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Offering a concise yet comprehensive overview, this textbook explains the fundamental concepts and frameworks that underpin the field of public health. Chapters define key terms and cover topics such as measuring health, technology, equity, leadership, health systems and reform. Real-world health issues, including COVID-19, obesity, HIV/AIDS and climate change, are used to make abstract ideas more easily digestible. Designed for students and professionals interested in public health, it includes learning objectives, illustrative examples, summaries of key takeaways, and comprehension and discussion questions to aid navigation and learning. An instructor manual and test bank are available as supplementary resources.
Why do health inequalities persist even in systems promising universal coverage? A key reason is the hidden challenge of long-term treatment adherence. When patients struggle to stay on track, existing inequalities deepen. But is strict adherence always the best route to wellbeing? Life brings competing priorities, and treatment should not eclipse everything else-yet structural injustices often leave disadvantaged patients with few options. This book explores the lived reality of chronic illness, revealing how healthcare can support patients in balancing treatment with everyday demands. It emphasises person-centered care, highlighting the fragility of illness and the need for socially aware support beyond clinical routines. At its core is a bold ethical framework for chronic care, urging shared responsibility to address cumulative disadvantage. Thought-provoking and timely, this book challenges assumptions and offers a vision for care that is humane, equitable, and ethically grounded.
This comprehensive guide presents a data science approach to healthcare quality measurement and provider profiling for policymakers, regulators, hospital quality leaders, clinicians, and researchers. Two volumes encompass basic and advanced statistical techniques and diverse practical applications. Volume 1 begins with a historical review followed by core concepts including measure types and attributes (bias, validity, reliability, power, sample size); data sources; target conditions and procedures; patient and provider observation periods; attribution level; risk modeling; social risk factors; outlier classification; data presentation; public reporting; and graphical approaches. Volume 2 introduces causal inference for provider profiling, focusing on hierarchical regression models. These models appropriately partition systematic and random variation in observations, accounting for within-provider clustering. Item Response Theory models are introduced for linking multiple categorical quality metrics to underlying quality constructs. Computational strategies are discussed, followed by various approaches to inference. Finally, methods to assess and compare model fit are presented.
This comprehensive guide presents a data science approach to healthcare quality measurement and provider profiling for policymakers, regulators, hospital quality leaders, clinicians, and researchers. Two volumes encompass basic and advanced statistical techniques and diverse practical applications. Volume 1 begins with a historical review followed by core concepts including measure types and attributes (bias, validity, reliability, power, sample size); data sources; target conditions and procedures; patient and provider observation periods; attribution level; risk modeling; social risk factors; outlier classification; data presentation; public reporting; and graphical approaches. Volume 2 introduces causal inference for provider profiling, focusing on hierarchical regression models. These models appropriately partition systematic and random variation in observations, accounting for within-provider clustering. Item Response Theory models are introduced for linking multiple categorical quality metrics to underlying quality constructs. Computational strategies are discussed, followed by various approaches to inference. Finally, methods to assess and compare model fit are presented.
The ability to critically read health research literature and determine its validity is a cornerstone of evidence-based medicine (EBM) and health care (EBHC). Using this knowledge, along with their individual clinical experience and the preferences of their patients, to make informed decisions about treatment is an essential skill for a healthcare practitioner. This fully updated edition of a highly successful text educates the principles of research study methodology and design, along with core elements of biostatistics and epidemiology as applied to health care studies. A new chapter on EBM and the media has been added in response to increasing awareness of misinformation from traditional and social media. Accompanying online resources will enable readers to test their learning through a series of questions and exercises, accessible through a code printed inside the book. This is an ideal introductory text for medical and health sciences students and a wide range of other healthcare professionals.
Critical Review for the MRCPsych is a practical and exam-focused resource to support preparation for the MRCPsych Critical Review paper. Written by the exam panel chair, this essential guide makes research methods and statistics accessible through clinically relevant examples. Complex concepts are explained in plain language and reinforced with psychiatry-focused examples, clear graphs, and easy-to-follow tables, making this ideal for readers without a formal research background. Each chapter is aligned with the MRCPsych Critical Review syllabus and concludes with concise summaries for quick revision. Practice multiple-choice questions throughout the book enable readers to test knowledge, sharpen exam technique, and build confidence. Combining clarity, accessibility, and exam relevance, it is an essential companion for mastering one of the most challenging areas of psychiatric training.
In the aftermath of the assassination of UnitedHealthcare CEO Brian Thompson in December 2024, everyday Americans took to social media to share stories of the challenges they'd faced trying to navigate the American health insurance system. Why did this event strike such a nerve with the American public? For a topic as central to the lives of Americans as health care, there is no book that examines the impact of coverage denial, whereby health insurers decide whether to cover health services that appear to be within the scope of a plan's benefits – not until now. In Coverage Denied, health policy professor Miranda Yaver offers a sobering account of the ways in which coverage denials damage patient health and exacerbate inequalities along income, education, and racial lines. Combining rich interview material with original survey data, Yaver draws critical attention to the tens of millions of medical claims denied by health insurers every year, shining a necessary light on our inequitable health care system.
