Imperatives Of Care

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Imperatives of Care

Author : Sonja M. Kim
Publisher : University of Hawaii Press
Page : 241 pages
File Size : 45,9 Mb
Release : 2019-01-31
Category : History
ISBN : 9780824855482

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Imperatives of Care by Sonja M. Kim Pdf

In late nineteenth- and early twentieth-century Korea, public health priorities in maternal and infant welfare privileged the new nation’s reproductive health and women’s responsibility for care work to produce novel organization of services in hospitals and practices in the home. The first monograph on this topic, Imperatives of Care places women and gender at the center of modern medical transformations in Korea. It outlines the professionalization of medicine, nursing, and midwifery, tracing their evolution from new legal and institutional infrastructures in public health and education, and investigates women’s experiences as health practitioners and patients, medical activities directed at women’s bodies, and the related knowledge and goods produced for and consumed by women. Sonja M. Kim draws on archival sources, some not previously explored, to foreground the ways individual women met challenges posed by uneven developments in medicine, intervened in practices aimed at them, andseized the evolving options that became available to promote their personal, familial, and professional interests. She demonstrates how medicine produced, and in turn was produced by, gendered expectations caught between the Korean reformist agenda, the American Protestant missionary enterprise, and Japanese imperialism.

The Healthcare Imperative

Author : Institute of Medicine,Roundtable on Evidence-Based Medicine
Publisher : National Academies Press
Page : 852 pages
File Size : 46,6 Mb
Release : 2011-01-17
Category : Medical
ISBN : 9780309144339

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The Healthcare Imperative by Institute of Medicine,Roundtable on Evidence-Based Medicine Pdf

The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.

Paradox and Imperatives in Health Care

Author : Jeffrey C. Bauer,Mark Hagland
Publisher : Productivity Press
Page : 200 pages
File Size : 42,6 Mb
Release : 2007-12-05
Category : Medical
ISBN : NWU:35558005651639

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Paradox and Imperatives in Health Care by Jeffrey C. Bauer,Mark Hagland Pdf

In this groundbreaking collaboration, award-winning authors Bauer and Hagland draw upon numerous case studies to show how pioneering health care organizations are using such performance improvement tools as lean management, Six-Sigma, and the Toyota Production System to produce excellent services as inexpensively as possible.

Best Care at Lower Cost

Author : Institute of Medicine,Committee on the Learning Health Care System in America
Publisher : National Academies Press
Page : 437 pages
File Size : 40,5 Mb
Release : 2013-05-10
Category : Medical
ISBN : 9780309282819

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Best Care at Lower Cost by Institute of Medicine,Committee on the Learning Health Care System in America Pdf

America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Crossing the Quality Chasm

Author : Institute of Medicine,Committee on Quality of Health Care in America
Publisher : National Academies Press
Page : 360 pages
File Size : 45,5 Mb
Release : 2001-08-19
Category : Medical
ISBN : 9780309072809

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Crossing the Quality Chasm by Institute of Medicine,Committee on Quality of Health Care in America Pdf

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Redefining Health Care

Author : Michael E. Porter,Elizabeth Olmsted Teisberg
Publisher : Harvard Business Press
Page : 540 pages
File Size : 42,8 Mb
Release : 2006-04-24
Category : Business & Economics
ISBN : 9781422133361

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Redefining Health Care by Michael E. Porter,Elizabeth Olmsted Teisberg Pdf

The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets. In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change. The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency. With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Author : OECD,World Health Organization
Publisher : OECD Publishing
Page : 128 pages
File Size : 41,6 Mb
Release : 2019-10-17
Category : Electronic
ISBN : 9789264805903

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Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by OECD,World Health Organization Pdf

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

The Structure and Interpretation of Imperatives

Author : Chung-hye Han
Publisher : Psychology Press
Page : 284 pages
File Size : 52,9 Mb
Release : 2000
Category : Language Arts & Disciplines
ISBN : 0815337876

