Sustainable Healthcare sets out a vision for medical care of high quality, manageable cost and low impact on the planetary systems which sustain us. In tackling the major challenges of our age, such as resource depletion, loss of biodiversity and climate change, health services can play a central role, moving from being part of the problem to becoming part of the solution. Sustainable Healthcare explores questions such as: What is the relevance of sustainability in healthcare? How does climate change threaten human health? How can we create low carbon care pathways? How can healthcare organizations deal better with their waste? How can death and dying become more sustainable? How can we engage ourselves and others with this agenda? Written by an international team combining clinical, educational, practical and policy expertise in sustainability and health, this book provides a synopsis of our current predicaments, and explores some of the emerging solutions. Containing case studies and resources for further information and action, Sustainable Healthcare is a practical guide to making healthcare more sustainable for all healthcare professionals, managers and students. "Once in a while one comes across a book that makes a deep impact. Sustainable Healthcare is such a book and very timely in the context of modern healthcare and developing green policies.... The book is clear in ideas of critical thinking, scientific evidence and practical suggestions for transformative action.... An additional strength in this book are the summary key papers and reports including key points from the chapters. In addition, there is a comprehensive list of references in each chapter.... The authors cut through the jargon and challenge the rhetoric of both fear and denial.... The authors give examples of how we can engage with sustainability such as, diet and exercise, prescription management, contraception management and family planning and end of life care.... The book provides useful sources, references and key actions for individuals, healthcare organisations and policy making departments." —A review by Prof Davinder Sandhu, Postgraduate Dean, Health Education South West, Severn Deanery, UK
When Ivan Illich published Medical Nemesis in 1975, he offered a withering critique of the medical profession and the medical model. 'The medical establishment has become a major threat to health, ' he said. Nearly half a century has elapsed since then, and things have got worse. In the UK, only 5 per cent of the health budget is spent on prevention. The system is so strained that the rule is often 'one problem per consultation'. Disease management takes precedence over disease prevention, and a wider perspective on health and wellbeing is largely absent. At least once a month, one third of GPs consider leaving the profession. Patients are referred to secondary care simply because primary care cannot cope. But doctors want to practise differently. People also want more. The global health and wellness industry has stepped into the gap. It offers more holistic and whole-person approach that people seek. And it's big business. It is now estimated to be worth $4.2 trillion per annum. In this book, David Beaumont proposes a better approach. The current healthcare system is a deficit model. It attempts to address and correct the absence of health, so it is therefore more correctly termed a disease-care system. Positive medicine is an abundance model. It aims not only to help people manage illness and disease, but to enhance their health. Although this book is very specifically about doctors and patients, it will resonate with all healthcare professionals.
Statistics and evidence-based medicine are assessed in most postgraduate and undergraduate medical examinations and degrees in health sciences. All clinicians have to acquire skills in this area. This book aims to provide a brief overview of basic medical statistics and the numerical aspects of evidence-based medicine to give realistic worked examples to illustrate the interpretation of studies relevant to clinical practice and to allow examination practice. It aims to cover all major topics covered in the undergraduate and postgraduate examinations. Each chapter begins with an overview and summary of the main points followed by worked examples and exercises with full answers. It will be ideal for all postgraduate medical examination candidates. Other clincians and undergraduate students in medicine and health sciences will also find it useful.
On the part of the patient, healthcare demands unconditional trust in the professional. But what is the nature of this trust, and to what extent is it justified? How significant is the fallout when it is abused? Incorporating sociological, psychological and philosophical approaches, this book examines notions of trust in the self, others and systems in the field of healthcare. The text explores: - Rational and emotional aspects of trust power balances between the patient and healthcare professional - Historical crises of trust in healthcare, considering the impacts and - The lessons learned means of strengthening public trust in the healthcare system and its workforce - Distinctive in its breadth and coverage, Examining Trust in Healthcare - Provides a multidisciplinary perspective of a key element of patient care. This makes the book fundamental reading for students, academics and professionals across all branches of healthcare, as well as an important resource for those with professional and academic interests in the psychology and sociology of health.
This book sets out to answer the key question of how healthcare providers can move from a fragmented to an integrated provision, including how ICT be used to develop a market approach - variety and choice of service providers for patients - against a background of institutionalised and ingrained practices. A team of academic and practitioner experts with many years' healthcare and research experience considers the broad issues of transforming healthcare using ICTs, electronic health records (EHRs), and approaches taken internationally to the healthcare integration challenge. The book will be essential reading for those involved in ICTs at a strategic or managerial level, and for contractors and developers implementing solutions on their behalf. The book will also be of interest for all those concerned with integrating healthcare and ICT at every level throughout the world.
This is the only survey of the US public health system to combine the perspectives of academicians and public health professionals. Replete with illuminating case studies, the text describes basic public health activities and services including the organization of our public health system, administrative and management concerns, financing, use of technology, and workforce and reform issues. The text explores and analyzes those aspects of the public health system that have successfully achieved their goals and those that have not. It addresses careers in public health and the educational requirements and skills needed to attain them, including new accreditation and certification programs. New public health initiatives are discussed including evidence-based practices, along with such critical issues as health disparities, emergency preparedness, and health care technology. The text covers the cost, financing, and outcomes of the US public health system and includes extensive references, statistics, and tables from current health reports (i.e. the CDC Healthy People 2010 objectives and IOM Report Future of Public Health). Key Features: Provides a comprehensive overview of the US public health system for public health, nursing, medical, and pharmacology students Combines the academic and practical experience of leaders in public health Includes plentiful case studies offering real-world examples Reflects the latest public health certification requirements and standards including the CHP exam Addresses critical issues such as health disparities, emergency preparedness, health care technology, and evidence-based practice
Research on real-world problems--like restoration of wetlands, the needs of the elderly, effective disaster response and the future of the airline industry--requires expert knowledge from a range of disciplines, as well as from stakeholders affected by the problem and those in a position to do something about it. This book charts new territory in taking a systematic approach to research integration using dialogue methods to bring together multiple perspectives. It links specific dialogue methods to particular research integration tasks. Fourteen dialogue methods for research integration are classified into two groups: 1. Dialogue methods for understanding a problem broadly: integrating judgements 2. Dialogue methods for understanding particular aspects of a problem: integrating visions, world views, interests and values. The methods are illustrated by case studies from four research areas: the environment, public health, security and technological innovation.
Physiotherapy is arriving at a critical point in its history. Since World War I, physiotherapy has been one of the largest allied health professions and the established provider of orthodox physical rehabilitation. But ageing populations of increasingly chronically ill people, a growing scepticism towards biomedicine and the changing economy of healthcare threaten physiotherapy’s long-held status. Paradoxically, physiotherapy’s affinity for treating the ‘body-as-machine’ has resulted in an almost complete inability to identify the roots of the profession’s present problems, or define possible ways forward. Physiotherapists need to engage in critically informed theoretical discussion about the profession’s past, present and future - to explore their practice from economic, philosophical, political and sociological perspectives. The End of Physiotherapy aims to explain how physiotherapy has arrived at this critical point in its history, and to point to a new future for the profession. The book draws on critical analyses of the historical and social conditions that have made present-day physiotherapy possible. Nicholls examines some of the key discourses that have had a positive impact on the profession in the past, but now threaten to derail it. This book makes it possible for physiotherapists to think otherwise about their profession and their day-to-day practice. It will be essential reading for scholars and students of physiotherapy, interprofessional and community rehabilitation, as well as appealing to those working in medical sociology, the medical humanities, medical history and health care policy.
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