Health systems and services Books

Book SynopsisThat maternity staff are under pressure, with many leaving their jobs each year, is well known. Personal sacrifices, long working hours, lack of resources and an overstretched system take their toll, and occasionally staff are involved in traumatic and emotionally difficult situations. Many tolerate these conditions in the service of doing a job they love, but what happens to their mental health over time? Nurturing Maternity Staff explains how the system and individuals within it relate to each other, highlighting both the vital role compassionate leadership has in creating psychologically safe working environments, as well as tools individuals can use to optimise their own mental wellbeing. Let’s dare to dream maternity services could be different.

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Book SynopsisTrade Review“Ever since the centuries of burning women healers as witches, because they taught women how to govern our own bodies, thus to control reproduction—the medical world hasn’t included all of humanity. Doing Harm shows what is left to be done, and directs both women and men toward healing.” — Gloria Steinem “Maya Dusenbery’s exhaustively researched book is equal parts infuriating and energizing. No woman will see the medical establishment, and perhaps even more profound, her own body, the same way after reading it. In a just world, it would be required reading in medical schools from this day forward.” — Courtney E. Martin, author of Perfect Girls, Starving Daughters “Maya Dusenbery brings new life to one of the most urgent yet under-discussed feminist issues of our time. Anyone who cares about women’s health needs to read this book.” — Jessica Valenti, author of Sex Object “Dusenbery challenges a new generation of women and practitioners to fight for medical equity—shinning a harsh light on the sex bias that pervades every level of medicine. It’s outrageous that such malignant neglect exists more than two decades after the government acknowledged the gaps in knowledge about women’s health.” — Leslie Laurence, co-author of Outrageous Practices “In this groundbreaking book, Maya shows how the same forces that hold women back in society more broadly lead to sub-par medical care and inadequate attention to health issues that impact women. Every doctor, scientist, health care provider and researcher should read this book. And so should every woman.” — Jill Filipovic, author of The H-Spot “Doing Harm is a deeply researched and very readable exploration of the systematic mistreatment of women in our medical system—and how even those with the best intentions perpetuate it. This book is an eye-opener; may it also be a call for real, sustained change.” — Kate Harding, author of Asking For It and co-editor of Nasty Women “An intensive, timely spotlight…Within an organized, well-balanced combination of scientific and social research and moving personal stories, Dusenbery makes a convincing case for the need for drastic industry reform and clinical refinement.” — Kirkus “Dusenbery’s excellent book makes the sexism plaguing women’s health care hard to ignore…skillfully interweaving history, medical studies, current literature, and hard data to produce damning evidence that women wait longer for diagnoses, receive inadequate pain management, and are often told they are imagining symptoms that are taken seriously in men.” — Publishers Weekly, starred review “Editor’s Choice by the New York Times” — “As seen on FRESH AIR” — “an antidote to the isolation and maddening self-doubt that this all-too-common dismissal can impose. Her careful evidence answers the uncomfortable question that so often niggles in the doctor’s office: ‘Am I getting lesser care because I’m a woman?’” — Ms. Magazine “well researched, wonderfully truculent…” — NYT Daily “Doing Harm methodically and thoroughly lays out an indictment of the medical systems that still largely discount the experiences of women both individually and collectively. Doing Harm demands nothing short of system-wide change, starting with a call to providers at the most basic level” — Rewire “Dusenbery, who was diagnosed with rheumatoid arthritis, masterfully takes down the wide-reaching systemic gender bias in science and medicine that prevents doctors from truly hearing female patients.” — Health.com “In her new book, Dusenbery provides a comprehensive and much-needed look at how sexism in the medical field is hurting women. Much of the discrepancy in treatment stems from the “knowledge gap,” which Dusenbery writes about in depth” — Pacific Standard “Doing Harm demonstrates persuasively that subconscious gender-bias in medicine is very real and pervasive for women of all backgrounds, as doctors continue to apply a “one-size-fits-all” method of diagnosis and medical evaluation to their women patients.” — Pacific Standard “Dusenbery peels back the sick layers of America’s paternal healthcare system. She plays both patient and journalist, seamlessly combining history, research, and interviews into an easily digestible must-read. 5/5” — Bust Magazine “Dusenbery digs deeper into the issue, exploring the way gender bias in medicine often leaves women struggling for proper care.” — Tonic - VICE “the medical establishment has a poor history of taking women’s health issues seriously —a history that Feministing editor Dusenbery takes on with full force in her new book” — Harpers Bazaar “Through interviews with patients, doctors, and experts as well as a deep cultural analysis, Dusenbery presents a horrifying picture of what it means to be a woman who’s dismissed by her doctors.” — Bitch Media “Dusenbery’s book, based on two years of research into a host of conditions, exposes the systemic causes of these disparities and provides critically relevant information for the public—and for those in medicine, psychology, and the research sciences.” — Greater Good Science Center “In Doing Harm, Dusenbery explores how biases and sexism in medicine lead to harmful outcomes for women.” — Popular Science “Dusenbery says these experiences fit into a larger pattern of gender bias in medicine. Her new book, Doing Harm, makes the case that women’s symptoms are often dismissed and misdiagnosed” — NPR - FRESH AIR “Her new book is all about how women receive sub-par medical care because the medical community knows comparatively less about their bodies and diseases and too often doesn’t trust women’s reports of their own symptoms” — WNYC The Brian Lehrer Show “Maya Dusenbery explores how medicine often leaves women on the periphery of real medical advancement. She explores the horrific reality of how medical practitioners and academic researchers completely dismiss women.” — Marie Claire “Dusenbery writes about women’s pain and illnesses being overlooked because of their menstrual cramps, menopause, even entering motherhood.” — Dame Magazine “In her book, Dusenbery traces how women are overlooked in every corner of illness, from autoimmune diseases to chronic pain (which disproportionately affects women and includes everything from irritable bowel syndrome to migraines to arthritis).” — The Cut “Maya Dusenbery’s book, Doing Harm, explains how women’s health issues have historically been dismissed—and what we can do about it now.” — Broadly “Doing Harm is a fearless account of the incompetence of our culture when it comes to treating women properly. Dusenbery writes about the institutional systems that are against women—from philosophy to pharmacy to popular culture—in an accessible, engaging, and organized narrative.” — The Rumpus “Maya Dusenbery has added immensely to the literature on women’s health.” — NY Journal of Books

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Book SynopsisThe definitive work on the profound and surprising links between manic-depression and creativity, from the bestselling psychologist of bipolar disorders who wrote An Unquiet Mind.

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Book SynopsisThis important book uses empirical evidence to explore the concept of public trust in health systems.In doing so, it provides a comprehensive contemporary explanation of public trust, how it affects health systems and how it can be nurtured and maintained as an integral component of health system governance.Table of Contents1. Introduction Part 1: Why Do We Care About Public Trust in the Health System? 2. What Is Trust? 3. Three Health System Examples: Vaccination Uptake, COVID-19 Pandemic and Health Data Use in Health Systems Part 2: What Is Public Trust in the Health System? 4. Where Does Public Trust Develop? 5. What Builds Public Trust? 6. What Are the Effects of Public Trust? 7. What Frames Public Trust? Part 3: How Can We Foster Public Trust in the Health System? 8. How Can We Build Public Trust by Means of Effective Health Policy and Governance? 9. How Can We Foster Public Trust by Means of Effective Communications? 10. How Can We Foster Public Trust Through Effective Observation? 11. Conclusion

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Book SynopsisIn Decolonizing Trauma Work, Renee Linklater explores healing and wellness in Indigenous communities on Turtle Island. Drawing on a decolonizing approach, Linklater engages ten Indigenous health care practitioners in a dialogue regarding Indigenous worldviews, notions of wellness and wholistic health, critiques of psychiatry and psychiatric diagnoses, and Indigenous approaches to helping people through trauma, depression and experiences of parallel and multiple realities. Linklater offers purposeful and practical methods to help individuals and communities that have experienced trauma, through stories and strategies that are grounded in Indigenous worldviews and embedded with cultural knowledge. Decolonizing Trauma Work, one of the first books of its kind, is a resource for education and training programs, health care practitioners, healing centres, clinical services and policy initiatives.Table of ContentsPrologue Historical Trauma in Indigenous Communities Joining the Circle: Introducing the Indigenous Practitioners Indigenous Perspectives on Wellness and Wholistic Healing Psychiatry and Indigenous Peoples Indigenous Strategies for Helping and Healing Decolonizing Trauma Work