An intricate landscape of bias permeates biomedical research. In this groundbreaking exploration the myriad sources of bias shaping research outcomes, from cognitive biases inherent in researchers to the selection of study subjects and data interpretation, are examined in detail. With a focus on randomized controlled trials, pharmacologic studies, genetic research, animal studies, and pandemic analyses, it illuminates how bias distorts the quest for scientific truth. Historical and contemporary examples vividly illustrate the impact of biases across research domains. Offering insights on recognizing and mitigating bias, this comprehensive work equips scientists and research teams with tools to navigate the complex terrain of biased research practices. A must-read for anyone seeking a deeper understanding of the critical role biases play in shaping the reliability and reproducibility of biomedical research.
Recent years have witnessed a burgeoning international literature which seeks to analyse the construction of health and health policy through an analytical lens drawn from post-Foucauldian ideas of governmentality. This book is the first to apply the theoretical lens of post-Foucauldian governmentality to an analysis of health problems, practices, and policy in Ireland. Drawing on empirical examples related to childhood, obesity, mental health, smoking, ageing and others, it explores how specific health issues have been constructed as problematic and in need of intervention in the Irish State. The book focuses specifically on how Jean Jacques Rousseau's critical social theory and normative political theory meet as a conception of childhood. The 'biosocial' apparatus has recently been reconfigured through a policy framework called Healthy Ireland, the purpose of which is to 'reduce health inequalities' by 'empowering people and communities'. Child fatness continues to be framed as a pervasive and urgent issue in Irish society. In a novel departure in Irish public health promotion, the Stop the Spread (STS) campaign, free measuring tapes were distributed throughout Ireland to encourage people to measure their waists. A number of key characteristics of neoliberal governmentality, including the shift towards a market-based model of health; the distribution of power across a range of agents and agencies; and the increasing individualisation of health are discussed. One of the defining features of the Irish health system is the Universal Health Insurance and the Disability Act 2005.
Shell-shocked British Army veterans in Ireland, 1918–39: A difficult homecoming tells the story of Irish veterans of the First World War who suffered from psychoneurotic ailments as a result of war service. Relying on previously untouched and newly released archival material, this monograph is a thematic analysis dedicated to the rehabilitation of mentally ill pensioners who returned to civil society and those who received institutional treatment. The unique socio-political and economic circumstances in Ireland ensures the Irish experience of post-war mental illness and disability does not reflect previous British-centric works. This case study argues that the post-war care and rehabilitation of mentally ill veterans of the Great War was dictated by unique bio-psycho, socio-economic, cultural and political concerns.
Healthcare organizations face ongoing challenges, including staff shortages, high rates of burnout, and a complex regulatory and financial environment. This book is among the first of its kind to introduce Polyvagal Theory (PVT), and how it explains human behavior under stress. Understanding human responses to stressful situations holds significant value in enhancing patient care and operational efficiency, leading to happier staff, increased productivity and decreased costs. PVT can be widely applied, including in human resources and workplace policies and procedures, providing significant benefit in both direct patient care and business aspects of any health care organization. Exploring the core tenets of PVT, this book equips healthcare providers and organizations with the knowledge to understand and apply this theory effectively. Featuring easy-to-understand exercises which can be applied in any setting, this is an essential guide for all healthcare providers seeking to implement PVT into their policies, procedures, and clinical interventions.
The inhabitants of most OECD countries tend to regard state intervention in the everyday lives of individual citizens and in society at large with certain scepticism. Health promotion is really not about curing diseases or even about preventing diseases. The overall aim of this book is to provide a critical understanding of current health promotion ideas and practices unfolding in liberal democracies. It identifies and discusses the merits and the limitations of the most influential political science and sociological analyses seeking to critically address contemporary politics of health. Foucault's analytics of power and government are discussed. The book then seeks to provide a solid understanding of the wider political context of health promotion in England and Denmark, examining obesity control in these regions. It also analyses how and why psychiatric patients, particularly those with chronic mental illness in England and Denmark, are urged to take charge of their mental illness with reference to the notion of rehabilitation. Key shifts in predominant forms of political rationalities and expert knowledge on how best to treat psychiatric patients are also analysed. Finally, the book examines how expert knowledge and political rationalities informed political interventions (policies, programmes, and technologies) in an attempt to promote rehabilitation along with increased implementation of community- based treatment. It summarizes the analytical findings regarding the governing of citizens through lifestyle and rehabilitation respectively. Further research is required on the politics of health promotion.
