Health systems and services Books

Book SynopsisThe authors take a comprehensive multidisciplinary approach to examine key issues of the cross border movement of patients. State-of-the-art analysis is underpinned by extensive country studies. An essential read for policy makers, regulators, practitioners and students who want to understand, influence and shape this key dimension of the globalisation of health.'- Nick Drager, Honorary Professor LSHTM, Professor of Practice McGill University, Canada'Lunt, Horsfall and Hanefield have brought together the world's leading scholars in the field for this Handbook. Collectively, they chart the course for medical tourism research in covering an exhaustive range of topics. This book is rich in both the breadth and depth of information offered in a time where medical tourism is of increasing importance to the global and domestic health policy and service provision landscape. The editors have done a superb job of steering the contributors and piecing together the various sections of the book to produce a coherent and, what is likely to become, definitive work. It will be essential reading for anyone with interests in the subject.'- Robin Gauld, University of Otago, New ZealandThe growth of international travel for purposes of medical treatment has been accompanied by increased academic research and analysis. This Handbook explores the emergence of medical travel and patient mobility and the implications for patients and health systems.Bringing together leading scholars and analysts from across the globe, this unprecedented Handbook examines the regional and national experiences of medical tourism, including coverage of the Americas, Europe, Africa, the Middle East, and Asia. The chapters explore topics on issues of risk, law and ethics; and include treatment-focused discussions which highlight patient decision-making, patient experience and treatment outcomes for cosmetic, transplantation, dental, fertility and bariatric treatment.Students, practitioners and researchers of global health policy, health and globalization, international business, travel medicine and health ethics will find the subjects discussed to be of considerable interest.Contributors: P.P. Barros, D. Bell, A. Bochaton, A.V. Bustamante, M. Calnan, V. Calovski, V. Casey, R. Chanda, A. Chandu, O.N.Y. Cheung, A. Chikanda, I.G. Cohen, J. Connell, V.A. Crooks, J. Crush, L. Culley, H. Endo, M. Exworthy, J.R. Frederick, W. Friesen, L.L. Gan, A.N. Garman, M.W. Hadler, C.M. Hall, C. Hamlyn-Williams, L.N. Handlos, J. Hanefeld, A.J. He, R. Holliday, D. Horsfall, N. Hudson, S.S. Jervelund, K.N. Jin, T.J. Johnson, R. Johnston, S. Karsavuran, S. Kaya, R.A. Kearns, N.M. Kronfol, M. Lakhanpaul, J. Yeonjae Lee, H. Legido-Quigley, N. Lunt, T. Mainil, L. Manikam, B. Maswikwa, M. Mckee, D. Morgan, T. Noree, S. Okamura, M. Ormond, S. Peckham, G. Pennings, L. Puczkó, D. Reisman, D. Sanders, C.D. Shaw, M. Smith, R. Smith, J. Snyder, E.J. Sobo, I. Sziva, M. Toya, M. Walton-Roberts, R. Whitmore, A. Whittaker, A. Y ld zTrade Review‘The authors take a comprehensive multidisciplinary approach to examine key issues of the cross border movement of patients. State-of-the-art analysis is underpinned by extensive country studies. An essential read for policy makers, regulators, practitioners and students who want to understand, influence and shape this key dimension of the globalisation of health.’ -- Nick Drager, Honorary Professor LSHTM, Professor of Practice, McGill University, Canada‘Lunt, Horsfall and Hanefield have brought together the world’s leading scholars in the field for this Handbook. Collectively, they chart the course for medical tourism research in covering an exhaustive range of topics. This book is rich in both the breadth and depth of information offered in a time where medical tourism is of increasing importance to the global and domestic health policy and service provision landscape. The editors have done a superb job of steering the contributors and piecing together the various sections of the book to produce a coherent and, what is likely to become, definitive work. It will be essential reading for anyone with interests in the subject.’ -- Robin Gauld, University of Otago, New ZealandTable of ContentsContents: Introduction PART I INTRODUCTION AND CONTEXT 1. The Shaping of Contemporary Medical Tourism and Patient Mobility Neil Lunt, Daniel Horsfall and Johanna Hanefeld 2. Medical Tourism – Concepts and Definitions John Connell 3. Medical Tourism by Numbers Daniel Horsfall and Neil Lunt 4. Globalization and Trade in Health Services Johanna Hanefeld and Richard Smith 5. Patients’ Willingness to Travel Mark Exworthy and Stephen Peckham 6. Travelling for Value: Global Drivers of Change in the Tertiary and Quarternary Markets Tricia J. Johnson and Andrew N. Garman PART II MACRO-LEVEL CONSIDERATIONS 7. Health Systems and Medical Tourism Pedro P. Barros 8. The Economics of Health and Medical Tourism David Reisman 9. OECD Accounting for Trade in Healthcare David Morgan 10. Financing Mechanisms Johanna Hanefeld and Richard Smith 11. The Implications of Medical Travel upon Equity in Lower and Middle Income Countries Andrea Whittaker 12. What’s Where? Why There? And Why Care? A Geography of Responsibility in Medical Tourism Meghann Ormond PART III UNDERSTANDING ORGANISATIONS AND ACTIVITIES 13. A Review of Small-Scale Niche Treatment Providers Olive N.Y. Cheung 14. Regional Differences: Scope and Trust Among Medical Tourism Facilitators Lydia L. Gan and James R. Frederick 15. Government and Governance Strategies in Medical Tourism Meghann Ormond and Tomas Mainil 16. Marketing Medical Tourism in Korea Ki Nam Jin 17. Medical Tourism and the Internet Daniel Horsfall and Neil Lunt 18. Networks and Supply Chains: The Nature of Medical Tourism Markets Neil Lunt 19. The Coming Perfect Storm: Medical Tourism as a Biosecurity Issue C. Michael Hall PART IV REGIONAL DIMENSIONS OF MEDICAL TOURISM 20. Diasporic Medical Return: Korean Immigrants’ Use of Homeland Medical Services Jane Yeonjae Lee, Robin A. Kearns and Wardlow Friesen 21. Culture and Medical Travel Elisa J. Sobo 22. Use of Cross-Border Healthcare among Immigrants Signe Smith Jervelund and Line Neerup Handlos 23. Migration: The Mobility of Patients and Health Professionals Margaret Walton-Roberts 24. United States (US)-Mexico Bi-National Insurance Efforts and the Prospective Impacts of Health Care Reforms in the US and Mexico Arturo Vargas Bustamante 25. European Retirement Migration: Access to Health Care and Policy Implications Helena Legido-Quigley and Martin Mckee 26. Medical Tourism: A Case Study of Thailand Thinnakorn Noree 27. International Medical Travel Developments within Thailand and South-East Asia Audrey Bochaton 28. The National Context of Medical Travel within Japan Hiroyoshi Endo, Serina Okamura and Masafumi Toya 29. Medical Tourism and Outward FDI in Health Services: India in South Asia Rupa Chanda 30. Medical Tourism Developments within the Middle-East Nabil M. Kronfol 31. Migration and Patient Mobility in Latin America Max William Hadler 32. The Rise of Medical Tourism to South Africa Jonathan Crush, Abel Chikanda, David Sanders and Belinda Maswikwa 33. Medical Tourism Developments within Turkey Sıdıka Kaya, Seda Karsavuran and Ahmet Yıldız PART V ETHICAL, LEGAL AND REGULATORY 34. Ethics of Medical Tourism Guido Pennings 35. Medical Tourism for Services Illegal in Patients’ Home Country I. Glenn Cohen 36. Child Medical Tourism: A New Phenomenon Charlotte Hamlyn-Williams, Monica Lakhanpaul and Logan Manikam 37. Hospital Accreditation and Medical Tourism Charles D. Shaw 38. Medical Tourism and Trust: Towards an Agenda for Research Michael Calnan and Vid Calovski PART VI MOTIVATION, CLINICAL EXPERIENCE AND OUTCOMES 39. Putting the Thermal Back into Medical Tourism Melanie Smith, László Puczkó and Ivett Sziva 40. Dental Tourism Arun Chandu 41. Transplantation Tourism in Asia: Snapshot, Consequences and the Imperative for Policy Changes Alex Jingwei He 42. Cosmetic Surgery Tourism Ruth Holliday and David Bell 43. Journey Without End: Travelling Overseas for Bariatric Surgery: A Qualitative Study of UK Patients Travelling for Bariatric Surgery Johanna Hanefeld and Daniel Horsfall 44. Cross-Border Reproductive Travel Nicky Hudson and Lorraine Culley 45. ‘They Go the Extra Mile, the Extra Ten Miles…’: Examining Canadian Medical Tourists’ Interactions with Health Care Workers Abroad Valorie A. Crooks, Victoria Casey, Rebecca Whitmore, Rory Johnston and Jeremy Snyder 46. Outcomes and Medical Tourism Neil Lunt and Daniel Horsfall Index

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Book SynopsisMigration is now firmly embedded as a leading global policy issue of the twenty-first century. Whilst not a new phenomenon, it has altered significantly in recent decades, with changing demographics, geopolitics, conflict, climate change and patterns of global development shaping new types of migration. Against this evolving backdrop, this Handbook offers an authoritative overview of key debates underpinning migration and health in a contemporary global context.The first major handbook in this field, this Handbook of Migration and Health provides a comprehensive global overview of issues relating to migration and health. The Handbook is organised into six main sections: theories and models of migration; rights and deservingness; vulnerability and precarity; specific healthcare needs and priorities; healthcare provision; and transnational and diasporic networks. Chapters focus on a wide range of migrant groups including refugees, asylum seekers, trafficked people, international students, healthcare workers, and diasporic communities.Bringing together the contributions of 58 leading researchers and drawing on case studies and examples from across the globe, the Handbook is intended as a scholarly, yet accessible reference tool for researchers, students, and practitioners interested in the field of migration and health.Contributors include: S. Bacci, L. Baldassar, C. Bennouna, J. Botfield, E. Chase, J. Cook, E. Duffell, R. Evans, J. Gideon, K. Hall, A.-C. Hoyez, D. Ingleby, H. Jayaweera, M.-A. Karlsen, M. Kilke, R. Labonté, Y. Lu, S. Mayell, L. Manderson, M. McKee, J. McLaughlin, C. McMichael, L. Merla, S. Meyer, P. Mladovsky, L. Newman, C. Newman, T. Noori, L. Núñez Carrasco, A. Odone, D. Oksen, S. Oram, M. Ormond, G. Ottosdottir, C. Packer, A. Pharris, O. Razum, B. Rechel, A. Reeske, A. Reid, V. Runnels, A. Sandgren, R. Shadwick, D. Sime, J. Spallek, D.L. Spitzer, L. Stark, J.E. Suk, A. Tianbo Zhang, T. Tillmann, F. Thomas, K. Vasey, J. Vearey, G.A. Williams, R. Wilding, S.S. Willen, H. Zeeb, A. ZwiTrade ReviewThe movement of people and populations is intrinsic to today's globalised existence, with complex health and wellbeing consequences for people on the move, for host communities and for global health economies. Yet programmatic approaches to addressing the wellbeing of migrants although badly needed remain poorly developed in many parts of the world. Through this book Felicity Thomas successfully crosses disciplinary boundaries to bring together an authoritative, coordinated and comprehensive approach to what is one of the major health issues of our time.' --Jane Anderson, Homerton University Hospital NHS Foundation Trust, UK'In this impressive volume, Felicity Thomas has orchestrated a comprehensive and cutting-edge contribution to the understanding of the relationship between migration and health. Drawing together experts from multiple disciplines, examining a wide range of pertinent issues, and developing innovative theoretical insights, the book offers much-needed clarity about a timely and complex global problem. Students, scholars, policymakers, and practitioners will all find much to learn in this superb collection.' --Daniel Jordan Smith, Brown University'With the rapid growth of international migration - whether through war, civil conflict, economic necessity or choice - there is a compelling need to understand the links between migration and health. Drawing on the latest research and powerful new theory, this remarkable book provides the first comprehensive account of these issues. A ''must read'' for researchers, students and activists interested in migration, mobility, population movement and health.' --Peter Aggleton, UNSW AustraliaTable of ContentsContents: PART I INTRODUCTION 1. Migration and health: an introduction Felicity Thomas PART II THEORIES AND MODELS OF MIGRATION 2. The link between migration and health Yao Lu and Alice Tianbo Zhang 3. Models of migration and health Jacob Spallek, Anna Reeske, Hajo Zeeb and Oliver Razum 4. Migration and health behaviour Hiranthi Jayaweera 5. Migration and health through an intersectional lens Denise L. Spitzer PART III RIGHTS AND DESERVINGNESS 6. Health-related deservingness Sarah S. Willen and Jennifer Cook 7. International health worker migration:issues of ethics, human rights and health equity Vivien Runnels, Corinne Packer and Ronald Labonté 8. Migration control and children’s access to healthcare Marry-Anne Karlsen 9. Socio-spatial dimensions of healthcare for newly-arrived migrants Anne-Cécile Hoyez and Felicity Thomas PART IV VULNERABILITY AND PRECARITY 10. The health and wellbeing of survival migrants Katherine Vasey, Lenore Manderson and Louise Newman 11. The health and wellbeing outcomes of former ‘unaccompanied minors’: shifting contours of vulnerability and precarity Elaine Chase 12. Human trafficking and health Siân Oram 13. Migrating to work at what cost? The cumulative health consequences of contemporary labour migration Stephanie Mayell and Janet McLaughlin 14. Occupational health and safety of migrant workers Alison Reid 15. Winds of change: climate change, migration and health Celia McMichael PART V SPECIFIC HEALTHCARE NEEDS AND PRIORITIES 16. Disability and chronic illness Gudbjorg Ottosdottir and Ruth Evans 17. Mental health and forced migration: the case of Chilean exiles in the UK Jasmine Gideon 18. Mobility, migration and generalised HIV epidemics: a focus on sub-Saharan Africa Jo Vearey 19. Infectious diseases in migrant populations in the European Union and the European Economic Area Gemma A .Williams, Anna Odone, Taavi Tillmann, Anastasia Pharris, Dina Oksen, Bernd Rechel, Philipa Mladovsky, Sabrina Bacci, Rebecca Shadwick, Teymur Noori, Andreas Sandgren, Erika Duffell, Jonathan E. Suk, David Ingleby and Martin McKee PART VI HEATHCARE PROVISION 20. Health and wellbeing in refugee camps Sarah Meyer, Cyril Bennouna and Lindsay Stark 21. Retirement migration and health: growing old in Spain Kelly Hall 22. Migrant children and young people’s ‘voice’ in healthcare Daniela Sime 23. Young migrants and sexual and reproductive healthcare Jessica R. Botfield, Anthony B. Zwi and Christy E. Newman 24. Cultural competence in migrant healthcare Felicity Thomas PART VII TRANSNATIONAL AND DIASPORIC NETWORKS 25. Transnational families, care and wellbeing Loretta Baldassar, Marjella Kilkey, Laura Merla and Raelene Wilding 26. Knowledge transfer in the ‘medical tourism’ industry: the role of transnational migrant patients and health workers Meghann Ormond 27. End of life care and death of migrants Lorena Núñez Carrasco Index

