This comprehensive text provides information on fundamental principles of clinical practice and how these can be implemented to provide excellent treatment to the patients. The triads of health care delivery include Physicians, Pharmacist and Nurses that have distinct roles and responsibilities of patient care. Effective pharmacy practice requires an understanding of the social context within which pharmacy is practiced, recognizing the particular needs and circumstances of the users of pharmaceutical services and of pharmacy's place within health service provision. This book presents a contemporary view of pharmacy practice research covering theories, methodologies, models and techniques that are applicable. The initial chapters describe the basics of pharmacy profession and what is the key role and responsibilities of Pharmacist in health care delivery. The central part of the book illustrates the community, hospital and ethics regarding drug formulation. The last chapters cover the therapeutic aspect of pharmacy and how these can be employed to improve patient's health care facilities.

This book discusses dental healthcare professionals in the European Union and EU policy output and activities in the context of Europeanization and its impact on oral health care. Adopting a framework focused on an institution and its policies allows for discussion from the perspective of multiple actors, both national and international. The research is timely and significant because of the momentous changes that have taken and are taking place in healthcare delivery systems and professions in the Member States of the European Union. In the book, the author constructs a profile of the oral healthcare professions in the Member States; creates an inventory of challenges faced by these professions; illustrates the impact Europeanization and one of its organs, the European Union, have had on oral health care; demonstrates the way in which national traits and institutions exercise a role in the transposition of EU outputs; and catalogues the stages and views of some representatives of the dental team. Topics explored include: The First Stage of Professionalization: Education Dental Care Professionals: Regulation Member States: Healthcare Provision The Workplace The European Union and the Dental Team Readers not only learn the fundamentals of oral health professions, their realities, and healthcare delivery, but also become familiar with the political concepts, institutions, and practice related to the field. The Dental Team in the European Union, having academic and general interest as well as practical value, appeals to diverse audiences. The book is an invaluable resource for researchers and practitioners in the social sciences and the healthcare and dental worlds. It also can be used as required or supplemental reading for students in the healthcare professions, public policy, and political science. Decision-makers at various levels of government and persons affiliated with funding agencies as well as scholarly and professional associations in the United States and abroad also would find this a useful text.

Regresse und Honorarkurzungen konnen eine Arztpraxis finanziell schwer belasten. Mit der Gesundheitsreform 2004 hat die Wirtschaftlichkeitsprufung - seit Jahrzehnten ein Kontrollinstrument in der gesetzlichen Krankenversicherung - erhebliche Anderungen und Verscharfungen erfahren. Die Wirtschaftlichkeitsprufung bleibt daher auch kunftig eine erhebliche Bedrohung fur Arzte.

Das Buch beschreibt Voraussetzungen, Ablauf und Folgen einer Wirtschaftlichkeitsprufung anhand der aktuellen Gesetzgebung und hochstrichterlichen Rechtsprechung. Praxisnah und anschaulich werden die Angriffspunkte und Reaktionsmoglichkeiten der Arzte aufgezeigt. So erweist sich auch das neue Buch der Heidelberger Rechtsanwaltin ("Das neue Werberecht fur Arzte. Auch Arzte durfen werben") fur den betroffenen Arzt als wertvolle Hilfe und Unterstutzung zur Abwehr und Vermeidung finanzieller Einbussen."

Foundations of Health Care Management

Leaders and managers throughout the health care system are facing ever more challenging changes in the way care is delivered, paid for, and evaluated. "Foundations of Health Care Management: Principles and Methods" offers an innovative, concise, reader-friendly introduction to health care management and administration. It addresses the need for new skills in managers of health care facilities and for those planning to enter health care management positions. The book covers such critical topics as leadership training, change management, conflict management techniques, culture building, quality improvement, and communications skills, as well as collaboration in the improvement of population health.

"Foundations of Health Care Management" also concentrates on innovations and describes steps in the transition to more decentralized and creative approaches to the management of health care facilities. The book covers physician management from the physician's viewpoint, a valuable perspective for health care managers.

The book serves important dual purposes for faculty and students by providing both insights into the health care field as well as foundational content on essential management and leadership competencies. A full set of support materials is available for instructors at the book's companion Web site.

