The Basics of Bioethics, Fourth Edition offers an easy-to-follow introduction to this dynamic field, intended for healthcare professionals, teachers, students, and anyone interested in bioethics. Accessible and enjoyable for readers of all backgrounds, the book contains numerous cases—including ones that recently have dominated international headlines—to help anchor the broader discussion. The text is suitable for use in short courses in schools of medicine, nursing, and other health professions; continuing professional education; various undergraduate departments; and adult education. Chapters are organized around common moral themes in order to help readers understand the values and other connections that tie together different positions in bioethics. This fourth edition adds a new chapter on alternative frameworks in bioethics, including narrative ethics and casuistry, feminist approaches, care ethics, and virtue ethics. Due to significant advances in genetics and reproductive possibilities, this new edition devotes a full chapter to each. The combined teaching, research, and clinical experience of the two authors helps make this edition current with the evolving field of bioethics, while still embedding the major issues in a systematic framework that allows readers easily to navigate the larger field. Key Changes to the Fourth Edition: • An added chapter on new and emerging approaches in bioethics, including those based on virtue ethics, casuistry and narrative ethics, feminist ethics, and care ethics • Updates throughout the book based on developments in ethical theory and new medical research • Revisions and updates to the Learning Objectives, Key Terms, Bibliographies, and URLs • The addition of multiple recent case studies, including: Jahi McMath an undocumented patient who needs a rule bent a pediatrician who turns away unvaccinated patients a minor eligible for pediatric bariatric surgery a daughter suing a hospital for non-disclosure of her father’s Huntington’s diagnosis CRISPR-edited newborn babies
Two leading physicians' prescription for solving our health care problems: organizing the fragmented system that delivers care. One of the most daunting challenges facing the new U.S. administration is health care reform. The size of the system, the number of stakeholders, and ever-rising costs make the problem seem almost intractable. But in Chaos and Organization in Health Care, two leading physicians offer an optimistic prognosis. In their frontline work as providers, Thomas Lee and James Mongan see the inefficiency, the missed opportunities, and the occasional harm that can result from the current system. The root cause of these problems, they argue, is chaos in the delivery of care. If the problem is chaos, the solution is organization, and in this timely and outspoken book, they offer a plan. In many ways, this chaos is caused by something good: the dramatic progress in medical science—the explosion of medical knowledge and the exponential increase in treatment options. Imposed on a fragmented system of small practices and individual patients with multiple providers, progress results in chaos. Lee and Mongan argue that attacking this chaos is even more important than whether health care is managed by government or controlled by market forces. Some providers are already tightly organized, adapting management principles from business and offering care that is by many measures safer, better, and less costly. Lee and Mongan propose multiple strategies that can be adopted nationwide, including electronic medical records and information systems for sharing knowledge; team-based care, with doctors and other providers working together; and disease management programs to coordinate care for the sickest patients.
Presents a collection of analyses exploring a key element of the healthcare delivery system--physician group practices. Addresses such topics as organized delivery systems, quality of care in prepaid group practice, the role of physician leadership and culture in group practice, and more.
This brand new textbook presents a new approach to the teaching and understanding of global health. It describes the shared opportunities but also the problems that we all face, wherever we live, and the particular needs of the poorest people in every society. Covering subjects from epidemics and climate change, the need to staff and resource health services appropriately, the rich potential of science and technology, and the impacts of social and political change in the world around us, all is presented at a level appropriate for the student looking to gain an understanding of this broad and developing area.
Discretion has re-emerged as an issue of central importance for welfare professionals over the last two decades in the face of an intensification of management culture across the public sector. This book presents an innovative framework for the analysis of discretion, offering three accounts of the managerial role - the domination model, the street level model and the author's alternative discursive perspective. These different regimes of discretion are examined through a case study within a social services department, comparing and contrasting social work discretion in an Older Persons Team and a Mental Health Team. This innovative, theoretical and empirical analysis will be of great interest to postgraduate students and researchers in social work and related disciplines including social policy, public administration and organizational studies, as well as professionals in social work, health and education.
U.S. Department of Defense analyst Mark Silinsky reveals the origins of the Islamic State's sinister obsession with the Western world. Once considered a minor irritant in the international system, the Caliphate is now a dynamic and significant actor on the worlds stage, boasting more than 30,000 foreign fighters from 86 countries. Recruits consist not only of Middle-Eastern-born citizens, but also a staggering number of "Blue-Eyed Jihadists," Westerners who leave their country to join the radical sect. Silinsky provides a detailed and chilling explanation of the appeal of the Islamic State and how those abroad become radicalized, while also analyzing the historical origins, inner workings, and horrific toll of the Caliphate. By documenting the true stories of men, women, and children whose lives have been destroyed by the radical group, Jihad and the West presents the human face of the thousands who have been kidnapped, raped, tortured, and murdered by the Islamic State, including Kayla Mueller, who was kidnapped, given to the Caliphates leader as a sex slave, and ultimately killed.
This textbook provides a critical assessment of developments in health and healthcare policy within the UK and Europe. Each chapter integrates conceptual themes drawn from the fields of sociology and political science to offer a unique combination of theory, historical detail and wider social commentary. The book is divided into four sections: - Section One establishes a theoretical basis for the analysis of contemporary health policy. - Section Two examines the key constituents of health care 'systems', which includes a comparative analysis of EU member states. - Section Three focuses on contemporary health care policy and provision in the UK. - Section Four assesses the increasingly limited ability of national governments to reduce threats to the health of their populations. Written in an accessible style, the student-friendly approach highlights key concepts and includes introductions, summaries and examples of further reading. Each chapter also includes case studies and activities which encourage the reader to think about the planning, implementation and assessment of specific healthcare policies. This is a timely and authoritative textbook that covers a key topic of the curriculum while also contributing to topical debates. The book will be essential reading for healthcare and social science students taking modules in health policy, and will also be of interest to policy makers and practitioners in the field of healthcare.