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Book SynopsisThis lucid and comprehensive book explores the ways in which the State, the market and the citizen can collaborate to satisfy people's health care needs. It argues that health care is not a commodity like any other. It asks if its unique properties mean that there is a role for social regulation and political management. Apples and oranges can be left to the buyers and the sellers. Health care may require an input from the consensus, the experts, the insurers, the politicians and the bureaucrats as well.David Reisman makes a fresh contribution to the debate. He argues that the three policy issues that are of primary importance are choice, equality and cost. He explores the balance between the patient, the practitioner and public opinion; the disparities in outcome indicators and access to medical care; and the escalation in prices and quantities at the expense of other areas of social life. Reisman concludes that, despite its significance for the individual and the nation, there is no single definition of health or health care. The maximand is a mix. Yet decisions have to be made.This thought-provoking and insightful book will be of use to students and scholars of public policy, social policy and health economics. It will also be of interest to medical practitioners who want to situate hard choices about health and illness in a broad multidisciplinary context.Trade Review'Too often health economics proceeds without serious consideration of the concrete challenges of health policy. David Reisman's new book does just the opposite: it starts with those challenges and shows what the economics of health care must be to address them. This makes the economics of health care inseparable from the ethics of health care. This book is highly recommended for clear and sensible thinking about the economics of health policy.' --John Davis, Marquette University, US and University of Amsterdam, the NetherlandsTable of ContentsContents: 1. Introduction 2. Good Health 3. The Invisible Mind 4. Inputs and Outcomes 5. The Individual 6. The Practitioner 7. The Public 8. The Logic of Insurance 9. Insurance: Public and Private 10. Equity and Equality 11. The Right to Health 12. Inequality and Health 13. Narrowing the Gap 14. Equalising Medical Care 15. The Cost of Care 16. Cost Containment 17. State, Market and Cost 18. Conclusion Index

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Book SynopsisThere has been a surge in "Living Labs" in recent years including those focusing on the health and autonomy sectors. The aim of these innovative user-centered spaces is the emergence of products and services that meet market needs and support both the efficiency of public health and the competitiveness of enterprises. This book is the result of work involving both field practitioners and academic actors in human sciences and co-design. It highlights the good practices that arise within living labs despite their use of different approaches. This collaborative work has given rise to the Living Lab Health and Autonomy (LLSA) Forum and has allowed for an improved capacity to support an efficient development of this form of design for the actors of health and autonomy, but also of industry and of its investors. This book draws on their experience and the views of experts to illuminate their practices and gives better visibility and legibility to these new players. Table of ContentsPart 1. The Operational Reality of Co-design in LLSAs 1. The Living Lab: A Reality Belonging to a Collective History. 2. Running Co-design: Collaborative Projects and Co-design Sessions. 3. Problems and Methods of Involving Users in Co-development Projects. 4. Involving Industrialists. Part 2. Challenges of Co-design and Independent Living 5. Co-design: Methodologies for Investigating, Developing and Sharing Knowledge in View of New Solutions for Future Use. 6. Co-design and Health Technology Assessment: Controlling and Establishing Reproducibility. 7. The Purposes and Reality
 of Collective Appropriation of Social Innovation. Part 3. Diverse Perspectives on Co-design 8. Critique of the Living Lab Approach. 9. Co-design Methods. 10. Living Lab Approach and Learning. 11. Other Views. Part 4. The LLSAs’ and the Forum’s Value Added 12. LLSA Solutions. 13. LLSA Typologies.

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Book SynopsisThis book is a collection of fictionalised case studies of everyday ethical dilemmas and challenges, encountered in the process of conducting global health research in places where the effects of global, political and economic inequality are particularly evident. It is a training tool to fill the gap between research ethics guidelines, and their implementation 'on the ground'. The case studies, therefore, focus on 'relational' ethics: ethical actions and ideas that emerge through relations with others, rather than in regulations.Trade ReviewThis workbook is an essential tool for those committed to the hard work of scientific collaboration across steep global inequalities, and an inspirational example of engaged anthropology. --Johanna Crane, University of Washington, author of 'Scrambling for Africa: AIDS, Expertise, and the Rise of American Global Health Science'"

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Book SynopsisThis book is an essential resource exploring the concepts, theories and methods in consumer behaviour specifically applicable to the food and drink sector. Drawing examples from all continents, it provides you with accessible coverage and a truly global perspective of the particular characteristics of this industry. It offers clear explanations and applications of theoretical concepts, using specialised case studies and examples; features an introduction, learning objectives and summary in each chapter to hone your reading and revision; and provides you with companion online material including notes and self-assessment questions. This important new book is the perfect guide for students studying consumer behaviour or experience in food and drink as part of courses in agricultural or agribusiness management and economics, hospitality and tourism, business studies, food science and nutrition, or generic marketing and consumer studies. This book is enhanced with supplementary resources including multiple choice questions and longer revision questions, with answers.Table of ContentsChapter 1: Introduction – Overview of the global food and drink sector Chapter 2: Models of consumer behaviour Chapter 3: Consumer perceptions in food and drink Chapter 4: Consumer learning and memory in food and drink Chapter 5: Motivation and involvement in food and drink Chapter 6: Consumer personality in food and drink Chapter 7: Consumer self-concept in food and drink Chapter 8: Consumer attitudes in food and drink Chapter 9: Culture and sub-cultures in food and drink Chapter 10: Reference groups in food and drink Chapter 11: Social class in food and drink Chapter 12: Situational factors in food and drink Chapter 13: Organisational buying in food and drink Chapter 14: Adapting the marketing mix on the basis of consumer behaviour Chapter 15: Contemporary issues and future developments in food and drink

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Book SynopsisPowerful new approaches and advances in medical systems drive increasingly high expectations for healthcare providers internationally. The form of digital healthcare - a suite of new technologies offering significant benefits in cost and quality - allow institutions to keep pace with society's needs. This book covers the need for responsible innovation in this area, exploring the issues of implementation as well as potential negative consequences to ensure digital healthcare delivers for the benefit of all stakeholders. This book offers a considered view on what a responsible innovation process might involve and how this will enable multiple stakeholders - users, medics, businesses and policymakers - to create a system of delivering better care at lower costs. Illustrated by international case studies, the contributing authors explore the dimensions of responsible innovation with patient engagement and the ways in which this can lead to better design, enhanced diffusion of knowledge and improvement in healthcare. A much-needed exploration of the role of innovation in healthcare with patients in mind, this book will be essential for academics in innovation, ethics, social entrepreneurship and healthcare studies.Trade Review'People ageing and the welfare society demand the intensive use of technology to provide a modern and sustainable care service. But the use of technology also raises new ethical questions about the way the knowledge is obtained and patients' privacy managed. This book is a benchmark on finding a solution to this challenge: taking advantage of the awesome possibilities of new technologies while respecting the privacy and dignity of the patient at all times. Congratulations.' --Jose Antonio Ondiviela, SmartCities Solutions Director, Microsoft, Western Europe'Medical care can be shifted towards a patient-centered innovation and care process. The editors of this book focus on an important aspect of this emergent system: digital health. Contributors especially focus on responsible ways digital health systems can be designed to protect patient privacy, and teach us a great deal about this important topic. A valuable book!' --Eric von Hippel, Massachusetts Institute of Technology, US'Based on major international research, this inspiring volume provides rich and suggestive insights into responsible innovation, often enabled by digital technologies and initiated by patients or caregivers. It is packed with observations, ideas and inspiring examples of value for researchers as well as innovators and managers within and beyond the health sector.' --Per Davidsson, Queensland University of Technology, AustraliaTable of ContentsContents: 1. Responsible Innovation in Digital Health Tatiana Iakovleva, Elin M. Oftedal and John Bessant 2. Responsible innovation as a catalyst of the firm innovation process Tatiana Iakovleva, Elin M. Oftedal and John Bessant 3. Challenges in healthcare - the changing role of patients Elin M. Oftedal, Tatiana Iakovleva and John Bessant 4. Empowering patients to innovate: the case of Patient Innovation Pedro Oliveira, Salomé Azevedo and Helena Canhão 5. Patient-initiated innovation - Evidence and research agenda Thomas Laudal and Tatiana Iakovleva 6. University of Virginia Health System’s MyChart: Supporting Patient Care and Research Bala Mulloth and Michael D. Williams 7. Design space in digital healthcare – the case of health information TV John Bessant, Allen Alexander, Danielle Wynne, and Anna Trifilova 8. Responsible Research and Innovation: Innovation initiatives for Positive Social Impact Raj Thapa and Tatiana Iakovleva 9. The Blink innovation story – viewed through the lens of responsible innovation Dagfinn Wåge and Andrea Marie Stangeland 10. Hitting the institutional wall – the journeys of three firms from idea to market Elin M. Oftedal and Lene Foss 11. The role of user-led regional innovation networks in shaping responsible innovation in eHealth. Lessons from the East of the Netherlands Kornelia Konrad, Verena Schulze Greiving and Paul Benneworth 12. Management of Stakeholders’ Knowledge for Responsible Research and Innovation Elisa Thomas and Luciana Maines da Silva 13. Responsible Innovation and Commercialisation in the University Context: A case study of an academic entrepreneur in digital healthcare Bernard Naughton and Lene Foss 14. Responsible innovation within the healthcare sector: Digital Therapeutics and WellStart Health Jill Kickul, Mark Griffiths, and Marissa Titus 15. The Future of Responsible Innovation John Bessant, Tatiana Iakovleva and Elin M. Oftedal Index

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Book SynopsisEvents have spiralled since the first edition of How to Dismantle the NHS in 10 Easy Steps. The junior doctors' strike, the Conservative victory in the 2015 general election, the Corbyn phenomenon, the unexpected Brexit vote and the arguably even more unexpected loss of the Conservative majority in 2017. Further, since writing the first edition, Dr. Youssef El-Gingihy found himself stricken with a life-threatening illness and the NHS doctor became the NHS patient. The fight to save the NHS transformed into a fight for his own life. Now, fully recovered, Dr. Youssef El-Gingihy returns to his 10 Easy Steps in order to strengthen his original argument and continue what Labour leader, Jeremy Corbyn, deems 'one of the most fundamental battles we face in a struggle for a British society that works for the many'. In the year of the 70th anniversary of the NHS, Dr El-Gingihy's insights have never been more vital as our national health service continues to be hit by the privatisation of public services. New expanded second edition with chapters on junior doctor's strikes and plans for US-style healthcare.