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Book SynopsisThis fourth edition of Fran Baum''s The New Public Health is the most comprehensive book available on the new public health. It offers readers the opportunity to gain a sense of the scope of the new public health visions, and combines theoretical and practical material to assist with understanding the social and economic determinants of health. Based on the premise of previous editions that the new public health offers the chance of greatly improved equity by raising health world health standards this new edition has been fully revised to reflect recent changes in the theory and practice of the new public health. The book is written primarily for public health and primary health care workers, health and environment planners and those people who are interested in creating communities that maximise health for people and the environment. Students undertaking health and public health degrees will also benefit from reading this comprehensive book for its currency, breadth of scope, and coveTable of ContentsIntroduction Part 1: Approaches to Public Health 1. Understanding Health: Definitions and PerspectivesIntroductionHealth: the clockwork model of medicineHealth as the absence of illnessMeasuring healthHealth: ordinary people's perspectivesPublic and private lay accountsHealth in cultural and economic contextsSpiritual aspectsHealth: critical perspectiveHealth as 'outcomes'Health and place: defining collective healthPopulation versus individual health: the heart of public healthConclusion2. A History of Public HealthIntroductionEra of Indigenous controlColonial legacyTheories of disease causationPublic health legislation and sanitary reformsAustralian responsesStatus quo or radical change?Relearning the nineteenth-century lessons: McKeown and SzreterNation-building eraAffluence, medicine, social infrastructureConclusion3. The New Public Health Evolves IntroductionInternational developments in the new public healthThe 1980s: developing a new public healthThe 1990s: implementing the Ottawa Charter strategiesThe 1990s to twenty-first century: international developments in the new public healthNew century: Commission on Social Determinants of Health-strongreinforcement for the new public healthGlobal health systems to promote the new public healthDoes spending more on care determine health outcomes?Comprehensive primary health care as the basis of health systemsResisting growing medicalisationHealth sector stewardship functionAustralia and the new public health: 1970s to the presentState variation in community health and health promotion in the 1980s1990s: neo-liberalism takes hold in AustraliaHoward's Australia and the impact on the new public healthNational, state and local public health responsibilitiesResearch for the new public healthPreference for selective primary health care and lifestyle health promotionSpecific policy areas in the past 25 years and their fit with the new public healthHow much does Australia spend on public health?ConclusionPart 2: Political Economy of Public Health 4. Ethics, Politics and Ideologies: The Invisible Hands of Public HealthIntroductionPolitical systems and ideologiesTypes of political systemsGrowth of welfare statesEgalitarianism, socialism and capitalismEthical issues in public healthRoots of individualismThe dialectic between individualism and collectivismConsequentialist and non-consequentialist ethicsRights argumentsVictim blamingPublic health policies and individualismSocial-structural and communitarian perspectivesIndividualism and the welfare stateConclusion5. Neo-liberalism, Globalisation and HealthIntroductionWhat is globalisation?What is neo-liberalism?Key institutionsWorld trade system and healthInternational agreements that threaten global healthTRIPS and TRIPS-PlusTrade in Services Agreement (TISA)The impact of transnational corporationsThe impact of neo-liberalism on healthConsumerismThe voices of dissent: civil society movementsBringing the voice of ordinary people from the grassrootsProtest, advocacy and lobbying against international financial and trade institutions'Watching' the global institutionsConclusionPart 3: Researching Public Health 6. Research for a New Public HealthIntroductionLimits to epidemiologyOther forms of knowledge generationNeed to change focus of health researchReflective research practiceUsing previous research findings: systematic reviewsEthical issues in researchDo no harmMethodological soundnessInformed consentPrivacy, confidentiality and anonymityBeing an ethical researcherResearch with Indigenous AustraliansConclusion7. Epidemiology and Public HealthIntroductionWhat is epidemiology?Population epidemiologyClinical epidemiologySocial and eco-social epidemiologyPopular epidemiologyKey concepts and methods in epidemiologyDescriptive studiesAnalytical studiesExperimental designsQuality and error in epidemiological studiesConclusion8. Survey Research Methods in Public HealthIntroductionStrengths of surveysWeaknesses of surveysPlanning and conducting surveysIs the research question amenable to questionnaire or interview survey?What type of survey to use?Selecting respondentsHow many people should be included in a survey?Designing a survey instrumentSurvey fieldworkSelf-completion questionnairesTelephone surveysFace-to-face surveysResponse rates to surveysAnalysis of survey resultsConclusion9. Qualitative Research MethodsIntroductionWhat is qualitative research?Application to public healthQualitative research methodsCase studiesParticipant observationIn-depth interviewingFocus groupsDocument analysisCommon issues of concernAnalysing qualitative dataConclusion10. Planning and Evaluation of Community-based Health Promotion IntroductionPlanning for community-based public health projectsTools for needs assessmentSetting priorities and ongoing planningEvaluation of complex public health initiativesObjectives and outcomesEnsuring a reflective approachMethods for community-based evaluationValidity of evaluationConclusionPart 4: Health Inequalities: Profiles, Patterns and Explanations 11. Changing Health and Illness Profiles in the Twenty-first Century: Global and Australian Perspectives IntroductionData sourcesLife expectancySocial determinants of healthCause of deathDeaths from violence and injuryResurgence of infectious diseasesChronic diseaseDisabilityConclusion12. Patterns of Health Inequalities in AustraliaIntroductionKey factors in health inequalities in AustraliaEffects of socioeconomic statusPoverty, socioeconomic status and healthSocioeconomic statusIncreasing inequitiesUnemployment and healthOccupational illness and injuryIndigenous peoplesRefugees, migrants and healthGender and healthSuicideGender and morbidityLocation and healthRural and remote AustraliaConclusion13. The Social Determinants of Health Inequity IntroductionExplaining socioeconomic status inequities in health statusArefact explanationsTheories of natural or social selectionCultural/behavioural versus materialist or structural explanationsSocial capital, support and cohesion and health inequitiesGender and healthInequities: the case of Aboriginal healthConclusionPart 5: Unhealthy Environments: Global and Australian Perspectives 14. Global Physical Threats to the Environment and Public Health IntroductionClimate and atmospheric changeEffects of climate change on human healthDirect effects of climate change on human health Indirect effects of climate change on human health Summary: climate change and human health Declining air and water quality Water supply Nuclear power Loss of biodiversity Consumerism, neo-liberal globalisation and the environment Global efforts to address climate change Why don't we take action? Environmental justice Feminism and environmental justice The precautionary principle Conclusion15. Urbanisation, Population, Communities and Environments: Global Trends Introduction Urbanisation Violence and crime Living conditions Crowding and health High density: a health hazard? High density and social disorder High density and environmental sustainability Slums Affluent suburbia: dream or nightmare? Social impact of urban life: from community to anomie? Social capital declining? Transport in urban areas Population, consumption and equity ConclusionPart 6: Creating Healthy & Equitable Societies and Environments 16. Healthy Economic Policies Introduction Challenging economic growth Beyond GDP: indicators of well-being Polluter pays principle Retreat from consumerism Healthier economic options: Keynes, post-carbon and low growth Controlling the transnational corporations From global to local Local action to resist globalisation Fair taxation, income and wealth distribution Trade justice An economy that encourages healthy work Conclusion17. Sustainable Infrastructures for Health, Well-being and Equity Introduction The global framework Sustainable development: oxymoron or salvation? Creating ecologically sustainable and healthy communities Characteristics of healthy and sustainable cities and communities Tensions in creating healthy cities and communities Energy use Reducing fossil fuels use Taming the car Equitable provision of healthy infrastructure Housing Preserving agricultural land and natural spaces The sustainability of rural areas ConclusionPart 7: Health Promotion Strategies for Achieving Healthy and Equitable Societies 18. Medical and Health Care Service Interventions IntroductionGeneral practitioners Screening Specific screening tests and their effects Effectiveness of screening for behavioural risk factors and follow-up on population healthImmunisation Smallpox Polio Immunisation in Australia Individual risks and social benefits of immunisation The contribution of the health sector to promoting population health and reducing inequity Comprehensive primary health careConclusion19. Changing Behaviour: the limits of behaviourism and some alternativesIntroduction Social learning theory Health belief model Theory of reasoned action Stages of change model Health action model Application of behavioural theories Second generation of heart health campaigns Social marketing Mass media campaigns Health education through entertainment Using social media Criticisms of social marketing Relational, mindful and positive: other approaches to health promotion for individuals Conclusion20. Participation and Health Promotion Introduction Participation in practice Values and principles for participation Participation in health Social media and participation Lessons from participation in health Pseudo or real participation? Types of participation Participation and power Who participates? Issues of representation Citizens or consumers? The role of professionals in participation Effective bureaucratic consultationsConclusion21. Community Development in Health Introduction What is 'community'? Community development and social capital Community development and health services Community development: ways of working Dilemmas of community development Conclusion22. Public health Advocacy and Activism Introduction What is public health advocacy and activism? Who are public health advocates and activists? What are key advocacy and activism strategies? Advocacy and activism dilemmas Conclusion23. Healthy Settings, Cities, Communities and Organisations: Strategies for the Twenty-first centuryIntroduction'Settings' approaches to health promotion Bringing about change in healthy settings-based initiatives Political and policy leadership and commitment is essential Encouraging action across sectors Types of partnerships Detailed examples of healthy settings initiatives Legislative frameworks that support workplace healthy settings Healthy settings projects in the workplace Healthy cities and communities WHO's Healthy Cities program Healthy Cities in Australia Healthy Cities: actions for health Settings with a specific focus: obesity prevention in cities and communities Sustainability of healthy settings Critical perspectives on healthy settings approaches Conclusion24. Healthy Public Policy IntroductionWhat is policy?What is healthy public policy? Policy formulation Phases in policy making Approaches to policy formulation Policies and power Healthy public policy in a globalised world Examples of healthy public policy What makes for healthy public policy? ConclusionPart 8: Public Health in the Twenty-first Century 25. Linking the Local, National and GlobalIntroduction Global issues of ecology A just world? Leadership for a healthy future Public health for the brave-hearted Reflective, flexible and eclectic A vision for 2050 ConclusionAppendix: Public Health Keywords Acknowledgements ReferencesIndex

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Book Synopsis

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Book SynopsisTwo renowned experts in healthcare transformation show how leaders are implementing behavior-driven strategies to ensure quality care and create lasting change.Healthcare is in the midst of a massive disruption. With financial structures in tatters and the future uncertain, this is the moment to begin the revolution. But first, leaders need to learn how to support staff at all levels as they make transformational improvements in care. This book demonstrates that real change is very personal and has to start at the topâwhether youâre an executive, governing board member, manager, or physician. A powerful new approach to healthcare leadership, this book showcases executives in health systems around the world as they:  Practice behavior-based solutions to organizational problems Learn how to support continuous improvement Be more present in their leadership role Learn how to reflect and assess themselves as leadersTable of ContentsPreface Introduction: The Current Stateof Healthcare PART IChanges1 What Change Looks Like 2 Governing the Change 3 Change and the Chief Executive 4 Coaching 5 Frontline Leaders 6 Becoming Partners 7 Start Here: The Assessment PART IIInstruments8 The Personal A3 9 Your Radar Chart 10 The X Matrix for Strategy PART IIIOpportunities11 Reinvention Acknowledgments AppendixBibliography Index

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Book SynopsisTable of ContentsSECTION 1: REFRESHER MATH. 1. Relative Value, Addition and Subtraction of Decimals. 2. Multiplication and Division of Decimals. 3. Solving Common Fraction Equations. SECTION 2: INTRODUCTION TO DRUG MEASURES. 4. Metric, International (SI) System. 5. Unit, Percentage, Milliequivalent, Ratio, and Household Measures. SECTION 3: PREPARING FOR MEDICATION ADMINISTRATION. 6. Safe Medication Administration. 7. Interpreting Drug Labels. 8. Ratio and Proportion. 9. Dimensional Analysis. 10. Formula Method. SECTION 4: CALCULATING DRUG DOSAGES. 11. Oral Dosage Calculations. 12. Parenteral Dosages and Syringe Measurements. 13. Reconstitution. 14. Insulin. SECTION 5: ADULT AND PEDIATRIC CALCULATIONS; INCLUDING BODY WEIGHT AND BSA. 15. Dosages Based on Body Weight. 16. Dosages Based on Body Surface Area. 17. Pediatric Dosages: Oral, Parenteral and Intravenous. SECTION 6: INTRAVENOUS CALCULATIONS. 18. Introduction to IV Therapy. 19. IV Flow Rate Calculation. 20. Calculating IV Infusion. 21. IV Medication and Titration Calculations. 22. Heparin Infusion Calculations.

