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The New Politics of the NHS has become established over a quarter century and five editions as the key overview of the NHS and its processes and paths of influence. This latest edition remains a clear, easy-to-read guide to often complex debates. It encompasses both the background of the evolution of the NHS since its foundation, and a completely up-to-date picture of its present and future in a more pluralistic - and possibly more financially austere - era in which deference to medical expertise is eroding and information on health and care is far more widely available. Assuming no prior knowledge of NHS politics and systems, The New Politics of the NHS focuses on management, structure, cen...
The COVID-19 pandemic had a profound and persistent impact – a tragic loss of life, changes to established patterns of life and social inequalities laid bare. It brought out the good in many and the worst in others, and raised questions around what is truly important in our lives. In this book, academics, activists and artists come together to remember, and to reflect on, the pandemic. What lessons should we learn? How can things be different when this is over? Sensitive to inequalities of gender, race and class, the book highlights the experience of marginalised and minority groups, and the unjust and uneven spread of violence, deprivation and death. It combines academic analysis with personal testimonies, poetry and images from contributors including Sue Black, Led By Donkeys, Lara-Rose Iredale, Michael Rosen and Gary Younge. This truly inclusive commemorative overview honours the experience of a global disaster lived up close, and suggests the steps needed to ensure we do better next time.
What is the relationship between general practitioners (GPs) and hospital consultants in the United Kingdom? How does government health policy impact upon GPs and hospital consultants? What influence does the medical profession have upon policy makers in the United Kingdom? The medical profession occupies a dominant position within the British health care system and as such is able to influence the development and implementation of health policy. The main division within the medical profession lies between general practitioners and hospital consultants.This book provides a comprehensive analysis of British health policy over the past twenty-five years. Drawing on data from case studies, it p...
Does trust still matter in health care and who does it matter to? Have trust relations changed in the 'New' NHS? What does trust mean to patients, clinicians and managers? In the NHS trust has traditionally played an important part in the relationships between its three key actors: the state, health care practitioners and patients. However, in recent years the environments in which these relationships operate have been subject to considerable change as the NHS has been modernised. Patients are now expected to play a more active role, both in self-managing their illness and in choice of care provider and clinicians are expected to work in teams and in partnership with managers. This unique bo...
Healthcare organizations in the UK and the USA face a growing tide of regulation, accreditation, inspection and external review, all aimed at improving their performance. In the US, over three decades of regulation by state and federal government, and by non-governmental agencies, has created a complex, costly and overlapping network of oversight arrangements for healthcare organizations. In the UK, regulation of the government-run National Health Service is central to current health policy, with the creation of a host of new national agencies and inspectorates tasked with overseeing the performance of NHS hospitals and other organizations. But does regulation work? This book: . explores the...
The United States spends greatly more per person on health care than any other country but the evidence shows that care is often poor and inappropriate. Despite expenditures of 1.7 trillion dollars in 2003, and growing substantially each year, services remain fragmented and poorly coordinated, and more than 46 million people are uninsured. Why can't America, with its vast array of resources, sophisticated technologies, superior medical research and educational institutions, and talented health care professionals, produce higher quality care and better outcomes? In The Truth about Health Care, David Mechanic explains how health care in America has evolved in ways that favor a myriad of econom...
This book reports the results of a major study carried out in eight different European countries to look at health policy dilemmas through the eyes of the patient. Drawing on literature reviews, focus groups and a survey of 1,000 people in each of the eight countries, the book addresses how patients no longer see themselves as passive recipients of care: increasingly they expect to be involved in all decisions that affect them.
To meet the needs of the rapidly changing world of health care, future physicans and health care providers will need to be trained to become wiser scientists and humanists in order to understand the social and moral as well as technological aspects of health and illness. The Social Medicine Reader is designed to meet this need. Based on more than a decade of teaching social medicine to first-year medical students at the pioneering Department of Social Medicine at the University of North Carolina, The Social Medicine Reader defines the meaning of the social medicine perspective and offers an approach for teaching it. Looking at medicine from a variety of perspectives, this anthology features ...
Elijah Stevens, son of John Stevens and Sarah, was born in 1770 in North Carolina. He married his 1st wife, name unknown, about 1790. They had 4 children before she died sometime between 1802 and 1808. Elijah died 1 Sep 1834 in Caldwell, Kentucky. His descendants have lived in Kentucky, Texas, Oklahoma, New Mexico, and other areas in the United States.
Duke University Press is pleased to announce the second edition of the bestselling Social Medicine Reader. The Reader provides a survey of the challenging issues facing today’s health care providers, patients, and caregivers by bringing together moving narratives of illness, commentaries by physicians, debates about complex medical cases, and conceptually and empirically based writings by scholars in medicine, the social sciences, and the humanities. The first edition of The Social Medicine Reader was a single volume. This significantly revised and expanded second edition is divided into three volumes to facilitate use by different audiences with varying interests. Praise for the 3-volume ...