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Book SynopsisThis ground breaking Handbook brings together a number of chapters into one comprehensive book on the timely subject matter of the political economy of health and health care. The book contains up-to-date discussion on the state of the art of the key questions of the subject matter, and it provides a unique understanding of health policy making by drawing on an interdisciplinary approach to political economy. This Handbook highlights the key theoretical and empirical debates in academia and policy across a variety of scholarly groups, illustrating the various methods and principles used while sharing the common goal of understanding the institutional mechanisms, constraints, and determinants that influence decision-making. The expert contributors discuss the design of health care systems, political markets, financing and policy reforms, and healthcare during pandemics in six thematic sections, as well as providing insightful lessons to be learned for the future. Scholars and professionals interested in an in-depth state-of-the-art companion to the main issues under discussion of the effects of the design in our health systems, along with the constraints that they face, will find this Handbook an excellent resource.Trade Review‘Health systems and reforms in the health sector play a fundamental role in policy-making and in the political process, as emphasized during the COVID-19 pandemic crisis. This book collects important contributions to develop an innovative view of the political economy of health systems, where political and economic factors interact in determining policy decisions in the health care domain. The book provides an excellent unified, broad, and thorough vision of one of the most promising and interdisciplinary areas of the current and future political economy debate.’ -- Paola Profeta, Bocconi University, ItalyTable of ContentsContents: PART I INTRODUCTION TO THE POLITICAL ECONOMY OF HEALTH SYSTEMS 1 An introduction to the Handbook on the Political Economy of Health Systems 2 Alberto Batinti, Joan Costa-Font and Gilberto Turati PART II CONSTITUTIONAL DESIGN OF HEALTH CARE SYSTEMS 2 Health and healthcare as a human right 12 Hiroaki Matsuura 3 Do democratic regimes exhibit ‘better’ health outcomes? 27 Alberto Batinti and Joan Costa-Font 4 Soviet communism and later-life health and health care 42 Joan Costa-Font and Anna Nicińska 5 Federalism and tax-financed healthcare: economic advantages, dilemmas, and solutions 57 Roger D. Congleton 6 The coordination in European Union healthcare after Covid-19 70 Marco Buso, Massimo Bordignon, Rosella Levaggi and Gilberto Turati 7 Efficiency and equity effects of healthcare decentralization: evidence from Italy 85 Caterina Ferrario, Rosella Levaggi and Massimiliano Piacenza 8 Political economy of health care insurance expansion in Mexico 112 David G. Lugo-Palacios and Alejandro Sanders Villa 9 Weird health care for WEIRD societies? 130 Hartmut Kliemt PART III POLITICAL INSTITUTIONS, POLITICAL MARKETS AND HEALTH CARE DECISIONS 10 Medical composition of cabinets and the health care system 147 Joan Costa-Font, Nicolas Marchi and Debra Winberg 11 Women politicians and public health 157 Sonia Bhalotra and Mariana Lopes da Fonseca 12 Community and civic participation effects on health and well-being 177 Luke Munford and Daniel Gray 13 Ideology and health spending 200 Bernd Theilen 14 Lobbying, health, and healthcare 213 Nathaniel Z. Counts and Vinu Ilakkuvan 15 Healthcare corruption 236 Martin McKee, Eleanor Hutchinson and Dina Balabanova 16 Provider power and healthcare systems 247 Mason Barnard, Irini Papanicolas and Peter Smith 17 Health effects of trade policy and corporate interest groups 270 Pepita Barlow 18 Institutional quality and health outcomes 292 Giacomo De Luca, Domenico Lisi, Marco Martorana and Luigi Siciliani PART IV THE POLITICAL ECONOMY OF HEALTH CARE FINANCING AND POLICY REFORMS 19 Towards a general political economy of private supplementary health insurance 319 Claudio Lucarelli and Mark Pauly 20 Political economy of public financing of health in low- and middle-income countries 339 Sumit Mazumdar and Rodrigo Moreno-Serra 21 Political economy of health system reform: evidence from Spain 370 Guillem López-Casasnovas 22 The pharmaceutical patent system and access to medicines 380 Valbona Muzaka PART V POLITICAL ECONOMY OF HEALTH CARE DURING COVID-19 23 Covid-19 and the interest group approach to government 397 Peter T. Leeson and Henry A. Thompson 24 Political preferences and nudging for healthcare: evidence from Covid certificates 412 Mario Cesare Nurchis, Luca Salmasi and Gilberto Turati 25 Multilevel governance in the first wave of Covid-19 430 Marta Angelici, Paolo Berta, Joan Costa-Font and Gilberto Turati PART VI LESSONS FROM THE HANDBOOK 26 The political economy of health systems: research space, goals and lessons 447 Alberto Batinti, Joan Costa-Font and Gilberto Turati Index 454

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Book SynopsisGiven growing caseloads, limited funding and staff shortages, the need for coordination in healthcare and elderly care is at an all-time high. This timely book conducts a cross-national analysis of coordination problems in healthcare and long-term care systems, providing novel insights on how to improve the lives of the elderly.This book focuses on four European welfare states with well-developed healthcare and long-term care systems: Germany, the Netherlands, Sweden, and Switzerland. It examines the two critical interfaces of the transition from hospital care to home care and integrated home care arrangements. Using empirical data and extensive interviews with major stakeholder organisations, the authors identify best practice examples of healthcare and long-term coordination. The book ultimately considers both professional-level and system-level coordination problems, suggesting original solutions in financing reform, institutionalisation, and academisation.Healthcare and Elderly Care in Europe will be a fascinating read for scholars and students interested in health policy, long-term care, the sociology of health, welfare states and comparative public policy. It will also be a valuable guide for policymakers seeking to design effective healthcare and long-term care systems.Trade Review‘This book focuses on a very important yet understudied topic: how to improve the living conditions of frail older people through better coordination between healthcare and elderly care systems. The volume analyses the coordination problems in Continental European countries and puts forward very interesting proposals for solutions. The book is a necessary read for those studying long-term care systems.’ -- Emmanuele Pavolini, University of Macerata, Italy‘Coordination in service delivery is important for individual well-being and a great challenge for contemporary systems of care. This book provides an insightful and theoretically grounded comparative analysis of coordination problems in long-term care, as well as a great variety of concrete solutions to overcome the most challenging obstacles for effective coordination.’ -- Kenneth Nelson, Stockholm University, Sweden‘Clearly written and well-researched, this book applies a compelling actor-centric and institutionalist framework to analyze and compare coordination problems between healthcare and elderly care systems in four European countries: Germany, the Netherlands, Sweden, and Switzerland. Students of health policy governance should learn a great deal from reading this excellent book.’ -- Daniel Béland, McGill University, CanadaTable of ContentsContents: 1. Healthcare and elderly care in Europe: an introduction 2. Theory: institutions and actors 3. Data and methods: interviews with stakeholder organizations 4. Germany: social insurance with a divide between healthcare and long-term care 5. The Netherlands: institutional fragmentation in a patient-centered system 6. Sweden: regional and local autonomy 7. Switzerland: merits and downsides of medical dominance 8. Professional-level problems: staff shortage, divided responsibilities, or missing communication? 9. System-level coordination problems: impact of the institutional structure 10. Conclusion: coordination requires financing reform, institutionalization, and academization References Index

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Book SynopsisThe new challenges in healthcare education require new methodological approaches and transparent integration of technology enhanced learning approaches. Technology-Enhanced Healthcare Education promotes the best practices and lessons learnt from COVID-19 and highlights the importance and impact of using information systems to increase levels of health literacy. The chapter authors cover processes such as augmented or virtual reality to allow for distraction and decreased anxiety of the patient and services such as telemedicine and tele-consultation in the follow-up of non-acute patients. These are just a few ways in which health professionals can utilise information systems and transformative technology to increase the quality of health care, levels of health literacy and, thus, increase the health outcomes of their patients. Technology-Enhanced Healthcare Education is an innovative volume for health specialists, educators, higher education medical experts, medical school students and health management professionals. It is key reading for those looking to learn more about the latest developments on active and transformative learning within health education and medical technology (MedTech).Table of ContentsChapter 1. How Digital Health Gives Clues for a Better Health Literacy Patient Experience; Cristina Vaz De Almeida Chapter 2. Forty Definitions and Metaphors for Active and Transormative Learning in Chat Gpt Times: Chat Gpt as an Active and Transformative Technology Enhanced Learning Boost in Healthcare Education; Miltiadis D. Lytras Chapter 3. Mental Health and Higher Education Institutions. Next Steps To Well - Being; Isabel Maria Abreu Rodrigues Fragoeiro Chapter 4. Digital Library in Hospital the Case of Digital Neurotic Library to Achieve Better Health Literacy of Patients and Caregivers; Berta Maria Jesus Augusto, Carlos Manuel Santos Fernandes, and Sérgio Filipe Silva Abrunheiro Chapter 5. The Importance of Therapeutic Education on Chronical Diseases: The Potential of Digital Education; Cristina Valadas and Ana Matilde Cabral Chapter 6. Health Literacy and Diabetes: Challenges and Trends; Dulce Nascimento Do Ó, Ana Rita Goes, João Filipe Raposo, and Isabel Loureiro Chapter 7. Digital Health Literacy and Young People - A Network of Mutual Influences; Patrícia Martins, Diogo Franco Santos, and Cristina Vaz De Almeida Chapter 8. Walkingpad: The Patient Experience In Peripheral Artery Disease; Ivone Fernandes Santos Silva and Susana Pedras Chapter 9. Chronic Pain And Strategies To Improve Patient Health; Raul Marques Pereira Chapter 10. Acp Model – Assertiveness, Clarity, And Positivity – The Competencies of The New Era; Cristina Vaz De Almeida Chapter 11. Patient Safety Education And Digital Technology Contributes; Ana Marinho Diniz, Susana Ramos, Karina Pecora, and José Branco Chapter 12. The Economy & The Digital: Investments To Improve The Student Experience; Eduardo Manuel de Almeida Leite and Ana Miguel Ramos Leite Chapter 13. The Flipped Classroom The Flipped Classroom in Higher Education: A Bibliometric Review; Andreia De Bem Machado, Maria José Sousa, and Helena Belchior Rocha Chapter 14. Transformative Learning as a Bold Strategy for The Vision 2030 in Saudi Arabia: Moving Higher Healthcare Education Forward; Basim S. Alsaywid, Sarah Abdulrahman Alajlan, and Miltiadis D. Lytras

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Book SynopsisIn the context of substantial changes in health service policy and public health policy in England over the last two decades, Health Policy, Power and Politics fills an important gap by providing an up-to-date and accessible account of recent trends in health policies and a sociological analysis of why these policies have taken the shape they have. This book provides a theoretically informed analysis of key recent policy changes in England and how the interplay of powerful structural interests has influenced policy in health. It includes chapters on recent reforms in the NHS and the drift towards privatisation, policies aimed at enhancing public and patient involvement, the regulation of the drug industry, medicalisation and mental health policy, the role and effect of the media and recent changes in social and environmental health policy. The analysis examines the influence of the State, professional medicine, the media, commercial interests such as those of the pharmaceutical, food and fossil fuel industries, patient’s groups and the wider global environment. While the key focus of the book is on England, the analysis drawn on by the author comes from a plethora of policy examples in health systems in high and low to middle income countries across the world. This widened context shines a light on the influence of globalisation and highlights both the distinctive character of health policy in England, as well as the common themes it shares in a world-wide context.Trade Review'Professor Calnan is very well qualified to write on health policy, power and politics in the UK, in which he has a national and international reputation. This book is solidly grounded on his recent teaching and distinctively and revealingly adopts a sociological perspective in addressing several key facets of the UK policy agenda.' -- Mike Saks, Emeritus Professor, University of Suffolk‘Health Policy, Power and Politics is an excellent book ideal for students undertaking health policy modules. Effectively a course text in its own right, it draws on Michael Calnan’s years of teaching, researching and writing on and around this topic.’ -- Mike Dent, Emeritus Professor, Staffordshire UniversityTable of ContentsChapter 1. Continuity or Change? Organisational Developments in the National Health Service Chapter 2. Medical Professionalism and Its Reconfiguration Chapter 3. A Responsive Health Service? Patient Choice, Public Involvement and Co-Production Chapter 4. Rationing, Regulating and Big Pharma Chapter 5. Mental Health Policy and an Epidemic of Misery Chapter 6. Framing Health Policy in the Media Chapter 7. the Widening in Social Inequalities in Health but the Narrowing of Policy Chapter 8. Environment, Place and Health Policy

