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The Future for Health Promotion
by Colin PalfreyDoes health promotion have a lasting and positive effect on people? With mounting pressure to reduce costs to the NHS and increasing scepticism of the so-called nanny state, health promotion initiatives are increasingly being criticised as costly and ineffective, with many arguing that health inequalities can only be reduced through radical political and economic change. This book examines the methods used to evaluate the value of health promotion projects and determines whether attempts to change people’s lifestyles have proved successful. Taking into account the practical and ethical issues involved in deciding the appropriate approach to take in efforts to reduce health inequalities, the book assesses what might be the best path forward for health promotion.
Health inequalities: Lifecourse approaches (Studies in Poverty, Inequality and Social Exclusion series)
by George Davey SmithThe lifecourse perspective on adult health and on health inequalities in particular, is one of the most important recent developments in epidemiology and public health. This book brings together, in a single volume, the work of one of the most distinguished academics in the field. It is the first to specifically take a lifecourse approach to health inequalities and will be essential reading for academics, students and policy makers with an interest in public health, epidemiology, health promotion and social policy.
The health and social care divide (Revised 2nd Edition): The experiences of older people
by Jon Glasby Rosemary LittlechildDrawing on key research, government policies and real-life case studies, the book assists health and social care professionals to work more effectively together in order to improve services for users and carers. The health and social care divide: explains why partnerships are important and what helps/hinders partnership working; reviews the legal and policy framework, providing a chronological overview and placing current initiatives in their historical and social policy context; summarises existing research findings with regard to key health and social care policy debates; uses case studies to explore the implications of this research for health and social care practitioners; provides good practice guidance for both students and front-line practitioners.
Private complaints and public health: Richard Titmuss on the National Health Service
by Ann Oakley Jonathan BarkerRichard Titmuss was one of the 20th century's foremost social policy theorists. This accessible Reader is the first compendium of his work on public health, health promotion and health inequalities. Most of Titmuss's work has been out of print for many years. This volume, like its predecessor, Welfare and wellbeing (The Policy Press, 2001), is important in bringing the work of this highly influential thinker to the attention of a new generation of social policy students and policy makers. It also enhances current debates about how complex societies can best provide for the health of all their citizens.
Older people and the law (BASW/Policy Press titles)
by Ann McDonald Margaret TaylorThe book is a much-needed revised and updated edition of Elders and the law (PEPAR Publications, 1993). It describes the legal framework for working with older people following the National Health Service and Community Care Act 1990 and the modernising agenda in health and social care. Covering broadly the same ground as the first edition, the length has been considerably expanded to enable topics to be dealt with more comprehensively. It covers the range of legal issues affecting the welfare and financial security of older people in the community and residential settings, and emphasises the empowering nature of legal knowledge. It also describes and explains the application of law and policy relating to older people in the context of social work practice. Written by a social worker and a lawyer, the book highlights the opportunities for interprofessional working and combines professional perspectives on: · providing health and social care services in the community; · housing needs and entering residential care; · dealing with financial matters; · end of life issues. Older people and the law is aimed at all professionals working with older people, but particularly social workers. Its clarity of style means that older people themselves and carers will find it accessible. BASW/Policy Press series The BASW/Policy Press partnership provides the very best in accessible and practical high-quality resources for social work professionals and students. For other titles in this series, please follow the series link from the main catalogue page.
Negotiating death in contemporary health and social care
by Margaret HollowayOnce regarded as taboo, it is now claimed that we are a death-obsessed society. The face of death in the 21st century, brought about by cultural and demographic change and advances in medical technology, presents health and social care practitioners with new challenges and dilemmas. By focusing on predominant patterns of dying; global images of death; shifting boundaries between the public and the private; and cultural pluralism, the author looks at the way death is handled in contemporary society and the sensitive ethical and practical dilemmas facing nurses, social workers, doctors and chaplains. This book brings together perspectives from social science, health-care and pastoral theology to assist the reader in understanding and negotiating this 'new death'. End-of-life care and old age, changing funeral and burial practices, new stigmas such as drug-related bereavements, are highlighted, and theories of dying and bereavement re-examined in their context. The concluding chapters incorporate recent case studies into an exploration of the meanings and shape of holistic and integrated care. Students interested in death studies from a sociological and cultural viewpoint as well as health and social care practitioners, will benefit from its critical appraisal and application of the established knowledge base to contemporary practices and ethical debates.
