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Books > Medicine > General issues > Health systems & services > Hospital administration & management
This book presents an extensive collection of high-yield case vignettes with recommendations for a comprehensive approach to cultural psychiatry. Culture is defined from an anthropological perspective, with an emphasis on aspects of culture beyond race, ethnicity, and other traditional demographic categories. The goal of this book is to offer clinical applications of cultural psychiatry via examination of special populations, systems, and settings. With ever-changing geopolitical environments, institutional structures, and sociodynamics, attention and consideration of context is paramount. Theoretical models and specific frameworks for evaluating cultural influence on the manifestation, development, and treatment response of mental health illnesses are presented. The chapters are organized to showcase different ways in which culture plays into everyday clinical practice. Emphasis is placed on the full sum of the care delivery transaction within a larger context, including public and community systems of care. Real-world case examples are discussed in each chapter to help contextualize the dynamic nature that culture plays in practice across inpatient and outpatient settings. Each case presents with relevant academic and historical background and practical operational advice for psychiatrists providing care within these respective communities. The authors address diverse clinical cases related to refugee and asylum seekers, military service members, survivors of human trafficking, incarcerated populations, and more. Training recommendations and best practices are outlined including psychopharmacology, psychosocial treatments, and cultural adaptations to evidence based treatments. Diversity in Action: Case Studies in Cultural Psychiatry is a useful resource for all psychiatrists, psychologists, general practitioners, social workers, nurses, administrators, public policy officials, and all medical professionals working with a culturally diverse subset of patients seeking mental health.
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.
Is leadership just a fashion that is blowing through the healthcare sector and will blow out again? Is it just new fancy language to describe what has always happened in hospitals, surgeries, and schools across the land? The authors think not, and there are many reasons why leadership - across the organization and across healthcare networks - needs to be taken seriously. Clear and convincing with practical applications, Leadership for Healthcare includes a systematic literature review of the academic and policy literature of healthcare leadership in the UK in the last 10 years. The book provides an evidence-based framework which synthesizes the literature from health services management and business. It draws out lessons for policy, practice, and future research in the area of leadership in healthcare, and it provides a clear 'road map' of the terrain of leadership which will help to avoid some of the pitfalls, fallacies, and fantasies about leadership.
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.
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.
Cystic fibrosis (CF) is one of the most common autosomal recessive disorders in the Caucasian population with an estimated incidence of 1 in 2,500 childbirths. While this disease affects several organ systems of the body, morbidity and mortality is chiefly related to the extent of pulmonary involvement. Idiopathic pulmonary fibrosis (IPF) is the most common idiopathic interstitial disease of the lung of unknown etiology with a median survival time of about 3 years. IPF occurs mainly in men older than 60 years who have comorbidities such as pulmonary hypertension, COPD, lung cancer, gastro-esophageal reflux, ischemic heart disease and obstructive sleep apnoea. This book provides current research on risk factors of CF and IPF, as well as management options and long-term health outcomes of the disorders.
Psoriasis is a common, non-infectious, chronic inflammatory skin disease characterised by distinctive erythematous plaques that multiply and scale over with silvery patches. Psoriasis can affect any cutaneous site and is frequently found on the extensor skin surface of elbows and knees, scalp and sacral regions. Psoriasis is also associated with systemic conditions, including psoriatic arthritis, Crohns disease and lymphoma. This book discusses the epidemiology, diagnosis and management strategies of psoriasis. Chapter One provides an overview of the challenging medical condition. Chapter Two discusses the possible factors raised by literature as main contributors to sleep disturbances and its correlation to psoriasis. Chapter Three gives an overview of the current results where blood plasma thermal changes have been detected by Differential Scanning Calorimetry (DSC) technique on psoriatic patients with different clinical stages, and monitored patients with no symptoms to patients with serious symptoms. Chapter Four discusses psoriasis treatment that targets the IL-23/Th17 axis. Chapter Five reviews natural health products for managing psoriasis.
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.
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.
