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This book provides the first detailed study of healthcare during the period of the Troubles in Northern Ireland (1968–1998). While there have been some studies of the effects of conflict in the context of Northern Ireland, to date there have been no in-depth histories of the impact of the Troubles on healthcare and the experiences of healthcare professionals. Ruth Duffy's work combines analysis of archival research and oral history interviews to reveal the widespread impact of the conflict on healthcare facilities, their staff, and patients, as well as the broader societal implications of providing services during the Troubles. The book allows the voices of those who worked on the frontline to be heard for the first time, as well as exploring important issues such as medical ethics and neutrality. It offers new and valuable insights into the cost of the Northern Ireland conflict and its legacy today.
Are you tired of half-baked analyses on the Troubles in Northern Ireland that don't address the root causes? Are you interested in a comprehensive, balanced, and logical examination of this complex conflict? "The Troubles in Northern Ireland: A Comprehensive Analysis" delivers an in-depth look at the historical, political, religious, and economic factors that fueled the conflict. This book is an essential guide for anyone seeking to understand the motivations of key figures, the role of international relations, and the impact of paramilitary organizations in the troubles. This book offers: 1. An accurate, unflinching look at the causes and consequences of the Troubles. 2. An exploration of key figures' motivations and actions. 3. A comprehensive analysis of the Bloody Sunday incident and its effects. 4. A critical evaluation of the Good Friday Agreement and its aftermath. 5. An examination of the media's role and accuracy in reporting the Troubles. 6. An investigation into the economic impact of the conflict on Northern Ireland. 7. A discussion on the peace process and lessons learned. 8. A balanced, logical, and masculine perspective on the conflict. If you want to understand the Troubles in Northern Ireland like never before, then buy this book today. It's time to get the full picture.
The American health care industry has undergone such dizzying transformations since the 1960s that many patients have lost confidence in a system they find too impersonal and ineffectual. Is their distrust justified and can confidence be restored? David Dranove, a leading health care economist, tackles these and other key questions in the first major economic and historical investigation of the field. Focusing on the doctor-patient relationship, he begins with the era of the independently practicing physician--epitomized by Marcus Welby, the beloved father figure/doctor in the 1960s television show of the same name--who disappeared with the growth of managed care. Dranove guides consumers in understanding the rapid developments of the health care industry and offers timely policy recommendations for reforming managed care as well as advice for patients making health care decisions. The book covers everything from start-up troubles with the first managed care organizations to attempts at government regulation to the mergers and quality control issues facing MCOs today. It also reflects on how difficult it is for patients to shop for medical care. Up until the 1970s, patients looked to autonomous physicians for recommendations on procedures and hospitals--a process that relied more on the patient's trust of the physician than on facts, and resulted in skyrocketing medical costs. Newly emerging MCOs have tried to solve the shopping problem by tracking the performance of care providers while obtaining discounts for their clients. Many observers accuse MCOs of caring more about cost than quality, and argue for government regulation. Dranove, however, believes that market forces can eventually achieve quality care and cost control. But first, MCOs must improve their ways of measuring provider performance, medical records must be made more complete and accessible (a task that need not compromise patient confidentiality), and patients must be willing to seek and act on information about the best care available. Dranove argues that patients can regain confidence in the medical system, and even come to trust MCOs, but they will need to rely on both their individual doctors and their own consumer awareness.
