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Books > Medicine > General issues > Health systems & services > Hospital administration & management
Die zweite, voellig uberarbeitete Auflage des Buches beschaftigt sich mit den Herausforderungen und Zielen, mit den wissenschaftlichen Grundlagen und Optionen Betrieblicher Gesundheitspolitik. Weitere Themen sind Standards und wichtige Einzelthemen des Betrieblichen Gesundheitsmanagements wie z. B. Mitarbeiterbefragungen und Kennzahlenentwicklung. Im Zentrum stehen die Arbeits- und Organisationsbedingungen, ihre Diagnose und gesundheitsfoerderliche Gestaltung. Zentrale Konzepte sind dabei Fuhrung, Sozialkapital, Sinnhaftigkeit und Kontrollierbarkeit der Arbeit sowie Mitarbeiterorientierung.
Leadership and management in the context of healthcare is about improving the quality of medical care delivered at all levels. Doctors frequently lead healthcare teams with responsibility for significant clinical resource which requires management and leadership skills regardless of specialty. A growing body of literature has also argued that medical leadership plays an integral part in the success and effectiveness of organisational change in the health sector. Being an effective medical leader requires a different set of skills from being a good clinician. It is therefore important that future medical graduates are supported and equipped with the high-level skills required for their role (e.g. leading and developing multidisciplinary teams, understanding organizational systems, processes and interdependencies, redesigning services and working collaboratively with a wide range of stakeholders). This growing interest across the globe in preparing medical graduates for the role of medical manager and leader requires a comprehensive approach to education and training which begins at an undergraduate level. As an undergraduate these skills are frequently neglected or not taught well. However, with the correct resources and using a case-based approach the undergraduate program can easily support the development of practical leadership and management skills. The case studies and supporting text will provide an overview of the fundamentals of leadership theory and practice relevant to medical students, junior doctors and specialty trainees. Using internationally recognized competency frameworks this book will support the acquisition of knowledge and skills relevant to medical management and leadership such as project management, intelligent leadership, presentation skills, audit, organizational decision making and engaging relevant stakeholders.
Managing in Health and Social Care is about developing skills to manage and improve health and social care services. The focus throughout is on the role that a manager can play in ensuring effective delivery of high-quality services. Examples from social care and health settings are used to illustrate techniques for managing people, resources, information, projects and change. This new edition has been extensively revised and updated, and includes many new case studies and examples, as well as a new chapter on motivation. It covers topics such as:
The authors explore how managers can make a real and positive difference to the work of organisations providing health and social care. They consider what effectiveness means in managing care services, the values that underpin the services, the roles of leaders and managers in developing high-quality service provision, and the necessary skills and systems to enable service users to contribute to planning and evaluation. Managing in Health and Social Care is a practical textbook for students of management in health and social care, whether at undergraduate or postgraduate level. It includes case studies with textual commentary to reinforce learning, activities, key references and clear explanations of essential management tools and concepts. The first edition of this book was published in association with The Open University for the Managing Education Scheme by Open Learning (MESOL)
This book is designed to provide physicians with the information they need in applying business management skills to their medical practice. It covers management and leadership practices, financial planning and execution, hospital governance, managed care, marketing activities, and medical business law. Written for the physician in easily understandable language, it describes each concept, delineates its applications in various practice environments and provides insight into the future developments in each sector.
Das mitwirkende Verschulden im Zivilrecht wird gemeinhin als spezielle Auspragung des Grundsatzes von Treu und Glauben verstanden. Die Arbeit versucht, den Normbezug des Mitverschuldens am Beispiel der Arzthaftung nachzuweisen. Ausgehend vom versicherungsrechtlichen Begriff der Obliegenheit werden typische Fallgruppen schadensvermeidenden und schadensmindernden Patientenverhaltens entwickelt.
