Computer-based infectious disease surveillance systems are capable of real-time or near real-time detection of serious illnesses and potential bioterrorism agent exposures and represent a major step forward in disease surveillance. Infectious Disease Informatics: Syndromic Surveillance for Public Health and Bio-Defense is an in-depth monograph that analyzes and evaluates the outbreak modeling and detection capabilities of existing surveillance systems under a unified framework, and presents the first book-length coverage of the subject from an informatics-driven perspective. Individual chapters consider the state of the art, including the facilitation of data collection, sharing and transmission; a focus on various outbreak detection methods; data visualization and information dissemination issues; and system assessment and other policy issues. Eight chapters then report on several real-world case studies, summarizing and comparing eight syndromic surveillance systems, including those that have been adopted by many public health agencies (e.g., RODS and BioSense). The book concludes with a discussion of critical issues and challenges, with a look to future directions. This book is an excellent source of current information for researchers in public health and IT. Government public health officials and private-sector practitioners in both public health and IT will find the most up-to-date information available, and students from a variety of disciplines, including public health, biostatistics, information systems, computer science, and public administration and policy will get a comprehensive look at the concepts, techniques, and practices of syndromic surveillance.

This book examines how healthcare organisations shape, adapt and resist developments in healthcare policy and practice. This is an international text bringing together contributions from around the globe and covers a wide range of different discussions in relation to the policy/practice gap.

Verschiedenen sozialen und gesellschaftlichen Herausforderungen wird mit Sozialmarketingkampagnen begegnet. Anhand dieser Kampagnen thematisieren bspw. Nonprofit-Organisationen und öffentliche Institutionen wichtige Problemfelder. Sowohl Wissenschaft als auch Praxis stehen der Herausforderung gegenüber, eine möglichst wirksame Ausgestaltung dieser unterschiedlichen Kampagnen zu entwickeln, damit diese eine intendierte Verhaltensänderung bestmöglich fördern. Julia Thaler gibt einen Überblick über bestehende wissenschaftliche Erkenntnisse zur Wirksamkeit von Sozialmarketing und analysiert theoretisch sowie mittels eines experimentellen Designs dessen Wirksamkeit, insbesondere die Ausgestaltung des zeitlichen und sozialen Framing im Kontext von prosozialem und individuellem Verhalten.

Zwingende Voraussetzung der Zulassung eines neuen Arzneimittels ist dessen vorherige klinische Prufung. Diese ist jedoch - trotz der hohen Sorgfaltsanforderungen - mit gesundheitlichen Risiken fur die Studienteilnehmer verbunden. Zur Kompensation prufungsbedingter Gesundheitsschaden sieht die (deutsche) Rechtsordnung eine Kombination von Ersatzanspruchen gegen die Beteiligten der klinischen Arzneimittelprufung und die gem. 40 Abs. 1 S. 3 Nr. 8, Abs. 3 AMG abzuschliessende Probandenversicherung vor. Dieses kombinatorische System als Teilaspekt des Probandenschutzes wird im Rahmen der vorliegenden Arbeit einer umfassenden Untersuchung unterzogen. Dabei werden Voraussetzungen, Umfang und Durchsetzbarkeit moeglicher Entschadigungsanspruche des Probanden analysiert. Die Verfasserin gelangt zu dem Ergebnis, dass das derzeitige Schadensausgleichsmodell in weiten Teilen unangemessen ist und stellt Reformuberlegungen an.