The handbook of inequality and socioeconomic position: Concepts and measures (Health and Society series)
by Mary Shaw Bruna GalobardesThis Handbook is the definitive resource for anyone wishing to quickly look up and understand key concepts and measurements relating to socioeconomic position and inequalities. A range of key concepts is defined and measures of socioeconomic position and inequality described. Alphabetical listings, cross-referencing, graphs and worked examples, references to web and other sources of further information, all contribute to making the Handbook both engaging and accessible for a wide audience. For students, academics and others involved in social science research it answers questions such as: · 'What's the official government measure of poverty?' · 'What factors make up the Townsend Index of Deprivation?' · 'What is a gini coefficient?' · 'I have to write a report on tackling inequalities in my area - what are the key issues I should consider before I begin?' For practitioners, policy makers, journalists and others who must read, understand and use research in fields as diverse as health, criminology, education, the environment, transport and housing it provides a one-stop, authoritative guide to making sense of and evaluating the significance of often complex methodologies. The authors are all eminent researchers in the field of health inequalities. They have together produced two glossaries for the Journal of Epidemiology and Community Health and have published a large number of books and articles in learned academic journals.
An introduction to genetic epidemiology (Health and Society series)
by Lyle J. Palmer Paul R. BurtonGenetic epidemiology is a very rapidly developing field that has acquired a central role in modern biomedical science. Until now there has been no comprehensive introductory text for students and academics who do not have specialised training in statistics or genetics. This book begins with a primer in human molecular genetics and then examines standard methods in population genetics and genetic epidemiology required for an adequate grounding in the field. Among much else, the book contains discussion of the public health aspects of the new genetics, and of epidemiological methods for studying genes and environmental factors in complex diseases. Written by leading international experts and supplemented by a glossary and in-chapter guides to further reading, this essential textbook will be widely welcomed by teachers and students on many courses internationally.
Public health ethics and practice
by Stephen Peckham Alison HannEthical dilemmas are not new in the area of health care and policy making, but in recent years, their frequency and diversity have grown considerably. All health professionals now have to consider the ethical implications of an increasing array of treatments, interventions and health promotion activities on an almost daily basis. This goes hand in hand with increasing medical knowledge, and the growth of new and innovative medical technologies and pharmaceuticals. In addition, the same technology and knowledge is increasing professional and public awareness of new potential public health threats (e.g. pandemic influenza). At the level of public policy, concerns over the rising costs of health care have led to a more explicit focus on 'health promotion', and the surveillance of both 'patients' and the so-called 'worried well'. Health professionals and policy makers also have to consider the implications of managing these risks, for example restricting individual liberty through enforced quarantine (in the wake of SARS and more recently swine flu) and the more general distribution of harms and benefits. Balancing the rights and responsibilities of individuals and wider populations is becoming more complex and problematic. This book will play a key role in opening out a discussion of public health ethics. It examines the principles and values that support an ethical approach to public health practice and provides examples of some of the complex areas which those practising, analysing and planning the health of populations have to navigate. It will therefore be essential reading for current practitioners, those involved in public health research and a valuable aid for anyone interested in examining the tensions within and the development of public health.
What works in tackling health inequalities?: Pathways, policies and practice through the lifecourse (Studies in Poverty, Inequality and Social Exclusion series)
by Sheena Asthana Joyce HallidayIn recent years, tackling health inequalities has become a key policy objective in the UK. However, doubts remain about how best to translate broad policy recommendations into practice. One key area of uncertainty concerns the role of local level initiatives. This book identifies the key targets for intervention through a detailed exploration of the pathways and processes that give rise to health inequalities across the lifecourse. It sets this against an examination of both local practice and the national policy context, to establish what works in health inequalities policy, how and why. Authoritative yet accessible, the book provides a comprehensive account of theory, policy and practice. It spans the lifecourse from the early years to old age and explores the links between biological, psychological, social, educational and economic factors and a range of health outcomes. In addition it describes key policy initiatives, assesses research evidence of 'what works' and examines the limitations of the existing evidence base and highlights key areas of debate. What works in tackling health inequalities? is essential reading for academics and students in medical sociology, social psychology, social policy and public health, and for policy makers and practitioners working in public health and social exclusion.