Thermal harm is one of the most traumatizing assaults on man and his environment. Whether suffered by living beings as burn injury, or sustained by societal structures as fire damage, the resulting physical pain and material loss can be extremely distressing both to the person and to society. The health professions and in particular burn specialists have been continually developing effective means of combating burn disease and promoting rehabili tation of the victims, especially in mass casualty situations. In parallel, various levels of the community have been mobilizing fire prevention and fire-fighting mechanisms that protect society and the environment from the ever-increasing hazards of fire disasters. It is therefore surprising that, while aiming at the same objective, the two sectors have rarely come together; doctor has rarely worked with fire chief. Yet both disciplines have so much to learn from and contribute to each other's efforts. The Mediterranean Burns Club is a professional organization that brings together persons concerned with burn therapy and fire safety in all forms, especially in the countries of the Mediterranean basin. It is honoured to have been identified by the United Nations as a premier scientific body in its field within the programme of the International Decade for Natural Disaster Reduction. It is therefore natural that it should have initiated an international gathering of specialists engaged in burns as a surgical, clinical problem, and of counterparts dealing with fires as a societal, disaster management problem."
Die Mitarbeiterbefragung als Instrument der Feedbackgewinnung und Organisationsentwicklung wird in grossen und mittleren Unternehmen zunehmend haufiger eingesetzt. In vielen Fallen wird es aber versaumt, die nach der eigentlichen Befragung notwendigen Follow-up-Massnahmen zu ergreifen. Dadurch bleiben Erkenntnisse ungenutzt, wichtige Veranderungen werden nicht angeschoben und die Unzufriedenheit der Mitarbeiter steigt. Mittlerweile erkennen die Verantwortlichen, dass das zeit- und kostenaufwandige Verfahren MAB nur dann nachhaltig wirksam ist, wenn Folgeprozesse bereits von Beginn an eingeplant und nach der Befragung konsequent durchgefuhrt werden. In der Praxis besteht zur Zeit eine grosse Nachfrage, wie man ein gutes Follow-up gestaltet. Dieses Buch beschreibt - aufbauend auf den Grundlagen zur Durchfuhrung einer Mitarbeiterbefragung - praxisnahe Tools fur die Steuerung der Folgeprozesse und stellt konkrete Firmenbeispiele vor. Es schliesst eine Lucke in der Literatur und ist ein unverzichtbarer Werkzeugkasten fur alle, die Mitarbeiterbefragungen durchfuhren oder beratend tatig sind."
While the use of database technology is ubiquitous throughout IT (and health IT in particular), it is not generally appreciated that, as a database increases in scope, certain designs are far superior to others. In biomedical domains, new knowledge is being generated continually, and the databases that must support areas such as clinical care and research must also be able to evolve while requiring minimal or no logical / physical redesign. Appropriately designed metadata, and software designed to utilize it effectively, can provide significant insulation against change. Many of the larger EMR or clinical research database vendors have realized this, but their designs are proprietary and not described in the literature. Consequently, numerous misconceptions abound among individuals who have not had to work with large-scale biomedical systems, and graduates of a health or bioinformatics program may find that they need to unlearn what they were taught in database and software design classes in order to work productively with such systems. A working knowledge of such systems is also important for individuals who are not primarily software developers, such as health informaticians, medical information officers and data analysts. This book is, in a sense, intended to prepare all of the above individuals for the real world.
The US healthcare system faces numerous difficulties: uncontrolled increases in costs; major access problems; doctor shortages; closing practices; inefficiencies; decreasing revenues; shrinking bottom lines; large numbers of uninsured and underinsured patients; and the upcoming increased demands in service posed by the Affordable Care Act. As a result, many physicians and health care organications are turning to group visits to address these problems. While Dr. Noffsinger's textbook Running Group Visits In Your Practice is the cornerstone reference on designing, implementing and running shared medical appointments (SMAs) in one's practice, it lacks the simplicity and practicality that clinicians are looking for to start their own SMA programs. The ABCs of Group Visits is a practical, streamlined and step-by-step guide focused on the implementation aspects of group visits.Healthcare professionals at every level are looking for alternate ways to deliver high quality care at lower cost, and it is clear to many that group visits provide a care delivery model that will address many of today's critical challenges. The ABCs of Group Visits quickly provides a solution for your busy practice."