The highly successful textbook Methods for the Economic Evaluation of Health Care is now available in its third edition. Over the years it has become the standard textbook in the field world-wide. It mirrors the huge expansion of the field of economic evaluation in health care.
This new edition builds on the strengths of previous editions being clearly written in a style accessible to a wide readership. Key methodological principles are outlined using a critical appraisal checklist that can be applied to any published study. The methodological features of the basic forms of analysis are then explained in more detail with special emphasis of the latest views on productivity costs, the characterization of uncertainty and the concept of net benefit. The book has been greatly revised and expanded especially concerning analyzing patient-level data and decision-analytic modeling. There is discussion of new methodological approaches, including cost effectiveness acceptability curves, net benefit regression, probalistic sensitivity analysis and value of information analysis. There is an expanded chapter on the use of economic evaluation, including discussion of the use of cost-effectiveness thresholds, equity considerations and the transferability of economic data.
This new edition is required for anyone commissioning, undertaking or using economic evaluations in health care, and will be popular with health service professionals, health economists, pharmacists and health care decision makers. It is especially relevant for those taking pharmacoeconomics courses.

after heated and often bitter debates, SIEBENMANN'S opinion finally prevailed, i. e. , a contribution to cochlear lesions due to vibrations of the floor transmitted via bone conduction could not be demonstrated. For one thing, it was hard to see how appreciable amounts of energy could reach the ears in this manner, considering the attenuation that is bound to occur across each of the many joints along the pathway involved. In some older audiological surveys conducted in industry (e. g. , TEMKIN, 1933), groups of workmen were found who displayed signs of apical-turn lesions, i. e. , low-tone hearing losses for air and for bone. Such lesions could not be expected to results from exposure to air-borne sounds because of the low-frequency attenu ation of the middle ear. Although WITTMAACK'S explanation, which was frequently invoked in such reports, does no longer appear tenable, such apical-turn lesions could conceivably be caused by bone conduction components of high-intensity noise in the sense of BEKESY (1948). - As far as I am aware of, no newer studies have been conducted in this problem area, and the older experiments and/or surveys were done at times before signal parameters could be precisely controlled or measured. A detailed, critical review of the older studies on the potential contribution of bone-conducted energy to industrial hearing loss and its underlying pathology may be found in Werner (1940) who, incidently, favored SIEBENMANN'S point of VIew.

Technology plays a critical role in the management of health care, the system, its delivery and its organizations. This book examines the role of technology in the delivery of health care by physicians and other health care workers, and their respective roles in the management of health care technology. The complexity of the health care environment and the difficulties in managing technology in general (and in health care in particular) makes this book a landmark exploration for the purpose of creating in-roads into the largely uncharted territory of health care technology. The chapters in this book will introduce the horizons that are open for scholarly pursuit in this area. Managing Technology in Healthcare has two main objectives. First, to provide the reader with an overview of the main issues of concern and the topics of study in managing technology in health care. Second, to offer the reader specific knowledge embedded in the eleven chapters of the book, covering a broad range of topics of interest to health care and to R&D/technology scholars and practitioners.

This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the "macro system." A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans.

Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs

Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event.

Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.

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.

Community development, planning and partnerships have become important terms in health promotion but, up until now, debate around these concepts have been discussed more in planning science than in public health literature. Roar Amdam draws on theories and new empirical evidence from local, regional and international planning and public health in order to develop a new model for health promotion: empowerment planning. Much health promotion planning has focused on top-down approaches, and while efforts to be participative are made, it is often without having a clear understanding of how community empowerment can be accommodated within health promotion programs. Amdam's innovative concept combines top-down and bottom-up approaches to enable people to take more responsibility for their own health and for individual and collective capacity building. Planning in Health Promotion Work is suitable for all students and researchers of health promotion and health planning and development, whilst the numerous applied examples make it an invaluable resource for policymakers and practitioners working in public health.

