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In its 75th anniversary year, this book examines the history,
evolution and future of the NHS. With contributions from leading
researchers and experts across a range of fields, such as finance,
health policy, primary and secondary care, quality and patient
safety, health inequalities and patient and public involvement, it
explores the history of the NHS drawing on narrative, evaluative
and analytical approaches. The book frames its analysis around the
four key axes from which the NHS has evolved: governance,
centralisation and decentralisation, public and private, and
professional and managerial. It will address the salient factors
which shape the direction and pace of change in the NHS. As such,
the book provides a long-term critical review of the NHS and key
themes in health policy.
In its 75th anniversary year, this book examines the history,
evolution and future of the NHS. With contributions from leading
researchers and experts across a range of fields, such as finance,
health policy, primary and secondary care, quality and patient
safety, health inequalities and patient and public involvement, it
explores the history of the NHS drawing on narrative, evaluative
and analytical approaches. The book frames its analysis around the
four key axes from which the NHS has evolved: governance,
centralisation and decentralisation, public and private, and
professional and managerial. It will address the salient factors
which shape the direction and pace of change in the NHS. As such,
the book provides a long-term critical review of the NHS and key
themes in health policy.
People from different cultural backgrounds prefer adhering to their
own religious beliefs which could restrict treatment options
leading to the detriment of health especially if it involves the
health of a disabled child. This comprehensive but concise work
highlights the problems faced in managing the care of disabled
children from different cultural backgrounds. It examines the
problems inherent in the medical social and educational management
of children with developmental disability in populations whose
value systems differ from other cultures. In particular it
considers how care may be varied according to cultural background
without compromising its quality. The book is of immense value for
all healthcare and social care professionals policy makers and
shapers patient organisations and those with an interest in medical
ethics.
In this book, we invited 146 authors with expertise in health
policy, systems design, management, research, or practice, from
each of the countries included, to consider health reforms or
systems improvements in their country or region. The resulting case
studies, of 52 individual countries and five regional groupings,
cover 152 countries or territories, or three-quarters of the
world's nations. Each chapter author was asked to think 5-15 years
into the future and make a prediction on how their health system
could be strengthened as a result of the successful unfolding of
their case study. The types of projects our authors have chosen to
explicate into the future are wide-ranging. They vary from
e-consultation services in Estonia, achieving universal health
coverage in Argentina and Mexico, reforming long-term care in the
Netherlands, reassessing care for the aging population and the
frail elderly in Australia, streamlining the health system through
Lean Thinking in Nigeria, using regulation to improve care in South
Africa, developing a new accreditation model in Turkey, through to
a critique of physician specialization in Russia and applying IT
initiatives to improve care in China, Lebanon, Taiwan, Papua New
Guinea, the United Arab Emirates, Venezuela and Wales. Chapter
writers recognized that the improvement work they were doing was
part of a moving target. There was general agreement that the
effective use of limited resources and overcoming hurdles and
constraints were crucial to enhancing health systems in order to
deliver better care over the medium term. While some initiatives
required considerable funding, many were relatively inexpensive.
These case studies demonstrate ways in which fruitful application
of partnerships and creativity can make considerable gains in
strengthening healthcare delivery systems. Features The third book
in a series on international health reform Involves 146
contributing authors, five regional editors, a series editor and a
highly skilled support team to explore sustainable improvement in
health systems in the future Encompasses a time horizon of the next
5-15 years Covers 152 countries or territories, with 52 individual
countries and an analysis of five regional groupings comprising 100
countries
This book provides an in-depth analysis of the NHS reforms ushered
in by UK Coalition Government under the 2012 Health and Social Care
Act, arguably the most extensive reforms ever introduced in the
NHS. Contributions from leading researchers from the UK, the US and
New Zealand examine the reforms in the contexts of national health
policy, commissioning and service provision, governance and others.
Collectively, the chapters presents a broader assessment of the
trajectory of health reforms in the context of marketisation, the
rise of health consumerism and the revelation of medical scandals.
This is essential reading for those studying the NHS, those who
work in it, and those who seek to gain a better understanding of
this key public service.
An in-depth analysis of the NHS reforms ushered in by UK Coalition
Government under the 2012 Health and Social Care Act. Contributions
from leading researchers from the UK, the US and New Zealand, and a
foreword from Julian Le Grand, examine the reforms in the contexts
of national health policy, commissioning and service provision,
governance and others.
NHS reform continues to be a topical yet contentious issue in the
UK. Reforming healthcare: What's the evidence? is the first major
critical overview of the research published on healthcare reform in
England from 1990 onwards by a team of leading UK health policy
academics. It explores work considering the Conservative internal
market of the 1990s and New Labour's healthcare reorganizations,
including its attempts at performance management and the
reintroduction of market-based reform from 2004 to 2010. It then
considers the implications of this research for current debates
about healthcare reorganization in England, and internationally. As
the most up-to-date summary of what research says works in English
healthcare reform, this essential review is aimed at anyone
interested in the wide-ranging debates about health reorganization,
but especially students and academics interested in social policy,
public management and health policy.
NHS reform continues to be a topical yet contentious issue in the
UK. Reforming healthcare: What's the evidence? is the first major
critical overview of the research published on healthcare reform in
England from 1990 onwards by a team of leading UK health policy
academics. It explores work considering the Conservative internal
market of the 1990s and New Labour's healthcare reorganizations,
including its attempts at performance management and the
reintroduction of market-based reform from 2004 to 2010. It then
considers the implications of this research for current debates
about healthcare reorganization in England, and internationally. As
the most up-to-date summary of what research says works in English
healthcare reform, this essential review is aimed at anyone
interested in the wide-ranging debates about health reorganization,
but especially students and academics interested in social policy,
public management and health policy.