Life-Threatening Rashes: An Illustrated, Practical Guide
by Emily RoseThis book is a visually focused and clinically relevant volume detailing pearls and practical points regarding acute life-threatening rashes. Each chapter covers life-threatening causes of rash or their significant mimics, including Steven Johnson Syndrome, Kawasaki Disease, and HIV. The authors discuss the classic presentation of rashes along with associated symptoms. Additionally, they examine atypical presentations of the rash and key physical exam findings to confirm or exclude the life-threatening diagnosis. The chapters are highly visual with multiple color photos as well as tables to aid the clinician in differentiating between other mimicking conditions and causes of rashes. Coverage continues beyond diagnosis to include management and potential complications. Each chapter concludes with clinical pearls or take-away points that clinicians can easily memorize for quick decision making. This is an ideal reference for all clinicians who encounter patients with rashes, particularly emergency medicine providers.
Modernising health care: Reinventing professions, the state and the public
by Ellen KuhlmannModernising health care: Reinventing professions, the state and the public is a crucial contribution to debates about the rapid modernisation of health care systems and the dynamics of changing modes of governance and citizenship. Structured around the role of the professions as mediators between state and citizens, and set against a background of tighter resources and growing demands for citizenship rights, Ellen Kuhlmann's book offers a much-needed comparative analysis, using the German health care system as a case study. The German system, with its strongly self-regulatory medical profession, exemplifies both the capacity of professionalism to re-make itself, and the role of the state in response, highlighting the benefits and dangers of medical self-regulation, while demonstrating the potential for change beyond marketisation and managerialism. Kuhlmann critically reviews dominant models of provider control and user participation, and empirically investigates different sets of dynamics in health care, including tensions between global reform models and nation-specific conditions; interprofessional dynamics and changing gender arrangements; the role of the service-user as a new stakeholder in health care; and the rise of a new professionalism shaped by social inclusion. Modernising health care provides new approaches and a wealth of new empirical data for academics and students of health policy, medical sociology and sociology of professions, and for health policy makers and managers.
Cardiology Consult Manual
by Hanna Z. Mieszczanska Adam S. BudzikowskiThis book comprehensively covers the latest advances in cardiovascular medicine. Key diagnostic and treatment points are reviewed across a range of cardiovascular issues, including concurrent cardiac problems, patients with cancer, peri-operative surgical and post-trauma patients, patients in the emergency department, pregnancy in the obstetric units, and the care of critically ill patients in medical and surgical intensive care units. Cardiology Consult Manual provides a detailed and clinically relevant guide for the cardiology practitioner of the potential cardiac issues encountered within the cardiology consult service and also a range of professionals in related disciplines. It therefore provides an important resource for all cardiology trainees, fellows, practitioners and health care providers involved in the management of patients with cardiovascular disease.
Drinking in Victorian and Edwardian Britain (PDF): Beyond the Spectre of the Drunkard
by Thora HandsThis open access book surveys drinking in Britain between the Licensing Act of 1869 and the wartime regulations imposed on alcohol production and consumption after 1914. This was a period marked by the expansion of the drink industry and by increasingly restrictive licensing laws. Politics and commerce co-existed with moral and medical concerns about drunkenness and combined, these factors pushed alcohol consumers into the public spotlight. Through an analysis of public and private records, medical texts and sociological studies, the book investigates the reasons why Victorians and Edwardians consumed alcohol in the ways that they did and explores the ideas about alcohol that circulated in the period. This book shows that they had many reasons for purchasing and consuming alcoholic substances and these were driven by broader social, cultural, medical and commercial factors. Although drunkenness may have been the most visible consequence of alcohol consumption, it was not the only type of drinking behaviour. Alcohol played an important social role in the everyday lives of Victorians and Edwardians where its consumption held many different meanings.
Citizens at the centre: Deliberative participation in healthcare decisions
by Celia Davies Margaret WetherellInvolving citizens in policy decision-making processes - deliberative democracy - has been a central goal of the Labour government since it came to power in 1997. But what happens when members of the public are drawn into unfamiliar debate, with unfamiliar others, in the unfamiliar world of policy making at national level? This book sets out to understand the contribution that citizens can realistically be expected to make. Drawing on the lessons from an ethnographic study of a public involvement initiative in the health service - the Citizens Council of NICE (National Institute for Clinical Excellence) - the book explores the practical realities behind the much-quoted faith in 'deliberation' that underpins so many models of public involvement and presents the analysis of sixty four hours of video and audiotape capturing a warts-and-all picture of deliberation in action. It sets deliberative participatory initiatives within a broad inter-disciplinary context and challenges politicians, policy-makers and academics to develop more realistic approaches to democratic innovation. Citizens at the centre will be of interest to academics and students in social policy, sociology, politics, health, social care, economics, and public administration and management. It will also be valuable to anyone involved in the policy making process, not only in the UK, but also in Europe, the USA and other countries where deliberative democracy is being implemented or discussed.
