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`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.
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Health Policy: Application for Nurses and Other Health Care Professionals, Third Edition provides an overview of the policy making process within a variety of settings including academia, clinical practice, communities, and various health care systems.
Breakthroughs in biomedicine often lead to new life-giving treatments but may also raise troubling, even life-and-death, quandaries. Society's Choices discusses ways for people to handle today's bioethics issues in the context of America's unique history and cultureâ€"and from the perspectives of various interest groups. The book explores how Americans have grappled with specific aspects of bioethics through commission deliberations, programs by organizations, and other mechanisms and identifies criteria for evaluating the outcomes of these efforts. The committee offers recommendations on the role of government and professional societies, the function of commissions and institutional review boards, and bioethics in health professional education and research. The volume includes a series of 12 superb background papers on public moral discourse, mechanisms for handling social and ethical dilemmas, and other specific areas of controversy by well-known experts Ronald Bayer, Martin Benjamin, Dan W. Brock, Baruch A. Brody, H. Alta Charo, Lawrence Gostin, Bradford H. Gray, Kathi E. Hanna, Elizabeth Heitman, Thomas Nagel, Steven Shapin, and Charles M. Swezey.
"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 anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Nurses have the unique opportunity to contribute to setting health policy agendas at the local, institutional, and national levels. Health Policy: Application for Nurses and Other Healthcare Professionals, Second Edition provides nursing students with foundational information about the governance structures in the United States and processes that influence policymaking. Students can use this text to gain civic competence and understand how they can impact processes of governance, including healthcare policy. The Second Edition employs a streamlined format without excessive explanatory text. Topics include the structure of the U.S. government, political theory and practice, policy formulation and evaluation, public health laws, and ethical perspectives. Ideal for both students and professionals, it fills the need for a textbook about policymaking and political strategies for those pursuing a career in the field of nursing or other health professions. The Second Edition features new chapters on: Healthcare systems, Global, international, and planetary health policy, Evidence-informed policymaking, Board governance and policy leadership, Institutional and organizational/association policy, A new appendix on executive department functions.