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Book SynopsisIn order to control ever-increasing health care expenditure, Western and Asian countries are seeking to develop more efficient health care models. Studies on health care that focus specifically on Asian countries are rare, rendering this a unique and welcome addition to the literature. This book presents quantitative research on various aspects of health care reform and health policy in Asia-Pacific countries such as China, Indonesia, Japan, South Korea, Taiwan, and the US - nations diverse in their economic development, social demographic structure and health care expenditures. The book's main topic for discussion is the role of both government and health insurers in funding health care. The implementation of community-based, supplemental and national health insurance is explored, as are grants and the financing of hospitals and care for the elderly. The effectiveness of education as an input to health investment and the rehabilitation of patients are also examined. Aiming to close the gap between the existing economics research and the rapid pace of the development of Asian health care markets, this unique and timely book is a must read for policymakers, researchers, academics and students with a special interest in health economics, policies and services.Table of ContentsFull Contents: 1. Editors’ Introduction Part I: Health Care Reform 2. Health care Reforms in Taiwan and the US: What we Can Learn from Each Other 3. Physician Contracting with Health Plans: A Survey of the Literature 4. Health Insurance Reform in Korea: Consolidation of Funds Part II: Production of Health 5. Is Rehabilitation Following an Acute Hospital Stay Productive? Evidence from Elderly Patients in the United States 6. Do Investments in Child Education and Nutrition Improve Adult Health? Evidence from Indonesia Part III: Health Care Utilization 7. China’s Urban Health Insurance Reform Experiment in Zhenjiang: Cost and Utilization Analyses 8. Catastrophic Illness Policy and Equity in Delivering Health Care: Empirical Evidence from Taiwan 9. Demand for Supplemental Health Insurance and Health Care Utilization in Taiwan Part IV: Hospital Behavior 10. Cost Shifting or Sample Selection: The Case Study of Surgically Treated Workers’ Compensation Back Pain Patients 11. Hospital Services under a National Health Insurance System: Transition from a Free-for-Service to a Capitation System Part V: Health Care Financing 12. Financing Health Care for the Elderly: Will an Aging Population End ‘Health for All’ in South Korea? 13. Monitoring and Enforcement in Federal Alcohol and Drug Abuse Block Grants Index

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Book SynopsisModern organizations must constantly adapt to survive in today's rapidly changing environment. A stagnant organization that cannot innovate to meet evolving conditions will eventually find itself no longer competitive in an increasingly complex and technologically sophisticated economy. Innovation and Knowledge Management focuses on three issues critical to success: knowledge management, innovation, and consortia. The author examines the interplay of these factors during a critical four-year period in the operation of the Cancer Information Service (CIS) - a knowledge management organization charged with delivering up-to-date, authoritative information to the public. The forerunner of many other knowledge delivery organizations, CIS was under pressure not only to distribute knowledge but to generate it. A consortium was formed between practitioners within CIS and researchers outside it to explore various innovative intervention strategies. The intersection of knowledge management, innovation and consortial arrangements at CIS provides a unique opportunity to examine no less than the future of organizations. This distinctive study will be of great interest to scholars, students, practitioners and policymakers in the fields of health, communications, knowledge management, information science and management.Table of ContentsContents: Preface 1. Introduction and Overview 2. Levels of Knowledge Management Innovations 3. Organizing for Knowledge Management: The Cancer Information Service 4. Organizing for Knowledge Generation: The Cancer Information Service Research Consortium 5. Organizing Informally for Innovation 6. Comparing Attributes of Knowledge Delivery and Information Technology Innovations 7. Innovation in Knowledge Management Organizations: Lessons Learned Bibliography Index

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Book SynopsisHow involved should the government be in American healthcare? Ronald Hamowy argues that to answer this pressing question, we must understand the genesis of the five main federal agencies charged with responsibility for our health: the Public Health Service, the Food and Drug Administration, the Veterans Administration, the National Institutes of Health, and Medicare. In examining these, he traces the growth of federal influence from its tentative beginnings in 1798 through the ambitious infrastructures of today - and offers startling insights on the current debate.The author contends that until the twentieth century, governmental involvement in health care policy was nominal. With the sweeping food and drug reforms of 1906 and the Medicare amendments to Social Security in 1965, a whole new system of health care was brought to the American public. A careful analysis of the various programs generated by this legislation, however, shows a different picture of pet projects, budgetary lobbying, competitive bureaucracy and discord between the agencies and their opposition. Government and Public Health in America provides an illuminating look at the complicated forces that created these institutions and provokes discussion about their usefulness in the future.Hamowy's thoroughly researched analysis fills a substantial gap in the history of health policy. Economists, political scientists, historians, sociologists and health professionals concerned with the interface between government and health care will find much to recommend in this highly readable account of a fascinating topic.Table of ContentsContents: Introduction 1. The Public Health Service 2. The Food and Drug Administration 3. The Veterans Administration 4. The National Institutes of Health 5. Medicare Index

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Book SynopsisHealth care is absorbing an increasing share of resources in all countries. It is the task of public policy to ensure that the nation secures good quality attention at an affordable price. This book, distinguishing clearly between health status and health care, examines the ways in which governments can keep down morbidity and mortality while also ensuring that treatments are medically justifiable, economically cost-effective and socially equitable. Ignorance, uncertainty, asymmetrical information, professional monopolies, insurance and poverty all mean that the market by itself is not enough. Pragmatic intervention is also required to ensure that well-being and social justice are delivered in combination with value for money.Health Care and Public Policy is a comprehensive and intelligible cross-disciplinary account of the objectives of health care policy (medical, social, economic) and of the policy-tools that government can employ (cost-benefit analysis, entry barriers, competition) in order to ensure that scarce resources are not wasted nor needy social groups deprived of basic and affordable care.Health policy is hotly debated in all countries. This cross-national book is timely and relevant. It will be of special interest to academics and students who want to deepen their understanding of health economics, social policy and administration, public policy and government, political economy and the logic of institutions.Table of ContentsContents: 1. Introduction: A Thing Apart? 2. Health Status and Health Care 3. Needs and Wants 4. Payment for Health 5. The Value of Life 6. Efficiency 7. Utility 8. Equity and Equality 9. Equality and Health 10. Cost 11. Conclusion: Containing the Cost Bibliography Index

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Book SynopsisTourism has long been associated with improved health, resulting in a boom of spas, yoga and rejuvenation treatments. Medical tourism itself is a more recent example of niche tourism, with increasing numbers of people travelling abroad in search of cosmetic enhancement and solutions to various serious medical conditions often by surgery. Medical Tourism looks at the background and rise of health tourism, new emerging facets of the sector, and examines how medical tourism benefits local health care providers, economies and the tourism industry as a whole. It offers a unique overview of an emerging component of the tourist industry and a distinct and controversial element of health provision.Table of Contents1: Introduction: Patients without Borders 2: The Antiquity of Health Tourism 3: Mind and Matter: Health Tourism or Cosmetic Surgery? 4: The Rise of Medical Tourism 5: Medical Tourism and the New Asia 6: Marketing Medical Tourism 7: The Economics of Medical Tourism 8: Extremes, Ethics and Inequality 9: But is it Tourism? 10: Global Health

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Book SynopsisThe promotion of maternal health and mortality reduction is of worldwide importance, and constitutes a vital part of the UN Millennium Development Goals. The highest maternal mortality rates are in developing countries, where global and regional initiatives are needed to improve the systems and practices involved in maternal care and medical access. Taking a practical policy approach, this book covers the background and concepts underlying efforts to improve maternal and perinatal mortality, the current global situation and problems that prevent progress. It includes case studies and examples of successful strategies, recommends good practices, and provides a critical analysis of knowledge gaps to inform areas for future research.Table of ContentsPART I: THE GLOBAL CONTEXT 1: An introduction to maternal and perinatal health 2: The millennium development goals 3: The politics of progress: the story of maternal mortality 4: The epidemiology of maternal mortality 5: The epidemiology of stillbirths and early neonatal deaths PART II: PROGRAME IMPLEMENTATION 6: Health systems 7: Financing maternity care 8: Implementing clinical interventions within maternal health programmes 9: Medical conditions in pregnancy: preventing and managing indirect obstetric morbidity 10: Improving the availability of services 11: Geographical access, transport and referral systems 12: Demand for maternity care: beliefs, behaviour and social access 13: Empowering the community: BRAC’s approach in Bangladesh 14: Quality of care 15: Monitoring and evaluation 16: Addressing maternal health in emergency settings

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Book SynopsisAmid a welter of simultaneous policy initiatives, treatment centres were a top-down NHS innovation that became subverted into a multiplicity of solutions to different local problems. This highly readable account of how and why they evolved with completely unforeseen results reveals clear, practical lessons based on case study research involving over 200 interviews. Policy makers, managers and clinicians undertaking any organisational innovation cannot afford to ignore these findings.Trade Review"This is a fascinating study of the fate of policy innovations in the NHS. Through detailed empirical research, the authors highlight the gap that often exists between plans laid down in Whitehall and experience on the ground. It provides salutary and timely reading for health reformers." Chris Ham, Chief Executive, The King's Fund"To become - or stay - efficient and effective the NHS needs to become good at innovation in service delivery as well as clinical practice. This book gives deep insight into the origin and development of treatment centres, as a case of the conundrum of organisational innovation in the health service, namely how to ensure strategic direction, local ownership and adaption." Sandra Dawson, KPMG Professor of Management, Deputy Vice-Chancellor University of Cambridge & Fellow of Sidney Sussex College"This is an absorbing visit behind the scenes of the implementation of a major healthcare innovation. At a time when health systems face unprecedented change, here and overseas, this study makes salutary reading for those who promote change and for those whose task is to deliver it. To help, the authors offer a very useful synthesis of the learning from this study and the wider innovation evidence base. Well worth reading." Bernard Crump, NHS Institute for Innovation and Improvement, University of WarwickTable of ContentsIntroduction; Transplanted roots - where the innovation came from; Fertile ground? The organisational milieux of the treatment centres; Taking up the challenge: local motives for the innovation; The impact of the wider policy context; Achieving the goals? How and why the treatment centres evolved; Improving practice? Evidence of innovative ways of working; Summary and conclusions: making sense of what happened; Implications for policy, practice and research.

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Book SynopsisAmid a welter of simultaneous policy initiatives, treatment centres were a top-down NHS innovation that became subverted into a multiplicity of solutions to different local problems. This highly readable account of how and why they evolved with completely unforeseen results reveals clear, practical lessons based on case study research involving over 200 interviews. Policy makers, managers and clinicians undertaking any organisational innovation cannot afford to ignore these findings.Trade Review"This is a fascinating study of the fate of policy innovations in the NHS. Through detailed empirical research, the authors highlight the gap that often exists between plans laid down in Whitehall and experience on the ground. It provides salutary and timely reading for health reformers." Chris Ham, Chief Executive, The King's Fund"To become - or stay - efficient and effective the NHS needs to become good at innovation in service delivery as well as clinical practice. This book gives deep insight into the origin and development of treatment centres, as a case of the conundrum of organisational innovation in the health service, namely how to ensure strategic direction, local ownership and adaption." Sandra Dawson, KPMG Professor of Management, Deputy Vice-Chancellor University of Cambridge & Fellow of Sidney Sussex College"This is an absorbing visit behind the scenes of the implementation of a major healthcare innovation. At a time when health systems face unprecedented change, here and overseas, this study makes salutary reading for those who promote change and for those whose task is to deliver it. To help, the authors offer a very useful synthesis of the learning from this study and the wider innovation evidence base. Well worth reading." Bernard Crump, NHS Institute for Innovation and Improvement, University of WarwickTable of ContentsIntroduction; Transplanted roots - where the innovation came from; Fertile ground? The organisational milieux of the treatment centres; Taking up the challenge: local motives for the innovation; The impact of the wider policy context; Achieving the goals? How and why the treatment centres evolved; Improving practice? Evidence of innovative ways of working; Summary and conclusions: making sense of what happened; Implications for policy, practice and research.