NEW YORK TIMES BESTSELLER • SOON TO BE AN FX LIMITED SERIES STREAMING ON HULU • NATIONAL BOOK CRITICS CIRCLE AWARD WINNER • From the author of Empire of Pain—a stunning, intricate narrative about a notorious killing in Northern Ireland and its devastating repercussions. One of The New York Times’s 20 Best Books of the 21st Century "Masked intruders dragged Jean McConville, a 38-year-old widow and mother of 10, from her Belfast home in 1972. In this meticulously reported book—as finely paced as a novel—Keefe uses McConville's murder as a prism to tell the history of the Troubles in Northern Ireland. Interviewing people on both sides of the conflict, he transforms the tragic damage and waste of the era into a searing, utterly gripping saga." —New York Times Book Review "Reads like a novel ... Keefe is ... a master of narrative nonfiction. . .An incredible story."—Rolling Stone A Best Book of the Year: The New York Times, The Washington Post, The Wall Street Journal, TIME, NPR, and more! Jean McConville's abduction was one of the most notorious episodes of the vicious conflict known as The Troubles. Everyone in the neighborhood knew the I.R.A. was responsible. But in a climate of fear and paranoia, no one would speak of it. In 2003, five years after an accord brought an uneasy peace to Northern Ireland, a set of human bones was discovered on a beach. McConville's children knew it was their mother when they were told a blue safety pin was attached to the dress--with so many kids, she had always kept it handy for diapers or ripped clothes. Patrick Radden Keefe's mesmerizing book on the bitter conflict in Northern Ireland and its aftermath uses the McConville case as a starting point for the tale of a society wracked by a violent guerrilla war, a war whose consequences have never been reckoned with. The brutal violence seared not only people like the McConville children, but also I.R.A. members embittered by a peace that fell far short of the goal of a united Ireland, and left them wondering whether the killings they committed were not justified acts of war, but simple murders. From radical and impetuous I.R.A. terrorists such as Dolours Price, who, when she was barely out of her teens, was already planting bombs in London and targeting informers for execution, to the ferocious I.R.A. mastermind known as The Dark, to the spy games and dirty schemes of the British Army, to Gerry Adams, who negotiated the peace but betrayed his hardcore comrades by denying his I.R.A. past--Say Nothing conjures a world of passion, betrayal, vengeance, and anguish.
A collection of personal accounts from nurses who worked during the Troubles in Northern Ireland.
Economic shocks pose a threat to health and health system performance by increasing people's need for health care and making access to care more difficult - a situation compounded by cuts in public spending on health and other social services. But these negative effects can be avoided by timely public policy action. While important public policy levers lie outside the health sector, in the hands of those responsible for fiscal policy and social protection, the health system response is critical. This book looks at how health systems in Europe reacted to pressure created by the financial and economic crisis that began in 2008. Drawing on the experience of over 45 countries, the authors:' analyse health system responses to the crisis in three policy areas: public funding for the health system; health coverage; and health service planning, purchasing and delivery 'assess the impact of these responses on health systems and population health' identify policies most likely to sustain the performance of health systems facing financial pressure' explore the political economy of implementing reforms in a crisisThe book is essential reading for anyone who wants to understand the choices available to policy-makers - and the implications of failing to protect health and health-system performance - in the face of economic and other forms of shock.--
With around 1500 prisoners and an estate of three prisons, the Northern Ireland Prison Service is a very small prison service. This inquiry was undertaken to examine whether the estate was adequate and appropriate for the secure accommodation of Northern Ireland's prisoners and whether the Prison Service meets the health, education and training needs of prisoners. One of the main conclusions is that the Current Comprehensive Spending Review does not provide sufficient capital for the substantial redesign of the prison estate. If criminal justice is to be devolved the Committee hope that capital investment in the prison estate will be a priority of the Northern Ireland Executive. If not the Secretary of State will have to argue for an increase in funding.
Many different sectors of modern society influence the nation's healthcare system. Government, health insurance companies, managed care organizations, academic health centers, the pharmaceutical industry, and other groups all affect healthcare. In the areas of medical access, cost, and quality, the physician remains the key to the efficiency and effectiveness of healthcare services. Eli Ginzberg and Panos Minogiannis, in Ginzberg's final book, examine the supply of health personnel in the United States. They consider the ways it has been influenced by federal and state legislation, healthcare financing, the transformation of the hospital, managed care, and health trends in the last part of the twentieth century. Through this historical approach, the book identifies key moments in U.S. health policy history that have led to problems in the geographical distribution of medical personnel, gender and race representation in the health personnel pool, and subsequent attempts to resolve these problems. This volume pays special attention to current trends in healthcare and tries to forecast the direction of the debate over health personnel supply in the coming years. Chronic care conditions and the ageing of the population on the one hand and the penetration of managed care and the subsequent transformation of American hospitals on the other converge to present policymakers with tremendous challenges in financing healthcare. Ginzberg and Minogiannis argue that a more balanced production and distribution of U.S. health personnel will go far in easing the financial burden of healthcare and at the same time improve the quality of services provided to the American people.
Properly performing health care systems require concepts and methods that match their complexity. Resilience engineering provides that capability. It focuses on a system’s overall ability to sustain required operations under both expected and unexpected conditions rather than on individual features or qualities. This book contains contributions from international experts in health care, organisational studies and patient safety, as well as resilience engineering. Whereas current safety approaches primarily aim to reduce the number of things that go wrong, Resilient Health Care aims to increase the number of things that go right.
Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.