This volume marks the end of an eight-year program of research on population issues, launched in 1990 by the Netherlands Organization for Scientific Research: The NWO Priority Program on Population Issues. Initiatives for this program of research were taken over ten years ago by Hans Van Ginkel-who became the first program chair - and Dirk Van De Kaa. The Dutch community of population scientists is deeply indebted to them for their early efforts. At the time, the program carried the name "Between Individual Development and Social Solidarity: Pop ulation and Society in a Period of Transition. " The goals of the Priority Program were threefold: To reduce the fragmentation of research on population issues; to increase collabora tion among population researchers with different disciplinary back grounds; and to strengthen the position of population studies in Dutch academe and in international forums. Looking back over eight years of programed research, we can safely say that the Priority Program has given an enormous impetus to population research in the Netherlands - as this volume attests. This program of research could not have been carried out success fully without the valuable contributions and constructive input of a large group of scientists. The scope and the focus of the Priority Program were defined by a preparatory committee chaired by Gerard Frinking."
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.
Drawing on the expertise of decision-making professionals, leaders, and managers in health care organizations, Hospitals & Health Care Organizations: Management Strategies, Operational Techniques, Tools, Templates, and Case Studies addresses decreasing revenues, increasing costs, and growing consumer expectations in today's increasingly competitive health care market. Offering practical experience and applied operating vision, the authors integrate Lean managerial applications, and regulatory perspectives with real-world case studies, models, reports, charts, tables, diagrams, and sample contracts. The result is an integration of post PP-ACA market competition insight with Lean management and operational strategies vital to all health care administrators, comptrollers, and physician executives. The text is divided into three sections: Managerial Fundamentals Policy and Procedures Strategies and Execution Using an engaging style, the book is filled with authoritative guidance, practical health care-centered discussions, templates, checklists, and clinical examples to provide you with the tools to build a clinically efficient system. Its wide-ranging coverage includes hard-to-find topics such as hospital inventory management, capital formation, and revenue cycle enhancement. Health care leadership, governance, and compliance practices like OSHA, HIPAA, Sarbanes-Oxley, and emerging ACO model policies are included. Health 2.0 information technologies, EMRs, CPOEs, and social media collaboration are also covered, as are 5S, Six Sigma, and other logistical enhancing flow-through principles. The result is a must-have, "how-to" book for all industry participants.
The management of clinical data, from its collection during a trial to its extraction for analysis, has become a critical element in the steps to prepare a regulatory submission and to obtain approval to market a treatment. Groundbreaking on its initial publication nearly fourteen years ago, and evolving with the field in each iteration since then, the third edition of Practical Guide to Clinical Data Management includes important updates to all chapters to reflect the current industry approach to using electronic data capture (EDC) for most studies. See what's new in the Third Edition: A chapter on the clinical trial process that explains the high level flow of a clinical trial from creation of the protocol through the study lock and provides the context for the clinical data management activities that follow Reorganized content reflects an industry trend that divides training and standard operating procedures for clinical data management into the categories of study startup, study conduct, and study closeout Coverage of current industry and Food and Drug Administration (FDA) approaches and concerns The book provides a comprehensive overview of the tasks involved in clinical data management and the computer systems used to perform those tasks. It also details the context of regulations that guide how those systems are used and how those regulations are applied to their installation and maintenance. Keeping the coverage practical rather than academic, the author hones in on the most critical information that impacts clinical trial conduct, providing a full end-to-end overview or introduction for clinical data managers.
Strategic Information Management In Hospitals: An Introduction To Hospital Information Systems is a definitive volume written by four authoritative voices in medical informatics. Illustrating the importance of hospital information management in delivering high quality health care at the lowest possible cost, this book provides the essential resources needed by the medical informatics specialist to understand and successfully manage the complex nature of hospital information systems. Author of the book's Foreword, Reed M. Gardner, PhD, Professor and Chair, Department of Medical Informatics, University of Utah and LDS Hospital, Salt Lake City, Utah, applauds the text's focus on the underlying administrative systems that are in place in hospitals throughout the world. He writes, "These administrative systems are fundamental to the development and implementation of the even more challenging systems that acquire, process, and manage the patient's clinical information. Hospital information systems provide a major part of the information needed by those paying for health care." Chapter highlights include: significance of information processing in hospitals; information systems and their components; health information systems; architectures of hospital information systems; and organizational structures for information management.
