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Many healthcare improvement approaches originated in manufacturing, where end users are framed as consumers. But in healthcare, greater recognition of the complexity of relationships between patients, staff, and services (beyond a provider-consumer exchange) is generating new insights and approaches to healthcare improvement informed directly by patient and staff experience. Co-production sees patients as active contributors to their own health and explores how interactions with staff and services can best be supported. Co-design is a related but distinct creative process, where patients and staff work in partnership to improve services or develop interventions. Both approaches are promoted for their technocratic benefits (better experiences, more effective and safer services) and democratic rationales (enabling inclusivity and equity), but the evidence base remains limited. This Element explores the origins of co-production and co-design, the development of approaches in healthcare, and associated challenges; in reviewing the evidence, it highlights the implications for practice and research. This title is also available as Open Access on Cambridge Core.
Health services administration. --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Medical care --- Health planning --- Public health administration --- Administration --- Management
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Positive deviance is an asset-based improvement approach. At its core is the belief that solutions to problems already exist within communities, and that identifying, understanding, and sharing these solutions enables improvements at scale. Originating in the field of international public health in the 1960s, positive deviance is now, with some adaptations, seeing growing application in healthcare. We present examples of how positive deviance has been used to support healthcare improvement. We draw on an emerging view of safety, known as Safety II, to explain why positive deviance has drawn the interest of researchers and improvers alike. In doing so, we identify a set of fundamental values associated with the positive deviance approach and consider how far they align with current use. Throughout, we consider the untapped potential of the approach, reflect on its limitations, and offer insights into the possible challenges of using it in practice. This title is also available as Open Access on Cambridge Core.
Health services administration. --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Medical care --- Health planning --- Public health administration --- Administration --- Management
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Operational research is a collection of modelling techniques used to structure, analyse, and solve problems related to the design and operation of complex human systems. While many argue that operational research should play a key role in improving healthcare services, staff may be largely unaware of its potential applications. This Element explores operational research's wartime origins and introduce several approaches that operational researchers use to help healthcare organisations: address well-defined decision problems; account for multiple stakeholder perspectives; and describe how system performance may be impacted by changing the configuration or operation of services. The authors draw on examples that illustrate the valuable perspective that operational research brings to improvement initiatives and the challenges of implementing and scaling operational research solutions. They discuss how operational researchers are working to surmount these problems and suggest further research to help operational researchers have greater beneficial impact in healthcare improvement. This title is also available as Open Access on Cambridge Core.
Operations research. --- Health services administration --- Research --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Medical care --- Health planning --- Public health administration --- Operational analysis --- Operational research --- Industrial engineering --- Management science --- System theory --- Administration --- Management
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Das vorliegende Open-Access-Buch adressiert die Frage nach einer leistungsgerechten Vergütung der Nierenersatztherapie unter Berücksichtigung von Prozesszeiten sowie Material- und Medikamentenkosten. Die Verfahren der Nierenersatztherapie nehmen im Rahmen der Finanzierung stationärer Leistungen eine spezielle Rolle ein. Entsprechende Leistungen sind teilweise als Inhalt der Fallpauschale anzusehen, teilweise jedoch additiv zur Fallpauschale über Zusatzentgelte abzurechnen. Weiterhin zeigt es sich, dass die beiden Optionen auf verschiedenen Kalkulationsmethoden gründen. Auch erscheint die medizinische Dokumentationslogik differenzierter als die resultierenden und zumeist abgerechneten Zusatzentgelte. Basierend auf umfangreichen Erhebungen an der Universitätsmedizin Greifswald zu vielfältigen Verfahrensoptionen sowie unter Beachtung der Patientenstruktur werden die Kosten differenziert nach Anzahl möglicher Einflussparameter für verschiedene Szenarien mittels Monte-Carlo-Simulation modelliert und mit deutschlandweiten Daten verglichen. Basierend auf den Erkenntnissen der Kostenstruktur wird anschließend die Erlösseite fokussiert, um Handlungsempfehlungen für eine leistungsgerechte Vergütung auszuarbeiten. Der Autor Markus Krohn ist wissenschaftlicher Mitarbeiter am Lehrstuhl für Allgemeine Betriebswirtschaftslehre und Gesundheitsmanagement an der Universität Greifswald. Seine Forschungsschwerpunkte liegen im Bereich der Finanzierung stationärer Leistungen sowie auf der Durchführung von Kostenanalysen aus Perspektive der Leistungserbringer.