Following on from 2015's Healthcare Reform, Quality and Safety:
Perspectives, Participants, Partnerships and Prospects in 30
Countries, this book encompasses a global perspective on healthcare
while shifting the focus from reform to showcasing success stories
of healthcare systems worldwide. It provides explanations of why
various facets of healthcare systems work well in different
contexts and offers the reader alternative models for
consideration. The book features contributions from 60 countries,
going much further than the common practice of focusing on affluent
Western nations, to provide a comprehensive exploration of the
success of healthcare systems globally. The majority of literature
on health-sector improvement attempts to address the problems
within systems, relating the errors that can and do occur, for
example, and offering solutions and preventative strategies. This
book of country case studies will approach the enhancement of
health systems, patient safety and the quality of care in a new and
innovative way, comprehensively surveying and synthesizing the
success stories of healthcare systems around the world, utilizing
Hollnagel's Safety-II approach to acknowledge the importance of
exploring what goes right, what works well, and why it works. These
success stories may include reference to macro, meso or micro
levels of healthcare systems, various sectors (e.g., aged care,
acute care or primary care), or specific programs or projects.
Health System Improvement Across the Globe: Success Stories from 60
Countries is unprecedented in terms of both reach and positive
emphasis, and as such will be instrumental in changing ways of
thinking about and guiding health-sector improvement.
Following on from 2015's Healthcare Reform, Quality and Safety:
Perspectives, Participants, Partnerships and Prospects in 30
Countries, this book encompasses a global perspective on healthcare
while shifting the focus from reform to showcasing success stories
of healthcare systems worldwide. It provides explanations of why
various facets of healthcare systems work well in different
contexts and offers the reader alternative models for
consideration. The book features contributions from 60 countries,
going much further than the common practice of focusing on affluent
Western nations, to provide a comprehensive exploration of the
success of healthcare systems globally. The majority of literature
on health-sector improvement attempts to address the problems
within systems, relating the errors that can and do occur, for
example, and offering solutions and preventative strategies. This
book of country case studies will approach the enhancement of
health systems, patient safety and the quality of care in a new and
innovative way, comprehensively surveying and synthesizing the
success stories of healthcare systems around the world, utilizing
Hollnagel's Safety-II approach to acknowledge the importance of
exploring what goes right, what works well, and why it works. These
success stories may include reference to macro, meso or micro
levels of healthcare systems, various sectors (e.g., aged care,
acute care or primary care), or specific programs or projects.
Health System Improvement Across the Globe: Success Stories from 60
Countries is unprecedented in terms of both reach and positive
emphasis, and as such will be instrumental in changing ways of
thinking about and guiding health-sector improvement.
In this book, we invited 146 authors with expertise in health
policy, systems design, management, research, or practice, from
each of the countries included, to consider health reforms or
systems improvements in their country or region. The resulting case
studies, of 52 individual countries and five regional groupings,
cover 152 countries or territories, or three-quarters of the
world's nations. Each chapter author was asked to think 5-15 years
into the future and make a prediction on how their health system
could be strengthened as a result of the successful unfolding of
their case study. The types of projects our authors have chosen to
explicate into the future are wide-ranging. They vary from
e-consultation services in Estonia, achieving universal health
coverage in Argentina and Mexico, reforming long-term care in the
Netherlands, reassessing care for the aging population and the
frail elderly in Australia, streamlining the health system through
Lean Thinking in Nigeria, using regulation to improve care in South
Africa, developing a new accreditation model in Turkey, through to
a critique of physician specialization in Russia and applying IT
initiatives to improve care in China, Lebanon, Taiwan, Papua New
Guinea, the United Arab Emirates, Venezuela and Wales. Chapter
writers recognized that the improvement work they were doing was
part of a moving target. There was general agreement that the
effective use of limited resources and overcoming hurdles and
constraints were crucial to enhancing health systems in order to
deliver better care over the medium term. While some initiatives
required considerable funding, many were relatively inexpensive.
These case studies demonstrate ways in which fruitful application
of partnerships and creativity can make considerable gains in
strengthening healthcare delivery systems. Features The third book
in a series on international health reform Involves 146
contributing authors, five regional editors, a series editor and a
highly skilled support team to explore sustainable improvement in
health systems in the future Encompasses a time horizon of the next
5-15 years Covers 152 countries or territories, with 52 individual
countries and an analysis of five regional groupings comprising 100
countries
Healthcare policy frequently invokes notions of cultural change as
a means of achieving improvement and good-quality care. This
Element unpacks what is meant by organisational culture and
explores the evidence for linking culture to healthcare quality and
performance. It considers the origins of interest in managing
culture within healthcare, conceptual frameworks for understanding
culture change, and approaches and tools for measuring the impact
of culture on quality and performance. It considers potential
facilitators of successful culture change and looks forward towards
an emerging research agenda. As the evidence base to support
culture change is rather thin, a more realistic assessment of the
task of cultural transformation in healthcare is warranted.
Simplistic attempts to manage or engineer culture change from above
are unlikely to bear fruit; rather, efforts should be sensitive to
the complexity and highly stratified nature of culture in an
organisation as vast and diffuse as the NHS. This title is also
available as Open Access on Cambridge Core.
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