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Fifty years ago medicine was straightforward. Doctors had limited therapeutic options and patients did as they were told. Today, an array of medial interventions is putting increasing pressure on limited resources, patients are questioning everything and doctors are uncertain of their role. Health economists hoped to offer important insights to aid decision making, but their technical frameworks bore little resemblance to the practical requirements of end users. Now, this book presents the concepts and insights that health economics has to offer in a way that is accessible to every healthcare decision maker. Getting Health Economics into Practice is for all those who are involved in the planning, commissioning and delivery of healthcare. It illuminates the practical value that the concepts and principles of health economics can offer decision makers at all levels. Comprehensive and extensive, it is the first such book to be edited by a clinician rather than a health economist, with contributions from an expert panel of specialists. This approach ensures it is accessible and useful in the everyday work of health professionals. It is relevant for all healthcare sectors, in particular for Primary Care Trusts, and is essential reading for managers, researchers, and especially practitioners.
This book highlights the core elements of a possible performance measurement framework to assess health systems at the international and national levels. It also addresses further challenges which remain.
The indispensable annual British Social Attitudes survey compiles, describes and comments on a range of current social attitudes. The series charts changes in British social values, with annual surveys carried out from a nationwide sample of around 3,500 people by the National Centre for Social Research′s team of interviewers. The 18th Report summarizes and interprets data from the most recent survey, and makes comparisons with findings from previous years. `The Rolls Royce of opinion surveys′ - The Times
Demographic change and increasingly international markets are putting severe pressure on developed welfare states in the OECD countries. The contributors to this book assess the magnitude of these challenges and discuss in depth, and in concrete terms, what policy options are open to meet them. Looking at public service production, social insurance, tax policy and debt policy, they examine the main costs and benefits associated with an extensive welfare state and ask whether the same objectives can be reached with a welfare regime that is less costly. They also discuss whether the organization of the welfare state is capable of meeting future challenges facing a changing society. This rigorous analysis draws on empirical material from OECD countries with a focus on the Scandinavian countries.

Ageing

Great Britain: Parliament: House of Lords: Science and Technology Committee

Published: 2005-07-21

Total Pages: 142


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In the 2001 census there were more people over 65 than under 16 for the first time, and 20 per cent of the UK population is expected to be over 65 years of age by 2020. Consideration of this trend normally looks negatively at the economic costs and social problems involved, rather than the biological and psychological processes, and so this report approaches the subject from a scientific perspective. Firstly it examines the demographic background. Then it considers why and how ageing occurs, the ageing process, and the natural degeneration of the human body and mind over time, and looks at those diseases which are particularly prevalent in old age. There are exciting developments in biological research into the causes of ageing, and into what can be done to slow the adverse effects of the ageing process and improve the quality of life of older people. In the case of the individual diseases which predominantly affect older people, research is also showing promising avenues of development in prevention and treatment. Next the report examines the environmental challenges, assistive technology, and the failure of industry to seize the opportunity to exploit the underdeveloped market that the elderly represent. The Committee comments here on the failure to apply existing technologies rather than the pace of new developments. The report also covers management by the Government of health in old age, both for the individual and for society as a whole, and the strategic direction and coordination of ageing-related research. It finds that research is being inhibited by two main factors which are the responsibility of the Government: the treatment of the scientific aspects of ageing as very much the junior partner in any consideration of older people; and a lack of coordination, in particular between the research councils.
Exploring the increasing involvement of the private sector in social policy, this collection examines the complex relationship between the public and private sectors from an international perspective, focusing on health and pension policies.
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Health care needs assessment provides information to plan, negotiate and change services for the better, and to improve health in other ways. The first edition of this series established itself as a key source on health care needs for specific conditions supported by the Department of Health. Now in its second edition it provides vital updates taking into account how health care has moved on and how the structure of the UK's health service has changed. Each of the chapters follows the same structure; each analysing its topic, reviewing the incidence and prevalence, the range of services available, and the effectiveness of those services. It describes the central role and aim of health care needs assessment in the NHS health care reforms and explains the 'epidemiological approach' to needs assessment and its effectiveness. Volume 1 includes diabetes mellitus, renal disease, stroke, lower respiratory disease, coronary heart disease, colorectal cancer, cancer of the lung, osteoarthritis affecting the hip and knee, cataract surgery and groin hernia. Volume 2 includes varicose veins and venous ulcers, benign prostatic hyperplasia, severe mental illness, Alzheimer's disease, alcohol misuse, drug misuse, learning disabilities, community child health services and contraception, induced abortion and fertility services. All health professionals, including policy makers and shapers and those assessing quality of service will find this book an essential resource.
`This excellent, concise and even-handed book confronts the contradictions and dilemmas at the heart of today′s NHS. The book is aimed at healthcare professionals and students of health policy, and covers its major themes over the past 60 years, with particular attention to Labour′s policy agenda since 1997′ - Healthmatters Health Policy for Health Care Professionals is a contemporary guide to the health service, its origins and current agenda, which focuses on the challenges faced by health service workers in implementing government policy at local level. The book′s aim is to help health care professionals make assessments of health policy by giving them an understanding of the ideological basis of the British health care system and the challenges facing the modern National Health Service. Beginning with the development of the NHS and its place within the broader context of state welfare provision, the book looks at the options available to governments in formulating policy which responds to health needs. It examines the policies set by recent governments and the feasibility of achieving objectives set by the current NHS Plan. Looking to the future, the book also identifies key issues for health policy in the next decade. Recognizing the reality of working in today′s NHS, the authors highlight the tension which often exists between the formation and implementation of health policy. The central concern of policy makers to act for the collective good frequently creates problems for practitioners trying to align services with individual patient need and choice. Health Policy for Health Care Professionals is an ideal text for anyone training for a career in the NHS and an excellent resource for qualified practitioners assessing and implementing policy.