This book shows how a successful public health policy designed to foster the culture of brain death diagnosis and improve the interaction between Organ Procurement Organizations and Intra-Hospital Organ and Tissue Donation Committees for Transplants led the Brazilian state of Parana to reach one of the highest rates of effective organ donors per million population in the world. Brazil has the largest public transplant system in the world, and each of the country's 26 states is responsible for organizing its own transplant system. The state of Parana, with 11 million inhabitants, has stood out in this regard in the last decade. It reached 47.7 effective donors per million population (pmp), performing better than countries such as the United States (33.3/pmp), Canada (21.9/pmp), Portugal (33.6/pmp) and Croatia (41.2/pmp). The remodeling of Parana's transplant system, between 2011 and 2020, was based on the recognized Spanish model, but has some unique characteristics. This book seeks to describe all the steps of this remodeling, describing its characteristics and explaining how the new system was built. By presenting an in-depth analysis of a local successful case, Effective Public Health Policy in Organ Donation: Lessons from a Universal Public Health System in Brazil seeks to provide useful information to policy makers, health professionals and students from different fields within the health sciences interested in understanding how public health policies can improve organ donation rates, especially in developing countries.

In this book, authors from a wide interdisciplinary spectrum discuss the issue of care. The book covers both philosophical and therapeutic studies and contains a three-pronged approach to discussing the concepts of care: vulnerability, otherness, and therapy. Above all, it is a matter of combining, in a plural form, a path with multiple theoretical and conceptual bifurcations, but which always point to an observation of society from the perspective of human vulnerability.

If you believe that the latest blockbuster medication is worth a premium price over your generic brand, or that doctors have access to all the information they need about a drug's safety and effectiveness each time they write a prescription, Dr. Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In "Powerful Medicines, "he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced.
This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans.
In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nation's drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls?
Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industry's own marketing techniques to reduce use of some of the most overprescribed and overpriced products. "Powerful Medicines" offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible.
This is a passionate and provocative call for action as well as a compelling work of clear-headed science.

"From the Hardcover edition."

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.

Good leadership in medicine is crucial, but unfortunately, often woefully inadequate. Those chosen to lead often have limited experience in leadership themselves, or worse, are appointed because of achievements that have nothing to do with their ability to lead. Serving as a guide for those in, or considering, leadership positions in medicine, this book demonstrates how to play to one's strengths and effectively recognise and overcome weaknesses. Describing how to form a functional team, and align your goals with those of upper leadership, advice is applicable to all disciplines and hierarchy structures. The author, David Greer, is a renowned clinician and educator, and has held department chair positions in several prestigious institutions, positioning him perfectly to educate on the qualities of a successful leader. Readers will learn how to work within a team, manage unforeseen crises and to embrace mistakes as opportunities for growth.

The NHS has undergone substantial reform and investment since 1980, yet demand for care still exceeds supply and difficult choices remain between patients. Why is this so? On what basis should these decisions be made and by whom? As patients become 'consumers' of care, Who Should We Treat? puts patients' rights into their political, economic, and managerial perspectives to consider one of the most pressing problems in contemporary society.

In this monograph, journalist Rinke van den Brink takes a closer look at the limitations and risks of today's antibiotic use. Though all developed societies have grown accustomed to successfully treating bacterial infections with these wonder drugs, the author focuses on the increasing number of antibiotic-resistant infections. By examining recent mass outbreaks, readers will gain a better understanding of the global impact of antimicrobial resistance - one of the most serious public health threats today. Following this somewhat disquieting review of the status quo, interviews with a number of specialists provide an outlook on possible solutions. In a world that is more connected than ever, partnerships between different healthcare systems are becoming all the more important. Rinke van den Brink uses the example of a border-spanning collaboration between the Netherlands and Germany to demonstrate how effective lines of communication can be established. The book offers a wealth of useful background information for healthcare personnel. Not only does it share insights into the functional microbe-antibiotic relationship; it also discusses how clinics can effectively address outbreaks, helping readers to learn from past experiences and develop effective new strategies.

