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The All India Institute of Medical Sciences (AIIMS) is iconic in the landscape of Indian healthcare. Established in the early years of independence, this enormous public teaching hospital rapidly gained fame for the high-quality treatment it offered at a nominal cost; at present, an average of ten thousand patients pass through the outpatient department each day. With its notorious medical program acceptance rate of less than 0.01%, AIIMS also sits at the apex of Indian medical education. To be trained as a doctor here is to be considered the best. In what way does this enduring reputation of excellence shape the institution's ethos? How does elite medical education sustain India's social hierarchies and the health inequalities entrenched within? In the first-ever ethnography of AIIMS, Anna Ruddock considers prestige as a byproduct of norms attached to ambition, aspiration, caste, and class in modern India, and illustrates how the institution's reputation affects its students' present experiences and future career choices. Ruddock untangles the threads of intellectual exceptionalism, social and power stratification, and health inequality that are woven into the health care taught and provided at AIIMS, asking what is lost when medicine is used not as a social equalizer but as a means to cultivate and maintain prestige.
Doctors have a built-in advantage when it comes to getting extra-special medical care. Their knowledge and connections help them to get better, faster, while avoiding unnecessary risks. Dr. Kevin Soden and Dr. Christine Dumas—seen regularly on NBC News Today—are leveling the health-care playing field so that everyone gets the kind of special treatment they deserve. In this book, Soden and Dumas will provide you with all the information you need to become a smarter health-care consumer—and get the very best possible medical care for you and your family. With a true insider’s perspective, this book shows you how to get top-quality treatment from all your health care professionals, whether you have a doctor in the family or not.—Because when it comes to something as important as health, we all need special treatment. Learn more about: · What tests your doctor would demand · How your doctor picks a doctor · What doctors know about hospitals · How doctors make decisions about medications, physical therapy, surgery, and more · Even doctors need a second opinion: where they go to get one · How doctors pick a specialist · How your doctor bounces back faster after surgery · What doctors know about the ER · Where your doctor gets the latest medical information—and you can, too · What doctors know about preventing and treating the top three killers of men and women · What doctors know about reducing their risk of the most preventable cancers · What doctors know about living a longer and healthier life
After what happened with the last man she was with, Susannah wanted nothing to do with men at all. That is until her new boss, Hazard Maine, barged his way into her life. He’d been keeping an eye on her since he suspected Susannah was sleeping with men to get her way. Once her name is cleared, Hazard starts treating her differently?he becomes gentler. Soon Susannah finds herself happy again and taking a chance on Hazard. But love quickly turns sour when Hazard starts to mistreat her again for some reason, possibly something to do with his past. Will Susannah be able to handle another heartbreak?
First published in 1997. This book compares and contrasts the experiences of deviant pupils in a mainstream school with that of those in a special unit for pupils with behavioural problems. The author’s aims are to (i) evaluate the differences between the behaviour of deviant boys and girls within the mainstream education system with those without; and (ii) justify the criteria for transferring deviant pupils to special units. Her research shows that there is no uniformity in the deviant behaviour of pupils in either situation. In fact, there are more similarities in the behaviour of pupils across the dividing line than pupils in the same institution. Such findings raise questions about the apparent arbitrary nature if some transferral decisions and, in the longer term, the whole logic of separate schooling for pupils who are considered by some to be a problem. At a time when market forces and competition have distracted the schools’ attention away from the needs of the individual pupil, this book stresses the need for changes at all levels which will make school relevant to the lives of all pupils.
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.
This breezy, story-filled guide to becoming a more ethical person explains why ethical behavior is a winning strategy, then lays out six things everyone can do to keep strong and to follow their good intentions.