Placing health: Neighbourhood renewal, health improvement and complexity
by Tim BlackmanWhere people live matters to their health. Health improvement strategies often target where people live, but do they work? Placing health tackles this question through an examination of England's Neighbourhood Renewal Strategy and its health targets. It evaluates the evidence base for the strategy, compares experiences from the United States and elsewhere in Europe, and illustrates the relevance of complexity theory to area-based health improvement work. The book brings together these topical issues with a social science analysis of current programmes based on the methods and concepts of complexity thinking. It concludes by setting out how local action based on these ideas offers a new approach to area-based health improvement work. Placing health is aimed at researchers, academics and students in the social and health sciences with an interest in area-based health improvement work, as well as practitioners in health services, local government and voluntary agencies working on neighbourhood renewal and health projects.
Health inequalities and welfare resources: Continuity and change in Sweden (Health and Society series)
by Johan Fritzell Olle LundbergForeword by Lisa Berkman, Professor of Public Policy, Harvard University How welfare states influence population health and health inequalities has long been debated but less well tested by empirical research. This book presents new empirical evidence of the effects of Swedish welfare state structures and policies on the lives of Swedish citizens. The discussion, analysis and innovative theoretical approaches developed in the book have implications for health research and policy beyond Scandinavian borders. Drawing on a rich source of longitudinal data, the Swedish Level of Living Surveys (LNU), and other data, the authors shed light on a number of pertinent issues in health inequality research while at the same time showing how health inequalities have evolved in Sweden over several decades. Topics covered include how structural conditions relating to family, socio-economic conditions and the welfare state are important in producing health inequalities; how health inequalities change over the lifecourse and the impact of environment on health inequalities - at home, at school, in the workplace. Health inequalities and welfare resources will be invaluable to researchers, students and practitioners in sociology, social epidemiology, public health and social policy interested in the interplay between society and health.
Ethics: Contemporary challenges in health and social care
by Audrey Leathard Susan McLarenWhile ethics has been addressed in the health care literature, relatively little attention has been paid to the subject in the field of social care. This book redresses the balance by examining theory, research, policy and practice in both fields. The analysis is set within the context of contemporary challenges facing health and social care, not only in Britain but internationally. Contributors from the UK, US and Australia consider ethical issues in health and social care research and governance; interprofessional and user perspectives; ethics in relation to human rights, the law, finance, management and provision; key issues of relevance to vulnerable groups such as children and young people, those with complex disabilities, older people and those with mental health problems and lifecourse issues - ethical perspectives on a range of challenging areas from new technologies of reproduction to euthanasia. This book is intended for academics, students and researchers in health and social care who need an up-to-date analysis of contemporary issues and debates. It will also be useful to practitioners in the public, private and voluntary sectors, including social workers, community workers, those working in the fields of disability and mental health and with older people.
Rethinking palliative care: A social role valorisation approach
by Paul SinclairThis book's striking message is that palliative care does not deliver on its aims to value people who are dying and make death and dying a natural part of life. This book draws from wider social science perspectives and critically and specifically applies these perspectives to palliative care and its dominant medical model. Applying Social Role Valorisation, the author argues for the de-institutionalisation of palliative care and the development of an alternative framework to the approaches found in hospices, palliative care units and community-based palliative care services. He offers a new conceptualisation of death and loss that refines and expands modern understandings in a way that also resonates with traditional religious views concerning death. Wide-ranging recommendations advise fundamental change in the concept of palliative care, the way support and services are organised and the day to day practice of palliative care. Rethinking palliative care will be of interest to academics, students and practitioners in palliative care as well as those in disability, social policy, sociology, social work, religion, thanatology, nursing and other health related fields.
Fracture: Adventures of a broken body
by Ann OakleyThe starting point of Ann Oakley's fascinating book is the fracture of her right arm in the grounds of a hotel in the USA. What begins as an accident becomes a journey into some critical themes of modern Western culture: the crisis of embodiment and the perfect self; the confusion between body and identity; the commodification of bodies and body parts; the intrusive surveillance and profiteering of medicine and the law; the problem of ageing; and the identification of women, particularly, with bodies - from the intensely ambiguous two-in-one state of pregnancy to women's later transformation into unproductive, brittle skeletons. Fracture mixes personal experience (the author's and other people's) with 'facts' derived from other literatures, including the history of medicine, neurology, the sociology of health and illness, philosophy, and legal discourses on the right to life and people as victims of a greedy litigation system. The book's genre spans fiction/non-fiction, autobiography and social theory.