Healthcare is noted for using leading-edge technologies and embracing new scientific discoveries to enable better cures for diseases and better means to enable early detection of most life-threatening diseases. However, the healthcare industry globally, and in the US specifically, has been extremely slow to adopt technologies that focus on better practice management and administrative needs. Presently, healthcare is grappling with many challenges both nationally and globally, including escalating costs, a move to a preventative care environment, and a technologically savvy patient with high expectations. The Handbook of Research on Optimizing Healthcare Management Techniques is a pivotal reference source that provides an extensive and rich compilation of various ICT initiatives and examines the role that ICT plays and will play in the future of healthcare delivery. It represents ways in which healthcare delivery can be made superior and the healthcare industry can begin to address the major challenges it faces in the 21st century so that ultimately the most important person in the web of healthcare players, the patient, can be confident about receiving high-quality, cost-effective healthcare. While highlighting topics such as e-health, medical informatics, and patient value, this publication explores the role of supportive technologies as well as the methods of focused, patient-centric outcomes. This book is ideally designed for doctors, nurses, hospital administrators, medical staff, hospital directors, medical boards, IT consultants, health practitioners, academicians, researchers, and students.

This Briefs Series book illustrates in depth a concept of healthcare management engineering and its domain for hospital and clinic operations. Predictive and analytic decision-making power of management engineering methodology is systematically compared to traditional management reasoning by applying both side by side to analyze 26 concrete operational management problems adapted from hospital and clinic practice. The problem types include: clinic, bed and operating rooms capacity; patient flow; staffing and scheduling; resource allocation and optimization; forecasting of patient volumes and seasonal variability; business intelligence and data mining; and game theory application for allocating cost savings between cooperating providers. Detailed examples of applications are provided for quantitative methods such as discrete event simulation, queuing analytic theory, linear and probabilistic optimization, forecasting of a time series, principal component decomposition of a data set and cluster analysis, and the Shapley value for fair gain sharing between cooperating participants. A summary of some fundamental management engineering principles is provided. The goal of the book is to help to bridge the gap in mutual understanding and communication between management engineering professionals and hospital and clinic administrators. The book is intended primarily for hospital/clinic leadership who are in charge of making managerial decisions. This book can also serve as a compendium of introductory problems/projects for graduate students in Healthcare Management and Administration, as well as for MBA programs with an emphasis in Healthcare.

This book examines how healthcare organizations shape, adapt and resist developments in healthcare policy and practice. This is an international text bringing together contributions from around the globe and covers a wide range of different discussions in relation to the policy/practice gap.

The third book in the Healthcare Payment Systems series, Prospective Payment Systems examines the various types of prospective payment systems (PPS) used by healthcare providers and third-party payers. Emphasizing the basic elements of PPS, it considers the many variations of payment for hospital inpatient and outpatient services, skilled nursing facilities, home health agencies, long-term hospital care, and rehabilitation facilities along with other providers. The book describes the anatomy of PPS, including cost reports, adjudication features and processes, relative weights, and payment processes. It outlines the features and documentation requirements for Medicare Severity Diagnosis Related Groups (MS-DRGs), the Medicare Ambulatory Payment Classifications (APCs), Medicare HHPPS, Medicare Skilled Nursing Resource Utilization Groups (RUGs), and private third-party payers. Provides a framework for understanding and analyzing the characteristics of any PPS Discusses Medicare prospective payment systems and approaches Includes specific references to helpful resources, both online and in print Facilitates a clear understanding of the complexities related to PPS-covering specific topics at a high level and revisiting similar topics to reinforce understanding Complete with a detailed listing of the acronyms most- commonly used in healthcare coding, billing, and reimbursement, the book includes a series of case studies that illustrate key concepts. It concludes with a discussion of the challenges with PPS-including compliance and overpayment issues-to provide you with the real-world understanding needed to make sense of any PPS.