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Book SynopsisOur healthcare system is broken. But it doesn't have to break you. This practical, realistic guide is designed to help women fight medical bias and neglect in order to get the care they need - and deserve.

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Book SynopsisDoes timing, circumstance, or luck impact your health care? This groundbreaking book reveals the hidden side of medicine and how unexpected—but predictable—events can profoundly affect our health. • Is there ever a good time to have a heart attack? Why do kids born in the summer get diagnosed more often with A.D.H.D.? How are marathons harmful for your health, even when you''re not running?Fantastically entertaining and deeply thought-provoking. —Emily Oster, New York Times bestselling author of The Family Firm, Cribsheet, and Expecting Better Smart, entertaining, and full of surprises. —Steven D. Levitt, #1 New York Times bestselling co-author of FreakonomicsAs a University of Chicago–trained economist and Harvard medical school professor and doctor, Anupam Jena is uniquely equipped to answer these questions. And as a critical care doctor at Massachusetts General w

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Book SynopsisFinalist for the LGBTQ Nonfiction Award from Lambda Literary Queers and trans people in the 1980s and early ‘90s were dying of AIDS and the government failed to care. Lovers, strangers, artists, and community activists came together take care of each other in the face of state violence. In revisiting these histories alongside ongoing queer and trans movements, this book uncovers how early HIV care-giving narratives actually shape how we continue to understand our genders and our disabilities. The queer and trans care-giving kinships that formed in response to HIV continue to inspire how we have sex and build chosen families in the present. In unearthing HIV community newsletters, media, zines, porn, literature, and even vampires, Forget Burial bridges early HIV care-giving activisms with contemporary disability movements. In refusing to bury the legacies of long-term survivors and of those we have lost, this book brings early HIV kinships together with ongoing movements for queer and trans body self-determination. Trade Review"Forget Burial is well worth reading. The most successful parts of this book take the reader inside the kitchens, bedrooms, prisons, art galleries, and hospital waiting rooms where people laughed, fought, loved, and sometimes died together. Fink makes a strong case that the early years of the HIV epidemic provide models for living joyously and communally despite the myriad ways capitalist institutions leave individuals to fend for ourselves. In the process of “unburying” the stories of historically marginalized people, Fink rightly and eloquently depicts disability as a generative force."— H-Net “What histories inter as past, Forget Burial bears forth to account for our present. Extending caregiving as a method, the book examines how early HIV archival narrations of trans and disability activisms resurface in later novels, film/video, and online networks. Whether displaying and eroticizing disabilities, or inventing safer sex, these negotiated HIV interdependencies transform state violence and biomedical stigma into kinships for ‘body self-determination’ that brandish mutual care and institutional access through our unfolding crises.”— Jih-Fei Cheng, co-editor of AIDS and the Distribution of Crises "Marty Fink’s Forget Burial is a vital, much needed contribution to HIV/AIDS scholarship. A wondrous cornucopia of theory, cultural artifacts – fiction, ‘zines, video, memoirs, painting, blogs and oral histories – analysis and archival uncovering, Fink’s work here is stunning when it makes connections to movements today. Forget Burial is both an act of superb scholarship and of love."— Michael Bronski, author of A Queer History of the United States for Young People "[A] creative and original study...this book offers historians both useful theoretical frameworks for thinking about HIV/AIDS, disability, and the role of mutual care as well as an exciting collection of sources to learn from."— Social History of MedicineTable of ContentsIntroduction: Taking Care Chapter 1: Silence = Undead: Vampires, HIV Kinship, and Communities of Care Chapter 2: Caregiving Collations and Gender Trash from Hell: Trans Women’s HIV Archives Chapter 3: Chosen Families: Rejection, Desire, and Archives of Care Chapter 4: The Gift of Dykes: Naming Desire in Rebecca Brown’s Narratives of Care Chapter 5: Queering Customs: Unburying Care in My Brother and ACE Conclusion: Forget Burial Acknowledgements Works Cited About the Author

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Book SynopsisHOW TO REDUCE OVERUSE IN HEALTHCARE Reduce low-value care with this practical guide Low-value care harms patients, overburdens healthcare professionals, threatens healthcare systems and damages the climate. How to Reduce Overuse in Healthcare: a practical guide is designed to provide practical guidance and tools for healthcare providers, their professional societies and policy makers developing programs to de-implement low-value or unnecessary care. This guide provides a five-step evidence and theory-based framework for developing and evaluating programs such as Choosing Wisely to reduce low-value care and improve patient outcomes. How to Reduce Overuse in Healthcare: a practical guide readers will also find: An author team involved in the leading Choosing Wisely international networkDetailed analysis of how to identify potential low-value care areas, select interventions and morePractical, real-world examples at the end of each chapter illustrating examples of overuse and de-implementation How to Reduce Overuse in Healthcare: a practical guide describes the state of the art in de-implementation for healthcare professionals, healthcare administrators and policy makers looking to reduce low-value care in a more effective and evidence-based way.Table of ContentsPreface x Chapter 1 Why Should We Reduce Medical Overuse? 1 Karen Born and Wendy Levinson It Started with Quality Improvement 1 Then Came a Focus on Overuse 3 Overuse as a Global Healthcare Quality Concern 5 What Can Be Done to Address Overuse? 6 Choosing Wisely 7 What Can you Expect in the Following Chapters? 9 References 10 Chapter 2 Why Does Overuse Exist? 13 Tijn Kool, Simone van Dulmen, Andrea M. Patey, and Jeremy M. Grimshaw A Multifactorial Challenge on Different Levels 13 Healthcare Professional Factors 14 Patient Factors 15 Preference for Acquiring Something 16 Clinical Care Context Factors 16 Absence of an Open Culture 17 Absence of Clear Leadership 17 Healthcare Organisation Factors 18 Insufficient Time 18 Lack of Coordination Amongst Healthcare Providers 19 Healthcare System Factors 19 Payment System that Rewards Volume 19 Influence of the Pharmaceutical and Medical Device Industry 20 Healthcare Insurance Policy 20 Key Points 20 References 21 Chapter 3 Why Is It So Hard to Change Behaviour and How Can We Influence It? 23 Jill J. Francis, Sanne Peters, Andrea M. Patey, Nicola McCleary, Leti van Bodegom- Vos, and Harriet Hiscock The Challenge of Behaviour Change 24 Is The Behaviour a Routine? 24 Is The Behaviour Rewarding? 24 Do Habits or Routines Play a Role in Sustaining the Behaviour? 26 Four Crucial Questions to Address Before Working to Support Behaviour Change 28 Why Is It So Difficult to Change the Behaviour of Healthcare Professionals? 30 Designing Interventions to Change Behaviour 35 Summary 36 Sources of Information for Supporting Practice Change Among Healthcare Professionals 36 References 36 Chapter 4 How Can We Reduce Overuse: The Choosing Wisely De- Implementation Framework 41 Jeremy M. Grimshaw and Andrea M. Patey Introduction 41 The Choosing Wisely De- Implementation Framework 44 Phase 0: Identification of Potential Areas of Low- Value Healthcare 44 Phase 1: Identification of Local Prioritiesfor the Implementation of Recommendations 45 Phase 2: Identification of Barriers and Enablers to Implementing Recommendations and Potential Interventions to Overcome These 46 Phase 3: Evaluation of the Implementation 48 Phase 4: Spread of Effective Implementation Programs 49 Key Points 50 References 51 Chapter 5 How Can You Engage Patients in De- Implementation Activities? 54 Stuart G. Nicholls, Brian Johnston, Barbara Sklar, and Holly Etchegary What Is Patient Engagement and Why is it Relevant to De- Implementation? 54 Making a Patient Engagement Plan 56 The Level of Engagement 57 Area 1 – Patient Engagement in Agenda Setting and Prioritisation 61 Area 2 – Patient Engagement in the Design and Conduct of De- Implementation Activities 64 Area 3 – Patient Engagement in Spread 65 Important Considerations when Engaging Patients 66 Key Points 68 Sources of Information 69 General Resources 69 Planning Tools 69 Patient Engagement Methods 70 Evaluation Tools 70 References 70 Chapter 6 Identifying Potential Areas of Low- Value Healthcare- Phase 0 73 Moriah E. Ellen, Saritte M. Perlman, and Jeremy M. Grimshaw How to Identify Low- Value Care? 73 Resources to Identify Low- Value Care 75 Recommendation Lists 76 Clinical Practice Guidelines 77 Health Technology Assessments 77 Evidence Syntheses and Systematic Reviews 78 From Identification to Measurement 78 Key Points 84 Sources of Further Information 84 References 84 Chapter 7 Measuring Low- Value Care and Choosing Your Local Priority (Phase 1) 88 Carole E. Aubert, Karen Born, Eve A. Kerr, Sacha Bhatia, and Eva W. Verkerk Choosing Your Local Priority 89 Measuring Low- Value Care 89 Baseline Measurements 90 Estimating Improvement Potential 91 Evaluating De- Implementation Effects 91 Measuring Unintended Consequences 94 Measurement Methods and Data Source 95 Setting Specific, Measurable, Achievable, Relevant, and Time- Bound (SMART) Targets 98 Providing Data and Feedback to Stakeholders 98 Key Points 100 References 100 Chapter 8 Identifying Target Behaviours and Potential Barriers to Change (Phase 2a) 103 Andrea M. Patey, Nicola McCleary, Justin Presseau, Tijn Kool, Simone van Dulmen, and Jeremy M. Grimshaw The Importance of Fully Understanding the Problem 104 Getting Started 104 Identifying Who Needs to do What Differently 105 Using the Action, Actor, Context, Target, Time (Aactt) Framework 106 Identifying Drivers of Current Behaviour and Barriers and Enablers to Changing Behaviour 109 Collecting Data 112 Interviews 112 Focus Groups 114 Surveys 116 Analysing the Data 118 Narrowing Down the Drivers or Barriers Identified 118 Key Points 119 Useful Resources 120 References 120 Appendix: Sample Interview Guide for Healthcare Providers Using the Tdf 122 Introduction Script 122 Background 123 Chapter 9 Selecting De-Implementation Strategies and Designing Interventions: Phase 2b 131 Justin Presseau, Nicola McCleary, Andrea M. Patey, Sheena McHugh, and Fabiana Lorencatto What Do You Need To Do Before Selecting De- Implementation Strategies? 132 Ten General Principles to Consideras you Develop a de- Implementation Intervention 132 1. There Are No Magic Bullets: Design Your De- Implementation Intervention to Address Specific Barriers and Enablers 132 2. De- Implementation Interventions Are Often Also Implementation Interventions when Substituting One Practice with Another 133 3. Routinised, Habitually Performed Care May Be Operating Semi- Automatically 134 4. Follow the Evidence Wherever Possible when Designing Your De- Implementation Intervention 135 5. Avoid the Tower of Babel: Leverage Existing Listsof Change Strategies and Use Them to Help Match Specific Strategies to Identified Barriers/Enablers 136 6. Avoid Conflating Intervention Content with Its Method of Delivery 139 7. Decide on Tailoring and Adaptation 140 8. Co- Development, User- Centred Design to Enhance Feasibility, Acceptability, and Implementability 140 9. Prioritise Equity 141 10. Describe How the Strategy Works by Developing a De- Implementation Logic Model of Change 142 Key Points 143 Sources 144 References 144 Chapter 10 Evaluating De- Implementation Interventions: Phase 3 149 Beatriz Goulao, Eva W. Verkerk, Kednapa Thavorn, Justin Presseau, and Monica Taljaard Why Should We Evaluate? 150 Outcomes 150 Types of Evaluations 151 Randomised Evaluations 152 Non- Randomised Evaluations 154 Selecting the Most Appropriate Evaluation Method 156 How and Why Does the Intervention Work? 158 Does the Intervention Offer Good Value for Money? 160 Key Points 161 References 162 Chapter 11 Preserving Results and Spreading Interventions: Phase 4 166 Simone van Dulmen, Daniëlle Kroon, and Tijn Kool Why Are Sustainability and Spread So Important? 166 What Is Sustainability? 167 Factors Influencing Sustained Change 168 Factors Related to the Process 168 Factors Related to Staff 170 Factors Related to the Organisation 170 How Can You Facilitate Sustainability? 171 Assessing Sustainability 172 Sustainability and Culture 173 Spreading Successful De- Implementation Interventions 174 Scaling Strategy 175 De- Implementation Intervention 176 Adopters or Adopting Organisation 177 External Context 177 Key Points 178 References 178 Chapter 12 Training the Next Generation of Healthcare Providers to Address Overuse and Avoid Low- Value Care 181 Brian M. Wong, Christopher Moriates, Lorette Stammen, and Karen Born Introduction 182 High- Value Care Competencies 182 Teaching Students and Trainees To Provide High- Value Care 183 Educational Changes to the Formal Curriculum 183 Faculty Role Modellingand Supportive Learning Environments 186 Assessing High- Value Care Learning Outcomes 190 Enablers of Educational Change 191 Aligning Continuing Professional Development and Quality Improvement 192 Key Points 193 Sources 196 References 196 Chapter 13 Examples from Clinical Practice 199 Simone van Dulmen, Daniëlle Kroon, Tijn Kool, Kyle Kirkham, and Johanna Caro Mendivelso Introduction 199 References 215 Chapter 14 Starting Tomorrow 217 Tijn Kool, Andrea M. Patey, Jeremy M. Grimshaw, and Simone van Dulmen Index 221