Awareness of the importance of nutrition and physical activity for good health has given rise to a multitude of projects with different scopes and methodologies. This variety makes it necessary to bring the results of these activities into a coordinated framework. This book aims to summarize the activities carried out by the EU countries to address these determinants of health. Contributors are drawn from Germany, Italy, Sweden, and United Kingdom.
The United States is experiencing a dramatic shift in demographics, with minorities comprising a rapidly growing proportion of the population. It is anticipated that this will likely lead to substantial changes in previously established values, needs, and priorities of the population, including health and mental health for individuals, families, and society at large. This volume focuses on determinants of minority mental health and wellness. This emphasis necessarily raises the question of just who is a minority and how is minority to be defined. The term has been defined in any number of ways. Wirth (1945, p. 347) offered one of the earliest definitions of minority: We may define a minority as a group of people who, because of their physical or cultural characteristics, are singled out from the others in the society in which they live for differential and unequal treatment, and who therefore regard themselves as objects of collective discrimination. The existence of a minority in a society implies the existence of a corresponding dominant group enjoying higher social status and greater privileges.
A growing body of research identifies strong links between children's health, social and educational outcomes; it also notes the reciprocal benefits of access to quality education on individual and family health status. In response to these findings, the World Health Organization developed the concept of the Health-Promoting School (HPS), a living catalyst for healthy lives, and for positive changes that students can take home and into the community. Case Studies in Global School Health Promotion provides readers with a theoretical and research base needed to understand the methods used in communities all over the world to put this captivating concept in place. Case examples from over two dozen countries (representing urban and rural areas in developing and developed nations) outline the strategies taken to implement HPS programs in individual schools, municipalities, and nations. For each program, case study authors explain the problems they tackled, their motivation and supports to respond creatively; and the barriers they faced. In the cases, authors describe the capacities and infrastructure they created and mechanisms for cooperation; as well as the personnel, financial, and time requirements involved. Case studies were drawn from the following regions:
Case Studies in Global School Health Promotion offers a world of insights, ideas, and guidance to those addressing social determinants of health at this formative stage, including: education and health policy makers; professionals and administrators; and researchers in national governments, universities, local schools, community, non-governmental organizations and civil society. The material provides interesting and useful information to those dedicated to these issues within WHO, FRESH Partners and other United Nations agencies. It is also an instructive text for graduate students in public health, education, allied health professions and social sciences.
In Paramedics On and Off the Streets, Michael K. Corman embarks on an institutional ethnography of the complex, mundane, intricate, and exhilarating work of paramedics in Calgary, Alberta. Corman's comprehensive research includes more than 200 hours of participant observation ride-alongs with paramedics over a period of eleven months, more than one hundred first hand interviews with paramedics, and thirty-six interviews with other emergency medical personnel including administrators, call-takers and dispatchers, nurses, and doctors. At the heart of this ethnography are questions about the role of paramedics in urban environments, the role of information and communication technologies in contemporary health care governance, and the organization and accountability of pre-hospital medical services. Paramedics On and Off the Streets is the first institutional ethnography to explore the role and increasing importance of paramedics in our healthcare system. It takes readers on a journey into the everyday lives of EMS personnel and provides an in-depth sociological analysis of the work of pre-hospital health care professionals in the twenty-first century.
The idea of person-centred health systems is widely advocated in political and policy declarations to better address health system challenges. A person-centred approach is advocated on political, ethical and instrumental grounds and believed to benefit service users, health professionals and the health system more broadly. However, there is continuing debate about the strategies that are available and effective to promote and implement 'person-centred' approaches. This book brings together the world's leading experts in the field to present the evidence base and analyse current challenges and issues. It examines 'person-centredness' from the different roles people take in health systems, as individual service users, care managers, taxpayers or active citizens. The evidence presented will not only provide invaluable policy advice to practitioners and policymakers working on the design and implementation of person-centred health systems but will also be an excellent resource for academics and graduate students researching health systems in Europe. This title is available as Open Access on Cambridge Core.