PATIENT FLOW: Reducing Delay in Healthcare Delivery is dedicated to improving healthcare through reducing the delays experienced by patients. One aspect of this goal is to improve the flow of patients, so that they do not experience unnecessary waits as they flow through a healthcare system. Another aspect is ensuring that services are closely synchronized with patterns of patient demand. Still another aspect is ensuring that ancillary services, such as housekeeping and transportation, are fully coordinate with direct patient care. Past experience shows that effective management of healthcare delays can produce dramatic improvements in medical outcomes, patient satisfaction, and access to service, while also reducing the cost of healthcare. The 15 chapters of this book exposes the healthcare community of researchers, practitioners and administrators to a set of techniques and strategies that can be used by clinicians and administrators to substantially reduce delays in healthcare delivery. It is the first book treatment to have reduction in patient delay as its sole focus, and therefore, provides the foundation by which hospitals can implement change. Reflecting the highly interdisciplinary and practitioner nature of this book, the chapters have been written by doctors, nurses, industrial engineers, system engineers and geographers, and thus, these perspectives provide the comprehensive view needed to address the problem of patient delay.

The book provides a "hands-on" discussion and methods for solving a variety of problems that inhibit prompt and swift health care delivery. Some examples are:

• presents a set of breakthrough strategies that use "real-time" monitoring systems for continuous improvement;
• offers techniques for scheduling staff needs to match patterns in patient demand, and thus reduce predictable delays;
• utilizes simulation modeling techniques for both healthcare design and process improvement;
• provides methods for forecasting the demand for healthcare on a region-wide basis;
• presents queueing theory as a general method for modeling patient waits in healthcare;
• outlines rapid delivery of medication in the event of a catastrophic event, such as a pandemic or terrorist attack;
• demonstrates the importance of optimizing care as patients transition from one care setting to the next care setting with an emphasis on clinical outcomes and the business case;
• provides project management tools to guide the implementation of patient flow projects.

First in a new series on economic issues in the context of health care policy, Health Technology Assessments by the National Institute for Health and Clinical Excellence examines Britain s highly acclaimed approach to cost-effectiveness analysis (CEA), and its international potential.

The National Institute for Health and Clinical Excellence (NICE) has been regarded as a role model for the implementation of CEA, and is being closely watched by health care policy makers throughout Europe, and in the United States. This volume dissects the robustness of the agency s technology appraisal processes as NICE evaluates innovative methods for diagnosis and intervention. Given the unique features of attention-deficit/hyperactivity disorder (ADHD) starting with it being diagnosed mainly in children and adolescents, its high comorbidity with other psychiatric conditions, and its considerable economic impact the disorder is a perfect focal point for discussion. "

Choices in Palliative Care brings together leading experts to spotlight core issues in the field and identify ways PC can fill gaps in current care systems. This far-sighted volume redefines palliative care as interdisciplinary and integrative, bridging acute and long-term care to respond to clients evolving needs. Those teaching health service delivery courses will find this material especially useful.

Reasons for Writing This Book The published literature on the economic appraisal of healthcare acquired infection (HAI) is described by phrases such as: "With so many virtues of the cost-benefit approach identified, it is perhaps puzzling why greater use of economic appraisal has not been made in the area of infection control" [1] "Clinicians should partner with economists and policy analysts to expand and improve the economic evidence available" [2] "the quality of economic evaluations should be increased to inform decision makers and clinicians" [3] "The economics of preventing hospital-acquired infections is most often described in general terms. The underlying concepts and mechanisms are rarely made explicit but should be understood for research and policy-making" [4] The aim of this book is to describe how economics should be used to inform decisi- making about infection control. Our motivation stems from the previous quotes which show economics is being used within the infection control community, but not to its full potential. Our expectation is that you do not have any formal training in economic analyses. Economic analyses have been used for many decades to argue for increased funding for hospital infection-control. In 1957, Clarke [5] investigated bed wastage in British hospitals due to Staphylococcus aureus in patient's wounds. She concluded .... "the average length of stay in hospital of patients whose wounds were infected with Staph.

This timely and important work looks at the collaborative health care model for the delivery of mental health care in a primary care setting. This has become the ideal model for the treatment of comorbid medical and psychiatric or psychological disorders. There is also an increased awareness that pharmacological intervention, the most frequently delivered intervention for psychological disorders, is often of limited effectiveness without concurrent specific psychological intervention. The book includes more than two dozen case studies, co-written by clinical psychologists and primary care physicians. It is essential reading for any psychology practitioner in a clinical setting, as well as for health care administrators.

