Healthcare Without Walls

The explosive growth in the number of people with long term conditions (LTCs), such as diabetes, heart disease and lung disease, could overwhelm NHS resources, according to a new report to be published on 24th November. The report by the think tank 2020health.org warns that the current NHS approach to delivering care to people with LTCs is unsustainable both in terms of cost and quality, and in no one's best interests - least of all the patients and their carers.

Imagine a health care system that anticipated individuals' needs, worked to keep them healthy, and delivered as much care as possible to them in their homes, workplaces, and communities. Health Care Without Walls: A Roadmap for Reinventing U.S. Health Care embraces this vision of a more "distributed" health care system extending outside of traditional institutional settings - and that would be more convenient, accessible, and arguably less costly than what the United States has now. This vision is increasingly achievable, with the help of a revamped health care work force equipped with powerful technologies, starting with telehealth and remote monitoring, and ultimately embracing a range of new intelligent devices and systems. Many of the neediest patients would benefit, as described in a series of scenarios embedded in the book. But multiple obstacles will need to be overcome first. Health Care Without Walls recommends specific changes in how health systems are paid and regulated, as well as in the work force and the way technologies are developed, to achieve this radical new vision. Health Care Without Walls resulted from the work of NEHI, the Network for Excellence in Health Innovation, a nonprofit, nonpartisan organization composed of members from across the health care system. It draws on the collective insights of more than 200 individuals who brainstormed for more than a year over how to bring this revamped vision of health care about.

NEHI's "Health Care Without Walls: A Roadmap for Reinventing U.S. Health Care" embraces the vision of a more "distributed" health care system extending outside of traditional institutional settings - one that is more convenient, accessible, and arguably less costly than what the United States has now. By combining technologies such as telehealth with a reconfigured work force, the nation's health care system could be transformed into one that better anticipates individuals' needs; works to keep them as healthy as possible; and brings prevention and care out of conventional institutional settings into peoples' homes, workplaces, and other convenient locations."Health Care Without Walls: A Roadmap for Reinventing U.S. Health Care" is a product of NEHI's Health Care Without Walls initiative, which drew on the collective insights of approximately 200 individuals, including leaders of its five separate work streams focused on technology, the health care work force, payment, regulatory, and human factors issues. NEHI, the Network for Excellence in Health Innovation, is a national nonprofit, nonpartisan organization composed of stakeholders from across all key sectors of health and health care.

Covers the gamut of services delivered to the elderly in the community.

This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry.

This book provides a broad overview of quality health care for people with intellectual and developmental disabilities (IDD). It focuses on providing the reader a practical approach to dealing with the health and well-being of people with IDD in general terms as well as in dealing with specific conditions. In addition, it offers the reader a perspective from many different points of view in the health care delivery system as well as in different parts of the world. This is the 3rd , and much expanded edition, of a text that was first published in 1989 (Lea and Fibiger). The second edition was published in 2006 (Paul Brookes) and has been used as a formal required text in training programs for physicians, nurses and nurse practitioners as well as by administrators who are responsible for programs serving people with IDD. This book is considered the “Bible” in the field of health care for people with IDD since 1989 when the first edition came out.

A Prison Without Walls? presents a snapshot of daily life for exiles and their dependents in eastern Siberia during the very last years of the Tsarist regime, from the 1905 revolution to the collapse of the Tsarist regime in 1917. This was an extraordinary period in Siberia's history as a place of punishment. There was an unprecedented rise of Siberia's penal use in this fifteen-year window, and a dramatic increase in the number of exiles punished for political offences. This work focuses on the region of Eastern Siberia, taking the regions of Irkutsk and Yakutsk in north-eastern Siberia as its focal points. Siberian exile was the antithesis of Foucault's modern prison. The State did not observe, monitor, and control its exiles closely; often not even knowing where the exiles were. Exiles were free to govern their daily lives; free of fences and free from close observation and supervision, but despite these freedoms, Siberian exile represented one of Russia's most feared punishments. In this volume, Sarah Badcock seeks to humanise the individuals who made up the mass of exiles, and the men, women, and children who followed them voluntarily into exile. A Prison Without Walls? is structured in a broad narrative arc that moves from travel to exile, life and communities in exile, work and escape, and finally illness in exile. The book gives a personal, human, empathetic insight into what exilic experience entailed, and allows us to comprehend why eastern Siberia was regarded as a terrible punishment, despite its apparent freedoms.

Practicing Primary Health Care in Nursing: Caring for Populations is a new innovative text examines the broad definition of “primary health care”, and incorporating a nursing perspective with a global and population-based focus. This book presents the enduring relationship that nurses have had in pioneering primary health care with a population-based, inter-intra/professional, and global perspective. Important Notice: the digital edition of this book is missing some of the images or content found in the physical edition.”.