Legally mandated nurse-to-patient ratios are one of the most controversial topics in health care today. Ratio advocates believe that minimum staffing levels are essential for quality care, better working conditions, and higher rates of RN recruitment and retention that would alleviate the current global nursing shortage. Opponents claim that ratios will unfairly burden hospital budgets, while reducing management flexibility in addressing patient needs.
Safety in Numbers is the first book to examine the arguments for and against ratios. Utilizing survey data, interviews, and other original research, Suzanne Gordon, John Buchanan, and Tanya Bretherton weigh the cost, benefits, and effectiveness of ratios in California and the state of Victoria in Australia, the two places where RN staffing levels have been mandated the longest. They show how hospital cost cutting and layoffs in the 1990s created larger workloads and deteriorating conditions for both nurses and their patients—leading nursing organizations to embrace staffing level regulation. The authors provide an in-depth account of the difficult but ultimately successful campaigns waged by nurses and their allies to win mandated ratios. Safety in Numbers then reports on how nurses, hospital administrators, and health care policymakers handled ratio implementation.
With at least fourteen states in the United States and several other countries now considering staffing level regulation, this balanced assessment of the impact of ratios on patient outcomes and RN job performance and satisfaction could not be timelier. The authors' history and analysis of the nurse-to-patient ratios debate will be welcomed as an invaluable guide for patient advocates, nurses, health care managers, public officials, and anyone else concerned about the quality of patient care in the United States and the world.
Описание: The third edition of HIT or Miss presents and dissects a wide variety of HIT failures so that the reader can understand in each case what went wrong and why and how to avoid such problems, without focusing on the involvement of specific people, organizations, or vendors.
Автор: Chambers Название: Improving Processes for Health Care Delivery ISBN: 3031190424 ISBN-13(EAN): 9783031190421 Издательство: Springer Рейтинг: Цена: 7317.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: This work prepares current and future managers and consultants focused on health care delivery systems to improve the efficiency of processes that deliver care. This material will help you manage capacity, improve patient flow, estimate process costs, and conduct experiments that lead to process improvement. Essential tools covered include process mapping and measurement, data collection and analysis, and the use of discrete event simulation as a tool for virtual experimentation and improvement. Tools are introduced with no assumption of prior training. Many examples of settings, problems, and solutions are presented, along with a generalized approach to process improvement that is specifically tailored to health care settings. Readings, exercises, and cases suitable for discussion or end-course projects are also provided. Writing is based on a decade of experience teaching at the MBA and MS levels, managing dozens of improvement processes, and a host of our prior scholarly publications, book chapters, and case studies.
Автор: Gray, Andrew Название: Changing Clinical Care ISBN: 1846192021 ISBN-13(EAN): 9781846192029 Издательство: Taylor&Francis Рейтинг: Цена: 7654.00 р. Наличие на складе: Нет в наличии.
Описание: This ambitious book examines how the American health care system must be further reformed to bring it closer in line with the ideals of a modern democracy, as well as how the ACA may change in the coming years. It suggests the next, natural step in the realization of health and well being as a fundamental human right.
This distinguished collection stands out from the recent flurry of books on health reform by its sustained and sophisticated analysis of the political dimension. In The Politics of Health Care Reform, some of America’s best-known political scientists, historians, and legal scholars make sense of our most turbulent policy issue. They dig below the jargon and minutiae to explore the enduring questions of American politics, government reform, and health care. The Politics of Health Care Reform explains how successful reforms occur in the United States and shows what is unique about health care issues. Theoretically informed, politically astute, historically nuanced, this volume takes an inventory of our health policy infrastructure. Here is an account of the institutions, ideas, and interests that shape health policy in the 1990s: Congress, the federal courts, interest groups, state governments, the public bureaucracy, business (large and small), the insurance industry, the medical profession. The volume offers a fresh look at such critical matters as public opinion, the politics of race and gender, and the lessons we can draw from other nations. The Politics of Health Care Reform is the definitive collection of political science essays about health care. Expanded from two special issues of the Journal of Health Politics, Policy and Law, the most prominent scholarly journal in the field it helped create, this collection will enliven the present debate over health reform and instruct everyone who is concerned about the future of American health care.
