In More Than Medicine, LaTonya J. Trotter chronicles the everyday work of a group of nurse practitioners (NPs) working on the front lines of the American health care crisis as they cared for four hundred African American older adults living with poor health and limited means. Trotter describes how these NPs practiced an inclusive form of care work that addressed medical, social, and organizational problems that often accompany poverty. In solving this expanded terrain of problems from inside the clinic, these NPs were not only solving a broader set of concerns for their patients; they became a professional solution for managing difficult people for both their employer and the state. Through More Than Medicine, we discover that the problems found in the NP's exam room are as much a product of our nation's disinvestment in social problems as of physician scarcity or rising costs.
--Jennifer Reich, University of Colorado Denver, author of Calling the Shots
Описание: Academic experts review the impact of neoliberal politics and ideology on the status of care work in Nordic countries. They explore different understandings of the care crisis, the consequences for gender equality and the long-term sustainability of the Nordic welfare states.
Автор: Moini, Jahangir (retired Professor, Science And Health Department, Eastern Florida State College, Fl, Usa) Oyindamola, Akinso (assistant Professor Of Название: Health care today in the united states ISBN: 032399038X ISBN-13(EAN): 9780323990387 Издательство: Elsevier Science Рейтинг: Цена: 19370.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: Featuring an easy-to-learn and easy-to-use reference system acclaimed for more than five generations, the Thompson Chain-Reference Bible enables you to search the breadth of Scripture`s teachings on thousands of topics. Ideal for personal study and sermon preparation, it`s now easier to read with the NKJV Comfort Print typeface.
Автор: Mario J. Azevedo Название: The State of Health and Health Care in Mississippi ISBN: 1628460008 ISBN-13(EAN): 9781628460001 Издательство: Mare Nostrum (Eurospan) Рейтинг: Цена: 9405.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: In this multidisciplinary book, the editor and contributors provide the most accurate and most recent information on health and health care in the State of Mississippi. They explain why the state finds itself in precarious health conditions and reveal the prevailing circumstances as the state debates a path toward a comprehensive health care system for its citizens. They show who has had access to good health care in the state and celebrate the heroes who struggled to provide health care to all Mississippians, and contribute to the debate on how the health care system might be restructured, reconstructed, or adjusted to meet the needs of all people in the state, regardless of race, ethnicity, socioeconomic status, and national origin.The issue of health disparities and socio-economic status leads to a relevant discussion of whether health and access to quality care are a right of all people, as the United Nations has proclaimed, or the privilege of a few who have the economic resources and the political clout to purchase first-rate care. The volume offers a clear understanding of health care trends in the state since the inception of its health system during the eighteenth and early nineteenth centuries up to the present and the prospects of transcending the obstacles of its own creation over the past two centuries. It likewise highlights the economic challenges that Mississippi, like other states, confronts; and how wise and realistic its priorities are in meeting the needs of its diverse populations, particularly racial and ethnic minorities.
Автор: Illan Nam Название: Democratizing Health Care ISBN: 1137537116 ISBN-13(EAN): 9781137537119 Издательство: Springer Рейтинг: Цена: 12157.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: This book provides an account of milestone health insurance reforms that took place in Korea and Thailand, which significantly advanced equitable access and redistribution in health care. Thai and Korean welfare champions were deeply informed by their experiences as activists in their countries` democracy movements.
Описание: Chronic Failures: Kidneys, Regimes of Care and the Mexican State is about Chronic Kidney Disease (CKD) and the relentless search for renal care lived out in the context of poverty, inequality and uneven welfare arrangements. Based on ethnographic research conducted in the state of Jalisco, this book documents the routes uninsured Mexican patients take in order to access resource intensive biotechnical treatments, that is, different modes of dialysis and organ transplantation. It argues that these routes are normalized, bureaucratically, socially and epidemiologically, and turned into a locus for exploitation and profit. Without a coherent logic of healthcare access, negotiating regimes of renal care has catastrophic consequences for those with the least resources to expend in that effort. In carrying both the costs and the burden of care, the practices of patients without entitlement offer a critical vantage point on the interplay between the state, markets in healthcare and the sick body.
All advanced health care systems face severe difficulties in financing the delivery of today’s sophisticated medical care. In this study David Wilsford compares the health systems in France and the United States to demonstrate that some political systems are considerably more effective at controlling the cost of care than others. He argues that two variables—the autonomy of the state and the strength and cohesiveness of organized medicine—explain this variance. In France, Wilsford shows, the state is strong in the health policy domain, while organized medicine is weak and divided. Consequently, physicians exercise little influence over health care policymaking. By contrast, in the United States the state is weak, the employers and insurers who pay for health care are fragmented, and organized medicine is strong and well financed. As a result, medical professionals are able to exert a greater influence on policymaking, thus making cost control more difficult. Wilsford extends his comparison to health care systems in the United Kingdom, West Germany, Italy, Canada, and Japan. Whether the private or public sector finances health care, he discovers, there is now an important trend in all of the advanced industrial countries toward controlling escalating costs by curbing both the medical profession’s clinical autonomy and physicians’ incomes.