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Book SynopsisAn international bestseller and winner of the Stonewall Book Award, which inspired an award-winning film 'A heroic work of journalism on what must rank as one of the foremost catastrophes of modern history.' The New York Times 'Stunning ... An impressively researched and richly detailed narrative.' TIME Randy Shilts was the first openly gay journalist dealing with gay issues for the San Francisco Chronicle. In 1981, the year when AIDS came to international attention, he quickly devoted himself to reporting on the developing epidemic, one which devastated his community and eventually took his life as well. Shilts interviewed over 1,000 people, weaving together extensive research in the form of personal stories and political reportage. He was perfectly placed to understand the cultural, medical and political impact of the disease on the gay community and United States society as a whole. And the Band Played On exposes why AIDS was allowed to spread while the medical and political authorities ignored and even denied the threat. This book remains one of the great works of contemporary journalism and provides the foundation for continuing debates over governmental failure in handling lethal epidemics.Trade ReviewRivals in power and intensity, and in the brilliance of its reporting and writing, Truman Capote's In Cold Blood * Boston Globe *Stunning ... An impressively researched and richly detailed narrative. * TIME *A heroic work of journalism on what must rank as one of the foremost catastrophes of modern history. * The New York Times *

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Book SynopsisThe Aging–Disability Nexus explores the complex and competing narratives we create about aging and disability, providing fresh perspectives on how these markers interact with each other and with other indicators of power and difference.Trade ReviewThe Aging-Disability Nexus provides a comprehensive overview of current studies on the relationships between aging and disabilities[...] * CHOICE Connect *I really appreciated the breadth of topics, including experiences of dance among people with Parkinson’s; an arts-based initiative called Re•Vision, which seeks to disrupt normative narratives of aging and disability; and the stories of two women aging with and aging into cognitive disability. Furthermore, with few exceptions, most theoretical discussions are illustrated with compelling real world examples. -- W. Ben Mortenson, associate professor, University of British Columbia * Occupational Therapy Now *Table of ContentsIntroduction / Katie Aubrecht, Christine Kelly, and Carla RicePart 1: Conceptualizing the Nexus1 Aging and Disability: The Paradoxical Positions of the Chronological Life Course / Amanda Grenier, Meridith Griffin, and Colleen McGrath2 Spectres of Unproductive Life: The Aging–Disability–Dementia Complex / Lucy Burke3 Cripping Care Advice: Austerity, Advice Literature, and the Troubled Link between Disability and Old Age / Sally Chivers4 Dancing In and Out of Control: Challenging the Myth of Bodily Mastery through the Lens of Parkinson’s Disease / Monique LanoixPart 2: Politics of Care5 Aging, Disability, and Long-Term Care Policy: Toward a Critical Ethics of Care Approach / Maggie FitzGerald6 Directly Funded Home Care for Older Adults: Exploring the Legacies of Disability Activism / Christine Kelly7 Age, Disability, and Encounters with Care: Older People’s Experiences of Home Care / Rachel Barken and Alan Santinele Martino8 Power, Agency, Aging, and Cognitive Impairment: The Stories of Two Women / Margaret Oldfield and Nancy Hansen9 Regulation of “Care” in Long-Term Care Homes in Ontario / Poland LaiPart 3: Timescapes and Landscapes10 Aging with and into Disability: Futurities of New Materialisms / Nadine Changfoot and Carla Rice11 From Boomer to Zoomer: Aging with Vitality under Neoliberal Capitalism / Anne McGuire12 Deconstructing Dependency and Development in Global Dementia Policy / Katie Aubrecht and Akwasi Boafo13 Aging and Disability in the Time of AIDS: Reflections from Research with Older Women Caregivers in South Africa / May Chazan14 Disability, Age, the British Countryside, and Social Exclusion / Nathan KerriganDialogue: Speaking from the NexusThinking into Aging–Disability Nexuses: A Dialogue between Two Scholars / Ruth Bartlett and Alison KaferIndex

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Book SynopsisER has become the most succesful television series in the world since CHARLIE'S ANGELS. Michael Crichton created the series from his own experiences as a medical doctor in the emergency rooms, operating rooms and wards of Massachusetts General Hospital.Trade ReviewCrichton writes superbly * Chicago Tribune *

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Book SynopsisIn the United States, the soaring cost of health care has become an economic drag and a political flashpoint. Moreover, although the country's medical spending is higher than that of any other nation, health outcomes are no better than elsewhere, and in some cases are even worse. In The Quality Cure, renowned health care economist and former Obama advisor David Cutler offers an accessible and incisive account of the issues and their causes, as well as a road map for the future of health care reform--one that shows how information technology, realigned payment systems, and value-focused organizations together have the power to resolve this seemingly intractable problem and transform the US health care system into one that is affordable, efficient, and effective.Trade Review"Cutler has an exceptional ability to tackle an extremely complex topic, such as US health care spending, and make it simple and understandable for noneconomists while remaining true to the theory and science... The Quality Cure should be required reading for those who manage or provide care. In particular, medical students and residents need to understand the ideas in this compelling book. Until now, health care has not had such a simultaneously scholarly and accessible book. Those seasoned in policy making will benefit from Cutler's insider look, his clear and concise way of communicating complex topics, and the detailed references and figures. Those new to the policy efforts around reducing costs and improving quality will also benefit from Cutler's simplified conceptual framework, his clear and compelling language, and his disciplined approach... Cutler's experience, scholarship, and practical wisdom lay out a clear theory of change and policy recommendations for achieving it." -- Peter J. Pronovost Health AffairsTable of ContentsList of Illustrations Introduction 1. Cost, Access, and Quality: The Three Horsemen of the Apocalypse 2. The Value Proposition 3. The Cost Control Debate 4. The Quality Cure 5. It's What You Know 6. Pricing the Priceless 7. Take Me to Your Leader 8. How Long Will It Take? Notes Index

