or acquisitions between acute units. Because few new markets are available for hospitals and competition is increasing, performing mergers and acquisitions may be the only route available for organizations wishing to grow. Predicting Successful Hospital Mergers and Acquisitions teaches hospital, system, and other health service industry executives how to keep abreast of their market positions to remain competitive and efficient in the current, intense managed care environment.As you read Predicting Successful Hospital Mergers and Acquisitions, you learn to identify significant financial variables in the market that will differentiate between merger candidates and non-targeted hospitals. The book's coverage of the following topics is important to your understanding of the health care market and the options available: market penetration product development market development diversification significant variables one year prior to merger use of accounting numbers to predict takeovers managed care staffing issues Predicting Successful Hospital Mergers and Acquisitions gives you a practical, proven model for predicting the outcome of merger and acquisition maneuvers. This model is developed from accurate, consistent, and complete data from California, a trendsetting market in health care delivery, during the years 1984 to 1992. It can be applied not only to hospital mergers and acquisitions, but also to skilled nursing facilities, psychiatric care centers, and rehabilitation facilities seeking growth.Educators and program directors in health care administration programs and executives and boards of imaging centers, surgi-centers, and home health agencies can also employ this model to stimulate growth and expansion.

This volume provides the important concepts necessary for a physician to participate in a reengineering process, develop decision-making skills based on probability and logic rather than "rules," and to measure and analyze meaningful outcomes of care delivery. This approach has been developed over ten years in a medical student-based program and has been enthusiastically embraced by medical students without backgrounds in engineering or statistics. More specifically, this text will introduce physicians to relevant and available computer software, combined with an in depth knowledge of measurement, variation, and uncertainty. It provides a basis for the transformation of data into information, information into knowledge, and knowledge into wisdom. The first quarter of the book will address understanding and visualizing data, using statistical and graphic analysis. The next quarter addresses the fundamentals of applied statistics, and the application of conditional probability to clinical decision making. The next quarter addresses the four "cornerstones" of modern analytics: regression, classification, association analysis, and clustering. The final section addresses the identification of outliers and their importance in understanding, the assessment of cause and effect and the limitations associated with retrospective data analysis. This toolbox will prepare the interested physician to actively engage in the identification of problem areas, the design of process-based solutions, and the continuous assessment of outcomes of clinical practice. Armed with this toolbox, the reader will be "prepared to make a difference" in the rapidly changing world of healthcare delivery. Measurement and Analysis in Transforming Healthcare Delivery is an excellent resource for general practitioners, health administrators, and all medical professionals interacting with healthcare delivery.

"Medical Statistics "provides the necessary statistical tools to enable researchers to undertake and understand evidence-based clinical research.

It is a practical guide to conducting statistical research and interpreting statistics in the context of how the participants were recruited, how the study was designed, what types of variables were used, what effect size was found, and what the "P" values mean. It guides researchers through the process of selecting the correct statistics and show how to best report results for presentation and publication.

Clear and concise explanations, combined with plenty of examples and tabulated explanations are based on the authors' popular medical statistics courses.

The table of contents is divided into sections according to whether data are continuous or categorical in nature as this distinction is fundamental to selecting the correct statistics. Each chapter provides a clear step-by-step guide to each statistical test with practical instructions on how to generate and interpret the numbers, and present the results as scientific tables or graphs. The chapters conclude with critical appraisal guidelines to help researchers review the reporting of results from each type of statistical test.

This new edition includes a new chapter on repeated measures and mixed models and a helpful glossary of terms provides an easy reference that applies to all chapters.

Many aspects of modern life have become personalized, yet healthcare practices have been lagging behind in this trend. It is now becoming more common to use big data analysis to improve current healthcare and medicinal systems, and offer better health services to all citizens. Applying Big Data Analytics in Bioinformatics and Medicine is a comprehensive reference source that overviews the current state of medical treatments and systems and offers emerging solutions for a more personalized approach to the healthcare field. Featuring coverage on relevant topics that include smart data, proteomics, medical data storage, and drug design, this publication is an ideal resource for medical professionals, healthcare practitioners, academicians, and researchers interested in the latest trends and techniques in personalized medicine.

This Handbook expertly instructs the reader on how to conduct applied health research across a number of disciplines. Particularly aimed at postgraduate health researchers and students of applied health research, it presents and explains a wide range of research designs and other contemporary issues in applied health research. Focusing on learning outcomes, it takes the reader from underpinning epistemological, ontological and methodological considerations through to the key features of highlighted research designs and how to apply these in practice. In so doing, the experienced group of authors guides the reader in the choice of design for their own studies. They both examine the underpinning paradigmatic questions that guide important design choices and also explore the practical considerations that have to be taken into account when conducting research in this field. This book covers a range of designs from different traditions and also points readers to the key literatures in their areas of interest. Master's students across a range of disciplines will find this book invaluable and it will also be an essential reference tool for PhD students and new researchers in applied health research. Contributors include: F. Ahmed, H. Aveyard, S. Baines, A. Bingley, S. Brearley, G. Chatzidamianos, M. Collins, A. Dodd, M. Edwards, N. Fisher, I. Fletcher, T. Gatrell, A. Grinyer, E. Halliday, C. Murray, R.J. Parker, G. Perez Algorta, N. Preston, S. Reilly, J. Simpson, C. Thomas, S. Varey, C. Walshe, D. Wilde