Health services administration. --- Health Care Management. --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Medical care --- Health planning --- Public health administration --- Administration --- Management
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The book called "Inhimillinen ja tehokas sosiaali- ja terveysjohtaminen" (Humane and effective social- and health management) gathers together vital debate on social and health management and its needs both in current and future organisations. The perspectives presented in the book are networks, structures, interaction, professional expertise, couture of knowledge, meaningfulness of work, competence, diversity and experience. Kirja haastaa pohtimaan sosiaali- ja terveysjohtamisen ajankohtaisia kysymyksiä, jotka asemoituvat toimialan uudistumiseen ja etenkin toimialan organisaatioiden johtamiseen. Teos käsittelee johtamiseen liittyviä uudistustarpeita, mutta myös johtamiseen linkittyviä teemoja kuten verkostoja, rakenteita, vuorovaikutusta, ammatillista asiantuntijuutta, tietokulttuuria, työn mielekkyyttä, kyvykkyyttä, monimuotoisuutta ja kokemuksellisuutta. Inhimillisesti tehokasta sosiaali- ja terveydenhuollon johtamista pidetään helposti ristiriitaisena, koska inhimillinen ja tehokas koetaan usein toisilleen vastakkaisiksi ulottuvuuksiksi. Molemmille on kuitenkin nähtävissä synkroninen tilaus kehittyvässä sosiaali- ja terveydenhuollossa. Teoksessa tarjotaan oivalluksia, kuinka inhimillisyys ja tehokkuus voidaan samanaikaisesti huomioida sosiaali- ja terveysjohtamisessa. Kirja sopii sosiaali- ja terveysalan johtajille, johtajaksi hakeutuville tai johtamista opiskeleville. Kirja koostuu mielenkiintoisista luvuista, joita ovat kirjoittaneet alan tutkijat eri tutkimuslaitoksista painottaen myös käytännön antia johtamiselle. Kirja on syntynyt Työsuojelurahaston, Lapin ja Pohjois-Pohjanmaan sairaanhoitopiirien rahoittamassa tutkimuksessa.
Social work administration. --- Health services administration. --- Social pathology --- Social and public welfare. --- Criminology. --- Social service --- Management --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Medical care --- Health planning --- Public health administration --- Crime --- Social sciences --- Criminals --- Administration --- Study and teaching --- competence --- experience --- professional expertise --- networks --- management --- interaction --- health services --- meaningfulness of work --- structures --- social services --- couture of knowledge --- diversity
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Dieses Open-Access-Buch bündelt technische, wirtschaftliche, medizinische und ethische Reflexionen über Pflegeroboter. Pflegeroboter, im Moment noch mehrheitlich Prototypen, unterstützen oder ersetzen menschliche Pflegekräfte bzw. Betreuer. Sie bringen Kranken und Alten die benötigten Medikamente und Nahrungsmittel, helfen beim Hinlegen und Aufrichten oder alarmieren den Notdienst. Vorteile von Pflegerobotern sind durchgehende Verwendbarkeit und gleichbleibende Qualität der Dienstleistung. Nachteile sind Kostenintensität (bei möglicher Amortisation) und Komplexität der Anforderungen. Unter der wissenschaftlichen Leitung von Prof. Dr. Oliver Bendel trafen sich im September 2017 Vertreter verschiedener wissenschaftlicher Disziplinen im Rahmen eines Ladenburger Diskurses der Daimler und Benz Stiftung, um über den aktuellen und künftigen Einsatz von Pflegerobotern zu sprechen und Forschungspotenziale zu identifizieren. Die Autoren gehen in ihren Beiträgen auch Fragen aus Wirtschafts-, Medizin- und Informationsethik nach: Wer trägt die Verantwortung bei einer fehlerhaften Betreuung und Versorgung durch die Maschine? Inwieweit kann diese die persönliche und informationelle Autonomie des Patienten unterstützen oder gefährden? Ist der Roboter eine Entlastung oder ein Konkurrent für Pflegekräfte? Antworten müssen von Wissenschaft und Gesellschaft gefunden werden. Der Inhalt • Pflegeroboter aus technischer Sicht • Aktuelle Beispiele für Pflegeroboter • Roboter in der pflegerischen Versorgung • Ethische Herausforderungen und Leitlinien • Pflegeroboter mit sexuellen Assistenzfunktionen Der Herausgeber Prof. Dr. Oliver Bendel ist Dozent für Wirtschaftsinformatik, Wirtschaftsethik und Informationsethik. Er forscht auf den Gebieten der Informationsethik und der Maschinenethik. Aus diesen Perspektiven beschäftigt er sich auch mit Pflegerobotern.