This book discusses the management of various aspects of the professional life of newly qualified urologists as well as more experienced urologists. It features clear, easy-to-read chapters covering various topics, including clinical and surgical patient care, administrative duties, and research despite the increasing constraints on time and resources in today's hectic practice environment. Navigating Organized Urology: A Practical Guide systematically presents a range of practical strategies for a successful transition from trainee to practising urologist, while also offering more experienced urologists a fresh perspective on efficient management and successful adaptation of their practices for the modern age.
Prepare for an uncertain future with a solid vision and innovative practices. Is your healthcare organization spending too much time on strategy--with too little to show for it? If you read nothing else on strategy, read these 10 articles. We've combed through hundreds of Harvard Business Review articles and selected the most important ones for healthcare professionals to help you catalyze your organization's strategy development and execution. Leading strategy experts, such as Michael E. Porter, Jim Collins, W. Chan Kim, and Renee Mauborgne, provide the insights and advice you need to: Understand how the rules of corporate competition translate to the healthcare sector Craft a vision for an uncertain future Segment your market to better serve diverse patient populations Achieve the best health outcomes--at the lowest cost Learn what disruptive innovation means for healthcare Use the Balanced Scorecard to measure your progress This collection of articles includes "What Is Strategy?" by Michael E. Porter; "The Five Competitive Forces That Shape Strategy," by Michael E. Porter; "Health Care Needs Real Competition," by Leemore S. Dafny and Thomas H. Lee; "Building Your Company's Vision," by Jim Collins and Jerry I. Porras; "Reinventing Your Business Model," by Mark W. Johnson, Clayton M. Christensen, and Henning Kagermann; "Will Disruptive Innovations Cure Health Care?" by Clayton M. Christensen, Richard Bohmer, and John Kenagy; "Blue Ocean Strategy," by W. Chan Kim and Renee Mauborgne; "Rediscovering Market Segmentation," by Daniel Yankelovich and David Meer; "The Office of Strategy Management," by Robert S. Kaplan and David P. Norton; and "The Strategy That Will Fix Health Care," by Michael E. Porter and Thomas H. Lee.
Parkinson's disease, a common neurologic disorder of dopamine dysfunction, is characterized by motor, cognitive, psychiatric and autonomic symptoms. Parkinsonism has been defined as a complex syndrome with many etiologies, and it is most common in the elderly. Its cause is unknown and it is represented by idiopathic Parkinson's disease and other neurodegenerative conditions. Chapter one of this book discusses vascular Parkinsonism, which is a type of a Parkinsonism secondary to cerebrovascular disease. Chapter two presents a single blind randomized phase II study comparing surgical intervention with adjustable ventriculo-peritoneal shunt plus dopamine oral therapy versus surgical operation alone in patients affected by idiopathic normal pressure hydrocephalus associated with Parkinsonism. Chapter three reviews the current knowledge regarding the role of Mavridis' atrophy (the parkinsonism-related shrinkage of the human nucleus accumbens) in Parkinson's disease.
"I have eagerly awaited the follow up to Bond and Holland's ground breaking first edition published some 12 years ago. This second edition is completely revisited, retaining the readable chapter structure, but tackling the key questions head on pertinent to clinical supervision development for nursing in the 21st century. Once again the authors do not pull any punches critically reviewing the nature of and challenges posed for its full implementation in practice. The strengths of this book are its practical application in and for practice. The continued emphasis on skills development in the clinical supervision relationship is evident, embroidered within the emotional work of everyday nursing practice. This is an essential read for all those still wrestling with full implementation in practice and presents a treasure trove of ideas for those actively engaging in the process." John Driscoll, Continuing Professional Development (CPD) Consultant (Healthcare)This perennial bestseller provides a practical and accessible, skills-based text on how to implement and engage in clinical supervision. It provides clear frameworks to guide learning, with real-life examples from across the range of nursing specialisms.Offering grounded perspectives on supervision for nurses, it has been thoroughly updated to reflect changes and developments in the profession. The book includes: Exploration of the theory and development of clinical supervisionAn analysis of the process and skills of in-depth reflectionGuidelines on developing key skills for both supervisors and superviseesA critique of group supervision and ways to make it more effective New ideas for developing organizational frameworks for supervision The authors' wealth of experience is reflected in their outline for a code of ethics that addresses self-disclosure and accountability issues in clinical supervision.This book is key reading for nurses, midwives and health visitors and their managers as well as professional support workers and educators who have an interest in the practical implementation of clinical supervision.