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Book SynopsisThis book critically explores the urban governance of healthy lifestyles and the contemporary problematisations of the obesity, sedentarism and alcohol "epidemics". To do so, it uses US and UK case studies to shed light on the complex socio-spatial dynamics of responsibilities for health and argues for an engagement with the construct of "sensible" behaviour at a time of its rising political salience. This book will appeal to sociologists, geographers, anthropologists and those concerned with the governance of health and lifestyle.Trade Review"A timely and challenging discussion of the dilemmas of contemporary health policy which recognises the often intractible environmental determinants of health and still emphasises information to modify individual behaviours." Julie Guthman, Associate Professor of Community Studies, University of California Santa CruzTable of ContentsIntroduction; Being sensible; Governing behaviour change in risky environments; Obesity and strategies of rule; The incidentally sensible city; Events and the lucratively sensible city; The sensible drinker and the persistence of pleasure; Spatial governance and the night-time economy; What life is this? Some concluding thoughts

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Book SynopsisThis collection examines the role that case-studies play in understanding and explaining British health policy. Overall, the chapters cover the key health policy literatures in terms of the policy process, analytical frameworks and some of the seminal moments of the NHS. They have been written by leading health policy researchers in sociology, social policy, management and organisation studies. The collection explores and promotes the case-study as an under-used method and thereby encourages a more reflective approach to policy learning by practitioners and academics. The book will appeal to under-graduates, post-graduates and academics in social policy, public management and health services research.Trade Review"This book..will appeal to those who want to understand better health policy change in the NHS since its inception, as well as to a much wider readership ..who are interested in developing the field of health policy analysis by paying greater attention to theories and methods." Gill Walt, Journal of Social Policy"A very analytical book that uses case studies effectively to show the working of health policy" Paul Allen, Birmingham City University"This impressive collection of case studies documenting many of the key developments in UK health policy over recent decades has been compiled by a distinguished group of analysts. It is to be greatly welcomed for the fascinating insights it provides. " David Hunter, Professor of Health Policy and Management, Durham University"This book presents an impressive collection of case studies that shed light on health policy processes and issues. Written by expert contributors from the field, it will be particularly useful to students and lecturers in health policy. " Rob Baggott, De Montfort UniversityTable of ContentsSection 1: Case studies in health policy: an introduction ~ Mark Exworthy and Martin Powell; Case studies of the health policy process: a methodological introduction ~ Mike Marinetto; Section 2: Creation, consolidation, disillusion (1948-1980s): NHS birthing pains ~ Martin Powell; Hospital policy in England and Wales: of what is the 1962 Hospital Plan a case? ~ John Mohan; The case study as history: 'Ideology, class and the National Health Service' by Rudolf Klein ~ Ian Greener; Hospitals in Trouble ~ Joan Higgins; Normal Accidents: learning how to learn about safety ~ Justin Keen; Repressed interests: explaining why patients and the public have little influence on health care policy: Alford's concepts of dominant, challenging and repressed interests ~ Stephen Peckham and Micky Willmott; Section 3: Safe in our hands - conflicts and challenges (1980 and 1990s): The 1983 Griffiths Inquiry ~ Fraser Macfarlane, Mark Exworthy and Micky Willmott; 'AIDS in the UK: The making of policy, 1981 - 1994' (Berridge, 1996): a case study in British health policy ~ David Evans; What the doctor ordered: the Audit Commission's case study of general practice fundholders ~ David Wainwright and Michael Calnan; 'Coping with uncertainty: Policy and politics in the National Health Service' (Hunter, 1980) ~ David Hughes; 'Shaping strategic change': changing the way organisational change was researched in the NHS ~ Louise Locock and Sue Dopson; Section 4: New Labour, new NHS? The NHS since the 1990s: Patient choice: a contemporary policy story ~ Stephen Peckham and Marie Sanderson; The individualisation of health: health surveillance, lifestyle control and public health ~ Alison Hann; NHS confidential: Implementation, or … How great expectations in Whitehall are dashed in Stoke-on-Trent ~ Calum Paton; Implementing clinical guidelines: a case study of research in context ~ George Dowswell and Stephen Harrison; Carolyn Hughes Tuohy's analysis of the English National Health Service internal market of the 1990s ~ Pauline Allen; Evidence and health inequalities: the Black, Acheson and Marmot reports ~ Mark Exworthy and Adam Oliver; Section 5: Policy learning from case studies in health policy: taking forward the debate ~ Mark Exworthy and Stephen Peckham; Case studies in health policy: concluding remarks ~ Mark Exworthy and Martin Powell.

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Book SynopsisThis collection examines the role that case-studies play in understanding and explaining British health policy. Overall, the chapters cover the key health policy literatures in terms of the policy process, analytical frameworks and some of the seminal moments of the NHS. They have been written by leading health policy researchers in sociology, social policy, management and organisation studies. The collection explores and promotes the case-study as an under-used method and thereby encourages a more reflective approach to policy learning by practitioners and academics. The book will appeal to under-graduates, post-graduates and academics in social policy, public management and health services research.Trade Review"This book..will appeal to those who want to understand better health policy change in the NHS since its inception, as well as to a much wider readership ..who are interested in developing the field of health policy analysis by paying greater attention to theories and methods." Gill Walt, Journal of Social Policy"A very analytical book that uses case studies effectively to show the working of health policy" Paul Allen, Birmingham City University"This impressive collection of case studies documenting many of the key developments in UK health policy over recent decades has been compiled by a distinguished group of analysts. It is to be greatly welcomed for the fascinating insights it provides. " David Hunter, Professor of Health Policy and Management, Durham University"This book presents an impressive collection of case studies that shed light on health policy processes and issues. Written by expert contributors from the field, it will be particularly useful to students and lecturers in health policy. " Rob Baggott, De Montfort UniversityTable of ContentsSection 1: Case studies in health policy: an introduction ~ Mark Exworthy and Martin Powell; Case studies of the health policy process: a methodological introduction ~ Mike Marinetto; Section 2: Creation, consolidation, disillusion (1948-1980s): NHS birthing pains ~ Martin Powell; Hospital policy in England and Wales: of what is the 1962 Hospital Plan a case? ~ John Mohan; The case study as history: 'Ideology, class and the National Health Service' by Rudolf Klein ~ Ian Greener; Hospitals in Trouble ~ Joan Higgins; Normal Accidents: learning how to learn about safety ~ Justin Keen; Repressed interests: explaining why patients and the public have little influence on health care policy: Alford's concepts of dominant, challenging and repressed interests ~ Stephen Peckham and Micky Willmott; Section 3: Safe in our hands - conflicts and challenges (1980 and 1990s): The 1983 Griffiths Inquiry ~ Fraser Macfarlane, Mark Exworthy and Micky Willmott; 'AIDS in the UK: The making of policy, 1981 - 1994' (Berridge, 1996): a case study in British health policy ~ David Evans; What the doctor ordered: the Audit Commission's case study of general practice fundholders ~ David Wainwright and Michael Calnan; 'Coping with uncertainty: Policy and politics in the National Health Service' (Hunter, 1980) ~ David Hughes; 'Shaping strategic change': changing the way organisational change was researched in the NHS ~ Louise Locock and Sue Dopson; Section 4: New Labour, new NHS? The NHS since the 1990s: Patient choice: a contemporary policy story ~ Stephen Peckham and Marie Sanderson; The individualisation of health: health surveillance, lifestyle control and public health ~ Alison Hann; NHS confidential: Implementation, or … How great expectations in Whitehall are dashed in Stoke-on-Trent ~ Calum Paton; Implementing clinical guidelines: a case study of research in context ~ George Dowswell and Stephen Harrison; Carolyn Hughes Tuohy's analysis of the English National Health Service internal market of the 1990s ~ Pauline Allen; Evidence and health inequalities: the Black, Acheson and Marmot reports ~ Mark Exworthy and Adam Oliver; Section 5: Policy learning from case studies in health policy: taking forward the debate ~ Mark Exworthy and Stephen Peckham; Case studies in health policy: concluding remarks ~ Mark Exworthy and Martin Powell.

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Book SynopsisWith a foreword by Tony Benn. Drawing on clinical experience dating from the birth of the NHS in 1948, Julian Tudor Hart, a politically active GP in a Welsh coal mining community, charts the progress of the NHS from its 19th century origins in workers' mutual aid societies, to its current forced return to the market. His starting point is a detailed analysis of how clinical decisions are made. He explores the changing social relationships in the NHS as a gift economy, how these may be affected by reducing care to commodity status, and the new directions they might take if the NHS resumed progress independently from the market. This edition of this bestselling book has been entirely rewritten with two new chapters, and includes new material on resistance to that world-wide process. The essential principle in the book is that patients need to develop as active citizens and co-producers of health gain in a humanising society and the author's aim is to promote it wherever people recognise that pursuit of profit may be a brake on rational progress.Trade Review"...deeply practical...heart-warmingly optimistic." Helen Roberts in Public Health Today"This book is a masterpiece -- a unique combination of fascinating history, top-notch epidemiological science, sharp political analysis, and clinical insight. Scholar and practitioner, both, Julian Tudor Hart's understanding of how we can best pursue health in our communities is second to none." Donald M. Berwick, MD"This is a must-read for all who are interested in healthcare, and who are concerned to protect the fundamental values on which our healthcare system is based at the same time as maximising the potential of new developments." Professor Dame June Clark, ex-President of the Royal College of Nursing, and member of the Wales Assembly Government Bevan Commission on the future of the NHS in Wales"At a time when governments across the world seem ever more determined to expose health services to commercialisation and market forces, Julian Tudor Hart's analysis, insight and wisdom have never been more needed." Dr Iona Heath, President, Royal College of General PractitionersTable of ContentsForeword by Tony Benn; Preface to the second edition; The NHS as wealth production; What does it produce?; How does it produce?; Generalists and specialists; Ownership: Justice and solidarity; A space in which to learn; Notes and references

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Book SynopsisThe relationship between health and work is widely recognised as complex and multifaceted. In the context of an ageing population our ability to enable people with health issues to continue working is becoming more critical. This multi-disciplinary volume brings together original research from diverse disciplinary backgrounds investigating how we can define and operationalise a bio-psychosocial model of ill-health to improve work participation in middle and later life.Trade Review"This book works very well as a collection of different perspectives on health in the workplace. It offers a wide range of material that is scholarly and written by people with expertise in their areas of interest." Chris Yuill, Robert Gordon University"The interdisciplinary nature of the network of contributors recognizes the complexity of the issues." The Canadian Journal of Occupational TherapyTable of ContentsWork, health and wellbeing: an introduction ~ Sarah Vickerstaff, Chris Phillipson and Ross Wilkie; Musculoskeletal disorders: challenges and opportunities ~ Ross Wilkie; Common mental health problems and work ~ Annie Irvine; Comparing health and employment in England and the USA ~ David Lain; Re-evaluating trends in the employment of disabled people in Britain ~ Ben Baumberg; The current state of vocational rehabilitation services ~ Joanne Ross; The changing profile of incapacity claimants ~ Christina Beatty and Steve Fothergill; Reconstructing the self and social identity: new interventions for returning long-term Incapacity Benefit recipients to work ~ David Wainwright, Elaine Wainwright, Rachel Black and Susan Keynon; The fall of work stress and the rise of wellbeing ~ David Wainwright and Mike Calnan; 'Work Ability': a practical model for improving the quality of work, health and wellbeing across the life-course? ~ Tony Maltby; Working for longer: self-management of chronic health problems in the workplace ~ Femidah Munir; Case study: organisational change and employee health and wellbeing in the NHS ~ Julia Gibbs, Wendy Loretto, Tina Kowalski and Stephen Platt; Education and training in the workplace ~ Chris Phillipson; Conclusion: setting the agenda for future research ~ Chris Phillipson, Ross Wilkie and Sarah Vickerstaff

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Book SynopsisHow involved should the government be in American healthcare? Ronald Hamowy argues that to answer this pressing question, we must understand the genesis of the five main federal agencies charged with responsibility for our health: the Public Health Service, the Food and Drug Administration, the Veterans Administration, the National Institutes of Health, and Medicare. In examining these, he traces the growth of federal influence from its tentative beginnings in 1798 through the ambitious infrastructures of today - and offers startling insights on the current debate.The author contends that until the twentieth century, governmental involvement in health care policy was nominal. With the sweeping food and drug reforms of 1906 and the Medicare amendments to Social Security in 1965, a whole new system of health care was brought to the American public. A careful analysis of the various programs generated by this legislation, however, shows a different picture of pet projects, budgetary lobbying, competitive bureaucracy and discord between the agencies and their opposition. Government and Public Health in America provides an illuminating look at the complicated forces that created these institutions and provokes discussion about their usefulness in the future.Hamowy's thoroughly researched analysis fills a substantial gap in the history of health policy. Economists, political scientists, historians, sociologists and health professionals concerned with the interface between government and health care will find much to recommend in this highly readable account of a fascinating topic.Table of ContentsContents: Introduction 1. The Public Health Service 2. The Food and Drug Administration 3. The Veterans Administration 4. The National Institutes of Health 5. Medicare Index