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Book SynopsisTable of Contents1. Issues Related to Primary Care Procedures 2. Dermatologic Procedures 3. Eye, Ear, Nose, and Mouth Procedures 4. Respiratory Procedures 5. Cardiovascular Procedures 6. Gastrointestinal Procedures 7. Orthopedic Procedures 8. Genitourinary Procedures 9. Women's Health Procedures 10. Men's Health Procedures 11. General Principles of Radiograph Interpretation

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Book SynopsisAn activist who disdained the women’s rights and antislavery movements, Dix, an old-line Whig, sought to promote national harmony and became the only New England social reformer to work successfully in the lower South right up to the eve of secession.Trade Review[Dorothea Dix] is the story of a woman who held that 'a wholesome moral environment, with or without physicians, could restore the spiritual stability of the insane'...This 'moral treatment' of insanity was based on Miss Dix's religious view of life (she was a Unitarian). During her long life (1802-1887) she was an author of children's books, a teacher, a prison reformer, the moral and political force behind the creation of many mental hospitals, and superintendant of women nurses for the Union Army during the Civil War...[Dorothea Dix is] a sound scholarly biography of a formidable American woman. * Washington Times *The strengths of Brown's biography are obvious: it is impressively researched and well written; it provides insights into Dix's career; and it offers a window into the complex cultural world of that era. The most original part of the book lies in the detailed analysis of Dix's failure to secure federal land grants to endow state mental hospitals and her abortive role as superintendent of nurses during the Civil War; both episodes illuminate the sources of her career and the fragility of her moral ideology. Brown's biography will appeal most to scholars seeking the define the character and ideology of mid-nineteenth-century social activism...It is clear that Brown has made in important contribution, and future scholars will profit from his insights. -- Gerald N. Grob * Journal of American History *Dorothea Lynde Dix's singular career to improve the condition of the mentally ill has received a great deal of recent scholarly attention. Thomas J. Brown suggests that there is more to be said, and he traces her life in revisionist ways, quietly amending earlier accounts...Brown covers [her life] with rich insight and sensitivity to his subject. He writes convincingly and well. He is well versed in the historiography of American politics, gender relations, and social reform, and he uses them well to place Dix in her time and role. This is an excellent first book. -- Joel H. Silbey * Journal of Illinois History *The most famous American woman reformer of her time, Dorothea Dix was a monomaniac, possessed of a personality and manner that made friends sometimes prefer sinners to a saint. Nevertheless, Brown declines to psychologize. Grounded in a persuasively sober reading of Dix's voluminous correspondence and the papers of her friends...Brown stresses her commitment to the moral imperatives of Unitarianism. His perspective is particularly helpful when he positions within antebellum sectional conflicts over federal land policy Dix's long campaign to get through Congress a land-grant bill to aid state mental hospitals. And he offers a sympathetic account of Dix's Civil War volunteer work, when her expectation of being the American Florence Nightingale came so sadly to naught...If one must choose just one biography, his book should have the edge. -- A. Graebner * Choice *This biography of the great American reformer is a good reminder that not all influential women in nineteenth-century America were seething feminists who demanded revolution or nothing...This excellent biography uses an enormous range of materials and combines a balanced approach with a pleasant and readable style. * Contemporary Review [UK] *This well written and copiously researched work presents a sympathetic and intimate portrait of one of the best-known reformers in antebellum America...What Brown presents is a surprisingly intimate portrait that still acknowledges Dix's many shortcomings--her limited view of women's rights, her blindness on the issue of slavery, and her lingering nativism. Despite Dix's personal limitations, however, Brown recognizes her many successes in convincing parsimonious legislatures to build asylums and putting the plight of the mentally ill on a national stage. Brown tells a story that is closely focused on Dix, but also manages to reveal valuable information about education, religion, medical professionalism, women's history and the political quagmire of antebellum America. -- Stephan D. Andrews * Journal of the Early Republic *In his definitive biography of 'the country's most famous benevolent heroine,' Thomas J. Brown presents a compelling portrait of Dix's work as an advocate for the insane. No mere account of a New England 'busybody,' Brown's careful and thoughtful biography traces the life and times of a rigidly conventional woman who, through force of will, forged a most unconventional career. * New England Quarterly *Table of Contents* Preface * Almost Alone in This Wide * Fixed as Fate * Moral Power * I Tell What I Have Seen! * This Mighty Vortex of Labor * A Happiness Which Goes with You * The Property of the People * A National Work * The Moral Horizon of a Unitarian Minister * The American Invader * Our People Need to Suffer * Downright Madness * A Huge Wild Beast Has Consumed My Life * At Last * Notes * Acknowledgments * Index

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Book SynopsisPeople who suffer from mental illness rarely do so alone. Their families and loved ones face their own set of unique challenges - problems that deserve their own resources and sources of support. This is the first book written specifically for the loved ones of people with obsessive-compulsive disorder (OCD). It helps readers examine how OCD affects their lives and offers a straightforward system for building a healthier, more constructive relationship with OCD sufferers.

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Book SynopsisIn THE NURSES, journalist Alexandra Robbins peers behind the staff only door to write a lively, fast paced story. Robbins followed real like nurses in four hospitals and interviewed hundreds of others in a captivating book filled with joy and violence, miracles and heartbreak, dark humour and narrow victories, gripping drama and unsung heroism.

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Book SynopsisHow can dedicated health care ethics committees increase their effectiveness and demonstrate their value as essential moral resources for their organizations?Among the most effective and increasingly valued resources in the health care decision-making process is the institutional ethics committee. The Joint Commission (TJC) accredits and certifies more than 19,000 health care organizations in the United States, including hospitals, nursing homes, and home care agencies. As a condition of accreditation, TJC requires health care organizations to have available a standing multidisciplinary ethics committee, composed of physicians, nurses, attorneys, ethicists, administrators, and interested lay citizens. Many of these committees are well meaning but may lack the information, experience, skills, and formal background in bioethics needed to effectively address the range and complexity of the ethical issues that arise in clinical and organizational settings. Handbook for Health Care EthicsTable of ContentsPrefaceAcknowledgmentsPart I. Curriculum for Ethics Committees1. Ethical Foundations of Clinical Practice2. Decision Making and Decisional Capacity in Adults3. Informed Consent and Refusal4. Truth Telling: Disclosure, Privacy, and Confidentiality5. Special Decision-Making Concerns of Minors6. Ethical Issues in Reproduction7. Special Decision-Making Concerns of the Elderly8. Ethical Issues in the Care of Disabled Persons9. End-of-Life Issues10. Palliation11. Justice, Health, and Access to Health Care12. Organizational Ethics13. Ethics Committees and Research, by Julia KolakII. The Creation, Nature, and Functioning of Ethics Committees14. Profile of Ethics Committees15. Clinical Ethics Consultation16. Ethics Education17. Sample Clinical Cases18. Sample Policies and ProceduresIII. Organizational Codes of EthicsIV. Key Legal Cases, Legislation, and State ActionV. An Ethics Committee MeetingEpilogue: Ethics in the Context of a Global PandemicIndex

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Book SynopsisAn explosive book that exposes the truth about breast cancer screening.For decades, women have been told that mammograms save lives. Yet many scientists say that this is in fact not true. Conspiracy of Hope reveals how breast cancer screening was introduced in the US before there was any good evidence it made any difference, and an unfounded belief in early detection caught on quickly in Canada and other developed countries. Today the evidence is starkly clear. Screening does more harm than good. Still women, and their doctors, continue to buy into a myth perpetuated by greed, fear, and wishful thinking.Conspiracy of Hope illustrates how a vortex of interests came together to make breast screening standard medical practice and why it's so hard to persuade them they are wrong. The radiologists, the imaging machinery manufacturers, and the pink ribbon charities are all part of that story. It is a tale of back-stabbing and intrigue, of exploiting fear and hope, while distorting and misrepresenting the evidence. Or simply ignoring it.Trade Review"If you've ever wondered why mammography screening has been the target of fierce debate for thirty years running,read this book. Renée Pellerin exposes how the early detection mantra has always been a mix of good intentions,magical thinking, and flim-flam. What it is has never been is full-on science. The balance of evidence on screening mammography weighs heavily toward lesser benefit and more harm than anyone ever wanted to believe. Conspiracy of Hope chronicles how belief born from hope and perpetuated by vested interests can be hard to shake,even when confronted with a wealth of research." -- Gayle Sulik

