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"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
​The goal of this open access book is to develop an approach to clinical health care ethics that is more accessible to, and usable by, health professionals than the now-dominant approaches that focus, for example, on the application of ethical principles. The book elaborates the view that health professionals have the emotional and intellectual resources to discuss and address ethical issues in clinical health care without needing to rely on the expertise of bioethicists. The early chapters review the history of bioethics and explain how academics from outside health care came to dominate the field of health care ethics, both in professional schools and in clinical health care. The middle chapters elaborate a series of concepts, drawn from philosophy and the social sciences, that set the stage for developing a framework that builds upon the individual moral experience of health professionals, that explains the discontinuities between the demands of bioethics and the experience and perceptions of health professionals, and that enables the articulation of a full theory of clinical ethics with clinicians themselves as the foundation. Against that background, the first of three chapters on professional education presents a general framework for teaching clinical ethics; the second discusses how to integrate ethics into formal health care curricula; and the third addresses the opportunities for teaching available in clinical settings. The final chapter, "Empowering Clinicians", brings together the various dimensions of the argument and anticipates potential questions about the framework developed in earlier chapters.
A landmark work which precipitated major reforms in medical education. It recommended closing commercial schools and reducing the overall number of medical schools from 155 to 31, with the aim of raising standards. Includes frank evaluative sketches of each school based on site visits by the author.
After a lifetime of moving and assuming new identities, sixteen-year-old Chass begins to piece together the disturbing past that haunts her and her mother and which involves a mysterious tape, a deceased popular singer, and the secrets of several people in a small Alabama town.
Mind, State and Society examines the reforms in psychiatry and mental health services in Britain during 1960–2010, when de-institutionalisation and community care coincided with the increasing dominance of ideologies of social liberalism, identity politics and neoliberal economics. Featuring contributions from leading academics, policymakers, mental health clinicians, service users and carers, it offers a rich and integrated picture of mental health, covering experiences from children to older people; employment to homelessness; women to LGBTQ+; refugees to black and minority ethnic groups; and faith communities and the military. It asks important questions such as: what happened to peoples' mental health? What was it like to receive mental health services? And how was it to work in or lead clinical care? Seeking answers to questions within the broader social-political context, this book considers the implications for modern society and future policy. This title is also available as Open Access on Cambridge Core.
This monograph, a coherent and consistent historical narrative about Romania's modernization, focuses on one section of the country's elites of the late nineteenth century, namely the health professionals, and on the imagery they constructed as they interacted with the peasant and his world. Doctors ventured out of cities and became a familiar sight on dusty country roads in of Moldavia and Wallachia. Beyond a charitable impulse they did so thru patriotism as the rural world became ever more prominent within the national ideology. Furthermore, new health legislation required the district general practitioner (medicul de plasă) to visit the villages in his catchment area twice a month. Based on solid original research, the book describes rural conditions of the time and the efforts aiming to improve peasants' way of life with abundant quotes from doctors' public health reports and memoirs. The book sheds light on a variety of microscale realities of social life in the medical discourse on the peasant and the rural world in the mirror of medical discourse. Themes include general hygiene, clothing, dwellings, nutrition, drinking habits and healing practices of the peasantry, in the eye of medical specialists. Related official measures, laws, regulations, norms about public health are also discussed in the frame of wider modernizing processes.