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The Structure and Interpretation of Imperatives by Chung-hye Han Pdf

The legendary Greek figure Orpheus was said to have possessed magical powers capable of moving all living and inanimate things through the sound of his lyre and voice. Over time, the Orphic theme has come to indicate the power of music to unsettle, subvert, and ultimately bring down oppressive realities in order to liberate the soul and expand human life without limits. The liberating effect of music has been a particularly important theme in twentieth-century African American literature. The nine original essays in Black Orpheus examines the Orphic theme in the fiction of such African American writers as Jean Toomer, Langston Hughes, Claude McKay, James Baldwin, Nathaniel Mackey, Sherley Anne Williams, Ann Petry, Ntozake Shange, Alice Walker, Gayl Jones, and Toni Morrison. The authors discussed in this volume depict music as a mystical, shamanistic, and spiritual power that can miraculously transform the realities of the soul and of the world. Here, the musician uses his or her music as a weapon to shield and protect his or her spirituality. Written by scholars of English, music, women's studies, American studies, cultural theory, and black and Africana studies, the essays in this interdisciplinary collection ultimately explore the thematic, linguistic structural presence of music in twentieth-century African American fiction.

Caring and Well-being

Author : Kathleen Galvin,Les Todres
Publisher : Routledge
Page : 217 pages
File Size : 50,8 Mb
Release : 2013-05-02
Category : Medical
ISBN : 9781136181948

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Caring and Well-being by Kathleen Galvin,Les Todres Pdf

Something is missing in contemporary health and social care. Health and illness is often measured in policy documents in economic terms, and clinical outcomes are enmeshed in statistical data, with the patient’s experience left to one side. This stimulating book is concerned with how to humanise health and social care and keep the person at the centre of practice. Caring and Well-Being opens by articulating Galvin and Todres’ innovative framework for humanising health care and closes with a synthesis of their argument and a discussion of how this can be applied in healthcare policy and practice. It: presents an innovative lifeworld-led approach to the humanisation of care; explores the concept of well-being and its relationship to suffering and outlines the rationale for a focus on them within this approach; discusses how the framework can be applied and how health and social practitioners can draw on aesthetic and empathic avenues to help develop their capacity for care; provides direction for policy, practice and education. Investigating what it means to be human in a health and social care context and what the things that make us feel more human are, this book presents new perspectives about how professionals can enhance their capacity for humanly sensitive care. It is a valuable work for all those interested in ideas about care and caring in a health and social context, including psychologists, doctors and nurses.

Building Better Health Care Leadership for Canada

Author : Terrence Sullivan,Jean-Louis Denis
Publisher : McGill-Queen's Press - MQUP
Page : 224 pages
File Size : 42,5 Mb
Release : 2011-08-23
Category : Medical
ISBN : 9780773586505

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Building Better Health Care Leadership for Canada by Terrence Sullivan,Jean-Louis Denis Pdf