Описание: The Department of Veterans Affairs (VA) provides a range of benefits and services to veterans and eligible dependents who meet certain criteria as authorized by law. These benefits include medical care, disability compensation and pensions, education, vocational rehabilitation and employment services, assistance to homeless veterans, home loan guarantees, administration of life insurance and traumatic injury protection insurance for service members, and death benefits that cover burial expenses. Chapter 1 focuses on FY2018 appropriations and FY2019 advance appropriations for the Department of Veterans Affairs (VA). VA is one of the Federal governments largest property holding entities with a capital asset portfolio that includes thousands of medical facilities spanning hundreds of millions of square feet in both owned and leased space across the country. The average VA medical facility building is five times older than the average building in a not for profit hospital system. All too often current facilities, including those that have been well maintained, are not equipped to support the provisions of modern high quality care and are not well suited to providing care in the current VA healthcare system. As reported in chapter 2, there is a wide and growing gap between VAs capital need and the antiquated and anticipated resources. Following the brief legislative history of VA provided community care, chapter 3 describes the background and legislative history leading up to the enactment of the VA MISSION Act. This is followed by summaries of the major provisions in the VA MISSION Act by title. The chapter concludes with an appendix providing implementation and reporting deadlines contained in the VA MISSION Act. VHA anticipates that it will provide care to more than 7 million veterans in fiscal year 2019. The majority of veterans using VHA health care services receive care in one or more of the 172 medical centers or at associated outpatient facilities. Chapter 4 assesses VHAs management of medical center performance. Chapter 5 reviews the new rule entitled "VA Claims and Appeals Modernization" (RIN: 2900-AQ26), which amends the regulations governing claims adjudication and appeals. VBA employees have authority to request reexaminations for veterans "whenever VA determines there is a need to verify either the continued existence or the current severity of a disability," and when there is no exclusion from reexamination. Chapter 6 determines whether Veterans Benefits Administration (VBA) employees required disabled veterans to submit to unwarranted medical reexaminations. Training health care professionals is part of the VAs statutory mission. The VA is the largest provider of medical training in the United States and is involved in training at all levels: medical students, medical residents, and medical fellows Chapter 7 focuses on physician training.
Автор: Grogan, Colleen M. (deborah R. And Edgar D. Jannotta Professor, Deborah R. And Edgar D. Jannotta Professor, The University Of Chicago) Название: Grow and hide ISBN: 0199812233 ISBN-13(EAN): 9780199812233 Издательство: Oxford Academ Рейтинг: Цена: 3642.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: Chronic Failures: Kidneys, Regimes of Care and the Mexican State is about Chronic Kidney Disease (CKD) and the relentless search for renal care lived out in the context of poverty, inequality and uneven welfare arrangements. Based on ethnographic research conducted in the state of Jalisco, this book documents the routes uninsured Mexican patients take in order to access resource intensive biotechnical treatments, that is, different modes of dialysis and organ transplantation. It argues that these routes are normalized, bureaucratically, socially and epidemiologically, and turned into a locus for exploitation and profit. Without a coherent logic of healthcare access, negotiating regimes of renal care has catastrophic consequences for those with the least resources to expend in that effort. In carrying both the costs and the burden of care, the practices of patients without entitlement offer a critical vantage point on the interplay between the state, markets in healthcare and the sick body.
Описание: In this insightful collection, academic experts consider the impact of neoliberal policies and ideology on the status of care work in Nordic countries. With new research perspectives and empirical analyses, it assesses challenges for care work including technologies, management and policy-making. Arguing that there is a care crisis even in the supposedly feminist Nordic ‘nirvana’, this book explores understandings of the care crisis, the serious consequences for gender equality and the hitherto neglected effects on the long-term sustainability of the Nordic welfare states. This astute take on the Nordic welfare model provides insights into what the Nordic experience can tell us about wider international issues in care.
We are on the verge of the nation's worst nursing shortage in history. Dedicated nurses are leaving hospitals in droves, and there are not enough new recruits to the profession to meet demand. Even hospitals that were once very highly regarded for the quality of their nursing care, such as Boston's Beth Israel Deaconess Medical Center, now struggle to fill vacant positions. What happened? Dana Beth Weinberg argues that hospital restructuring in the 1990s is to blame.
In their attempts to retain profit margins or even just to stay afloat, hospitals adopted a common set of practices to cut costs and increase revenues. Many strategies squeezed greater productivity out of nurses and other hospital workers. Nurses' workloads increased to the point that even the most skilled nurses questioned whether they could provide minimal, safe care to patients. As hospitals hemorrhaged money, it seemed that no one—not hospital administrators, not doctors—felt they could afford to listen to nurses.
Through a careful look at the effects of the restructuring strategies chosen and implemented by Beth Israel Deaconess Medical Center, the author examines management's efforts to balance service and survival. By showing the effects of hospital restructuring on nurses' ability to plan, evaluate, and deliver excellent care, Weinberg provides a stinging indictment of standard industry practices that underestimate the contribution nurses make both to hospitals and to patient care.
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