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For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.
This book provides the reader with a deeper understanding of the symptoms and palliative care needs of patients with dementia and their families. The book addresses the unique role of different cultures throughout the world and how this impacts psycho-social–spiritual healing. By looking at how patients with dementia are cared for in low-, middle-, and high-income countries, we can not only learn about cultures globally but learn from one another about unique and special models of care. Our hope is that by learning from different cultures, care for patients with dementia and their families will improve on a global scale. The book will be very useful for anyone involved in care for patients with dementia and their families, including neurologists, primary care physicians, psychiatrists, and physiotherapists, nurses, nurse practitioners, psychologists, spiritual ministry, social workers and volunteers.
We live in a rapidly aging world, in which people who are age 60 and older outnumber children under the age of five. This book reveals large and growing gaps in care for older adults in countries at all income levels and shows how to leverage reforms for improving health outcomes for older adults and create healthier, more prosperous communities.Aimed at policy makers and other health and development stakeholders who want to promote healthier aging, Silver Opportunity compiles the latest evidence on care needs and gaps for aging populations. It argues that primary health care should be the cornerstone of integrated service delivery for older people, but primary health care systems must first...
In No Perfect Birth: Trauma and Obstetric Care in the Rural United States, Kristin Haltinner examines the institutional and ideological forces that cause harm to women in childbirth in the rural United States. Interweaving the poignant and tragic stories of mothers with existing research on obstetric care and social theories, Haltinner points to how a medical staff’s lack of time, a mother’s need to navigate and traverse complex spaces, and a practitioner’s reliance on well-trodden obstetric routines cause unnecessary and lasting harm for women in childbirth. Additionally, Haltinner offers suggestions towards improving current practices, incorporating case models from other countries as well as mothers’ embodied knowledge.
This book focuses on the diverse interrelationships between aging and transnationality. It argues that the lives of older people are increasingly entangled in transnational contexts on the social as well as the cultural, economic and political levels. Within these contexts, older people both actively contribute to and are affected by border-crossing processes. In addition, while some may voluntarily opt for adding a transnational dimension to their lives, others may have less choice in the matter. Transnational aging, therefore, provides a critical lens on how older people shape, organize and cope with life in contexts that are no longer bound to the frame of a single nation-state. According...
Highly Commended in Health and Social Care in the 2017 BMA Medical Book Awards. Governance is the systematic, patterned way in which decisions are made and implemented. The governance of a health system therefore shapes its ability to respond to the various well-documented challenges that health systems face today, and its capacity to cope with both everyday challenges and new policies and problems. This book provides a robust framework that identifies five key aspects of governance, distilled from a large body of literature, that are important in explaining the ability of health systems to provide accessible, high-quality, sustainable health. These five aspects are transparency, accountabil...
Health Politics in Europe: A Handbook is a major new reference work, which provides historical background and up-to-date information and analysis on health politics and health systems throughout Europe. In particular, it captures developments that have taken place since the end of the Cold War, a turning point for many European health systems, with most post-communist transition countries privatizing their state-run health systems, and many Western European health systems experimenting with new public management and other market-oriented health reforms. Following three introductory, stage-setting chapters, the handbook offers country cases divided into seven regional sections, each of which ...
Assistive Technology Intervention in Healthcare focuses on various applications of intelligent techniques in biomedical engineering and health informatics. It aims to create awareness about disability reduction and recovery of accidental disability with the help of various rehabilitative systems. Novel technologies in disability treatment, management and assistance, including healthcare devices and their utility from home to hospital, are described. The book deals with simulation, modeling, measurement, control, analysis, information extraction and monitoring of physiological data in clinical medicine and biology. Features Covers the latest evolutionary approaches to solve optimization problems in the biomedical engineering field Explains machine learning–based approaches to improvement in health engineering areas Reviews the IoT, cloud computing and data analytics in healthcare informatics Discusses modeling and simulations in the design of biomedical equipment Explores monitoring of physiological data This book is aimed at researchers and graduate students in biomedical engineering, clinical engineering and bioinformatics.
This Primer is about the 'how' of primary health care (PHC) and brings together best practices and knowledge that countries have generated through 'natural experiments' in strengthening PHC with the best available research evidence. Despite the progress made towards PHC globally, the concept is still often misunderstood, even within the public health community. The Primer offers a contemporary understanding of PHC and more conceptual clarity for strengthening PHC-oriented health systems. It does so by consolidating both scientific evidence and an extensive sample of practical experiences across countries for the needed evidence to address practical implementation issues. The Primer is organi...
Pendant les années 1930, le gouvernement du Québec établissait sur des terres ouvertes à la colonisation des familles frappées par la crise économique. Afin d'assurer un minimum de services de santé à ces colons, il décidait de construire des dispensaires et d'y poster des infirmières dites «de colonie» pour «faire les accouchements» et «fournir un service médical aussi complet que possible». À l'instar de Blanche Pronovost, des centaines d'infirmières ont ainsi occupé, au fil du temps, les 174 postes créés dans la plupart des régions du Québec. Ce livre décrit la pratique de ces infirmières, allant des accouchements aux petites chirurgies en passant par la vaccination, de même que leur présence continue et leur capacité d'écoute. Il explique aussi comment, dans les années 1960-1970, on a aboli leurs postes. En analysant l'ensemble des interventions posées par ces infirmières, il soulève enfin une question d'actualité: qu'est-ce que soigner?