Governing How We Care

As local governments and organizations assume more responsibility for ensuring the public health, identity politics play an increasing yet largely unexamined role in public and policy attitudes toward local problems. In Governing How We Care, medical anthropologist Susan Shaw examines the relationship between government and citizens using case studies of needle exchange and Welfare-to-Work programs to illustrate the meanings of cultural difference, ethnicity, and inequality in health care. Drawing on ethnographic research conducted over six years in a small New England city, Shaw presents critical perspectives on public health intervention efforts. She looks at online developments in health care and makes important correlations between poverty and health care in the urban United States. Shaw also highlights the new concepts of community and forms of identity that emerge in our efforts to provide effective health care. Governing How We Care shows how government-sponsored community health and health care programs operate in an age of neoliberalism.

Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.

History and explanation of the United Nations Sustainable Development Goals and why they matter.

"That government is best which governs least." -- Henry David Thoreau In this major new defense of libertarianism, Dan Moller argues that critics and supporters alike have neglected the strongest arguments for the theory. It is often assumed that libertarianism depends on thinking that property rights are absolute, or on fetishizing individual liberty. Moller argues that, on the contrary, the foundations of libertarianism lie in widely shared, everyday moral beliefs -- particularly in restrictions on shifting our burdens onto others. The core of libertarianism, on this "New England" interpretation, is not an exaggerated sense of our rights against other people, but modesty about what we can demand from them. Moller then connects these philosophical arguments with related work in economics, history, and politics. The result is a wide-ranging discussion in the classical liberal tradition that defies narrow academic specialization. Among the questions Moller addresses are how to think about private property in a service economy, whether libertarians should support reparations for slavery, what the history of capitalism tells us about free markets, and what role political correctness plays in shaping policy debates.

In our urban world, cities are where most of us experience how our economies and societies are organised and the inequalities which result. This textbook introduces ideas, theories, concepts and examples to help us understand the political and policy challenges of governing cities, centred on the principal challenge of how to make our cities more equitable. It poses critical questions – about how cities are governed, by whom, according to what values, and for whom – and draws from a wide range of urban scholarship. The ‘how’ covers urban politics and the policy instruments which result. The ‘by whom’ addresses power relations within and beyond the city and the tensions between different priorities and values. The ‘for whom’ centres equity and the role of citizens and collective action in how we are governed. In addressing these questions, the book provides an overview of the core theories of urban politics and governance, thinks about what happens at different scales, and examines new forms of citizen activism which herald alternatives for cities. It is a unique introduction to students, policymakers and practitioners who want to understand and seek to improve urban politics and policy.

Written by scholars who have been at the forefront of the NPG debate as well as by scholar-practitioners, this book provides lessons learned from experience on how networked, contract-based and partnership-centered approaches to government can be undertaken in ways that preserve the values at the center of the American constitutional and political system.

Written by scholars who have been at the forefront of the NPG debate as well as by scholar-practitioners, this book provides "lessons learned from experience" on how networked, contract-based and partnership-centered approaches to government can be undertaken in ways that preserve the values at the center of the American constitutional and political system.