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.

Learn how to handle the legal and ethical challenges you will encounter in healthcare practice! Comprehensive yet easy to understand, Legal and Ethical Issues for Health Professionals, 5th Edition provides a guide to legal concepts and ethical principles and how they are applied in common healthcare scenarios. Content includes key topics such as the legal system, bioethical issues, employment laws, torts, and medical malpractice and liability, as well as current issues such as medical marijuana, the opioid crisis, gender identity, and public health and immunization policies. Questions in each chapter ask you to think critically as you relate concepts to real-world situations. Updated to meet the needs of today's workplace, this text prepares you to fulfill the moral and professional responsibilities of the healthcare provider. Case studies reflect the issues faced in a variety of healthcare settings. Specialty practice cases provide practical application of legal and ethical issues in specialties such as medical assisting, MIBC, and pharm tech. What If? boxes present ethical dilemmas and help you apply concepts to real-life scenarios. Internet Activities at the end of every chapter suggest related topics for further research and study. Chapter objectives and key terms are listed at the beginning of each chapter, providing learning goals and definitions of important terminology. Relate to Practice boxes help you respond to situations that may occur in healthcare practice. Self-Reflection Questions challenge you to analyze and evaluate various legal and ethical issues. NEW! Mandatory Reporting and Public Duties in Healthcare chapter covers public health law, including the role of state and federal health agencies in managing infectious diseases, emergencies, chronic diseases, and injury prevention. NEW! Conflict Management chapter addresses aspects of this important workplace topic.

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 edited collection focuses on the global growth of privatisation and private sector medicine in both developed and lesser developed countries, and the impact of this on patients, health workers, managers and policy-makers. Drawing upon sociological theories, concepts and insights, as well as experts from several countries with extensive experience in researching the field either nationally or internationally, the collection offers a unique perspective on healthcare services and healthcare systems: a view from those trying to access healthcare services, working inside health systems, or responsible for managing and organising services. Collectively, the chapters contribute an international perspective on the navigation of healthcare systems, and addresses the growing salience of 'choice' between public and private medicine in a variety of different national systems and contexts.

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.

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.

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.

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.

This text addresses the key issue of informal payments, or 'red packets', in the Chinese Healthcare system. It considers how transactions take place at the clinical level as well as their regulation. Analysing the practice from the perspectives of institutions and power structure, it examines how institutional changes in the pre-reform and reform era have changed the power structure between medical professions, patients and the Party-state, and how these changes have given rise and perpetuate the practice. Drawing from qualitative data from interviews of medical professionals, the author recognises the medical profession as a major player in the health care system and presents their perception of the practice as the taker of 'red packets' and their interactions with the patient and the state surrounding the illegal practice in an authoritarian power structure. The books considers the institutional reasons that motivate doctors to take, patients to give, and the government to "tolerate" red packets, arguing that the bureaucratization of the medical profession, society of acquaintances and shortage of quality of medical services jointly create an institutional setting that has given rise to these informal payments. Contributing to a rounded understanding of the problems of healthcare reform in China, this book is a key read for all scholars interested in the issue of informal payments and healthcare politics in transition economies.

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.

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.

Over the last twenty years integrated care has been touted as a solution to many issues in health services, such as insufficient coordination between services, cumbersome organizational boundaries, interrupted patient journeys, as well as spiraling health care costs. However, despite volumes of research, the field has seen few innovative advances in recent years. In particular, prevailing integrated care implementation practice and research appear to be very health science centred, spurning approaches from other disciplines. Axel Kaehne argues that it is time to re-evaluate how we investigate care integration. He asks us to radically question our assumptions about integrated care as a managerial, organisational and behavioural endeavor. This is a profound departure from conventional thinking about integration in health and social care. Kaehne reveals the tacit assumptions we make when we manage and change health services and offers a fresh perspective on care integration whilst inviting readers to examine long established research orthodoxies. This eclectic conceptual and theoretical approach produces surprising insights for everyone who is ready to see things anew.

Organising care around patients is not for the fainthearted. Naomi Chambers and Jeremy Taylors have curated twenty-five accounts from people who agreed to tell the story of what happened when they or their loved ones came into contact with the NHS. The authors defy you not to laugh or cry, or hold your breath in disbelief, at some point when reading this book. In these true and compelling accounts, we learn the experiences - good and bad - of people grappling with birth and death, caring for loved ones, living with mental illness, coping with long-term conditions, and struggling in older age. This book is a call to action aimed at healthcare professionals, managers and politicians: a manifesto for more patient-centred care. These stories show the NHS at its very best - and also when it falls significantly short. Patients or carers currently battling with the system will derive some hope and encouragement, and clues about what to expect, what to ask for, and from whom. -- .

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 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

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.

During this era of continuous improvement, healthcare organizations need to be staffed by engaged, motivated, and hard-working frontline employees. As these clinical and non-clinical personnel handle most of the important tasks in any organization and are often the people who directly interact with patients and customers, it's the job of managers to oversee and motivate their staff members. Using Lean management strategies, this easy-to-read book for leaders and managers provides useful, insightful, and innovative information to help managers engage, motivate, and retain their employees during any Lean or other continuous improvement initiative.