The book outlines post-Soviet style of health management in Central Asia. Regional studies on Central Asia to date have focused on states, politics, religion and inter-ethnic relations but not on the health system within the region. Soviet-style policies have also covered only other aspects relevant for the region. This book highlights the public health situation of the region with a focus on drug abuse, HIV/AIDS in the context of increased mobility, and drug trafficking routes which became even more porous after the break-up of the Soviet Union. Based on a qualitative study, the empirical data in the book was collected during long-term fieldwork conducted in Uzbekistan and Turkmenistan in 2010-2011 as well as shorter stays in Uzbekistan between 2012-2016. The analysis of the empirical material largely draws on the works of Foucault, particularly his concept of biopolitics when analyzing Soviet-style health management that is still practiced in the region. Applying the Foucauldian genealogical method, this study has been structured to trace the genealogy of epidemics to understand the historical path of drug abuse in the region as well as the discursive genealogy of drug politics and drug abuse. Applying the same genealogical method of Foucault, the formative and discursive trajectory of the institution of Uchyot was traced to contextualize the health governance methods that have historical legacy of Soviet-style governance and control of the total population. Drugs and Public Health in Post-Soviet Central Asia: Soviet-Style Health Management is a unique resource for academic specialists, practitioners/professionals, and advanced undergraduate and graduate students in public health, as well as a range of scholars and professionals in sociology, political science, anthropology, and anyone with an interest in the Central Asia region, drug addiction, or HIV. The book also could appeal to international donors in the field of HIV/drug addiction who are working in the region.

The landmark 2010 Patient Protection and Affordable Care Act (ACA), or "Obamacare," is a topic of great debate in mainstream, academic, and scientific media that generated strong opinions across the political spectrum and our nation. Soon after the enactment of the ACA and the fierce debate that ensued, The Affordable Care Act as a National Experiment was published by Springer in 2014. Now five years later, just finishing an election year in which the ACA was a hotly debated issue, the second edition of this title examines the history, lessons, and impact of this ground-breaking legislation. Now a decade since implementation nationally, the ACA is the largest healthcare policy innovation in the United States in at least 50 years and one of our nation's largest healthcare experiments ever. The history of public health and medicine shows us that to develop better solutions for important health problems, we must innovate. And when we try a new strategy, we are reminded that to innovate is to experiment. This is the basis of all medical research, public health interventions, and health policy innovations. Moreover, in recent years, there is an increasing emphasis on "translational science," research that always has an ultimate focus on having real impact on medical care and the public's health - whether in translating from bench research to the bedside, or from limited clinical use into widespread practice, public health interventions or policy. As with the previous edition, the book opens with a chapter that gives a basic overview of The Affordable Care Act. The second chapter, which previously discussed the objectives of the ACA, now takes a look at the successes, unfinished work and impact of the ACA in the past ten years. The third chapter now ponders the question of whether the ACA has protected patients since its implementation while its previous counterpart gave predictions for the future. The chapters that follow highlight things such as Medicaid expansion and insurance reform under the ACA, the Supreme Court Review of the ACA, social determinants of health, stories of the uninsured and stabilization of the ACA, among others. The book rounds out with a summary of what's next and the push for universal healthcare followed by an epilogue. Due to the timely nature of the subject matter, some chapters from the previous edition have been dropped and seven new chapters have been added in their place. The remaining seven chapters from the previous edition have also been fully revised and updated. Written by nationally known healthcare policy leaders who were involved directly in the creation and implementation of the ACA, the second edition of The Affordable Care Act as a National Experiment again will examine the history and impact of this ground-breaking legislation as well as recommend priorities, objectives, and next steps for translational research. It is an essential resource for all healthcare providers as well as policy makers and academics.

This book is a practical guide for preventing occupational exposures to bloodborne and infectious disease in health care. It is a timely and essential resource given that people working in healthcare settings sustain a higher incidence of occupational illness than any other industry sector, and at the time of publication of this book we are in the midst of a global pandemic of COVID-19. While the guide is focused on health care primarily, it would be useful for preventing exposures to essential workers in many other industries as well. The guide offers easy-to-follow instruction, all in one place, for creating, implementing, and evaluating occupational health and safety programs. Readers have practical information that they can use now to either build a new program or expand an existing one that protects workers from occupationally associated illness and infection. With a focus on the public health significance of building better, safer programs in health care, the book provides not just the evidence-based or data-driven reasoning behind building successful programs, but also includes sample programs, plans, checklists, campaigns, and record-keeping and surveillance tools. Topics explored among the chapters include: * Occupational Safety and Health Administration (OSHA) Regulatory Compliance * Other Regulatory Requirements, National Standards, and Accreditation * Performing a Hazard Assessment and Building an Exposure Control Plan * Engineering Controls and Safer Medical Devices * Personal Protective Equipment Placement and Use * Facing a Modern Pandemic Preventing Occupational Exposures to Infectious Disease in Health Care is a comprehensive resource for both seasoned and novice professionals with primary, secondary, or ancillary responsibility for occupational or employee health and safety, infection prevention, risk management, or environmental health and safety in a variety of healthcare or patient care settings. It also would appeal to those working in public health, nursing, medical, or clinical technical trades with an interest in infection prevention and control and/or occupational health and infectious disease.