Why some patients wait longer than others remains an important question. This book is a reference for health services researchers looking for statistical tools with which to study waiting times. The book offers detailed coverage of statistical concepts and methods for the analysis and interpretation of waiting-time data. It provides analysis from health services research perspective, rather than operations management, and contains a collection of examples.

Depression and Globalisation is an important academic text on the political aspects of depression, specifically the relationship between globalisation and depression. In this text Dr. Walker reestablishes the link between mental health research and treatment, along with the political and economical influences outside the world of academic and clinical mental health. Overall, this book will accomplish the task of how closely and inextricably linked these diverse fields are and the way they operate together to produce not only a cultural representation of mental illness but influence the extent and type of mental distress in the 21st century.

The facts are hard to ignore: rising rates of chronic disease, epidemic obesity and diabetes, a widening longevity gap between rich and poor, health care "reforms" at odds with patient interests. In response, Policy Innovations for Health argues that a nation's well-being mirrors the health of its citizens-and calls not only for improvement in our health care systems but for a complete reconceptualization of health and social policy, starting with expanded, interrelated roles for health care providers, consumers, and policymakers. The long-term strategies outlined in this book emphasize a stronger balance between public and individual health goals, and collaborations between cost-efficient, streamlined medical care and innovative therapeutic research and technology-values that have been traditionally been considered in conflict. Examples are included of new care models and groundbreaking programs from Canada, the EU, and Australia that bring together the community, consumer, governmental, and corporate sectors; bridge the gaps between prevention, health promotion, and practice; and improve core health determinants such as living conditions, education, and social supports. These social, political, medical, and technological advances, assert the authors, are crucial to meeting the challenges of the decades ahead. Among the topics covered: Health as a central economic and societal force. New directions in the monitoring of health and well-being. "Integrating Health in all Policies" programs and how they can be implemented. The democratization of health knowledge and the expanding role of patient participation. Closing the financial divide in public health priority-setting. Policy Innovations for Health adds important new voices to the health care debate, and its vision will inspire professionals in health policy, health administration, health economics, and global health, as well as graduate students planning to enter these rapidly changing fields.

It 's a core issue at the heart of elder care: while best-practice data exist for long-term care, quality of life as a concept, measure and standard for care outcomes remains elusive. The result of an ambitious European research initiative, the Care Keys Project addresses quality of life issues among frail, care-dependent seniors, taking their social as well as health needs into account. This resulting volume explains the theory behind Care Keys, its methodology, empirical findings, and practical considerations in promoting effective, efficient elder care aimed at social and emotional well-being and including disabled and cognitively impaired patients.

Electronic health records are widely regarded as the 'connective tissue' of any modern healthcare system. For some they represent a 'dangerous enthusiasm' and for others a key enabler of 'disruptive innovation'. Many governments have made major policy and financial investments in digitalizing health records but their implementation has frequently run into opposition from doctors, had lukewarm responses from patients, and raised considerable concerns for privacy advocates and others worried by the security of sensitive health data and the risks of national data-bases. This book draws upon the concept of 'orders of worth' to reveal the moral dimensions of the medical division of labour and to delve deeper into understanding why electronic records have been so difficult to implement and the sources of opposition to them. The authors argue that digitalization disrupts the moral orders which define rights and responsibilities for the sharing and exchanging of patient medical data. This is illustrated through longitudinal studies of two of the most controversial attempts to introduce national systems - a patient controlled electronic record in Australia and a national summary care record that was part of the ill-fated NHS national program for IT in England. The authors conclude by using the lessons from these national experiences and insights from two regional projects in each country to suggest how the idea of electronic records might be re-thought. It is a must read for anyone concerned about health information and the implications of how it is shared and exchanged in a digital world.