Building Better Health Care Leadership for Canada explains the development and implementation of the Executive Training in Research Application (EXTRA) program. Managed and funded by the Canadian Medical Association, the Canadian Nurses Association, the Quebec Consortium, and the Canadian College of Health Leaders, EXTRA is a two-year national fellowship program that uses the principles of adult learning theory as well as practical projects to educate senior health care leaders in making more consistent use of research evidence in their management roles. Fellows apply the theory learned in residency sessions and educational activities to projects within their home organizations. The authors identify the imperative for better use of evidence, outline the core elements of the curriculum, and capture the real-world experience of regional leaders and fellows involved in making specific changes informed by research-based evidence within their organization. Contributors include Jean-Louis Denis (École nationale d'administration publique), Terrence Sullivan (Cancer Care Ontario), Owen Adams (Canadian Medical Association), Malcolm Anderson (Queen's University), Lynda Atack, Robert Bell (University Health Network), Sam G Campbell (Queen Elizabeth II Health Sciences Centre), Sylvie Cantin (Régie régionale de la santé et des services sociaux de la Montérégie), Ward Flemons (Calgary Health Region), Dorothy Forbes, J. Sonja Glass (Grey Bruce Health Services), Paula Goering (Centre for Addiction & Mental Health, Toronto), Karen Golden-Biddle (Boston University School of Management), Jeffrey S. Hoch (University of Toronto), Paul Lamarche (Université de Montréal), Ann Langley (École des hautes études commerciales), John N. Lavis (McMaster University), Jonathan Lomas (Canadian Health Services Research Foundation), Margo Orchard (Ministry of Health and Long Term Care, Ontario), Raynald Pineault (University of Montreal), Brian D. Postl (Winnipeg Regional Health Authority), Christine Power (Capital District Health Authority, Halifax), Trish Reay (University of Alberta), Jean Rochon (National Public Health Institute of Quebec), Denis A. Roy (Agence de la santé et des services sociaux de la Montérégie Longueuil), Andrea Seymour (Government of New Brunswick), Samuel B. Sheps (University of British Columbia), Micheline Ste-Marie (McGill University Health Centre), Nina Stipich (Canadian Health Services Research Foundation), David Streiner (Baycrest Centre for Geriatric Care, Toronto), Carl Taillon (Centre hospitalier universitaire de Québec), and Muriah Umoquit (Cancer Care Ontario).

Care in Context

Author : Vasu Reddy,Stephan Meyer,Tamara Shefer,Thenjiwe Meyiwa
Publisher : HSRC Publishers
Page : 0 pages
File Size : 46,5 Mb
Release : 2015-07
Category : Care of persons
ISBN : 0796924198

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Care in Context by Vasu Reddy,Stephan Meyer,Tamara Shefer,Thenjiwe Meyiwa Pdf

Care in Context is a thought-provoking book that looks at gender inequalities in the context of care. Drawing in part from unique transnational perspectives and gripping interviews, this book focuses on key questions that intellectuals, policymakers, and everyone who cares and needs care have to ask, such as: What is good care? Who should be involved in providing it? And how should care be arranged and organized so that that the interests of both care givers and care recipients are equally provided for? The book offers fresh and nuanced perspectives and is a definite must read for all those affected by issues of care.

Strengths-Based Nursing Care

Author : Laurie N. Gottlieb, PhD, RN
Publisher : Springer Publishing Company
Page : 448 pages
File Size : 43,9 Mb
Release : 2012-08-22
Category : Medical
ISBN : 9780826195876

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Strengths-Based Nursing Care by Laurie N. Gottlieb, PhD, RN Pdf

This is the first practical guide for nurses on how to incorporate the knowledge, skills, and tools of Strength-Based Nursing Care (SBC) into everyday practice. The text, based on a model developed by the McGill University Nursing Program, signifies a paradigm shift from a deficit-based model to one that focuses on individual, family, and community strengths as a cornerstone of effective nursing care. The book develops the theoretical foundations underlying SBC, promotes the acquisition of fundamental skills needed for SBC practice, and offers specific strategies, techniques, and tools for identifying strengths and harnessing them to facilitate healing and health. The testimony of 46 nurses demonstrates how SBC can be effectively used in multiple settings across the lifespan.

Good Medicine

Author : Philip Hebert
Publisher : Doubleday Canada
Page : 304 pages
File Size : 45,6 Mb
Release : 2016-04-19
Category : Health & Fitness
ISBN : 9780385683265

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Good Medicine by Philip Hebert Pdf

Award-winning physician Philip C. Hébert creates a brave and intimate portrait of the complex ethical imperatives at the heart of good medicine: doctors do not have all the answers; patients must be heard; and their needs, desires, fears, and experiences must be reflected in how practitioners look after them. Medical science continues to advance to previously unimagined heights in its diagnostic and treatment capabilities. With these advances, however, come unexpected ethical dilemmas for practitioners, patients, and families. In Good Medicine, Dr. Hébert approaches these questions of pressing and fundamental importance from the dual point of view of acclaimed physician and long-time patient. With remarkable balance and sensitivity, he explores a range of politically, constitutionally, and ethically contentious matters, including assisted suicide, treatment refusal and suspension, and the overall allocation of medical resources. Hébert pairs his artful analysis with the real-life, often deeply moving stories of those who have lived these challenges. Hébert offers piercing and compassionate insight into the relationship between patients and medical professionals, and guides readers towards the open and empathetic communication needed to ensure good medicine for everyone.