Lead is a heavy metal used since ancient times and is still employed for several industrial purposes due to its suitable physical and chemical properties. It is non-biodegradable and is very persistent in the environment. Human exposure can lead, however, to a wide range of biological effects. Lead (Pb) exposure is known to induce a wide range of physiological and biochemical dysfunctions in humans and animals. This books reviews works collected in international literature dealing with the effects of lead; the environmental contamination of lead and its associated public health risks; the influence of lead at different doses on the structure of intestinal microbial community in vivo and its relationships to intestinal epithelium in vitro; and finally, the effects of fractions of the edible halophyte, Sarcocornia perennis on human kidney cells after Pb intoxication.
Medical Data Management is a systematic introduction to the basic methodology of professional clinical data management. It emphasizes generic methods of medical documentation applicable to such diverse tasks as the electronic patient record, maintaining a clinical trials database, and building a tumor registry. This book is for all students in medical informatics and health information management, and it is ideal for both the undergraduate and the graduate levels. The book also guides professionals in the design and use of clinical information systems in various health care settings. It is an invaluable resource for all health care professionals involved in designing, assessing, adapting, or using clinical data management systems in hospitals, outpatient clinics, study centers, health plans, etc. The book combines a consistent theoretical foundation of medical documentation methods outlining their practical applicability in real clinical data management systems. Two new chapters detail hospital information systems and clinical trials. There is a focus on the international classification of diseases (ICD-9 and -10) systems, as well as a discussion on the difference between the two codes. All chapters feature exercises, bullet points, and a summary to provide the reader with essential points to remember. New to the Third Edition is a comprehensive section comprised of a combined Thesaurus and Glossary which aims to clarify the unclear and sometimes inconsistent terminology surrounding the topic.
"Depression ist out, Burnout ist in! Depression ist etwas fur Verlierer und Versager. Burnout hingegen haben Gewinner-Typen!" Diese Sichtweise ein und derselben Erkrankung hat sich schleichend in unseren Koepfen verankert, seit Burnout in der ersten Dekade der 2000er Jahre zur neuen Modediagnose wurde. Dieses Buch soll den Blick auf diese Erkrankung weiten und seinen Teil dazu beitragen, sie endlich aus der Ecke des Schweigens heraus zu holen. Denn sowohl die Ursachen als auch die Pravention von Burnout sind zu vielschichtig, um sie ausschliesslich der Psyche zuzuschreiben. Die Autoren zeigen auf, welchen Einfluss der Arbeitsplatz auf die Entstehung von Burnout hat und erlautern zudem die physische Komponente von Erschoepfungssyndromen. Es wird anschaulich zur Pravention informiert, Expertenwissen aus der Praxis vermittelt und Inspirationen fur den Alltag gegeben. Die Leser werden zu aktiven Verhaltensanderungen motiviert und es wird Mut gemacht, sich eine gesunde Lebensfuhrung zu erlauben. Denn es ist hoechste Zeit fur einen Paradigmenwechsel in der allgemeinen Wahrnehmung dieser leider so haufigen Diagnose.
The book is about social work interventions in the different units of the hospital, from the history of social work in the hospital setting to the different units of the hospital, including emergency room, medical intensive care units, and discharge planning. The book is important because it is about the different interventions of the social worker with patients and families.