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Book SynopsisFrom Abscissa, through to the World Health Organization, this expansive Dictionary comprehensively covers the field of health economics and closely related fields including epidemiology, pharmacoeconomics, demography, medical sociology, medical statistics and bio-statistics, health policy, health administration and health service management, public health medicine and qualitative and quantitative research. Entries and definitions are provided for all key concepts listed with, in many cases, more extended entries on core or controversial ideas.Anthony Culyer has amassed a wealth of information and facts within these pages, and yet has not been reluctant to include comment on issues and ideas. This makes the Dictionary eminently readable and all the more interesting.This is a unique reference work and as such, The Dictionary of Health Economics will be a valuable reference tool for a wide audience encompassing not just health economists, but many specialists and researchers in other fields (social sciences and beyond) as well as policymakers.Trade Review'Culyer goes beyond simply providing clear and concise definitions. He also adds commentary, illustrations, hints about possible misunderstandings of words, and references to the literature for further reading. Readers will find plenty of cross-references and see references when appropriate. Each entry from the earlier volume has been examined, updated, and refined as necessary. Culyer provides a good update to his earlier work.' -- D.G. Ernsthausen, Choice'Anthony Culyer once again makes a significant contribution to health economics with a Dictionary that is succinct but also comprehensive. It will be particularly valuable to economists entering the health field and to health specialists who lack familiarity with terms originating in economics and statistics.' -- Victor R. Fuchs, Stanford University, US'Tony Culyer's Dictionary is a masterpiece; concise, erudite and authoritative. It will have special appeal to those (like me) who are interested, but not expert, in health economics.' -- Sir Michael Rawlins, Chairman, NHS National Institute for Clinical Excellence, UK'The trouble with most dictionaries to my mind is that frequently the definitions are as difficult to understand as the words one is looking up. The Dictionary of Health Economics by Tony Culyer suffers far less from this problem than others and thus it is much more accessible to the non-specialist. I am particularly taken with Tony's personal examples and vignettes attached to many of the definitions. These improve the comprehension of the definitions for the reader and add a personal touch which makes the book much more readable and less dry than other dictionaries.' -- David Barnett, Chairman Appraisals Committee NICE, Department of Cardiovascular Sciences, Pharmacology & Therapeutics Group, Robert Kilpatrick CSB, Leicester Royal Infirmary, UKTable of ContentsContents: Preface Conventions The Dictionary of Health Economics Index

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Book SynopsisWelfare States and Public Opinion comprises an informed inquiry into three fields of social policy health policy, family policy, and unemployment benefits and social assistance. Though the analyses stem from research spanning fifteen countries across Europe, the conclusions can be applied to social policy problems in nations worldwide. Combining a detailed analysis of the institutional structure of social policy with the study of public attitudes toward healthcare, family policy, and benefits for the unemployed and poor, this book represents a new stream in public opinion research. The authors demonstrate that the institutional designs of social policies have a great impact on inequalities among social groups, and provide best practices for gaining public support for social policy reform.The wealth of information found in this comprehensive study will be of interest not only to scholars and students of sociology, political science, social policy, public policy and law, but to health and social policymakers the world over.Contents: 1. Introduction 2. Perceptions of Welfare State Institutions: Theories and Concepts 3. Healthcare Our Greatest Good? 4. Family Policy One for All? 5. Public Support for Unemployment Benefits and Social Assistance Schemes Money for Nothing or Help in Dire Straits? 6. Conclusion: Comparing Public Attitudes in Three Fields of Social Policy Bibliography IndexTrade Review‘. . . the book is well researched and is a solid overview of the first decade of the 21st century, with a sound theoretical underpinning rooted in Max Weber’s typological method. Wendt, Mischke, and Pfeifer have provided excellent analyses of their data sets to create a well-documented, scholarly study.’ -- Cynthia R. Jasper and Emily Lupton Metrish, Journal of Family and Consumer Sciences‘. . . offers a fresh perspective. . . as well as interesting empirical findings that advance the research field. . . The cluster analyses of the institutional programme characteristics are by themselves interesting, given the rather wide scope of empirical indicators used. However, the volume’s approach becomes especially valuable when applied to the question of, for example, public preferences for more/less spending and satisfaction with existing programmes.’ -- Carsten Jensen, Social Policy and AdministrationTable of ContentsContents: 1. Introduction 2. Perceptions of Welfare State Institutions: Theories and Concepts 3. Healthcare – Our Greatest Good? 4. Family Policy – One for All? 5. Public Support for Unemployment Benefits and Social Assistance Schemes – Money for Nothing or Help in Dire Straits? 6. Conclusion: Comparing Public Attitudes in Three Fields of Social Policy Bibliography Index

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Book SynopsisThis insightful book discusses vital concepts of system sustainability in terms of productivity, quality improvement, innovation and cost control in the context of maximizing the potential of staff in the health care sector through effective human resource management.Health systems in the western world face increasingly intense pressure to contain or reduce costs, while countries such as China and India move towards universal coverage. The contributors illustrate that radical gains in efficiency and innovative practice are required internationally in health care systems. They argue that the high proportion of health care system costs invested in staffing place the human resource function at the forefront of meeting this challenge. Sustained system change and productivity gains, more effective management of staff and work climate are essential elements of reform and are all covered in this bookThe book provides practical examples as to how health service managers can rise to the challenge of sustaining services against greater pressures than ever before. It will strongly appeal to academics and students of health service management and public sector management. Health service managers, HR professionals in health as well as clinical staff will also find plenty of informative information in this enriching compendium.Contributors include: J. Appleby, N. Ashkanasy, F. Barwell, H. Bevan, M. Cooke, S. Cross, H. Flanagan, A. Grove, J. Hartley, M. Hopkins, H. Laschinger, S. Leggat, P. Mazelan, J. Ovretveit, A. RichardsenTrade ReviewHealthy organisations are twice as likely to get better results than unhealthy ones, and this could be a matter of life and death if your business is healthcare. Whatever way you look at it, HR has a key role to play and the authors once again points the way. --Clare Chapman, Group People Director, BT (British Telecoms)If healthcare systems around the world are to respond to the growing demands of an ageing population and advances in technology, then healthcare workforces will need to managed with imagination, agility and innovation. This important book sets out some of these challenges in a thoughtful and accessible way, allowing the reader to tap into the research pedigree of its authors and to draw out lessons and evidence which will inform both strategy and practice. --Stephen Bevan, Director, Centre for Workforce Effectiveness, The Work FoundationTable of ContentsContents: PART I: OVERALL CONTEXT: QUALITY, COST, PRODUCTIVITY IN HEALTH CARE ORGANISATIONS 1. Background and Context Ronald J. Burke, Peter Spurgeon and Cary L. Cooper 2. Productivity in Health Care John Appleby 3. Raising Quality and Reducing Costs – in One Improvement? John Øvretveit 4. A Trilogy for Health Care Improvement: Quality, Productivity and Innovation Helen Bevan PART II: HUMAN RESOURCE MANAGEMENT 5. The Contribution of ‘Best-Practice’ HR Management to Better Organisational Performance Sandra G. Leggat 6. Fostering Creativity in Health Care: Health Care Workers as Agents of Creativity March L. To, Neal M. Ashkanasy and Cynthia D. Fisher 7. Hospital Restructuring and Downsizing: Déjà Vu All Over Again Ronald J. Burke 8. A Better Model of Managing Sickness Absence Hugh Flanagan, Fred Barwell, Patti Mazelan and Peter Spurgeon PART III: BETTER LEADERSHIP, BETTER ORGANISATIONAL PERFORMANCE 9. Nurse Leaders: Partners in Health Care Leadership Margaret M. Hopkins and Deborah A. O’Neil 10. Enhancing Medical Leadership and Engagement: Impact upon Organisational Performance Peter Spurgeon 11. A Review of Quality Improvement in Health Care and Recommendations for the Future Amy L. Grove and James O. Meredith 12. Leadership Across Complex Systems and Boundaries Jean Hartley PART IV: MANAGING STAFF BETTER 13. Workforce Engagement and Organisational Performance Astrid M. Richardsen and Ronald J. Burke 14. Organisational and Health Effects of Workplace Empowerment in Health Care Settings Heather Laschinger 15. Stress Amongst Health Care Professionals and What Can be Done Cary L. Cooper 16. A Safer Clinical Systems Approach Matthew Cooke, Steve Cross and Peter Spurgeon PART V: CONCLUDING COMMENTS 17. Concluding Comments Peter Spurgeon, Ronald J. Burke and Cary L. Cooper Index

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Book SynopsisThe book addresses both the psychological and social effects of disfigurement. Key aspects of the book include developing 'helping skills', building relationships, identifying problems and working together to meet aims.Table of Contents1. Disfigurement and its treatment. 2. The psychological and social effects. 3. Helping processes. 4. Qualities of a skilled helper. 5. Building relationships. 6. Identifying problems. 7. Working together to meet the aims. 8. Help for the helper.

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Book SynopsisPublished with the Parkinson's Disease Society, this book contains highlights of PDS-sponsored welfare research over the last 10 years, with reports of key projects carried out to improve the lives of people with the disease and provide them with better standards of care, both professional and voluntary.Table of Contents1. The needs of people with Parkinson's and their families. 2. Member's Survey. 3. Quality of life. 4. Children with parents with Parkinson's. 5. A psychological group approach. 6. Support networks. 7. Communicating with Parkinsonians. 8. Referral Criteria for speech and language problems. 9. A targeted physiotherapy service. 10. The use of video recording in assessment. 11. Parkinson's disease and driving. 12. The new community care. 13. Action research in a time of change.

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Book SynopsisIncluding chapters on current methodology in reducing delinquency, families in relation to delinquency and advances in working with delinquents, this book offers a clear insight into this complex area whilst offering practical problem-solving advice.Trade Review"Some of these [books in the PACTS series 2] are quite outstanding guides for practitioners, full of practical steps to take and worldly wisdom as well as good theretical grounding ... Overall I would recommend that this series is present for anybody working with adolescents, as they provide a very useful guide for trainees to get stuck in with treatment." Stephen Scott, Institute of Psychiatry, London, Child and Adolescent Mental Health, Volume 9, No. 2, 2004, pp 92-96Table of ContentsIntroduction. Part I: What Do We Know About Effective Work to Reduce Delinquency?. 1. Meta-Analyses: An Overview. 2. Elements of Successful Work With Delinquents. 3. The Importance of Treatment Integrity. Part II: Families and Delinquency:. 4. Family Factors and Delinquent Behaviour. 5. Foster Families and delinquency. 6. Familial Abuse and delinquency. 7. Working With Parents and Children. Part III: Advances in Working With Delinquents:. 8. The Role of Social Cognition in Delinquency. 9. Moral Maturity and Delinquent Behaviour. 10. Working With Cognition. 11. Linking Advances to What Works. Concluding Thoughts. Appendices.