Business ethics. --- Health care management. --- Business Ethics. --- Health Care Management. --- Business --- Businesspeople --- Commercial ethics --- Corporate ethics --- Corporation ethics --- Professional ethics --- Wealth --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Medical care --- Health planning --- Public health administration --- Moral and ethical aspects --- Administration --- Management --- Health services administration. --- Management science --- Business ethics --- Health services administration
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Hospitals today face a huge number of challenges, including new patterns of disease, rapidly evolving medical technologies, ageing populations and continuing budget constraints. This book is written by clinicians for clinicians and hospital managers, and those who design and operate hospitals. It sets out why hospitals need to change as the patients they treat and the technology to treat them changes. In a series of chapters by leading authorities in their field, it challenges existing models, reviews best practice from many countries and presents clear policy recommendations for policymakers and hospital administrators. It covers the main patient groups and conditions as well as those departments that make modern effective care possible, in imaging and laboratory medicine. Each chapter looks at patient pathways, aspects of workforce, required levels of specialisation and technology, and the opportunities and challenges for optimising the delivery of services in the hospital of the future. This title is also available as Open Access on Cambridge Core.
Health services administration --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Medical care --- Health planning --- Public health administration --- Administration --- Management --- health systems --- health policies --- health administration --- health economics --- health management --- public policy --- hospitals --- oncology --- paediatrics --- gerontology --- emergency medicine --- laboratory medicine --- Europe --- Northern Europe --- Southern Europe --- Western Europe --- Hospitals --- Medical policy. --- Political planning. --- Administration.
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The idea of person-centred health systems is widely advocated in political and policy declarations to better address health system challenges. A person-centred approach is advocated on political, ethical and instrumental grounds and believed to benefit service users, health professionals and the health system more broadly. However, there is continuing debate about the strategies that are available and effective to promote and implement 'person-centred' approaches. This book brings together the world's leading experts in the field to present the evidence base and analyse current challenges and issues. It examines 'person-centredness' from the different roles people take in health systems, as individual service users, care managers, taxpayers or active citizens. The evidence presented will not only provide invaluable policy advice to practitioners and policymakers working on the design and implementation of person-centred health systems but will also be an excellent resource for academics and graduate students researching health systems in Europe.
Health services administration --- Patient-centered health care --- Health planning --- Medical policy --- Medical care --- Citizen participation. --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Public health administration --- Administration --- Management --- health systems --- health policies --- health administration --- health economics --- public policy --- person-centred healthcare --- healthcare research --- clinical practice --- patient rights --- community participation --- health information --- health education --- health literacy
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Managing Modern Healthcare seeks to draw a number of important and grounded lessons about how management networks develop and influence the spread of management knowledge and practice; how management training and development relates to the needs of managers facing challenging conditions; and how those conditions are shaping the nature of healthcare management.
Health services administration. --- Health care teams --- Management. --- Health teams --- Medical care teams --- Patient care teams --- Team work in medicine --- Teamwork in medicine --- Medical cooperation --- Medical personnel --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Medical care --- Health planning --- Public health administration --- Administration --- Management --- Health Management --- Community of practice --- Middle management --- National Health Service --- Nursing
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"Drawing on anthropology, sociology and epidemiology, this multidisciplinary book investigates how pharmaceuticals are produced, distributed, prescribed, and consumed in order to construct a comprehensive understanding of the issues that drive medicine markets in the Global South today. Providing a thorough comparative analysis of the advantages and disadvantages of different pharmaceutical systems, it is an important contribution to the literature on pharmaceutalization and the governance of medication. It is of interest to students, researchers and policy-makers interested in medical anthropology, the sociology of health and illness, global health, healthcare management and pharmacy"--
Health services administration --- Medical policy --- Pharmaceutical industry --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Medical care --- Health planning --- Public health administration --- Drug industry --- Drug trade --- Medicine industry --- Medicines industry --- Prescription medicine industry --- Chemical industry --- Administration --- Management --- Health services administration. --- Pharmaceutical industry.
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