How healthy you are is dependent on where you live. Americans suffer more cancers, heart disease, mental illness, and other chronic diseases than those who live in other wealthy nations, despite having the most expensive healthcare system in the world. Why? Embark on a journey to unravel the profound impact of public policies on American health from before birth in Born Sick in the USA: Improving the Health of a Nation. Delve into the intricate web where economic inequality weaves a tapestry of sickness stemming from a highly stressed society. This compelling read illuminates the need for transformative change in social safety nets and public policies to uplift national health and well-being. Through vivid storytelling, the book unveils the symptoms, diagnosis, and 'medicine' required to steer the nation toward a healthier future. Join the movement for a healthier America by embracing the insightful revelations and empowering calls to action presented within the pages of this eye-opening book.
Saving sick Britain lays down a challenge to every citizen, to British institutions, policymakers and scientists. Epidemics in common diseases and conditions like diabetes and depression pose systemic risks to society, which are as serious as those from Covid-19. These modern plagues are the challenge of our times. The authors argue that these epidemics require us to think afresh about the prevention of disease. They first examine the basics of contemporary political philosophy and modern biology to redefine what ‘health’ really means. They then outline a practical way to focus society relentlessly on maintaining the health of all its citizens. This plan is not just another reform of the National Health Service. It calls for far more than that. The authors aim to construct a national ‘Health Society’ and this requires across-the-board reform of the entirety of public policy. Every department of government – national and local – needs to change. Every workplace, every employer, every community organisation and every citizen has a role to play. Because the authors have a background in basic biology, they come at the problem of prevention from a new direction, unburdened by the traditions of the medical profession or by ideological dogma. Two millennia ago, Hippocrates said prevention was better than cure, and Cicero said population health was the supreme law. They were right. But they could do precious little about it. Yuille and Ollier show how today we can turn their insights into reality.
Now in its fourth edition, this best-selling, highly praised text has been fully revised and updated with expanded sections on propensity analysis, sensitivity analysis, and emulation trials. As before, it focuses on easy-to follow explanations of complicated multivariable techniques including logistic regression, proportional hazards analysis, and Poisson regression. The perfect introduction for medical researchers, epidemiologists, public health practitioners, and health service researchers, this book describes how to preform and interpret multivariable analysis, using plain language rather than mathematical formulae. It takes advantage of the availability of user-friendly software that allow novices to conduct complex analysis without programming experience; ensuring that these analyses are set up and interpreted correctly. Numerous tables, graphs, and tips help to demystify the process of performing multivariable analysis. The text is illustrated with many up-to-date examples from the published literature that enable readers to model their analyses after well conducted research, increasing chances of top-tier publication.
The need for healthier, more resilient societies has never been more urgent. This timely book reveals how empowered and organized communities can lead this change. It offers policymakers, academics and activists real-world examples of organizing and collective actions from across the global North and South.
This book clearly explains how public health officials plan, deliver, and evaluate crisis and emergency risk communication before, during, and after health emergencies. Organized into four parts - precrisis planning, communicating during a health emergency, communicating and evaluating after a health emergency, and crisis leadership - it offers practical information as well as the opportunity to reflect on emergency risk communication best practices and theories. Including information on precrisis planning, implications of public health law, developing communication plans, writing messages, evaluating emergency risk communication, and crisis leadership, this book brings together theory and practical application to provide working professionals with evidence-based research and practical knowledge to effectively communicate during health emergencies. Case studies of emergencies such as COVID-19, Zika, Ebola, Mpox, and water crises all use the US Centers for Disease Control and Prevention's Crisis and Emergency Risk Communication framework to analyze how health officials provided accurate and actionable health information to the public.
Dispelling the myth that the discipline is intimidating, Introduction to Epidemiology for the Health Sciences is approachable from start to finish, providing foundational knowledge for students new to epidemiology. Its focus on critical thinking allows readers to become competent consumers of health literature, equipping them with skills that transfer to various health sciences and other professional workplaces. The text is structured to take the reader on a journey: each chapter opens with a scientific question before exploring the epidemiological tools available to address it. A conversation tool with representative students clarifies common points of confusion in the classroom, encouraging learners to ask questions to deepen their understanding. Example boxes feature contemporary local and global cases, often with step-by-step workings, while explanation boxes provide further clarification of complex topics. Authored by epidemiology and public health educators, this engaging textbook provides all readers with the skills they need to develop their own epidemiology toolkit.
This indispensable text presents an overview of the essential knowledge, understanding and skills in Lifestyle Medicine, including a thorough explanation of the '6 Pillars' concept. There is no shortage of clinicians interested in the subject, but knowing where to start has, until now, been a challenge. Based around the innovative 'Bridge' diagram of Lifestyle Medicine, the textbook provides a clinically oriented perspective for undergraduate and postgraduate learners interested in evidence-based, person-centred care. Packed with practical guidance on preventing, managing and treating lifestyle-related long-term conditions, sample scripts and assessments to trigger conversations and engagement with patients are included. With contributions from around the world, this guide is a fantastic resource to start developing the essential clinical skills necessary for the practice of Lifestyle Medicine.