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Book SynopsisLeonard Rubenstein—a human rights lawyer who has investigated atrocities around the world—offers a gripping and powerful account of the dangers health workers face during conflict and the legal, political, and moral struggle to protect them. He shares the stories of people who have been attacked while seeking to serve patients.Trade ReviewFew people have worked as tirelessly to protect doctors, nurses, and other health workers on the front lines of catastrophes and conflicts as has Leonard Rubenstein, and in this much-needed, eagerly awaited book, he brilliantly details how ruthless leaders, militaries, and terrorists deliberately target hospitals, patients, and their health workers for destruction, kidnapping, and murder. Bravo, Professor Rubenstein, for speaking truth, however inconvenient it may be for world leaders -- Laurie Garrett, Pulitzer Prize–winning writer and author of Betrayal of Trust: The Collapse of Global Public HealthRubenstein provides a comprehensive account of the drivers of the growing number of attacks on health care during armed conflict. He offers insights and ideas we desperately need to shake off complacency and insist on compliance with the norms and principles of the Geneva Conventions. Governments, including the United States, have the power to protect health care from violence. As leaders and citizens, we have a duty to ensure they do. -- Representative James P. McGovern (D-MA), co-chair of the Tom Lantos Human Rights CommissionProviding health care in combat zones often means delivering such care in the face of looting, fires, shelling, bombing, and plague. Rubenstein takes a deep dive in answering why violence against health care seems to be more visible. Perilous Medicine presents a well-documented series of case studies on such tragic attacks. This colossal work demonstrates how hospitals in war zones remain the last patch of humanity in times of utter chaos. -- Joanne Liu, former president of Doctors Without BordersA superb overview of the terrible number of horrendous and unlawful attacks against health care in wars worldwide. Rubenstein's unmatched knowledge, experience, and expertise shine through on every page to make this the definitive text on the subject and an urgent humanitarian call to keep health care safe in war. -- Hugo Slim, Institute of Ethics, Law, and Armed Conflict, Blavatnik School of Government, University of OxfordA major new book on healthcare in armed conflict...destined to become a landmark in its field...important and necessary. -- Julian Sheather * The BMJ *Rubenstein’s and Stoddard’s books show that the fight to protect medical and humanitarian workers is not new,but we are running out of time before it becomes futile. * New York Review of Books *Perilous Medicine is a foundational text for anyone working on conflict and health issues...an indispensable tool to shame governments and decision makers in international bodies into action to protect health care in conflict settings. * The Lancet *Rubenstein provides a clear-eyed recent history of violence against health care. Though the topic is pessimistic, he remains optimistic about the value of humanitarian efforts. For proponents of military necessity, Rubenstein articulates why humanity matters and how combatants suffer when it fails. For the aspiring humanitarian, he shows what it takes to make humanitarianism work. -- Robert Callahan * War on the Rocks *A sad and necessary read. -- Michael S. Roth * The Washington Post *A very timely and significant contribution to confronting this devastating issue. * Medicine, Conflict and Survival *Table of ContentsAcknowledgmentsAbbreviationsIntroduction: When the Hospital Is a Battlefield1. Protection of Health Care in War: A Brief History2. Denying Care to Enemies3. Counterterrorism: The Devouring Monster4. Health Care as a Strategic Target: Syria5. Recklessness: The Saudi Assault on Yemen6. Obstruction: The Israel–Palestine Conflict7. Armed Groups: Threats and Violence by Nonstate Actors8. Challenges in Making Norms MatterConclusion: Toward Humanity and DignityNotesIndex

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Book SynopsisA comprehensive guide to effective strategic management of health care organizations. Strategic Management of Health Care Organizations provides essential guidance for leading health care organizations through strategic management. This structured approach to strategic management examines the processes of strategic thinking, consensus building and documentation of that thinking into a strategic plan, and creating and maintaining strategic momentum all essential for coping with the rapidly evolving health care industry. Strategic Management of Health Care Organizations fully explains how strategic managers must become strategic thinkers with the ability to evaluate a changing industry, analyze data, question assumptions, and develop new ideas. The book guides readers through the strategic planning process demonstrating how to incorporate strategic thinking and create and document a clear and coherent plan of action. In addition, the all-important processeTable of ContentsPreface xiii Features of the Text xiv Organization of the Text xvi To the Students: Why This Book About Strategic Management Is Important xviii The Author Team xviii Acknowledgments xix Chapters Chapter 1 The Nature of Strategic Management 1 Chapter 2 External Analysis 37 Chapter 3 Service Area Competitor Analysis 79 Chapter 4 Internal Analysis and Competitive Advantage 121 Chapter 5 Directional Strategies 163 Chapter 6 Identifying Strategic Alternatives 205 Chapter 7 Evaluation of Alternatives and Strategic Choice 259 Chapter 8 Value-Adding Service Delivery Strategies 313 Chapter 9 Value-Adding Support Strategies 359 Chapter 10 Communicating Strategy and Developing Action Plans 401 Resources for Strategic Thinkers Resource 1 Analyzing Strategic Health Care Cases 431 Resource 2 Health Care Organization Accounting, Finance, and Performance Analysis 443 Resource 3 Health Care Acronyms 463 Resource 4 Glossary of Strategic Management Terms 471 Cases in the Health Care Sector Case 1 Cottage Senior Living Case 2 Asian Health Services: Rediscovering a Blue Ocean Case 3 Community Blood Center of the Carolinas: Building for a Better Community Case 4 Navigating Change at Alaska’s Southcentral Foundation Case 5 LINET Americas: This Bed Is Just Right! Case 6 West Kendall Baptist Hospital: Meeting the Demand of Community- Based Health Care in the New (and Stormy) Regulatory Environment Case 7 Humana’s Bold Goal: 20 Percent Healthier by 2020 Case 8 Pricing the EpiPen: This Is Going to Sting Case 9 Cavalier Hospital Case 10 Pleasant Bluffs Hospital: Launching a Home-Based Hospital Program Case 11 Kaiser Permanente: Creating a No-Wait Emergency Department Case 12 ExAblate Neuro Case 13 Huntington Hospital Case 14 Valley Health Index 495

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Book SynopsisA book which inspired the creation of the NHS introduced by bestselling writer, Adam Kay.By former doctor A. J. Cronin, The Citadel is a moving story of tragedy, triumph and redemption. With a foreword by Adam Kay, the bestselling author of This is Going to Hurt.When newly qualified doctor Andrew Manson takes up his first post in a Welsh mining community, the young Scot brings with him a bagful of idealism and enthusiasm. Both are soon strained to the limit as Andrew discovers the reality of performing operations on a kitchen table and washing in a scullery, of unspeakable sanitation, of common infantile cholera and systemic corruption. There are no X-rays, no ambulances – nothing to combat the disease and poverty.It isn’t long before Andrew’s outspoken manner wins him both friends and enemies, but he risks losing his idealism when the fashionable, greedy world of London medicine claims him, with its private clinics, wealthy, spoilt patients and huge rewards.Trade ReviewA.J. Cronin was perhaps the most successful novelist of the 1930s … probably as significant a figure as J.B. Priestley * The English Historical Review *Immensely successful, utterly ruthless * The Spectator *Cronin was a master of melodrama * The Herald *One of the most popular authors in the English speaking world * New York Times *A grand story, well told, and better balanced than anything else he has done * Kirkus *

