In the face of the relentless rise in health costs, many countries have had to set priorities so that maximum benefit can be made of unlimited funds. This book shares the experience of those which have taken a lead in this field, and draws on models being developed in Oregon, New Zealand, The Netherlands and Sweden as well as the UK. It discusses the strengths and weaknesses of each system from which healthcare planners and managers can draw their own conclusions and apply to the situation for which they are responsible.
Reasonable Rationing is must reading for those interested in how to connect theory about fair rationing processes to country-level practices. The five case studies reveal a deep tension between political pressures to accomodate interest group demands and ethically motivated efforts to improve both information and institutional procedures for setting fair limits to care. The authors frame the issues insightfully." - Professor Norman Daniels, Harvard School of Public Health . How are different countries setting priorities for health care? . What role does information and evidence on cost and effectiveness play? . How are institutions contributing to priority setting? . What are the lessons for policy makers? Priority setting in health care is an issue of increasing importance. Choices about the use of health care budgets are inescapable and difficult. A number of countries have sought to strengthen their approach to priority setting by drawing on research-based evidence on the cost and effectiveness of different treatments. This book brings together leading experts in the field to summarize and analyse the experience of priority setting in five countries: Canada, The Netherlands, New Zealand, Norway and the United Kingdom. Drawing on literature from a range of disciplines, it makes a significant contribution to the debate on the role of information and institutions in priority setting. Reasonable Rationing has been written with a broad readership in mind. It will be of interest to policy makers, health care professionals and health service managers, as well as students of health and social policy at advanced undergraduate and postgraduate levels.
Systematically updated throughout, the 6th edition of this leading text takes the story of health policy to the end of the Blair era and into the early years of the Brown premiership. It offers a clear and thorough introduction to the history of the NHS, its funding and priorities, and to the process of policy making.
This second edition reviews recent reforms and the likely impact of future developments in management and competition in the NHS. In particular, it reflects the growing importance of primary care and the continuing debates about health care rationing. It concentrates on the realities and how they can be interpreted to help strategists, managers, clinicians, students and those supplying the NHS understand the mechanism of efficient health care delivery.
as the title refers, this is a story about a living Christmas tree named Jasper. In the beginning, Jasper himself explains how he came to be from seed to sprout at his birthplace at Christy Farms. It is there that he makes friends with his growing tray mates and a large orange orb known as a pumpkin named Oscar. Jasper was a slow grower and known as the runt of the crop and had received grief for it. Over time he and one of his tray mates grew to be two of the largest trees at Christy Farms. Jasper, his fellow tray mate, and Oscar the Pumpkin win a local grow-off competition, which in turn sends them to the state fair. At the state fair, Jasper is bought at an auction by a casino mogul, and he is shipped to Las Vegas, where he experiences the life of being an official Christy Christmas tree. Through the days leading to Christmas, life was grand. Lots of attention was given to Jasper. On Christmas Eve late at night, Jasper makes friends with a special guy in a red suit that recognizes Jasper as a Christy tree. Jaspers newfound late-night friend promises Jasper a belated Christmas gift for an act of kindness Jasper had shown. After Christmas, the situation goes downhill for poor Jasper now that his job is finished, and life as he knows it seem grim. Read to see how Jaspers life turns out being a past tree of Christmas.
Christopher Ham's book provides an historical and theoretical introduction to the making, implementation and evaluation of health policy in Britain. It has been completely revised throughout for this third edition with new chapters added on the current health service reforms and key issues for the future of health policy setting the British situation in an international context. 'It is hard to find a better basic textbook about health policy in Britain for students with little existing knowledge. However, it can also be highly recommended for readers who work in the NHS, but want to make more sense of the often confusing web of policies and imperatives. This book manages to synthesise a mass of material in a readable form, and enlightens as well as informs.' Public Health.
Acclaimed travel and nature writer Anthony Ham spotlights the world's largest rainforest in this unique combination of international politics, conservation, true crime, travel, biography and memoir. This is the story of Christopher Clark, a remarkable man who spent his life helping to save a pristine corner of the Amazon rainforest in Brazil. Clark's strict childhood sent him far from home in search of adventure, landing him in the Amazon, where he fell in love with the forest, its people and its wildlife. When a village elder in a dying riverbank town begged him to save the forest and its inhabitants, this challenge became his life's work. Over the next thirty years, he set up home in one of the most remote parts of the Amazon and lived an extraordinary life. Together with the isolated Waimiri-Atroari Indigenous people, he stared down men with machine guns, weathered government campaigns to discredit and drive him out, apocalyptic fires, and more. Australian writer Anthony Ham travelled to Clark's forest home in Xixuaú, and listened as Clark told his story for the first time. With Valdemar, an Indian guide and Clark's lifelong friend, they explored the forest world in a dugout canoe as pink dolphins swam beside them. They spoke for days over caipirinhas, as Clark told stories of close encounters with jaguars and anacondas, of his life among the people of the Amazon, and of the deadly threats still being made against him. Ham brings to life the forest and its many dark and beautiful secrets, as well as depicting Clark in all his complexity. In the process the two men, writer and activist, became friends and together faced one last attempt on Clark's life. At a time of great peril for the Amazon and its inhabitants, as vast areas are being destroyed with frightening consequences for our planet, the rainforest itself becomes a haunting character in this gripping book. The Man Who Loved Pink Dolphins is captivating, crucial, terrifying and hopeful, and is very much a story of our time. Praise for The Last Lions of Africa: 'Urgent and important. This moving tale with a heroic cast of characters, leonine and human, is a must-read for anyone passionate about wildlife and wild places.' - Tony Park, author of Last Survivor 'A moving journey . . . Ham is a beautiful storyteller.' - Australian Women's Weekly 'This is gripping, insightful, evocative and ultimately heartbreaking reading.' - Travel Africa 'The Last Lions of Africa took me to new horizons among familiar territory, to a richer more spiritual understanding of us and lions. What a thoughtful, educational and spiritual book.' - Jonathan Scott, author of The Marsh Lions, Sacred Nature and Big Cat Diary 'The Last Lions of Africa is much more than a tale about the struggle to save the lion from extinction. What makes it so rewarding and gives it mythic resonance is the way Ham captures the intimate, complex interrelationships between humans - farmers, villagers, hunters, conservationists - and these proud, awe-inspiring beasts.' - Sydney Morning Herald
Systematically updated throughout, the fifth edition of this leading text provides the most up- to-date and comprehensive account available of health policy in the United Kingdom. It offers a clear and thorough introduction to the history of the NHS, its funding and priorities, and to the process of policy making. Written by a leading authority it provides a systematic assessment of changes under the Blair administration and includes two entirely new chapters on policy in Scotland, Wales and Northern Ireland after devolution and on key current issues and international comparisons.