Dysphagia: Clinical Management In Adults And Children (PDF)
by Michael E. Groher Michael A. CraryDevelop the understanding and clinical reasoning skills you'll need to confidently manage dysphagia in professional practice! This logically organized, evidence-based resource reflects the latest advancements in dysphagia in an approachable, student-friendly manner to help you master the clinical evaluation and diagnostic decision-making processes. Realistic case scenarios, detailed review questions, and up-to-date coverage of current testing procedures and issues in pediatric development prepare you for the conditions you'll face in the clinical setting and provide an unparalleled foundation for professional success.
Challenging health inequalities: From Acheson to Choosing Health (Health and Society series)
by Elizabeth Dowler Nick J. SpencerThis book offers a unique multi-disciplinary perspective on tackling health inequalities in a rich country, examining the New Labour policy agenda for tackling health inequalities and its inherent challenges. The book presents an overview of progress since the publication of the seminal and ambitious 1998 Acheson Inquiry into health inequalities, and the theoretical and methodological issues underpinning health inequalities. The contributors consider the determinants of inequality - for example, early childhood experience and ethnicity - the factors that mediate the relationship between determinants and health - nutrition, housing and health behaviour - and the sectoral policy interventions in user involvement, local area partnership working and social work. Challenging health inequalities offers a combination of broad analysis of progress from differing perspectives and will be key reading to academics, students and policy makers.
Community health and wellbeing: Action research on health inequalities (Health and Society series)
by Steve Cropper Alison PorterImproving health in populations in which health is poor is a complex process. This book argues that the traditional government approach of exhorting individuals to live healthier lifestyles is not enough - action to promote public health needs to take place not just through public agencies, but also by engaging community assets and resources in their broadest sense. The book reports lessons from the experience of planning, establishing and delivering such action by the five-year Sustainable Health Action Research Programme (SHARP) in Wales. It critically examines the experience of SHARP in relation to current literature on policy; community health and health inequalities; and action research. The authors make clear how this regional development has produced opportunities for developing general concepts and theory about community-based policy developments that are relevant across national boundaries and show that complex and sustained community action, and effective local partnership, are fundamental components of the mix of factors required to address health inequalities successfully. The book concludes by indicating the connections between SHARP and earlier traditions of community-based action, and by arguing that we need to be bolder in our approaches to community-based health improvement and more flexible in our understanding of the ways in which knowledge and inform developments in health policy. The book will be of interest to practitioners and activists working in community-based projects; students in community development, health studies and medical sociology; professionals working in health promotion, community nursing and allied areas; and policy makers working at local, regional and national levels.
Social inequality and public health
by Salvatore J. BabonesPublic health in the early 21st century increasingly considers how social inequalities impact on individual health, moving away from the focus on how disease relates to the individual person. This 'new public health' identifies how social, economic and political factors affect the level and distribution of individual health, through their effects on individual behaviours, the social groups people belong to, the character of relationships to others and the characteristics of the societies in which people live. The rising social inequalities that can be seen in nearly every country in the world today present not just a moral danger, but a mortal danger as well. Social inequality and public health brings together the latest research findings from some of the most respected medical and social scientists in the world. It surveys four pathways to understanding the social determinants of health: differences in individual health behaviours; group advantage and disadvantage; psychosocial factors in individual health; and healthy and unhealthy societies, shedding light on the costs and consequences of today's high-inequality social models. This exciting book brings together leaders in the field discussing their latest research and is a must-read for anyone interested in public health and social inequalities internationally.
Rethinking professional governance: International directions in healthcare
by Ellen Kuhlmann Mike SaksThis original and innovative book opens up new perspectives in health policy debate, examining the emerging international trends in the governance of health professions and the significance of national contexts for the changing health workforce. In bringing together research from a wide range of continental European countries as well as the United Kingdom, Canada and Australia, the contributors highlight different arenas of governance, as well as the various players involved in the policy process. They expand the public debate on professional governance - hitherto mainly limited to medical self-regulation - to encompass a broad span of health care providers, from nurses and midwives to alternative therapists and health support workers. The book provides new data and geopolitical perspectives in the debate over how to govern health care. It helps to better understand both the enabling conditions for, and the barriers to, making professionals more accountable to the interests of a changing public. This book will be a valuable resource for students at an undergraduate and postgraduate level, particularly for health programmes, sociology of professions and comparative health policy, but also for academics, researchers and managers working in health care.