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Books > Medicine > General issues > Health systems & services > Hospital administration & management
Technological developments and improved treatment methods have acted as an impetus for recent growth and change within the medical community. As patient expectations increase and healthcare organizations have come under scrutiny for questionable practices, medical personnel must take a critical look at the current state of their operations and work to improve their managerial and treatment processes. Organizational Culture and Ethics in Modern Medicine examines the current state of the healthcare industry and promotes methods that achieve effective organizational practice for the improvement of medical services in the public and private sphere. Focusing on patient communication, technology integration, healthcare personnel management, and the delivery of quality care, this book is a pivotal reference source for medical professionals, healthcare managers, hospital administrators, public health workers, and researchers interested in improving patient and employee satisfaction within healthcare institutions.
Unlike the rest of the advanced industrialized world, the United States does not have a national healthcare system that guarantees that all residents have access to medical services. Over the past century a number of unsuccessful attempts have been made to create and implement a unified, coordinated healthcare system. Piecemeal progress has been made, such as with the passage of Medicare, Medicaid, and the Affordable Care Act. However, the US still has the dubious distinction of possessing the most expensive healthcare in the world as well as health-related outcomes that are shameful for a wealthy country, mostly due to the number of people who lack decent care. The continuing escalation in medical costs is also threatening the financial stability of the nation. In his first book, Rationing is Not a Four-Letter Word, Philip M. Rosoff argued that the only way to control costs is to impose rationing, and the only way to do so fairly is to have it apply to all. The key to rationing is how it is accomplished. He outlined a general approach to making rationing decisions that involved a comprehensive explication of procedural fairness and illustrated this with the real-life accepted system of solid organ allocation for transplantation. In this book, he discusses how to decide what should and should not be covered in a generous benefits plan for all. He considers a variety of ways this might be done and concludes that the most just approach is to utilize a transparent process in which experts and lay people develop a consensus on what should be covered by focusing on both clinical evidence of need and the effective and appropriate means to address those needs. He also considers the various objections and impediments to this proposal and concludes that they are obstacles that can be successfully met.
Every year, one out of every ten people will need to have a surgical procedure. The majority of those needing surgery know nothing about the operating room or surgery. In Secrets from the Operating Room, author Curtis M. Chaudoin provides objective information and strategies to help improve the state and outcome of patient care before, during, and after surgery. With more than thirty-seven years of experience as an operating room surgical salesman, Chaudoin gained an insider's understanding of the often secretive world of surgery. In Secrets from the Operating Room, he narrates what it's like to work as a surgical salesman and provides an overview of the state of health care. He also discusses surgical corporations and their risks and profits, and he presents an overview of hospitals and how things have changed over the years. He details the roles of the surgeons and support staff, shows how to conduct the proper research before having surgery, and offers an understanding of what happens inside the surgery suite. Secrets from the Operating Room gives you a glimpse into the business of surgery and answers important questions about what you should know if you need an operation to increase your chances of a successful outcome.
Due to massive technological and medical advances in the life sciences (molecular genetics, biology, biochemistry, etc.), modern medicine is increasingly effective in treating individual patients, but little technological advancement has focused on advancing the healthcare infrastructure. Management Engineering for Effective Healthcare Delivery: Principles and Applications illustrates the power of management engineering for quantitative managerial decision-making in healthcare settings. This understanding makes it possible, in turn, to predict performance and/or real resource requirements, allowing decision-makers to be truly proactive rather than reactive. The distinct feature of this book is that it provides international exposure to this challenging area.
This timely study analyzes social, economic, political, provider, and patient factors shaping collective patient involvement in European health care from the postwar period to the present day. Examining representative countries England, the Netherlands, Germany, and Sweden, it documents the roles of providers and legislatures in facilitating consumer involvement, and the varied forms of patient input into hospital operations. These findings are compared and contrasted against the intent and ideals behind patient involvement to assess the effectiveness of implementation policy, strengths and drawbacks of patient participation, and patient satisfaction and outcomes. The book's conclusions identify emerging forms of patient participation and predict the impact of health policy on the future of European collective patient involvement. Included in the coverage: * Patient involvement: who, what for, and in what way? * The Netherlands: the legislative process to collective patient involvement * England: formal means of public involvement-a continuous story of discontinuity * Germany: Joint Federal Committee-the "Little Legislator" * Sweden: reasons for a late emergence of patient involvement * Lessons to be learned from implementing patient involvement The Evolution and Everyday Practice of Collective Patient Involvement in Europe will interest and inspire scholars and researchers in diverse fields, including social policy, sociology, political sciences, and nursing studies, as well as patient organizations, policymakers, and healthcare providers.