-First edition by McGraw-Hill, 1998. -Textbook for courses on health administration and planning -Author is fairly well-known in the field.

This comprehensive medical textbook is a compendium of the latest information on healthcare quality. The text provides knowledge about the theory and practical applications for each of the core areas that comprise the field of medical quality management as well as insight and essential briefings on the impact of new healthcare technologies and innovations on medical quality and improvement. The third edition provides significant new content related to medical quality management and quality improvement, a user-friendly format, case studies, and updated learning objectives. This textbook also serves as source material for the American Board of Medical Quality in the development of its core curriculum and certification examinations. Each chapter is designed for a review of the essential background, precepts, and exemplary practices within the topical area: Basics of Quality Improvement Data Analytics for the Improvement of Healthcare Quality Utilization Management, Case Management, and Care Coordination Economics and Finance in Medical Quality Management External Quality Improvement - Accreditation, Certification, and Education The Interface Between Quality Improvement and Law Ethics and Quality Improvement With the new edition of Medical Quality Management: Theory and Practice, the American College of Medical Quality presents the experience and expertise of its contributors to provide the background necessary for healthcare professionals to assume the responsibilities of medical quality management in healthcare institutions, provide physicians in all medical specialties with a core body of knowledge related to medical quality management, and serve as a necessary guide for healthcare administrators and executives, academics, directors, medical and nursing students and residents, and physicians and other health practitioners.

If you work through this book I can guarantee that by the end of it two things will have happened - you will be in a much better position to plan and execute your future career, and you will feel a lot better than you do now This user-friendly guide will help health professionals take control of their careers. By involving the reader in a personal journey of positive reflection the book focuses on abilities, enjoyment and personal satisfaction in the workplace, then based on this new-found knowledge, offers advice on practical ways forward. Know Yourself is unique in using two types of therapeutic approaches to self-development; understanding the relationship between job satisfaction and personality type based on the Myers-Briggs Type Indicator, and understanding how both external indicators and internal thought patterns contribute to career problems, using the principles of Neuro-Linguistic Programming (NLP). Every healthcare professional who may be dissatisfied with some aspects of their work or work/life balance and will find this book inspirational and potentially life changing. It will also be of use to career advisors and counsellors.

Organizational Behavior in Health Care, Fourth Edition is specifically written for health care managers who are on the front lines every day, motivating and leading others in a constantly changing, complex environment. Uniquely addressing organizational behavior theories and issues within the healthcare industry, this comprehensive textbook not only offers in-depth discussion of the relevant topics, such as leadership, motivation, conflict, group dynamics, change, and more, it provides students with practical application through the use of numerous case studies and vignettes. Thoroughly updated, the Fourth Edition offers: - Two chapters addressing demographic shifts and cultural competency and their importance for ensuring the delivery of high quality care (Ch. 2 & 3) - New chapter on change management and managing resistance to change. - New and updated content (modern theories of leadership, teaming, etc), and case studies throughout.

This book analyses changes which have occurred in the organization and management of the UK public services over the last 15 years, looking particularly at the restructured NHS. The authors present an up to date analysis around three main themes: 1. the transfer of private sector models to the public sector 2. the management of change in the public sector 3. management reorganization and role change In doing so they examine to what extent a New Public Management has emerged and ask whether this is a parochial UK development or of wider international significance. This is a topical and important issue in management training, professional and policy circles. Important analytic themes include: an analysis of the nature of the change process in the UK public services: characterisation of quasi markets; the changing role of local Boards and possible adaptation by professional groupings. The book also addresses the important and controversial question of accountability, and contributes to the development of a general theory of the New Public Management.

The book shows readers exactly how to use Lean tools to design healthcare work that is smooth, efficient, error free and focused on patients and patient outcomes. It includes in-depth discussions of every important Lean tool, including value stream maps, takt time, spaghetti diagrams, workcell design, 5S, SMED, A3, Kanban, Kaizen and many more, all presented in the context of healthcare. For example, the book explains the importance of quick operating room or exam room changeovers and shows the reader specific methods for drastically reducing changeover time. Readers will learn to create healthcare value streams where workflows are based on the pull of customer/patient demand. The book also presents a variety of ways to continue improving after initial Lean successes. Methods for finding the root causes of problems and implementing effective solutions are described and demonstrated. The approach taught here is based on the Toyota Production System, which has been adopted worldwide by healthcare organizations for use in clinical, non-clinical and administrative areas.