Deconstructing the Welfare State

Author : Paula Hyde,Edward Granter,John Hassard,Leo McCann
Publisher : Routledge
Page : 226 pages
File Size : 48,9 Mb
Release : 2016-06-23
Category : Medical
ISBN : 9781317661368

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Deconstructing the Welfare State by Paula Hyde,Edward Granter,John Hassard,Leo McCann Pdf

Who are NHS middle managers? What do they do, and why and how do they do it’? This book explores the daily realities of working life for middle managers in the UK’s National Health Service during a time of radical change and disruption to the entire edifice of publicly-funded healthcare. It is an empirical critique of the movement towards a healthcare model based around HMO-type providers such as Kaiser Permanente and United Health. Although this model is well-known internationally, many believe it to be financially and ethically questionable, and often far from 'best practice' when it comes to patient care. Drawing on immersive ethnographic research based on four case studies – an Acute Hospital Trust, an Ambulance Trust, a Mental Health Trust, and a Primary Care Trust – this book provides an in-depth critical appraisal of the everyday experiences of a range of managers working in the NHS. It describes exactly what NHS managers do and explains how their roles are changing and the types of challenges they face. The analysis explains how many NHS junior and middle managers are themselves clinicians to some extent, with hybrid roles as simultaneously nurse and manager, midwife and manager, or paramedic and manager. While commonly working in ‘back office’ functions, NHS middle managers are also just as likely to be working very close to or actually on the front lines of patient care. Despite the problems they regularly face from organizational restructuring, cost control and demands for accountability, the authors demonstrate that NHS managers – in their various guises – play critical, yet undervalued, institutional roles. Depicting the darker sides of organizational change, this text is a sociological exploration of the daily struggle for work dignity of a complex, widely denigrated, and largely misunderstood group of public servants trying to do their best under extremely trying circumstances. It is essential reading for academics, students, and practitioners interested in health management and policy, organisational change, public sector management, and the NHS more broadly.

Biotic Diversity and Germplasm Preservation, Global Imperatives

Author : Lloyd Knutson,Allan K. Stoner
Publisher : Springer Science & Business Media
Page : 526 pages
File Size : 43,9 Mb
Release : 2012-12-06
Category : Science
ISBN : 9789400923331

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Biotic Diversity and Germplasm Preservation, Global Imperatives by Lloyd Knutson,Allan K. Stoner Pdf

Topics for the Beltsville Symposia are selected to highlight specific areas of research and science policy that are of concern to scientists in the Beltsville Area as well as to the general scientific community. Each sympo sium in the series is structured to provide a realistic appraisal of current findings, research progress, and relevant policy issues within the constraints established by the organizing committee. Thus, the presentations and dis cussions that have marked these symposia have had a strong appeal to the broad community of scientists. Knowledge of the diversity of living organisms is still quite limited. Since the time of Linnaeus, about 1.7 million species have been described. The actual number has been estimated between 5-50 million. Many species, land races, and strains are vanishing. Clearly, the world's scientific institutions are inadequately equipped to attain sufficient knowledge of a significant fraction of the diverse living forms. Also, efforts in the collection and preservation of germplasm of plants and animals urgently need to be strengthened. These mattes are critically important to future generations. This symposium addresses vital concerns of biotic diversity and germ plasm preservation from diverse perspectives. Many of the parts provide concrete recommendations for action, and they call attention to areas of research that must be pursued with intensity.