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Book SynopsisWhen the U.S. Public Health Service endorsed water fluoridation in 1950, there was little evidence of its safety. Now, six decades later and after most countries have rejected the practice, more than 70 percent of Americans, as well as 200 million people worldwide, are drinking fluoridated water. The Center for Disease Control and the American Dental Association continue to promote it--and even mandatory statewide water fluoridation--despite increasing evidence that it is not only unnecessary, but potentially hazardous to human health. In this timely and important book, Dr. Paul Connett, Dr. James Beck, and Dr. H. Spedding Micklem take a new look at the science behind water fluoridation and argue that just because the dental and medical establishments endorse a public health measure doesn't mean it's safe. In the case of water fluoridation, the chemicals that go into the drinking water that more than 180 million people drink each day are not even pharmaceutical grade, but rather a hazardous waste product of the phosphate fertilizer industry. It is illegal to dump this waste into the sea or local surface water, and yet it is allowed in our drinking water. To make matters worse, this program receives no oversight from the Food and Drug Administration, and the Environmental Protection Agency takes no responsibility for the practice. And from an ethical standpoint, say the authors, water fluoridation is a bad medical practice: individuals are being forced to take medication without their informed consent, there is no control over the dose, and no monitoring of possible side effects. At once painstakingly documented and also highly readable, The Case Against Fluoride brings new research to light, including links between fluoride and harm to the brain, bones, and endocrine system, and argues that the evidence that fluoridation reduces tooth decay is surprisingly weak.Trade ReviewWise Traditions- “The insanity of intentional water fluoridation is examined from every angle in this book. International law forbids dumping fluoride waste into the sea but it is accepted in American drinking water. As stated in the toothpaste disclaimer above, the FDA officially considers fluoride to be a drug. This drug has never been approved by the FDA. Contaminating drinking water with fluoride can be most charitably characterized as an experiment which violates the Nuremburg Code prohibiting experimental human treatment without informed consent. China, India, Japan and most of Europe do not fluoridate their water. Toward the end of the book the authors pull out one of my all-time favorite quotes from the late Michael Crichton. ‘Historically, the claim of consensus has been the first refuge of scoundrels; it is a way to avoid debate by claiming that the matter is already settled … The greatest scientists in history are great precisely because they broke with the consensus . . . There is no such thing as consensus science. If it’s consensus, it isn’t science. If it’s science, it isn’t consensus. Period.’ THUMBS UP.”Choice Magazine- Water fluoridation is a major controversy pitting prevention (dental caries) against ethics (involuntary drug exposure). Connett (emer., St. Lawrence Univ.), Beck (emer., Univ. of Calgary), and Micklem (emer., Univ. of Edinburgh) present compelling but not always convincing arguments for discontinuing fluoridation. They emphasize systemic treatment's low efficacy, alternative preventive approaches, the public's involuntary exposure, and potential toxicity. Although not uniquely American, water fluoridation is more popular in the US than in most countries. If ingestion of fluoride were very effective in preventing caries, the authors would still argue against the practice on ethical grounds. Six parts cover ethical arguments, lack of evidence of efficacy, the policy gamble, toxicity, the precautionary principle, and vested interests. Some inconsistencies are evident. The book emphasizes uncertainties in epidemiologic studies of efficacy, but deemphasizes uncertainties in toxicity reports, creating an imbalance appropriate for a polemic but not for a scientific treatise. Fluoridation advocates will interpret this as evidence that the antifluoridation point of view is exaggerated, whereas sympathetic readers will find their resolve strengthened. Alternatives such as fluoride supplements exist, but would not reach the poor populations that need them. This is a thought-provoking work for students of environmental policy and public health. Summing Up: Recommended. Lower-level undergraduates through graduate students; general readers. Booklist, Starred Review- "On the eve of the new millennium, the Centers for Disease Control (CDC), listed water fluoridation as one of the twentieth-century’s 10 greatest public-health achievements. Yet according to the authors of this painstakingly researched exposé of fluoridation’s overall ineffectiveness and toxicity, endorsements such as these from the CDC and other health organizations are motivated more by face-saving politics than credible research. Fluoridation advocates who have previously branded detractors as conspiracy theorists and shills for “junk science” will be hard pressed to debunk the hundreds of peer-reviewed studies and sound scientific reasoning presented here. In demonstrating fluoridation’s ineffectiveness, the authors cite exhaustive evidence proving fluoride’s only benefits are topical, as in toothbrushing, as opposed to swallowing. But the case against fluoride’s alleged safety, even in small doses, is more alarming, with multiple studies showing fluoride’s probable complicity in lowered intelligence scores, thyroid dysfunction, hip fractures, and the ominously rising incidence of osteosarcoma in boys. The authors’ academic, hyperbole-free writing style serves them well in marshaling a series of facts that, all by themselves, expose fluoridation as a false panacea. It remains to be seen, however, whether the public-health community will give this landmark work due credit or continue to rubber stamp an outdated policy that, like bloodletting and trepanation, properly belongs on the scrap heap of sham medical interventions."American Academy of Environmental Medicine Newsletter- “At once painstakingly-documented and also highly-readable, The Case Against Fluoride brings new research to light, including links between fluoride and harm to the brain, bones, and kidneys, and argues that while there is possible value in topical applications like brushing your teeth with fluoride toothpaste, the evidence that swallowing fluoride reduces tooth decay is surprisingly weak. The Case Against Fluoride doesn't question the good intentions of dentists who support fluoridation, but rather explores the poor science, bizarre tactics, biased reviews, and puzzling motivations of a relatively small number of influential people who continue to push this practice on a largely ill-informed public.”"Sweden rejected fluoridation in the 1970s and, in this excellent book, these three scientists have confirmed the wisdom of that decision. Our children have not suffered greater tooth decay, as World Health Organization figures attest, and in turn our citizens have not borne the other hazards fluoride may cause. In any case, since fluoride is readily available in toothpaste, you don't have to force it on people."--Arvid Carlsson, Nobel Laureate in Medicine or Physiology (2000) and Emeritus Professor of Pharmacology, University of Gothenburg"Alfred North Whitehead said the scientific method means leaving 'options open for revision.' An ancient Roman adage says that 'whatever touches all must be approved by all.' These characterizations of science and democracy are the reasons for reading this book. Especially if you and your family are drinking administratively mandated fluoridated water."--Ralph Nader "This book clearly shows that water fluoridation is poor public policy and must end. As a concerned citizen, I applaud the authors for bringing this issue to the world's attention."--Ed Asner "For anyone who has ever wondered why cities add fluoride to water-and questioned whether they should. Written with clear and easy-to-read prose, and supporting citations, The Case Against Fluoride carefully lays out the arguments against fluoridation and reasons why it should be discontinued. The authors examine the evidence on fluoridation and conclude convincingly that it should now be considered 'harmful and ineffective.'"--Dr. Hardy Limeback, Professor and Head of Preventative Dentistry, University of TorontoTable of ContentsPart 1. Ethical and general arguments against fluoridation : Poor medical practice ; An inappropriate and inefficient practice ; The chemicals used ; Who is in charge? ; An experimental program Part 2. The evidence that fluoridation is ineffective : Fluoridation and tooth decay ; The early evidence reexamined ; Key modern studies Part 3. The great fluoridation gamble : The great fluoridation gamble, 1930-1950 ; The great fluoridation gamble, 1950- Part 4. The evidence of harm : Dental fluorosis ; Fluoride's chemistry, biochemistry, and physiology ; Fluoride poisoning of humans: early reversible effects ; The 2006 National Research Council Report ; Fluoride and the brain ; Fluoride and the endocrine system ; Fluoride and bone ; Fluoride and osteosarcoma ; Fluoride and the kidneys, and other health issues Part 5. Margin of safety and the precautionary principle : Margin of safety ; The precautionary principle Part 6. The promoters and the techniques of promotion : Weak and inadequate science ; Promoters' strategies and tactics ; Self-serving governmental reviews ; A response to pro-fluoridation claims ; The promoters' motivations -- Review and conclusion Appendix 1: Fluoride and the brain Appendix 2: Fluoride and bone

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Book Synopsis'One of the most beautiful books you will ever read' Kate Mosse In this powerful memoir, Joanna Cannon tells her story as a junior doctor in visceral, heart-rending snapshots. We walk with her through the wards, facing extraordinary and daunting moments: from attending her first post-mortem, sitting with a patient through their final moments, to learning the power of a well- or badly chosen word. These moments, and the small sustaining acts of kindness and connection that punctuate hospital life, teach her that emotional care and mental health can be just as critical as restoring a heartbeat. In a profession where weakness remains a taboo, this moving, beautifully written book brings to life the vivid, human stories of doctors and patients - and shows us why we need to take better care of those who care for us.Trade ReviewI tore through Breaking and Mending... frank, emotional and compassionate -- David NichollsOne of the most beautiful books you will ever read -- Kate MosseJoanna Cannon's powerful, moving memoir of her time as a junior doctor is so good. -- Nina StibbeNow a best-selling writer, Cannon's stories of her time as a junior doctor explore how humans can give each other hope and compassion in even the darkest of moments. -- Jameela Jamil * Stylist *The story of the struggling NHS has been told in several excellent books recently, and this is among the best. We need to listen. -- Katy Guest * Guardian *In Breaking and Mending, [Joanna Cannon] brings her literary talents to her previous career in a memoir brimming with her trademark compassion and psychological insight. ... What sets Cannon's book apart is not just its humanity and wisdom but the novelist's keen observational eye. Cannon is a chronicler both of the human condition and the quotidian details - the clothes, the tics, the sights, sounds, smells and ephemera - which speak to who we are. -- Hannah Beckerman * Observer *Before she became a novelist, Cannon worked as a doctor. Here, she recalls her days on the wards in the most moving way. -- Anna Bonet * Red *This raw and emotional memoir ... is full of depth and insight, and made me so grateful to all those who work in healthcare. -- Nina Pottell * Prima *Powerful, shocking and intimate all at the same time -- John BoyneI will be buying Breaking & Mending today and you should too -- Adam Kay, author of THIS IS GOING TO HURTA deeply moving, thought-provoking memoir written with true compassion and intelligence -- Nathan FilerAll doctors should read this - and patients too. Emotionally wise and beautifully written -- Jill MansellCannon is on her way to becoming a national treasure - no one does quirky, funny and soul-searing the way she does * Emerald Street *There is so much compassion in this memoir, so much kindness and empathy. But there is also anger at the way the caring profession doesn't seem to care for those who work in it. It's a heartbreaking read but it ends on a hopeful note. -- Eithne Farry * The Sunday Express *A book driven by kindness and hope. It's a rare view into a strange and challenging word. -- Kerry Fowler * Sainsbury's Magazine *Fascinating read -- Lucy AtkinsBreaking & Mending is one of the most moving, compelling books I've ever read -- Marian KeyesHas all the makings of a highly charged novel, complete with unsavoury characters: the registrar who abandons the newly qualified Cannon mid-shift to go on holiday, the consultant who shouts and spits on her during a meeting. And there is plenty of tragedy, as she writes frankly about how difficult she found it to maintain professional distance from her most heartbreaking cases. Ultimately, though, hers is a hopeful story ... this NHS memoir is well-paced and often beautifully told. -- Lucy Knight * Sunday Times *Wonderful -- Jill MansellBreathtaking -- Louise DoughtyThere's an admirable ballsiness to Cannon. She whistleblows. She wears her heart on her sleeve. Plainly, she wants to nurture mental health in others and seeks to expose the stress, ridiculous workload and lack of pastoral care she experienced in medicine ... She writes lyrically, with a novelist's verve and colour -- Melanie Reid * Times *It is a breathtaking book ... Cannon's narrative skill here is subtle yet tremendous ... Cannon does language expertly, describing not only how to live, but why. I imagine she was the kind of doctor that surely all doctors should strive to be: human, honest, questioning, and (carefully) kind ... Joanna Cannon's story is beautiful. Here's to the wild cards. -- Christie Watson * Telegraph *Intimate, delicately constructed and as absorbing as it is arresting * i Paper *Intimate, delicately constructed and as absorbing as it is arresting -- Sophie Morris * Scotland on Sunday *

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Book SynopsisDepending on which doctor you speak with, or which websites you read, cannabis could be an appealing, low-risk medicine – even an aid to wellness – or an insidiously addictive drug rotting the brains of our youth. This dissonance confuses young people, distressed patients, and paralyzes politicians, all while inviting dubious sources of information and resulting in uninformed choices, enhanced polarization, and a fragmented national policy.Seeing Through the Smoke is an unflinching examination at the grossly misunderstood drug that uses data-driven medical science and a critical historical perspective to reveal the truth behind cannabis. In this balanced and measured investigation, Cannabis specialist and Instructor in Medicine at Harvard Medical School Dr. Peter Grinspoon untangles the reality behind cannabis, revealing how we ended up with radically divergent understandings of the drug and pointing a way toward a middle ground that we can all share.Moving through an illuminating tour of the social history and the medical science behind cannabis, Grinspoon unpacks the layers of disinformation left by a sordid history of government propaganda, racial suppression, and indifference from the medical community to answer questions like: Is cannabis addictive? What are its best-established medical uses? Can cannabis help cure cancer? How does cannabis affect memory? How dangerous is cannabis for teens? Is cannabis a safer treatment for ADHD and PTSD? What exactly is CBD and how is it different from marijuana? What are the most concerning side effects? By focusing on the most critical purported harms—driving, pregnancy, addictiveness, memory—and by focusing on the most commonly cited medical benefits—relieving chronic pain, sleep, anxiety, PTSD, autism, and cancer—Seeing Through the Smoke will help patients, parents, doctors, health experts, regulators, and politicians move beyond biased perceptions and arrive at a shared reality towards cannabis.