This book offers a comprehensive overview of performing return-on-investment (ROI) analyses for healthcare quality improvement (QI). In the United States, healthcare policy regarding physician and facility payment/reimbursement is steadily trending towards the use of "value-based" systems and away from the traditional "fee-for-service" (FFS) payment mechanisms. Healthcare professionals and organizations who have previously focused on quality metrics are now finding themselves burdened with having to define and assess value metrics, without much guidance or assistance. This volume aims to be a guide and a reference for healthcare professionals tasked with estimating and establishing ROI for QI. Chapters describe the general framework for how to perform QI; establish standard definitions of important terms, concepts, and calculations; and provide specific instructions for how to complete each step of an ROI analysis. These include: selecting a QI initiative and identifying the associated metrics, establishing measurable, monetizable, and attributable costs and benefits, determining the appropriate scope and perspective, calculating ROI and related metrics (payback period, benefit-to-cost ratio, etc.), comparing with established benchmarks or previously published results, and interpreting the results for the intended audience. In addition, chapters offer examples of real studies (or hypothetical studies of real situations), as well as templates for several of the necessary activities that readers can leverage for their own use. Return on Investment for Healthcare Quality Improvement is a must-have resource for healthcare providers, administrators, and other professionals who work in healthcare organizations, hospitals and other healthcare settings, health systems, and residency programs seeking to obtain outside funding, as well as policy makers and administrators of federal programs.

The health service is considered as whole in this book, which deals with organizational issues relating to health service provision, including hospitals and personnel management. It includes analysis and discussion of issues of international relevance, particularly health planning, human resource management, information systems, and financial and supplies management. It is ideal for managers with limited health service experience as well as established health professionals. An active approach is encouraged and exercises for individual or group use are included, to provoke further discussion of the concepts and ideas covered.

This book presents healthcare logistics solutions that have been successfully implemented at a variety of healthcare facilities. In each case, a major challenge is presented, along with the solution approach and implementation steps, followed by the impact on hospital operations. Problems encountered when implementing the results in practice are also discussed. Much of the work presented is drawn from the experiences of members of the Center for Healthcare Operations Improvement and Research (CHOIR) at Twente, along with the CHOIR spin-off company, Rhythm.

This book guides healthcare professionals, hospital administrators, and medical interpreters in the United States (and internationally) in ways to better communicate with Deaf and Hard of Hearing (D/HH) patients and sign language interpreters in healthcare settings. It also provides an overview of the healthcare communication issues with healthcare professionals and D/HH patients, and the advantages and disadvantages of using in-person interpreters vs. video remote interpreting (VRI). Due to technology development, hospital administrators have popularized the use of VRI and reduced the number of in-person interpreting services, which have negatively affected the quality of medical interpreting services and patient-provider communication. The COVID-19 pandemic also has accelerated the move toward more VRI, particularly in the US. The book addresses an understudied aspect of access and is written by an international deaf researcher from Japan who uses American Sign Language (ASL) and English as non-native languages. In order to identify appropriate interpreting services for specific treatments, the author focuses on healthcare professionals' and D/HH patients' interpreting preferences for critical and non-critical care in the US, and offers a new theoretical framework, an Ecology of Health Communication, to contextualize and analyze these preferences. The ecological matrix and its five analytical dimensions (i.e., physical-material, psychological, social, spatial, and temporal) allow readers to understand how these dimensions influence healthcare professionals' and D/HH patients' interpreting preferences as well as the treatment outcomes. This book concludes by prioritizing the use of an appropriate interpreter for specific treatments and allocating funds for in-person interpreters for critical care treatments. Deaf Rhetoric: An Ecology of Health Communication is primarily designed for healthcare professional students and professionals, hospital administrators, medical interpreters, VRI companies, and healthcare researchers. Scholars interested in the communication preferences of healthcare professionals and deaf people also will find this text useful. The book counters some of the power differences between healthcare providers and those who use medical services, and subtly reminds others that deaf people are not solely the receivers of medical care but actually are full people. The field of health care is growing and medical schools are increasingly called on to address cultural competencies; this resource provides a needed intervention.