Life and death in a modern hospital, from Seamus O'Mahony, the award-winning author of The Way We Die Now and Can Medicine Be Cured? Seamus O'Mahony charts the realities of work in the 'ministry of bodies', that huge complex where people come to be cured and to die. From unexpected deaths to moral quandaries and bureaucratic disasters, O'Mahony documents life in the halls and wards that all of us will visit at some point in our lives with his characteristic wit and dry and unsentimental intelligence. Absurd general emails, vain and self-promoting specialists, the relentless parade of self-destructive drinkers and drug users, the comical expectations of baffled patients: this is not a conventional medical memoir, but the collective biography of one of our great modern institutions - the general hospital - through the eyes of a brilliant writer, who happens to be a doctor.

The book presents the latest advances, innovations, and applications in the field of innovative medicine facilities, as presented by architects and engineers at the International Scientific and Practical Conference Engineering, Construction and Infrastructure Solutions for Innovative Medicine Facilities, held in St. Petersburg, Russia, on May 19-21, 2021. It covers a wide diversity of topics, including the global challenges of our time and the challenges of developing the infrastructure of innovative medicine; current issues of engineering and construction of medical facilities during the pandemic; current issues of engineering and construction of biomedical research infrastructure; formation and development of a comfortable environment for the protection of public health; biological and environmental safety in the engineering, construction and technical operation of biomedical facilities. The contributions, which were selected by means of a rigorous international peer-review process, highlight numerous exciting ideas that will spur novel research directions and foster multidisciplinary collaborations.

Patient safety and quality improvement in health care remain a global priority. Subpar performance in health care, however, is still common more than a decade after the christening of patient safety in Africa. The core principle of safety and quality improvement systems is to identify and assess the root cause of failures in order to learn from them and devise a means to improve and to avoid recurrence. This book is designed to encourage, facilitate and empower healthcare workers in the development and implementation of strategically driven patient safety and quality improvement initiatives for safer healthcare systems and healthcare facilities in low- and middle-income countries (LMICs) of Africa. It also highlights some of the profound challenges and barriers to designing and implementing patient safety and quality improvement interventions or programmes in the region and reiterates the need to remain focused and determined to work out solutions with confidence and overcome these barriers. In the book, chapters highlight six essential components crucial for achieving evolutionary progress in safety and quality improvement in a healthcare system: Standard operating procedure Audit Research Safety management Quality management Evaluation Practical steps in planning and conducting these six essential components are outlined with some specific features to aid learning and facilitate their implementation. The authors have experience and expertise in the medical practice gained in Africa and a decade of knowledge and experience from consultancy work in safety and quality improvement in health care within and outside the region. Essentials for Quality and Safety Improvement in Health Care: A Resource for Developing Countries is authored for both medical professionals and those from other professions who are interested in and enthusiastic about patient safety and healthcare quality and therefore willing to build a career in this field. It is relevant to all health institutions, health and non-health workers, and can be used as a checklist while rendering quality and safe health care.

This book investigates the impact of patient-centered care (PCC) for older adults with chronic conditions and presents new evidence concerning its effects on the care process and health outcomes. The book highlights the impact of PCC on elderly chronic disease patients' health experiences and demonstrates that PCC is associated with better performance in delivering care to this group of patients. The PCC approach also provides opportunities for improving the delivery of cancer care, although patient-centered oncology care is still in its infancy and evidence on its effectiveness is scant. The book also includes a systemic review and meta-analysis of connections between PCC and cancer patients' adverse healthcare utilization, costs, patient satisfaction, and quality of care. This book is unique in terms of the measures' comprehensiveness and provides ample evidence that the implementation of PCC is associated with better healthcare performance. The intended readers include researchers in related fields, graduate students, and healthcare providers. It is hoped the book offers further evidence for meaningful practice and have many policy and research implications in PCC.

While the use of database technology is ubiquitous throughout IT (and health IT in particular), it is not generally appreciated that, as a database increases in scope, certain designs are far superior to others. In biomedical domains, new knowledge is being generated continually, and the databases that must support areas such as clinical care and research must also be able to evolve while requiring minimal or no logical / physical redesign. Appropriately designed metadata, and software designed to utilize it effectively, can provide significant insulation against change. Many of the larger EMR or clinical research database vendors have realized this, but their designs are proprietary and not described in the literature. Consequently, numerous misconceptions abound among individuals who have not had to work with large-scale biomedical systems, and graduates of a health or bioinformatics program may find that they need to unlearn what they were taught in database and software design classes in order to work productively with such systems. A working knowledge of such systems is also important for individuals who are not primarily software developers, such as health informaticians, medical information officers and data analysts. This book is, in a sense, intended to prepare all of the above individuals for the real world.

Leadership and Collaboration provides international examples of how leadership of interprofessional education and practice has developed in various countries and examines how interprofessional education and collaborative practice can make a difference to the care of the patient, client and community.