This provocative appraisal unpacks commonly held beliefs about healthcare management and replaces them with practical strategies and realistic policy goals. Using Henry Mintzberg's "Myths of Healthcare" as a springboard, it reveals management practices that undermine care delivery, explores their cultural and corporate origins, and details how they may be reversed through changes in management strategy, organization, scale, and style. Tackling conventional wisdom about decision-making, cost-effectiveness, service quality, and equity, contributors fine-tune concepts of mission and vision by promoting collaboration, engagement, and common sense. The book's multidisciplinary panel of experts analyzes the most popular healthcare management "myths," among them: * The healthcare system is failing. * The healthcare system can be fixed through social engineering. * Healthcare institutions can be fixed by bringing in the heroic leader. * The healthcare system can be fixed by treating it more as a business. * Healthcare is rightly left to the private sector, for the sake of efficiency. The Myths of Health Care speaks to a large, diverse audience: scholars of all levels interested in the research in health policy and management, graduate and under-graduate students attending courses in leadership and management of public sector organization, and practitioners in the field of health care.
Shock Therapy For the American Health Care System describes the problems of the health care system and offers a program of comprehensive reform that is more far-reaching than anything currently being proposed. From a veteran physician comes this remarkably clear-eyed look at what's wrong with how we adminster and pay for health care and what can be done to fix it. In Shock Therapy for the American Health Care System: Why Comprehensive Reform Is Needed, Dr. Robert Levine offers an easily understandable diagnosis of the problems plaguing our current health care infrastructure, with discussions that include the roles of various stakeholders—insurance companies, "big pharma," hospitals, health care providers, and patients. He also dispels a number of myths designed to make voters leery of any reform efforts. Levine's comprehensive plan addresses everything from bloated bureaucracies to unnecessary procedures to the handling of negligence and malpractice lawsuits/claims. Throughout, Levine backs his proposals with facts and comparisons to systems in various countries, and concludes that even now, with disaster looming, the ultimate goal of providing health insurance for every American is achievable and affordable.
This unifying volume offers a clear theoretical framework for the research shaping the emerging direction of informatics in health care. Contributors ground the reader in the basics of informatics methodology and design, including creating salient research questions, and explore the human dimensions of informatics in studies detailing how patients perceive, respond to, and use health data. Real-world examples bridge the theoretical and the practical as knowledge management-based solutions are applied to pervasive issues in information technologies and service delivery. Together, these articles illustrate the scope of health possibilities for informatics, from patient care management to hospital administration, from improving patient satisfaction to expanding the parameters of practice. Highlights of the coverage:* Design science research opportunities in health care * IS/IT governance in health care: an integrative model * Persuasive technologies and behavior modification through technology: design of a mobile application for behavior change * The development of a hospital secure messaging and communication platform: a conceptualization * The development of intelligent patient-centric systems for health care * An investigation on integrating Eastern and Western medicine with informatics Interest in Theories to Inform Superior Health Informatics Research and Practice cuts across academia and the healthcare industry. Its audience includes healthcare professionals, physicians and other clinicians, practicing informaticians, hospital administrators, IT departments, managers, and management consultants, as well as scholars, researchers, and students in health informatics and public health.
This book is a thorough, balanced, and insightful study of the present status and future direction of health care economics and its far-reaching ramifications. Health Economics provides exhaustive analyses of such major issues as cost-benefit, cost-effectiveness, quality enhancement, and technology assessment. Part One presents a basic overview of cost analysis, production functions, and provider cost behavior. Part Two considers economic models of physicians and hospital behavior, and recent changes in methods for paying physicians. Part Three focuses on employee cost sharing, HMOs, gatekeepers to contain utilization, and the use of case managers in long-term care. Part four looks at equity, social welfare, and the unique problems of urban medical centers. Part Five focuses on consumer information, quality measurement, and health manpower policies for nonphysician providers. Cost-effectiveness and cost-benefit analysis is reviewed in Part Six. The last part summarizes major future policy options and suggests a number of mixed strategies, including capitation. In short, "Health EconomicS" provides policy makers, health care providers, and students with the analytical tools needed to effectively balance efficiency and quality.
Translational Medicine: Tools and Techniques provides a standardized path from basic research to the clinic and brings together various policy and practice issues to simplify the broad interdisciplinary field. With discussions from academic and industry leaders at international institutions who have successfully implemented translational medicine techniques and tools in various settings, readers will be guided through implementation strategies relevant to their own needs and institutions. The book also addresses regulatory processes in USA, EU, Japan and China. By providing details on omics sciences techniques, biomarkers, data mining and management approaches, case reports from industry, and tools to assess the value of different technologies and techniques, this book is the first to provide a user-friendly go-to guide for key opinion leaders (KOLs), industry administrators, faculty members, clinicians, researchers, and students interested in translational medicine.
This book offers examples of how data science, big data, analytics, and cloud technology can be used in healthcare to significantly improve a hospital's IT Energy Efficiency along with information on the best ways to improve energy efficiency for healthcare in a cost effective manner. The book builds on the work done in other sectors (mainly data centers) in effectively measuring and improving IT energy efficiency and includes case studies illustrating power and cooling requirements within Green Healthcare. Making Healthcare Green will appeal to professionals and researchers working in the areas of analytics and energy efficiency within the healthcare fields.
Quality Management and Managerialism in Healthcare creates a comprehensive and systematic international survey of various perspectives on healthcare quality management together with some of their most pertinent critiques. It reviews the factors which have underpinned the managerialist trajectory of healthcare management over the past decades.
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