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Book SynopsisReforming Health Care Systems brings together the work of leading economic scholars on the reform and development of the United Kingdom's National Health Service and the implications of this process for health care systems worldwide.It addresses important issues such as the financing of medical care, assessments of health care effectiveness, the need for rationing resources and the wider determinants of health in society. The contributors to this stimulating, thought-provoking volume discuss a breadth of topics and approaches. Placing the UK's health service in an international context, the authors also examine economic understandings of the health care market, the place of contracts and competition, capital and labour markets for health, health care funding and equity in the rationing of health care.Students, researchers and policy makers will welcome Reforming Health Care Systems for challenging established views and beliefs in order to examine fundamental issues concerned with health care, how it should be delivered and how it should be financed.Table of ContentsContents: Foreword (A.J. Culyer, A. Wagstaff) 1. The NHS Reforms – A Challenge or a Threat to NHS Values? (A.J. Culyer) 2. The NHS Reforms in an International Context (J. Hurst) 3. Health, Hierarchy and Hominids - Biological Correlates of the Socioeconomic Gradient in Health (R.G. Evans) 4. Contracts and Competition in the NHS (M. Chalkley, J.M. Malcomson) 5. Purchasing to Meet Need (C. Donaldson) 6. Capital and Labour Markets for Health (D.Mayston) 7. Is there Adequate Funding of Health Care? (A. McGuire) 8. Equity, Efficiency and Rationing of Health Care (J. Le Grand)

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Book SynopsisHealth Policy presents the key classic and contemporary articles and will be an important source of reference for health care professionals, academics and policymakers. It sheds light on the values and socio-political factors which underpin health policy, and will be invaluable in helping to assess and compare policymaking processes in different countries. The volume is divided into six sections and within each section the articles are presented chronologically. Thus the selection is suitable for both the beginner and the more advanced student; the beginner will benefit from the earlier readings by observing their cumulative impact on later writings, while the more advanced student may find the more up-to-date articles of particular interest. Section I introduces several basic values which underlie all health policies; section II reviews the socio-economic and political factors in health policy; section III deals with the experience and practice of American health care while section IV offers comparisons with other countries in Europe and also with Japan. Section V examines the opportunities and constraints for countries' learning from each other and finally section VI raises methodological issues and indicates the challenges which must be addressed in the future.Trade Review'This useful library resource meets the editors' objective "to help analysts of all ages to comprehend the context of foundational values and socio-political factors undergirding health policy as well as to access actual policy making processes in comparative settings". It contains . . . delightful articles. . .' -- G. Ross Langley, Annals of The Royal College of Physicians and Surgeons of CanadaTable of ContentsContents: Acknowledgements Introduction James W. Björkman and Christa Altenstetter PART I HEALTH POLICY FOUNDATIONS: BASIC VALUES AND ORIENTATIONS 1. A. Donabedian (1971), ‘Social Responsibility for Personal Health Services: An Examination of Basic Values’ 2.H.H. Hiatt (1975), ‘Protecting the Medical Commons: who is Responsible?’ 3. F.F.H. Rutten (1983), ‘Health Care Policy Today: Making Way for the Libertarians’ 4. B.L. Kirkman-Liff (1991), ‘Health Insurance Values and Implementation in the Netherlands and the Federal Republic of Germany: An Alternative Path to Univesral Coverage’ PART II CONTEXT OF HEALTH POLICY: SOCIO-ECONOMIC & POLITICAL FACTORS 5.H. Kaufman (1966), ‘The Political Ingredient of Public Health Services: A Neglected Area of Research’ 6.S. Kelman (1975), ‘The Social Nature of the Definition Problem in Health’ 7.A. Wildavsky (1977), ‘Doing Better and Feeling Worse: The Political Pathology of Health Policy’ 8. R.G. Evans and G.L. Stoddart (1990), ‘Producing Health, Consuming Health Care’ PART III THE AMERICAN EXPERIENCE: PILLARS AND PLAYERS 9.R.R. Alford (1972), ‘The Political Economy of Health Care: Dynamics without Change’ 10.R. Stevens (1979), ‘The American Hospital in Historical Perspective’ 11. P. Starr (1982), ‘The Social Origins of Professional Sovereignty’ 12. J.W. Björkman (1989), ‘Politicizing Medicine and Medicalizing Politics: Physician Power in the United States’ 13. S. Steinmo and J. Watts (1995), ‘It’s the Institutions, Stupid! Why Comprehensive National Health Insurance Always Fails in America’ PART IV COMPARATIVE HEALTH POLICY: CROSS-NATIONAL VARIATIONS 14. C. Altenstetter and J.W. Björkman (1981), ‘Planning and Implementation: A Comparative Perspective on Health Policy’ 15. A.J. Heidenheimer, H. Heclo and C.T. Adams(1990), ‘Health Policy’ 16. M. Döhler (1991), ‘Policy Networks, Opportunity Structures and Neo-Conservative Reform Strategies in Health Policy’ 17. E.M. Immergut (1992), ‘Institutions of Representation and National Health Insurance Politics’ 18. David Wilsford (1995), ‘States Facing Interests: Struggles over Health Care Policy in Advanced, Industrial Democracies’ PART V POLICY LEARNING: ASPIRATIONS AND LIMITATIONS 19. M. Lerner, PhD (1977), ‘The Non-Health Services’ Determinants of Health Levels: Conceptualization and Public Policy Recommendations’ 20. L.D. Brown (1986), ‘Introduction to a Decade of Transition’ 21. W.C. Hsiao (1992), ‘Comparing Health Care Systems: What Nations can Learn from One Another’ 22. W.A Glaser (1993), ‘Universal Health Insurance That Really Works: Foreign Lessons for the United States’ 23. R. Klein (1995), ‘Learning from Others: Shall the Last be the First Markets’ PART VI: HEALTH POLICY ANALYSIS: METHODOLOGICAL ISSUES 24. N. Milio (1981), ‘Measuring Prevention and its Worth: The Benefits of Health-Making Policy’ 25. J. Mendeloff (1983), ‘Measuring Elusive Benefits: On the Value of Health’ 26. A.Y. Ellencweig (1992), ‘Health Systems – A Critical Analysis of Existing and Suggested Models’ 27. J.W. Kingdon (1995), ‘The Policy Window, and Joining the Streams’ 28. M. Moran (1995), ‘Three Faces of the Health Care State’ Name Index

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Book SynopsisThis book contends that attempts to reform the NHS can only be understood by reference to both the wider social and political context, and to the organisational and ideational legacies present within the NHS itself. It aims to take students beyond a basic understanding of the historical development of health policy in the UK, to one that demonstrates an appreciation of the interactions between health policy, organisation and society. Continuity and change in the NHS: · acts as a crucial bridge between conventional textbooks on the NHS and contemporary health policy research; · provides a theoretically rigorous but accessible account of the development of policy and organisational change not found elsewhere; · presents new scholarship in the political economy of welfare in a clear format. The book is aimed at third year and post-graduate students of politics, public management and health studies. It provides a theoretically inspired account of the development of health policy and organisation in the UK which will also be of interest to academics and researchers in the field.Trade Review'...a very welcome addition to the range of thorough research that is now building around health care policy, organisation and management...This is the book I have been waiting for.' Sociology of Health and IllnessTable of ContentsContents: Theory, history and health policy, and organisation; The creation of the NHS; The 1950s: 'golden age' or the NHS under threat?; The 1960s and the changing balance of professional power; Reforming healthcare in the 1960s and the 1970s; The political economy and changing ideology of healthcare; policy in the 1970s; The internal market reforms of the 1980s and 1990s, Continuous revolution? Health policy under New Labour; Long-range explanations of health policy change; Future directions and conclusion.

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Book SynopsisThis book contends that attempts to reform the NHS can only be understood by reference to both the wider social and political context, and to the organisational and ideational legacies present within the NHS itself. It aims to take students beyond a basic understanding of the historical development of health policy in the UK, to one that demonstrates an appreciation of the interactions between health policy, organisation and society. Continuity and change in the NHS: · acts as a crucial bridge between conventional textbooks on the NHS and contemporary health policy research; · provides a theoretically rigorous but accessible account of the development of policy and organisational change not found elsewhere; · presents new scholarship in the political economy of welfare in a clear format. The book is aimed at third year and post-graduate students of politics, public management and health studies. It provides a theoretically inspired account of the development of health policy and organisation in the UK which will also be of interest to academics and researchers in the field.Trade Review'...a very welcome addition to the range of thorough research that is now building around health care policy, organisation and management...This is the book I have been waiting for.' Sociology of Health and IllnessTable of ContentsContents: Theory, history and health policy, and organisation; The creation of the NHS; The 1950s: 'golden age' or the NHS under threat?; The 1960s and the changing balance of professional power; Reforming healthcare in the 1960s and the 1970s; The political economy and changing ideology of healthcare; policy in the 1970s; The internal market reforms of the 1980s and 1990s, Continuous revolution? Health policy under New Labour; Long-range explanations of health policy change; Future directions and conclusion.

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Book SynopsisWhere people live matters to their health. Health improvement strategies often target where people live, but do they work? Placing health tackles this question through an examination of England's Neighbourhood Renewal Strategy and its health targets. It evaluates the evidence base for the strategy, compares experiences from the United States and elsewhere in Europe, and illustrates the relevance of complexity theory to area-based health improvement work. The book brings together these topical issues with a social science analysis of current programmes based on the methods and concepts of complexity thinking. It concludes by setting out how local action based on these ideas offers a new approach to area-based health improvement work. Placing health is aimed at researchers, academics and students in the social and health sciences with an interest in area-based health improvement work, as well as practitioners in health services, local government and voluntary agencies working on neighbourhood renewal and health projects.Trade Review"...written for an academic audience by highly respected academics, who also have extensive experience of applying theory to practice. ...it is the authors' experience in the field and the inclusion of examples that makes it a valuable resource to individuals working in social research." LariaNews"...you will enjoy this authoritative and incredibly well referenced book. ...wonderfully informative in its exploration of the complex manner in which place influences health and its description of recent interventions to reduce inequalities at the local level in England." Public Health"This is a thought provoking book to learn from and argue with." Journal of Social Policy, Vol 37: 2, 2008."In this innovative and stimulating book, Tim Blackman draws on extensive practical research experience to illuminate both the complexity of neighbourhood effects on health, and the practical relevance of complexity theory to public policy. Drawing on examples from unexpected quarters, this book will provoke fresh thinking about the objective of creating healthy neighbourhoods for all." John Mohan, Professor of Social Policy, School of Social Sciences, University of Southampton, UKTable of ContentsContents: Health improvement and health inequalities; Making connections; The emergent neighbourhood; Changing places; Complexity theory and understanding change; Neighbourhoods and public health challenges; Enabling health; Implementing health improvement programmes; The big picture; Conclusion.

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Book SynopsisWhile ethics has been addressed in the health care literature, relatively little attention has been paid to the subject in the field of social care. This book redresses the balance by examining theory, research, policy and practice in both fields. The analysis is set within the context of contemporary challenges facing health and social care, not only in Britain but internationally. Contributors from the UK, US and Australia consider ethical issues in health and social care research and governance; interprofessional and user perspectives; ethics in relation to human rights, the law, finance, management and provision; key issues of relevance to vulnerable groups such as children and young people, those with complex disabilities, older people and those with mental health problems and lifecourse issues - ethical perspectives on a range of challenging areas from new technologies of reproduction to euthanasia. This book is intended for academics, students and researchers in health and social care who need an up-to-date analysis of contemporary issues and debates. It will also be useful to practitioners in the public, private and voluntary sectors, including social workers, community workers, those working in the fields of disability and mental health and with older people.Trade Review"A compilation of essays written by a mix of academics and practitioners, the volume addresses the issue of ethics in both health and social care sectors. The editors argue that while debates on ethics have been addressed in healthcare publications, the field of social care has received scant attention. The aim of the book is to redress the balance. In this, it largely succeeds." Guardian Public"This book is an important contribution to the field of applied ethics ... The particular stength is its use of specialists to discuss particular areas of debate, offering useful guidlines to complex issues. It will undoubtedly be useful for students and workers across a range of professions related to health and social care." Health and Social Care in the Community Journal"This text is to be commended, with strong chapters relating to ethical dilemmas commonly addressed in the media and regularly confronted in health and social care. A stimulating read and one which will be of considerable use to students and practitioners." Susan Balloch, Professor of Health and Social Care, University of Brighton, UKTable of ContentsIntroduction: Introduction ~ Susan McLaren and Audrey Leathard (editors); Section one: Ethics: Research and provision in health and social care: Ethics and contemporary challenges in health and social care ~ Louise Terry; Ethical issues in health and social care research ~ Robert Stanley and Susan McLaren; Ethics: research governance for health and social care ~ Elaine Pierce; Ethics and primary health care ~ Charles Campion-Smith; Ethics and social care: political, organisational and inter-agency dimensions ~ Colin Whittington and Margaret Whittington; Ethics and interprofessional care ~ Audrey Leathard; Service users and ethics ~ Martin Stevens and Jill Manthorpe; Section two: Law, management and ethics in health and social care: Ethical and legal perspectives on human rights ~ Louise Terry; Multidisciplinary team practice in law and ethics: an Australian perspective ~ Robert Irvine and John McPhee; Ethics and the management of health and social care ~ Jeff Girling; Ethics and the social responsibility of institutions regarding resource allocation in health and social care: a US perspective ~ Mary Dombeck and Tobie Hittle Olsan; Ethics and charging for care ~ Bridget Penhale; Section three: Ethics: From the start of life to the end: Ethical challenges and the new technologies of reproduction ~ Brenda Almond: Ethics: caring for children and young people ~ David Hodgson; Ethical dilemmas in caring for people with complex disabilities ~ Keith Andrews; Mental health: safe, sound and supportive? ~ Jon Glasby, Helen Lester and Emily McKie; Ethics and older people ~ Anthea Tinker; Ethics and euthanasia ~ Clive Seale; Conclusion ~ Susan McLaren and Audrey Leathard.