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Book SynopsisPocket sized and practical, this handbook is the ideal guide to support frontline staff and trainees, as well as all allied professionals in the name of patient safety. It will aim to demystify what is often seen as a complex topic, helping doctors understand the methods needed to provide safe care.Table of ContentsPart 1 Introduction to science and theory of patient safety 1: Peter Lachman & John Fitzsimons: The Rationale and science of Patient Safety 2: Ahmeda Ali & John Fitzsimons: The Culture and system of Patient Safety 3: Blair L. Sadler & Peter Lachman: Transparent Leadership for safety 4: John Brennan, Eugene Nelson, Sibylle Erdmann & Margaret Murphy: Codesigning for Safety and Patients Leading for Safety 5: James F O'Mahony: The Economics of Patient Safety 6: Patricia O'Connor: Developing a Safe Clinical Team 7: David Crosby & Peter Lachman: Communicating to be Safe 8: Eoin Fitzgerald & Peter Lachman: Situation Awareness and patient safety 9: Thomas Jun & Sue Hignett: Practical Application of Human Factors and ergonomics to Improve Safety 10: Uma Kotagal & Peter Lachman: Reliability Theory and its application in daily work and standardisation 11: Kate Churruca, Robyn Clay-Williams, Janet C Long, Louise A Ellis & Jeffrey Braithwaite: Resilience Theory, Complexity Science and Safety 2 Part 2 Practical application and methodologies of patient safety 12: Jason Leitch & Thomas Lamont: Measuring Patient Safety at a System, Organisation and National Level 13: Jane Runnacles & John Fitzsimons: How to Measure Patient Safety on the Front Line 14: Peter Lachman, Susanne O'Reilly, Michael Marx and John Brennan: Improving to be Safe 15: Adrian Plunkett: Learning from Success to be safer 16: Kevin Stewart & Rachel Pool: Investigating and learning from Adverse Events 17: Mark O'Brien & Pallavi Bradshaw: Open Disclosure 18: Kris Vanhaecht: Caring for the Caregivers - The Second Victim Part 3 Translating theory to clinical practice 19: Christopher Cornue: Safety and information technology 20: Frank Frederico: Enabling Medication Safety 21: James Hoffman & Kristen Hughes: Paediatric medication safety 22: Rob Cunney: Preventing and Decreasing Infections 23: Rob Cunney: Sepsis and Antimicrobial stewardship 24: Anita Jayadev, Karen Britton & Shefal Patel:: Detecting and Limiting Deterioration 25: Tricia Woodhead and Gail Nielsen: Preventing and Limiting Diagnostic Error 26: John Brennan: Safety in Primary Care and General Practice 27: Damian Roland & Jay Banerjee: Safety in the Emergency Department 28: Anita Jayadev & Sean Harding: Safety in Outpatients and Ambulatory Care 29: Rob Bethune: Safety in the operating theatre 30: Jane Runnacles: Safety in Paediatrics and Child Health 31: David Crosby: Safety in Maternity and Women's Health 32: Daniel Hayes: Safety in Mental Health 33: Kevin Rooney & Suying Ong: Safety in Intensive Care 34: Kirstyn James: Safety in Patients with Frailty and Complex Long-Term Conditions 35: Kieran Murray & Michael Marx: Safety in a multi-disciplinary team 36: Kevin O'Hare: Safety in the laboratory 37: Riccardo Trataglia, Micaela La Regina and Peter Lachman: Safety in a pandemic

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Book Synopsis'Manaugh and Twilley shed illuminating light on a phenomenon that seems utterly of the present moment.' Financial Times’ Best Books of the Year'Startlingly timely, authoritatively researched, and electrifyingly written.' Steve Silberman, author of NeuroTribes: The Legacy of Autism and the Future of NeurodiversityQuarantine has shaped our world, yet it remains both feared and misunderstood. It is our most powerful response to uncertainty, but it operates through an assumption of guilt: in quarantine, we are considered infectious until proven safe. An unusually poetic metaphor for moral and mythic ills, quarantine means waiting to see if something hidden inside of us will be revealed. Until Proven Safe tracks the history and future of quarantine around the globe, chasing the story of emergency isolation through time and space – from the crumbling lazarettos of the Mediterranean to the hallways of the CDC, to the corporate giants hoping to disrupt the widespread quarantine imposed by Covid-19 before the next pandemic hits through surveillance and algorithmic prediction.Yet quarantine is more than just a medical tool: Geoff Manaugh and Nicola Twilley drop deep into the Earth to tour a nuclear-waste isolation facility beneath the New Mexican desert, strip down to nothing but protective Tyvek suits to see plants stricken with a disease that threatens the world’s wheat supply, and meet NASA’s Planetary Protection Officer tasked with saving the Earth from extraterrestrial infections. The result is part travelogue, part intellectual history – a book as compelling as it is definitive, and one that could not be more urgent or timely.Trade ReviewReads like a global safari of humanity’s best-laid plans being never quite enough . . . [Manaugh and Twilley] are well-placed to tell the tale, weaving the spatial, social and scientific facets of medical isolation into an entertaining adventure. -- Oliver Wainwright * Guardian *A timely intellectual history of quarantine . . . As Manaugh and Twilley write, quarantine is enforced in cases of potential infection, of possible risk, and ­therefore admits a degree of uncertainty. One of the striking continuities in their history is how this uncertainty has been exploited to deepen gendered and racialised inequalities. -- Erin Maglaque * New Statesman *A compelling case that we must continue to refine the use of quarantine, balancing the needs of public health with those of human rights. * New Yorker *Until Proven Safe is not all doom and gloom, though: there are plenty of QI-style facts in this wide-ranging and colourful survey. -- Christopher Hart * Sunday Times *Until Proven Safe, by Geoff Manaugh and Nicola Twilley, dives into the crudely effective and widely abused strategy of quarantine, the separation of those feared to be sick from those deemed healthy. -- Ian Sample * Guardian Best Science Books of the Year *Brainy but accessible -- Mark Honigsbaum * Observer *Manaugh and Twilley shed illuminating light on a phenomenon that seems utterly of the present moment. * Financial Times' Best Books of the Year *[Manaugh and Twilley] bring an impressively wide range of interests to bear on a subject that involves not only infectious disease but also - in their ambitious yet seamless narration - politics, agriculture, surveillance and even outer space. -- Jennifer Szalai * New York Times Book Review *What makes [Until Proven Safe] compelling, besides [Manaugh and Twilley’s] extensive experience as journalists, is the depth of their research coupled with a firm conviction that quarantine, a mighty yet dangerous weapon, must be used ‘more wisely in the future’ . . . This is an exceptionally powerful book -- A. Roger Ekirch * Wall Street Journal *Until Proven Safe is uncanny in its prescience . . . Twilley and Manaugh see things that others don’t. Their insatiable curiosity reveals itself through all of their endeavors -- Allison Arieff * San Francisco Chronicle *Manaugh’s and Twilley’s extensive history of a concept we might otherwise take for granted is actually the perfect postpandemic read - an imaginative, layperson-friendly way to make sense of and contextualize what we just lived through. -- Arianna Rebolini * BuzzFeed *Quarantine provides a buffer and a delay, offering space and time, between the known (healthy folks) and the dangerous (potentially contagious people). Its complicated nature is adeptly explored, including ethical concerns, legal and moral questions, and enforcement challenges . . . Fascinating reading. -- Tony Miksanek * Booklist *A riveting and timely look at how humanity has protected itself by isolating segments of its populations. . . Manaugh and Twilley cull their research into a concise and logical series of recommendations for future public health crises, grounded in a deep appreciation of the human impact of quarantining. * Publishers Weekly *Captivating . . . Manaugh and Twilley meld a global view of a timely subject with vividly detailed accounts . . . But a larger charm of this smart book lies in their ability to bring potentially dry topics to life . . . An infectiously appealing overview of efforts to contain the potentially infectious. * Kirkus Reviews *Until Proven Safe is the book of our historical moment - a provocative meditation on how society uses quarantine to define the boundaries of self and other when faced with the terrifying unknown. Startlingly timely, authoritatively researched, and electrifyingly written. -- Steve Silberman, author of NeuroTribes: The Legacy of Autism and the Future of NeurodiversityUntil Proven Safe combines history, geography, epidemiology, and the ethics of space exploration – how can this be – Because, as the authors explain in a very entertaining and wide-ranging way, quarantine, ironically enough, crosses borders of space and time to make a complex knot of stories. Timely, eye-opening, provocative – you will see the world differently after reading it. -- Kim Stanley Robinson, author of Ministry for the FutureWhat does it mean to isolate threats: people carrying diseases; the microbes, themselves; radioactive materials? For centuries the primary tool of isolation has been quarantine, and in this globe-trotting tale of history and today’s COVID-19 crisis, Geoff Manaugh and Nicola Twilley offer answers that will make your jaw drop. Nothing about "quarantine" is as simple or straight-forward as you think. -- Laurie Garrett, author of The Coming Plague: Newly Emerging Diseases in a World out of BalanceAn engrossing study of the ways in which quarantines have changed social, emotional, and political life over hundreds of years, and a fascinating exploration of the perennial roles of fear, conspiracy theories, greed, and prejudice, to which we now add the threat of permanent digital surveillance in the name of public health. Perfect for our time and guidance for the future. -- Ellen Ullman, author of Close to the Machine and Life in CodeAs Twilley and Manaugh reveal in this timely but timeless, ambitious and flawlessly executed account, quarantines have shaped our history . . . The struggle to protect ourselves from invisible and deadly contagions is waged daily and largely out of sight - along borders and spore superhighways, in biosecure piggeries and nuclear waste facilities a half-mile underground. Quarantine: boring to live through, unbelievably interesting to read about. -- Mary Roach, author of Stiff and GruntStrap on your plague beaks and round up the loose women! In this intrepid, occasionally creepy jaunt through seven centuries of disease control, Twilley and Manaugh prove that the past is never dead; it’s just in quarantine. -- Alexis Coe, author of You Never Forget Your First: A Biography of George Washington

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