The tech sectors are the least understood portion of the healthcare system, but the ones that supply most of the innovation in healthcare services and generate most revenue. Fully updated for this third edition, The Business of Healthcare Innovation is a wide-ranging analysis of business models and trends in the tech sectors of the healthcare industry. It provides a thorough overview of and introduction to the innovative sectors that fuel improvements in healthcare: pharmaceuticals, biotechnology, life science startups, medical devices and information technology. For each sector, the book examines the trends in scientific innovation, the science behind that innovation, the business and revenue models pursued to commercialize that innovation, the regulatory constraints within which each sector must operate and the growing issues posed by activist payers and consumers. From a combination of academic and industry perspectives, the authors show why healthcare sectors are such an important source of growth in any nation's economy.
In a world where there is increasing demand for the performance of health providers to be measured, there is a need for a more strategic vision of the role that performance measurement can play in securing health system improvement. This volume meets this need by presenting the opportunities and challenges associated with performance measurement in a framework that is clear and easy to understand. It examines the various levels at which health system performance is undertaken, the technical instruments and tools available, and the implications using these may have for those charged with the governance of the health system. Technical material is presented in an accessible way and is illustrated with examples from all over the world. Performance Measurement for Health System Improvement is an authoritative and practical guide for policy makers, regulators, patient groups and researchers.
This volume in the series Emerging Infectious Diseases of the 21st Century provides the most up-to-date and comprehensive information available on bioterrorism agents such as: Anthrax, smallpox, plague, and SARS Vaccine development New anti-viral drug development Treatment and protection Threat analysis and response Biological and chemical agents Compiled by two of the leading experts in the field, Bioterrorism and Infectious Agents provides the specialist and trainee in microbiology, infectious disease, infection control, and epidemiology with a concise, timely, and authoritative review of some of the most problematic infections of the new century. This volume will foster a better understanding of the issues and new ideas for preventing and controlling infectious diseases.
In 1983, the first patient classification system to be used on a national basis, the Diagnosis Relate Groups (DRGs), was adopted as part of the Prospective Payment System in the United States. This system caught the attention of health policy makers in other countries, and a number of them began to implement similar approaches. What motivated them to adopt these systems? What similarities and differences were there among their experiences in implementing these systems? What can we learn about introducing change into national health systems by comparing their experiences? The Globalization of Managerial Innovation in Health Care answers these and other questions by examining patient classification systems in fifteen different countries throughout the world. The result is a remarkable collection of case studies of how change can be introduced effectively into national health systems as well as a careful synthesis of what can be learned from them.
Innovation in medical technology generates a remarkable supply of new drugs, devices, and diagnostics that improve health, reduce risks, and extend life. But these technologies are too often used on the wrong patient, in the wrong setting, or at an unaffordable price. The only way to moderate the growth in health care costs without undermining the dynamic of medical innovation is to improve the process of assessing, pricing, prescribing, and using new technologies. Purchasing Medical Innovation analyzes the contemporary revolution in the purchasing of health care technology, with a focus on the roles of the Food and Drug Administration (FDA), Medicare and private health insurers, physicians and hospitals, and consumers themselves. The FDA is more thoroughly assessing product performance under real-world conditions as well as in laboratory settings, accelerating the path to market for breakthroughs while imposing use controls on risky products. Insurers are improving their criteria for coverage and designing payment methods that reward efficiency in the selection of new treatments. Hospitals are aligning adoption of complex supplies and equipment more closely with physicians' preferences for the best treatment for their patients. Consumers are becoming more engaged and financially accountable for their health care choices. This book describes both the strengths and deficiencies of the current system of purchasing and highlights opportunities for buyers, sellers, and users to help improve the value of medical technology: better outcomes at lower cost. |
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