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This book examines different approaches to evaluating treatment, health service delivery, public health programmes and policy implementation.
Strategies for successfully updating and improving health care organizations of all kinds Health care is always evolving and improving. However, the rapid speed of medical advancement can make the adoption of new technologies and practices a challenging process – particularly in large organizations and complex networks. Any projected impact upon quality and outcomes of care must be carefully evaluated so that changes may be implemented in the most efficacious and efficient manner possible. Improving Patient Care equips professionals and policymakers with the knowledge required to successfully optimize health care practice. By integrating scientific evidence and practical experience, the text presents a cohesive and proven model for practice change and innovation, complete with analysis of innovation, target group and setting; selection and application of strategies; and evaluation of process, outcomes and costs. This new third edition also includes: Newly written chapters on clinical performance feedback, patient engagement, patient safety, evaluation designs, and methods for process evaluation Increased emphasis on the role of contextual influences in implementation and improvement New research examples from across the world and updated scientific literature throughout Designed to help promote safer and more efficient, patient-centered care and better outcomes, Improving Patient Care is an essential resource for healthcare providers, quality assessors, and students of health services research, health management, and health policy.
As innovations are constantly being developed within health care, it can be difficult both to select appropriate new practices and technologies and to successfully adopt them within complex organizations. It is necessary to understand the consequences of introducing change, how to best implement new procedures and techniques, how to evaluate success and to improve the quality of patient care. This comprehensive guide allows you to do just that. Improving Patient Care, 2nd edition provides a structure for professionals and change agents to implement better practices in health care. It helps health professionals, managers, policy makers and researchers to assess new techniques and select and implement change in their organizations. This new edition includes recent evidence and further coverage on patient safety and patient centred strategies for change. Written by an international expert author team, Improving Patient Care is an established standard text for postgraduate students of health policy, health services and health management. The strong author team are global professors involved in managing research and development in the field of quality improvement, evidence-based practice and guidelines, quality assessment and indicators to improve patient outcomes through receiving appropriate healthcare.
A provocative manifesto that teaches you how to take control of your own health, no matter your age or circumstances—from an innovative doctor and his philosopher daughter “If you care about your health or the well-being of others, read this book.”—Ethan Kross, author of Chatter Dr. Alex Jadad is the creator of the Jadad scale, which has become the world’s most widely used methodology to assess the quality of clinical trials, and his daughter Tamen Jadad-Garcia is a health entrepreneur and philosopher. Here they combine their expertise to uncover the medical system’s unstable foundations, which condemn you to be ill. The Jadads begin this exploration with a simple question: “What is health?” Through engaging stories and case studies, the Jadads expand the understanding of health beyond the medical industrial complex. They show how distant connections in your personal networks can influence key aspects of yourself, like your weight, anxiety, and addictions; how reliance on medications can be reduced by intentionally designing the places where you live, work, and play; and how comparisons with peers can shorten your life. In this practical guide, the meaning of health is redefined, putting you in the driver’s seat and recognizing you as the most effective evaluator. Building on data and experiences from millions of people around the world, the book reveals that a healthy life is possible even with complex chronic conditions or terminal illnesses. The Jadads explain why perceiving yourself as unhealthy might actually be fatal, and how you can monitor your true health and boost it in practically any context, no matter your cultural background or socioeconomic circumstances. With wisdom and empathy, Healthy No Matter What teaches you how your natural gift of adaptability equips you to overcome any obstacle, provides actionable pointers, and shows how and when to use the medical system, so that you can thrive, regardless of the twists and turns life may take.
