Diagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives. Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main ‘building blocks’ of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector
The idea that gender equality in education has been achieved is now a staple of public debate. As a result, educational policies and practices often do not deal explicitly with gender issues, such as sexual abuse, harassment or violence. Exaggeration of neoliberalism’s successes in creating individual opportunity in education conceals ongoing problems and ignores the continuing need for a fair and equal education for all, regardless of gender or sexuality. In this manifesto for education, Miriam David rejects the notion that gender equality has been achieved in our age of neoliberalism. She puts the focus back onto issues such as changing patterns of women’s and girls’ participation in education across the globe, feminist strategies for policy and legal interventions around human rights, and violence against women and children. She discusses waves of feminism linked to school-teaching and pedagogies in higher education as well as an illuminating case study of an international educational programme to challenge gender-related violence. Revealing neoliberal education to be ‘misogyny masquerading as metrics’, Miriam David argues for changes in the patriarchal rules of the game, including questioning ‘gender norms’ and stereotypical binaries, and for making personal, social, health and sexuality education mainstream.
The Carver Policy Governance Guide series includes six booklets that offer board members a description of John Carver's Policy Governance model of board leadership. Policy Governance enables a board to fulfill its accountability to its organization's "owners," whether the owners are association members, city residents, company shareholders, or a community of interest. Policy Governance addresses the board's engagement in financial, programmatic, and personnel matters; roles of officers and committees; reporting and evaluation; agendas; and other aspects of the board job. The Governance of Financial Management offers a proven strategic approach to the issues of finances and board responsibility. It reveals how a board can effectively govern an organization's financial planning by controlling budget values rather than budget numbers. The guide addresses the issue of actual fiscal conditions by creating policies that safeguard an organization's real fiscal health. The Policy Governance model is based on the functions rather than the structure of a governing board. It outlines commonsense principles about governing that fit together into an entire system. The practices of the Policy Governance board, which are consistent with the principles, allow it to control without meddling, focus on long-term organizational outputs, powerfully delegate to a CEO and staff, and discharge its fiduciary responsibility in a visionary, strategic manner. Because the model is a total system, the Carver Policy Governance Guide series offers boards a complete set of principles for fulfilling their various obligations.
This book presents a view of the development and application of case mix measurement systems in Europe and is the result of collaboration of eight teams of experts under the aegis of a project of the European Community. It offers a picture of the current situation of hospital management information in Europe and of the incorporation of case mix measurement systems, bringing together several cases of adaptation and the use of these instruments in the management and distribution of resources in hospitals in recent years and in various countries. It is complemented by two studies which have attempted to create continent-wide data bases among comparable hospitals.
Metabolism includes various pathways of chemical reactions; understanding these pathways leads to an improved knowledge of the causes, preventions, and cures for human diseases. Medical Biochemistry: Human Metabolism in Health and Disease provides a concise yet thorough explanation of human metabolism and its role in health and diseases. Focusing on the physiological context of human metabolism without extensive consideration of the mechanistic principles of underlying enzymology, the books serves as both a primary text and resource for students and professional in medical, dental, and allied health programs.
Your reward is a well-behaved dog! Young and old, large and small, pedigreed and mixed-breed, dogs respond to clicker training. Preferred by many professionals, clicker training is a positive, precise, and effective method of reinforcing good behavior. Noted dog trainer Miriam Fields-Babineau explains clicker training techniques step by step so that all dog owners can use the approach. Whether you want to train your dog to obey basic commands, perform tricks, compete in performance sports, or do service work, clicker training gets results and enhances your relationship with your dog. Focusing on actual techniques rather than theory and science, this book explains how to: * Use the three-step pattern: lure, click, reward * Use an appropriate tone of voice and the right verbal cues * Incorporate visual cues, with suggestions for signals for specific actions * Distraction-proof your dog, teaching him to focus on you (and the clicker) even when there's lots of commotion With real-life examples from the author's experiences plus photos that illustrate proper form, this book will get you and your dog enthusiastic about training.It's truly rewarding!
This third edition of Miriam Meyerhoff’s highly successful textbook provides a solid, up-to-date appreciation of the interdisciplinary nature of the field and covers foundation issues, recent advances and current debates. It presents familiar or classic data in new ways, and supplements the familiar with fresh examples from a wide range of languages and social settings. It clearly explains the patterns and systems that underlie language variation in use, as well as the ways in which alternations between different language varieties index personal style, social power and national identity. New features of the third edition: Every chapter has been revised and updated with current research in the field, including material on sexuality, polylanguaging and lifespan change; Additional Connections with theory and Facts: No, really? are included throughout; Data from sign languages, historical linguistics and Asia-Pacific sociolinguistics have been revised and expanded; A brand new companion website featuring more examples and exercises can be found at www.routledge.com/textbooks/meyerhoff. Chapters include exercises that enable readers to engage critically with the text, break-out boxes making connections between sociolinguistics and linguistic or social theory, and brief, lively add-ons guaranteed to make the book a memorable and enjoyable read. With a full glossary of terms and suggestions for further reading, this text gives students all the tools they need for an excellent command of sociolinguistics. It can also be used in conjunction with The Routledge Sociolinguistics Reader, Doing Sociolinguistics and the online resources shared by all three books.
How can prenatal testing help your patients? In utero diagnosis has undergone an amazing revolution in recent years. More tests are available; the indications for prenatal diagnosis have expanded - you can now advise your patients about disorders you could not have previously detected. Medical training for obstetricians, medical geneticists, and genetic counselors has not kept pace with these developments. Clinical exposure to common and unusual problems in prenatal diagnosis is limited. Prenatal Diagnosis: Clinical Cases and Challenges, based on the authors’ several decades of experiences, fills this gap. Real cases portray diagnostic problems as a route to the underlying biology, the available testing options, and the results that might be obtained. The authors discuss the challenges of management, interpretation, and counseling. Cases used throughout emphasize three types of clinical problems: Chromosomal abnormalities Mendelian disorders Fetal structural abnormalities The decision to enter the world of prenatal diagnosis should be very carefully considered by any prospective mother. Prenatal Diagnosis: Clinical Cases and Challenges will help you discuss the issues in an informed manner with your patients.
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