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Book SynopsisImproving health in populations in which health is poor is a complex process. This book argues that the traditional government approach of exhorting individuals to live healthier lifestyles is not enough - action to promote public health needs to take place not just through public agencies, but also by engaging community assets and resources in their broadest sense. The book reports lessons from the experience of planning, establishing and delivering such action by the five-year Sustainable Health Action Research Programme (SHARP) in Wales. It critically examines the experience of SHARP in relation to current literature on policy; community health and health inequalities; and action research. The authors make clear how this regional development has produced opportunities for developing general concepts and theory about community-based policy developments that are relevant across national boundaries and show that complex and sustained community action, and effective local partnership, are fundamental components of the mix of factors required to address health inequalities successfully. The book concludes by indicating the connections between SHARP and earlier traditions of community-based action, and by arguing that we need to be bolder in our approaches to community-based health improvement and more flexible in our understanding of the ways in which knowledge and inform developments in health policy. The book will be of interest to practitioners and activists working in community-based projects; students in community development, health studies and medical sociology; professionals working in health promotion, community nursing and allied areas; and policy makers working at local, regional and national levels.Trade Review"We understand health inequalities pretty well. We're less clear what to do about them. This book shows what can be achieved by activists, researchers and policy makers working together. It takes us beyond description to action for health." Professor Graham Hart, University College LondonTable of ContentsHealth inequalities in their place ~ Gareth Williams; 'Policy experiments': policy making, implementation and learning ~ Steve Cropper and Mark Goodwin; Policy innovation to tackle health inequalities ~ Alison Porter, Chris Roberts and Angela Clements; Action research partnerships: contributing to evidence and intelligent change ~ Steve Cropper, Helen Snooks, Angela Evans, Janet Pinder and Kevin Shales; Engaging with communities ~ Bronwen Bermingham and Alison Porter; The role of the community-based action researcher ~ Martin O'Neill; Evaluation, evidence and learning in community-based action research ~ Sandra Carlisle, Helen Snooks, Angela Evans and David Cohen; Social theory, social policy and sustainable communities ~ Robert Moore; Beyond the experimenting society ~ Gareth Williams, Steve Cropper, Alison Porter and Helen Snooks.

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Book SynopsisModernising health care: Reinventing professions, the state and the public is a crucial contribution to debates about the rapid modernisation of health care systems and the dynamics of changing modes of governance and citizenship. Structured around the role of the professions as mediators between state and citizens, and set against a background of tighter resources and growing demands for citizenship rights, Ellen Kuhlmann's book offers a much-needed comparative analysis, using the German health care system as a case study. The German system, with its strongly self-regulatory medical profession, exemplifies both the capacity of professionalism to re-make itself, and the role of the state in response, highlighting the benefits and dangers of medical self-regulation, while demonstrating the potential for change beyond marketisation and managerialism. Kuhlmann critically reviews dominant models of provider control and user participation, and empirically investigates different sets of dynamics in health care, including tensions between global reform models and nation-specific conditions; interprofessional dynamics and changing gender arrangements; the role of the service-user as a new stakeholder in health care; and the rise of a new professionalism shaped by social inclusion. Modernising health care provides new approaches and a wealth of new empirical data for academics and students of health policy, medical sociology and sociology of professions, and for health policy makers and managers.Trade Review"This highly topical book is innovative in both conceptual and empirical terms, putting flesh to the bone of the notion of modern governance. The author has an excellent overview of the literature in the field, showing critical awareness not only of the central conceptual issues and debates, but also of a wide range of empirical studies across many countries. Most importantly, Modernising Health Care fills a gap in relation to the debate and the analysis of modern governance." Viola Burau, Department of Political Science, University of Aarhus, DenmarkTable of ContentsIntroduction; Towards 'citizen professonals': contextualising professions and the state; Part one: Mapping change in comparative perspective: Global models of restructuring health care: challenges of integration and coordination; Remodelling a corporatist health system: change and conservative forces; Drivers and enablers of change: exploring dynamics in Germany; Part two: Dynamics of new governance in the German health system: Hybrid regulation: the rise of networks and managerialsim; Transformations of professionalism: permeable boundaries in a contested terrain; New actors enter the stage: silent voices of consumers in the landscape of biomedicine; Part three: The rise of new professionalism in late modernity: Professions and trust: new technologies of building trust in medical services; The knowledge-power knot in professionalism: transforming the 'currency of competition'; Conclusion.

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Book SynopsisThis original and innovative book opens up new perspectives in health policy debate, examining the emerging international trends in the governance of health professions and the significance of national contexts for the changing health workforce. In bringing together research from a wide range of continental European countries as well as the United Kingdom, Canada and Australia, the contributors highlight different arenas of governance, as well as the various players involved in the policy process. They expand the public debate on professional governance - hitherto mainly limited to medical self-regulation - to encompass a broad span of health care providers, from nurses and midwives to alternative therapists and health support workers. The book provides new data and geopolitical perspectives in the debate over how to govern health care. It helps to better understand both the enabling conditions for, and the barriers to, making professionals more accountable to the interests of a changing public. This book will be a valuable resource for students at an undergraduate and postgraduate level, particularly for health programmes, sociology of professions and comparative health policy, but also for academics, researchers and managers working in health care. Trade Review"With a fresh approach to developments in the international context, Rethinking Professional Governance injects new energy into important debates. It will be of great interest to researchers, policy makers and health professionals." Dr Ellen Annandale, Department of Sociology, University of Leicester, and Editor-in-Chief of Social Science and MedicineTable of ContentsIntroduction: Changing patterns of health professional governance ~ Ellen Kuhlmann and Mike Saks; Part One: New directions in the governance of healthcare: Protecting patients: international trends in medical governance ~ Judith Allsop and Kathryn Jones; Global markets and national pathways of medical re-regulation ~ Viola Burau and Karsten Vrangbæk; Governing beyond markets and managerialism: professions as mediators ~ Ellen Kuhlmann; Trust relations and changing professional governance: theoretical challenges ~ Michael Calnan and Rosemary Rowe; Professionalism meets entrepreneurialism and managerialism ~ Rosalie A.Boyce; Part Two: Drivers and barriers to integration: health policies and professional development: Collaborative care and professional boundaries: maternity care in Canada ~ Ivy Lynn Bourgeault and Elizabeth Darling; Interprofessional relationships: nurses and doctors in Slovenia ~ Majda Pahor; Educating generalists: auxiliary nursing and professional identity in Finland ~ Sirpa Wrede; Culture matters: integration of folk medicine into healthcare in Russia ~ Elena Iarskaia-Smirnova and Pavel Romanov; Policy dynamics: marginal groups in the healthcare division of labour in the UK ~ Mike Saks; Part Three: Workforce dynamics: gender, migration and mobility: Free riders in a fluid system: gender traps in the nursing profession in Norway ~ Rannveig Dahle and Gry Skogheim; From health to tourism: being mobile in the wellness sector in Hungary ~ Katalin Formadi; Migration and occupational integration: foreign health professionals in Portugal ~ Joana Sousa Ribeiro; Professionals in transition: physicians' careers, migration and gender in Lithuania ~ Elianne Riska and Aurelija Novelskaite; Conclusion: Health policy and workforce dynamics: the future ~ Ellen Kuhlmann and Mike Saks.

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Book SynopsisThe fundamental aim of this book is to provide accessible, detailed, good practice guidelines that also address the political and ethical problems of conducting surveys within the health professions. A book to demystify, educate and provide the kind of practical tips that will make the process as straightforward as possible.Table of ContentsPart 1. Background principles. The basic rationale. Determining objectives and hypotheses. Under what circumstances should the survey be undertaken? Researching the problem. Part 2. The General Survey Design. An overview of the design. Choosing between postal and interview surveys. Obtaining the right size and type of sample. Part 3. Survey and questionnaire formats. Generating the items. Writing the survey. Part 4. Evaluating the items. The pilot study. Part 5. Analysing the results. Analysing data from surveys. Part 6. The report. Presenting the survey results. Evaluating reports. Evaluating reports together with introductory critiques.

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Book SynopsisResearch in Nursing Series The main objectives of this study were to present profiles of a hostel in Glasgow and a comparative hostel, to make assessments and referrals and to evaluate their effect. These objectives were successfully met along with secondary objectives to discover insights into the residents' experiences and lifestyles, and their interaction with health and nursing services. The objectives were addressed by gathering and analysing quantitative and qualitative data and the use of theoretical perspectives: Roy's nursing theory of adaptation (to study the men as individuals) and a sociological perspective, including Deviance Theory, to examine the men as a group. Although the study concentrated on District Nursing practise, it demonstrates universal methods of nursing practise relevant to all community nurses.Table of ContentsIntroduction. Literature Review. Research Design, Method and Pilot Study. Results: Part One. Results: Part Two. Results: Evaluation of the Health Professionals. Responses. Evaluation: The Expert Panel and Expert Witness. Analysis: The Men as Individuals. Analysis: The Residents as a Group. Discussion and Recommendations. Appendix I - Fieldwork Pack. Appendix II - Sample Letters.

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Book SynopsisThis book promotes a positive message for people with Down syndrome across the world. Living with Down Syndrome is a positive experience for the majority of children and adults with Down syndrome, and for their families. Of course there are difficulties to be faced, but quality of life, from infancy to old age, is determined more by the quality of healthcare, education and social inclusion offered to individuals, than by the developmental difficulties that are associated with Down syndrome. The aim of this book is to bring the latest information on research and good practice to families, practitioners and policy makers in order improve the services available to individuals with Down syndrome in all countries.Table of ContentsPart One: Setting the Scene. 1 - The aspirations of adults with Down syndrome. 2 - Beyond the myths - representing people with Down syndrome. 3 - Supporting families. 4 - Positive families - appreciating adult children with Down syndrome. 5 - Mum, Dad, and Kids- family life. Part Two: Perspectives for services. 6 - Early intervention and support. 7 - Healthcare. 8 - Genetic aspects. 9 - Creating positive lifestyles for people with Down syndrome in developing countries. Part Three: Development and Education. 10 - Learning in young children. 11 - Making inclusion work. 12 - Speech, language and memory development. 13 - Developing number and money skills. 14 - Developing literacy across all ages. 15 - Verbal-motor behaviour. 16 - Self-regulation in young adults. Part Four: Adolescence and adult life. 17 - Adolescence and inclusion. 18 - Health and ageing. 19 - Life after school. 20 - Adult lives, living and working in the community. 21 - Ageing with confidence and competence.

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Book SynopsisHow may nurses be enabled to contribute to, develop and advance their practice when working in bureaucratic and hierarchical health care settings? Corporate recognition and support for nurse-led change and development is gradually increasing. However, ?top down? change is still frequently imposed without due regard for the wisdom of practitioners. Nurses should explore the theory and practice of change, identify changes to enhance the quality of patient care, and systematically put these into practice. As a result, they will be better equipped to cope with the implementation of national and local policy initiatives, which include shared clinical governance and evidence based nursing practice, both of which are described in this text.This book documents how nurses attempt to undertake change and development in clinical practice through the use of the exploratory, creative, innovative and empowering process of critical action research. The text illustrates the evolution and outcome of the change process. The personal developmental process of engaging in collaborative change in clinical practice is clearly evident. Change is very difficult and complex and if it is to be accomplished successfully it needs to be clearly understood. Consequently, the book also explores the complexity of attempting change in clinical practice. This includes the identification of some of the disempowering processes (both actual and imagined) that currently exist in health care settings.Table of ContentsThe Context for Nurse-led Change and Development. Evolving Clinical change and Action Research. The Integration of Theory and Practice. Preparing for The First Study. The Evolving Critical Action Research Process. The Process and Outcomes of The First Study. The Evolving Critical Action Research Process. The Process and Outcomes of The First Study. Development of The Second Study. Advancing The Change Process. Descriptive Analysis of The Unfreezing Process.. A framework to Advance Change and Development in Clinical Practice. Moving forward.

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Book SynopsisIntermediate care has become a buzzword within health and social care over the last few years. Seen as the panacea for a number of woes, particularly for older people, intermediate care has been held up as a way forward within contemporary health and social care. This text explores in detail what is understood by the concept of intermediate care and, in particular, ways in which the needs of older people can be best met by this new range of services. Initial discussion centres on the concept of intermediate care and the motives for its development. This is followed by a summary of the range of intermediate care services that have been developed, with a discussion of some of the confusion that surrounds the concept. The debate then moves on to centre on older people, discussing first why older people have come to be perceived as one of the main client groups that may benefit from intermediate care, and then how intermediate care could be developed to better serve their needs. An overview of ageing and the uniqueness of older people is then provided, followed by an exploration of some of the challenges faced by older people within society - and how this has extended into the delivery of health and social care.Table of ContentsThe Concept and Context of Intermediate Care. Understanding Ageing and The Older Person in Society and in Health Care. Planning, Developing. Monitoring and Evaluating new Intermediate Care Services. Delivering intermediate Care. Preparing Staff for Delivery.

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