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By focusing specifically on the experiences of older people, an especially vulnerable group when divisions emerge between health and social care providers, the authors are able to highlight in detail issues and recommendations that are applicable in a wide range of settings.
A vivid account of race and the organization of health services
Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.
Inefficient and inappropriate discharges of patients from hospitals is a major problem for hospitals, social services and primary care. This clear and concise guide examines the reasons for difficulties of hospital discharge and considers the possible solutions. It provides a comprehensive overview of policy frameworks, practice issues and research findings, highlighting the range of problematic hospital discharges that can occur. Current health and social policies are evaluated, and typical individual, organisational and structural barriers are examined. It is invaluable for all those who have to make informed decisions regarding hospital discharge, including doctors, nursing managers and healthcare managers throughout primary and secondary care, as well as social care managers and staff, and policy makers and shapers.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Published in association with Community CareThis book provides a 'warts and all' introduction to partnership working, summarising current policy and research, setting out useful frameworks and approaches, and helping policy makers and practitioners to work more effectively together.
New austerity measures have substantially changed the landscape for social and health care in the United Kingdom. Fully updated to reflect key developments under the New Labour and Coalition governments, this second edition of Understanding Health and Social Care provides an up-to-date guide to the increasingly important partnership between health and social care workers. Jon Glasby combines practical information about welfare systems with key theoretical material to present a complete picture of these overlapping fields.
Contributions by Richard D. deShazo, John Dittmer, Keydron K. Guinn, Lucius M. Lampton, Wilson F. Minor, Rosemary Moak, Sara B. Parker, Wayne J. Riley, Leigh Baldwin Skipworth, Robert Smith, and William F. Winter The Racial Divide in American Medicine documents the struggle for equity in health and health care by African Americans in Mississippi and the United States and the connections between what happened there and the national search for social justice in health care. Dr. Richard D. deShazo and the contributors to the volume trace the dark journey from a system of slave hospitals in the state, through Reconstruction, Jim Crow, and the civil rights era, to the present day. They substantiate that current health disparities are directly linked to America’s history of separation, neglect, struggle, and disparities. Contributors reveal details of individual physicians’ journeys for recognition both as African Americans and as professionals in Mississippi. Despite discrimination by their white colleagues and threats of violence, a small but fearless group of African American physicians fought for desegregation of American medicine and society. For example, T. R. M. Howard, MD, in the all-black city of Mound Bayou led a private investigation of the Emmett Till murder that helped trigger the civil rights movement. Later, other black physicians risked their lives and practices to provide care for white civil rights workers during the civil rights movement. Dr. deShazo has assembled an accurate account of the lives and experiences of black physicians in Mississippi, one that gives full credit to the actions of these pioneers. Dr. deShazo’s introduction and the essays address ongoing isolation and distrust among black and white colleagues. This book will stimulate dialogue, apology, and reconciliation, with the ultimate goal of improving disparities in health and health care and addressing long-standing injustices in our country.
The LSE Companion to Health Policy covers a wide range of conceptual and practical issues from a number of different perspectives introducing the reader to, and summarising, the vast literature that analyses the complexities of health policy. the Companion also assesses the current state of the art. Health policy is a wide-ranging subject covering many academic disciplines, but what most studies in health policy have in common is an interest in applying theory to improve practice. This Companion brings academic rigour to bear evidence on a range of central areas within health policy. It covers key issues on the quality, access and inequalities in health and health care; supply and health markets; insurance and expenditures; pharmaceuticals and new technologies: and aging and long-term care. This unique Companion on health policy contains the most important features for health system reform at a time of funding constraints and will therefore hold great appeal for policy analysts and makers, students, academics and management professionals.
This timely and much needed text book provides a systematic assessment of recent policy developments across the UK and introduces the different models of integration which currently operate - from structural integration in Northern Ireland to health and care partnerships in Scotland. It examines the achievements of integrated working, showing how it can lead to improvements in the quality of services and access to services, as well as create cost efficiencies. It also considers barriers to integration and draw comparisons with experiences in the US, Canada, Australia and Europe to identify lessons for practice in the UK. Supported throughout by case studies and a wealth of illustrative material - including charts and diagrams - this is key reading for students taking degree programmes and foundational qualifications in health and social care, or related degrees in social policy, health studies, social work and nursing.