The report recommends that China maintain the goal and direction of its healthcare reform, and continue the shift from its current hospital-centric model that rewards volume and sales, to one that is centered on primary care, focused on improving the quality of basic health services, and delivers high-quality, cost-effective health services. With 20 commissioned background studies, more than 30 case studies, visits to 21 provinces in China, the report proposes practical, concrete steps toward a value-based integrated service model of healthcare financing and delivery, including: 1) Creating a new model of people-centered quality integrated health care that strengthens primary care as the core of the health system. This new care model is organized around the health needs of individuals and families and is integrated with higher level care and social services. 2) Continuously improve health care quality, establish an effective coordination mechanism, and actively engage all stakeholders and professional bodies to oversee improvements in quality and performance. 3) Empowering patients with knowledge and understanding of health services, so that there is more trust in the system and patients are actively engaged in their healthcare decisions. 4) Reforming public hospitals, so that they focus on complicated cases and delegate routine care to primary-care providers. 5) Changing incentives for providers, so they are rewarded for good patient health outcomes instead of the number of medical procedures used or drugs sold. 6) Boosting the status of the health workforce, especially primary-care providers, so they are better paid and supported to ensure a competent health workforce aligned with the new delivery system. 7) Allowing qualified private health providers to deliver cost-effective services and compete on a level playing field with the public sector, with the right regulatory oversight, and 8) Prioritizing public investments according to the burden of disease, where people live, and the kind of care people need on a daily basis.
Drawing on research across a wide range of European countries, this book analyzes the key issues at stake in developing long-term care systems for older people in Europe with a focus on progression and improvement for policy and practice.
Popular with nursing students for its humorous cartoons and easy-to-read style, Nursing Today: Transition and Trends, 8th Edition helps you make a successful transition from student to practicing nurse. It covers the profession’s leading issues and opportunities, ensuring that you graduate not only with patient care skills, but also with career development skills such as resume writing, finding a job, and effective interviewing. Study questions and test-taking tips prepare you for the NCLEX-RN® exam, and discussions of communication and management prepare you to succeed in the workplace. Well-known educators JoAnn Zerwekh and Ashley Zerwekh Garneau provide the latest information on nursing issues and trends including health care reform, patient safety, and patterns of nursing care delivery. An emphasis on making the transition into the workplace is included in chapters such as NCLEX-RN® and the New Graduate, Employment Considerations: Opportunities, Resumes, and Interviewing, and Mentorship, Preceptorship, and Nurse Residency Programs. Coverage of QSEN and patient safety includes Quality and Safety Education for Nurses, National Patient Safety Foundation, and Institute of Medicine competencies related to patient safety, and addresses communication among health care providers, quality improvement, and guidelines from The Joint Commission. Coverage of evidence-based practice includes management protocols and interventions used as the basis for clinical outcomes. Coverage of nursing informatics helps you use technology, access information, and evaluate content to provide quality patient care — and includes a discussion of the Electronic Health Record (EHR). Coverage of health care reform includes the Affordable Care Act of 2010 and the new Patient Bill of Rights as they apply to health care delivery and costs. Student resources on an Evolve companion website include case studies for every chapter, NCLEX-RN® review questions, NCLEX-RN exam-style questions, memory notecards, and resume templates for creating professional resumes and cover letters. Thorough coverage includes all of the most important issues faced by the new nurse, preparing you to succeed in a professional nursing career. Critical Thinking boxes offer questions and exercises asking you to apply what you have learned to clinical practice. An engaging approach features lively cartoons, chapter objectives, bibliographies, and colorful summary boxes.
Why medicine adopts ineffective or harmful medical practices only to abandon them—sometimes too late. Medications such as Vioxx and procedures such as vertebroplasty for back pain are among the medical "advances" that turned out to be dangerous or useless. What Dr. Vinayak K. Prasad and Dr. Adam S. Cifu call medical reversal happens when doctors start using a medication, procedure, or diagnostic tool without a robust evidence base—and then stop using it when it is found not to help, or even to harm, patients. In Ending Medical Reversal, Drs. Prasad and Cifu narrate fascinating stories from every corner of medicine to explore why medical reversals occur, how they are harmful, and what can be done to avoid them. They explore the difference between medical innovations that improve care and those that only appear to be promising. They also outline a comprehensive plan to reform medical education, research funding and protocols, and the process for approving new drugs that will ensure that more of what gets done in doctors' offices and hospitals is truly effective.
The past fifteen years have seen longterm care policies in the countries of the Organization for Economic Co-operation and Development (OECD) undergo substantial transformations, either through major policy reforms or through accumulated minor policy changes. This book brings together data from many OECD countries to compare key changes in national policies, examine the successes or failures of new approaches, and offer policy strategies for the future. Drawing on fifteen years of evidence and bringing together contributors from a number of perspectives throughout the OECD, it will be essential for those studying--or making--policy.