Contributors. Lawrence Brown, Robert Evans, William Glaser, Colleen Grogan, Robert Hackey, Lawrence Jacobs, Nancy Jecker, Taeku Lee, Joan Lehman, David McBride, Ted Marmor, Cathie Jo Martin, James A. Morone, Mark Peterson, David Rochefort, Rand Rosenblatt, David Rothman, Joan Ruttenberg, Mark Schlesinger, Theda Skocpol, Michael Sparer, Deborah Stone, Kenneth Thorpe
Автор: Braithwaite, Jeffrey Matsuyama, Yukihiro Johnson, Julie Название: Healthcare reform, quality and safety ISBN: 1472451406 ISBN-13(EAN): 9781472451408 Издательство: Taylor&Francis Рейтинг: Цена: 26796.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: Offers a global perspective on healthcare reform and its relationship with efforts to improve quality and safety. This book looks at the ways reforms have developed in 30 countries, and specifically the impact national reform initiatives have had on the quality and safety of care.
Автор: Dhooper S Название: Social Work in Health Care: Second Edition ISBN: 1452206201 ISBN-13(EAN): 9781452206202 Издательство: Sage Publications Рейтинг: Цена: 23285.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: This book is a comprehensive look at the US healthcare industry from its historical development to its current status. It pays particular attention to four domains of health care and the role that social workers play in these roles in the present day and in the future.
Автор: Brian A. Soileau Название: Medical Care: Past, Present and Future Perspectives ISBN: 1536180483 ISBN-13(EAN): 9781536180480 Издательство: Nova Science Рейтинг: Цена: 11562.00 р. Наличие на складе: Невозможна поставка.
Описание: This book first presents important research regarding the possible pathophysiological mechanisms of fibromyalgia. Current research suggests that the basis for fibromyalgia may be a modified physiology of the central nervous system, with the nature of changes in the brain directing the thinking that fibromyalgia could be a primary brain disease. Next, in order to examine the effects of complex interdisciplinary neurophysiotherapy, five girls with Rett syndrome were included in an experimental study to assess gross motor function before and after habilitation. Rett syndrome is a rare genetic neurological syndrome, affecting almost only females and leading to severe impairments in all areas of the affected persons life, including speech, mobility, posture, digestive and pulmonary function. Subsequently, in order to study the degenerative processes of endplate chondrocytes in vitro, the authors present a relatively quick and easy protocol for the isolation of human chondrocytes from vertebral endplates. In closing, the mechanisms of the intervertebral disc degeneration and associated factors are presented, as well as short-term surgical results with microdiscectomy treatment.
Автор: Auslander, Gail K Название: International Perspectives on Social Work in Health Care ISBN: 0789003252 ISBN-13(EAN): 9780789003256 Издательство: Taylor&Francis Рейтинг: Цена: 23734.00 р. Наличие на складе: Нет в наличии.
Название: Prospects for the National Health ISBN: 1138952400 ISBN-13(EAN): 9781138952409 Издательство: Taylor&Francis Рейтинг: Цена: 24499.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: The British National Health Service celebrated its thirtieth birthday in 1978. A Royal Commission was set up to consider the role of the National Health Service, and it is the debates that surrounded this Royal Commission that form the basis for the twelve topics covered by this book. The economic difficulties that the country was facing when this book was published in 1979 highlighted the widely publicised malaise in the health service, and exposed the limitation of a set of ideals developed by the NHS in the years after the Second World War. These limitations, reflected in the economic recession of all industrial countries, presented a challenge and thus an opportunity to re-examine the nature and purpose of our health service. Although this work offered no easy solutions, it did present significant implications for public debate and public appraisal of the prospects of the National Health Service, and greatly mirrors the debates that have been stirring in more recent years. This title will be of interest to students of sociology.
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