Divided Nation: Cultures in Chaos & A Conflicted Church provides families and their churches biblical mandates to awaken and arise as influencers in today’s turbulent times. As Christian persecution increases, the Body of Christ needs to prepare to take a bold stand. Ken Ham, CEO and founder of Answers in Genesis-US, the highly acclaimed Creation Museum, and the world-renowned Ark Encounter, sounds the call for Reformation bringing God’s people back to the authority of the Word of God beginning in Genesis. Can the church regain a position of influence among this generation of “truth seekers” who reject God and His Word? To combat today’s chaotic culture and the conflicted church, Ham addresses five specific issues: There is no neutral position There is no non-religious position There are ultimately only two religions Creation apologetics How to think foundationally to develop a truly Christian worldview Make a stand for the soul of this generation. Divided Nation shines an empowering light on the struggle of the church to retain young believers. Glean from it the issues that must be addressed and find clarity amid the chaos of the culturally conflicted church. “Divided Nation is an excellent call to Christians, pastors and thinkers alike to return to the supreme authority of God’s Word and the God of all truth.” Jack Hibbs – Calvary Chapel: Chino Hills, CA
A wise preacher once said that from the beginning, God's existence has been obvious to all. That is the basis for all reality. But for many years, His very creative acts have been scorned by that one creature He loved above all others: man. In this astonishing new gift book from the popular speaker Ken Ham, the wonder and distinctness of god's creative acts are shared. Each devotion touches on an aspect of our world as seen through a biblical lens. For those who delight in the unique loving Creator, and for those seekers who wonder if He is real, these selected topics will inspire. Read and believe.
as the title refers, this is a story about a living Christmas tree named Jasper. In the beginning, Jasper himself explains how he came to be from seed to sprout at his birthplace at Christy Farms. It is there that he makes friends with his growing tray mates and a large orange orb known as a pumpkin named Oscar. Jasper was a slow grower and known as the runt of the crop and had received grief for it. Over time he and one of his tray mates grew to be two of the largest trees at Christy Farms. Jasper, his fellow tray mate, and Oscar the Pumpkin win a local grow-off competition, which in turn sends them to the state fair. At the state fair, Jasper is bought at an auction by a casino mogul, and he is shipped to Las Vegas, where he experiences the life of being an official Christy Christmas tree. Through the days leading to Christmas, life was grand. Lots of attention was given to Jasper. On Christmas Eve late at night, Jasper makes friends with a special guy in a red suit that recognizes Jasper as a Christy tree. Jaspers newfound late-night friend promises Jasper a belated Christmas gift for an act of kindness Jasper had shown. After Christmas, the situation goes downhill for poor Jasper now that his job is finished, and life as he knows it seem grim. Read to see how Jaspers life turns out being a past tree of Christmas.
Does integration of care act as a barrier to choice and competition? This report contributes to the debate by: describing integrated care and identifying the different forms it takes; exploring the different levels within the system at which it operates; and setting out the evidence for the different systems.
It really isn't a fair fight, is it? The finite against the infinite. The limited against the unlimited? Is God indifferent to my suffering? How do I resolve this anger at God? Why didn't God prevent this from happening? Will I see loved ones again? Or is heaven just a "feel good" myth? People assume Christians have all the answers; yet, in the face of tragedy, death, or suffering, everyone struggles to find just the right words to bring comfort or closure to those in need. Sometimes just hearing "It is God's will" isn't enough. Sometimes just saying "God will turn this to good" seems so meaningless when despair is so profound. Often the pain goes too deep, the questions won't go away, and even the assurance of faith doesn't help. How could God let this happen? How can God love us, yet allow us to suffer in this way? What is the point of this? What is the purpose? In this provocative new book, Ken Ham makes clear answers found in the pages of Scripture - powerful, definitive, and in a way that helps our hearts to go beyond mere acceptance. When you grasp the reality of original sin (and all that it means), it creates a vital foundation for your heart to finally understand what follows.
Health care rationing is a reality in much of the world, and priority setting is an issue of increasing importance. Choices about the use of health care budgets are inescapable and difficult. This study look at priority setting in the health services of several countries.
This annotated indexed anthology deals with doctor-patient interactions as portrayed in novels short stories and plays especially where these are unsatisfactory. This book is unique among medical anthologies in that readers can look up medical topics as they appear in fiction. It analyses sources of conflict such as the fee the doctor's perceived l
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