Think - Plan - Buy This is the first complete guide for creating a sustainable healthcare simulation program/center. It is created by experts in the field that are on the front lines of this emerging field. It is intended and written with all professions in mind, and should be a resource for all, be they healthcare educators, administrators, or executives. It covers specific elements of the entire process, from concept to execution, and identifies key decision points along the way. The book is organized around fundamental considerations in center and program development including governance, structural/facility and curricular design, business planning, to establishing policies and procedures. Chapters analyze the fundamental aspects of planning, such as budgeting, revenue streams, and philanthropy as well as the inclusion of educational resources within such programs. Comprehensive Healthcare Simulation: Program and Center Development is an invaluable addition to the Comprehensive Healthcare Simulation series, and features an authoritative authorship of experts in the field.
In Guide to Effective Staff Development in Health Care Organizations, Patrice L. Spath— a national authority on health care training— and a stellar panel of health care experts offer hospital administrators and managers a variety of techniques that they can implement to provide cost-efficient staff orientation, training, and continuing education. This book acts as a field guide for health care executives who must make informed decisions about which staff trainings and education strategies are best for their organizations. A comprehensive resource for health care executives, Guide to Effective Staff Development in Health Care Organizations
Widespread use of health information technology, such as electronic health records (EHR), has the potential to improve the quality of care patients receive and reduce health care costs. Historically, patient health information has been scattered across paper records kept by many different providers in many different locations. When this occurs, health care professionals may lack ready access to critical information needed to make the most informed decisions on treatment options, potentially putting the patient's health at risk or leading to inappropriate or duplicative tests and procedures that increase health care spending. To help address these issues, this book examines EHRs, which can be used to electronically collect, store, receive, and transfer clinical information related to patients' care, allowing ready access to this information by multiple providers in different locations. Despite the potential benefits, studies have estimated that as of 2009, 78 percent of office-based physicians and 91 percent of hospitals had not adopted EHRs.
Health care organizations are challenged to improve care at the bedside for patients, learn from individual patients to improve population health, and reduce per capita costs. To achieve these aims, leaders are needed in all parts of the organization need positive solutions. Transforming Health Care Leadership provides healthcare leaders with the knowledge and tools to master the unprecedented level of change that health care organizations and their leaders now face. It also challenges management myths that served in bureaucracies but mislead in learning organizations.
For more than a century, New York City's public hospitals have played a major role in ensuring that people of every class have had a place to turn for care. This comparison of the history of Bellevue Hospital with that of the private New York Hospital illuminates the unique contribution that public hospitals have made to the city and confirms their continued value today. Portraying the hospital as an urban institution that reflects the social, political, economic, demographic, and physical changes of the surrounding city, this book links the role of public hospitals to the ongoing debate about the place of public institutions in American society.
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.
Featuring New Expert Contributing Authors From Across The Country, This Timely Revision Addresses All The Important Topics In The Effective Management Of Public Health Departments And Agencies. Using A Practical, Nontheoretical Approach, The Book Is Ideal For The Hands-On Management Of These Complex Organizations And Their Daily Operations. The Third Edition Has Been Thoroughly Revised With New Case Studies As Well As The Following New Chapters: - Chapter 2 Leadership And Governance - Chapter 16 Public Health Performance Standards - Chapter 17 Continuous Quality Improvement - Chapter 18 Accreditation - Chapter 21 Social (Electronic) Media - Chapter 28 Starting A Health Board In The 21St Century The Text Is Accompanied By A Complete Package Of Instructor Resources Including A Transition Guide, Instructor's Manual, Testbank, And Powerpoint Slides.
This textbook has been created to support the journey from emerging registered healthcare professional through to becoming a competent frontline care setting manager. It considers the seminal theories and research into leadership and management and places them firmly into the healthcare context providing the reader with thorough and robust guidance in the application of the knowledge base in the subject area. Key features: Integration of theory and practice using Action Points and case studies throughout Includes perspectives from a wide range of healthcare settings and professional groups Each chapter includes 'Guidance on good practice' showing what high-quality care and effective change looks like Written by a vastly experienced author, practitioner and educator, this latest book from Neil Gopee is essential reading for nursing, health and social care students taking modules on leadership, management and transition to practice in their final year. It is also ideal for newly qualified professionals or those moving into band 5 or 6 roles with managerial responsibilities. |
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