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This book was originally conceived in 1987. It was then seen as a contribution towards improved management and policy-making in a diffuse and neglected area of NHS management. The focus of the book is the 'old' Community Health Services: those transferred to Area Health Authorities from local authorities in the 1974 re organization of the NHS. These diverse services, while grouped together, had little objectively in common, occupying, as they do, a hazy middle ground between hospital and Family Practitioner Services. However, since 1974 there have been a number of major devel opments which have opened opportunities for change and devel opment in these services. These include: the resurrectio...
This critical interdisciplinary study charts the modern history of mental health services, reflects upon the evolution of care in communities, and considers the most effective policies and practices for the future. Starting with the development of community care in the 1960s, Cummins explores the political, economic, and bureaucratic factors behind the changes and crises in mental health social care, returning to those roots to identify progressive principles that can pave a sustainable pathway forward. This is a groundbreaking contribution to debates about the role, values, and future of community care, and is vital reading for students, teachers, and researchers in the field of social work and mental health.
This open access book provides an historical account of the ways in which community nursing services in England have been shaped by policy changes, from the inception of the NHS in 1948 to the present day. Focusing on policies regarding the organisation and provision of community nursing services, it offers an important assessment of how community nursing has evolved under successive governments. The book also provides reflections on how historic policies have influenced the service of today, and how lessons learnt from the past can inform organisation and delivery of current and future community nursing services. It is an important resource for those researching community nursing and health services, as well as practitioners and policy makers.
This book is established as an essential source of reference for all those working in the community health care domain. It addresses some of the main issues for the introduction and implementation of a sound infrastructure for community health care nursing delivery. These ideas may be taken and adapted to suit local requirements. Government investment in the design of a new infrastructure to support primary care and public health initiatives has required a review of the education and practice base of community health care nursing. This new edition has been updated throughout with the help of two new co-editors. There is now additional information on school nursing, interprofessional collabor...
An Introduction to Community and Primary Health Care prepares nursing and allied health students for practice.
There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
Over half the world's rural population, and many in urban slums, have minimal access to health services. This book describes how to set up new, and develop existing, community-based health care for, by and with, the community.
How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.
Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recogn...
Markets and Networks examines the impact of the National Health Service internal market on an increasingly important sector of health care - community health services. It examines current developments in the commissioning and purchasing of district nursing, health visiting and community-based therapy services. It discusses the process and recent experience of contracting between health authority and GP fundholder purchasers and community health services providers. Using a variety of sources and qualitative evidence from intensive case studies, it analyses the pattern of relationships between managers, professionals and client/user groups. The central argument is that community health services are extremely difficult to specify and evaluate in contractual terms. Their organization and delivery are based on complex networks requiring interdependence and trust, which are threatened by adversarial contracting and market competition.