The book, illustrated with case examples, identifies and makes explicit the often diverse values of those involved in healthcare commissioning, whether as commissioners, providers or users of services. It provides a skills base and other support processes for working with differences in values held by those engaged in making decisions.
This book will help clinicians acquire and develop the processes and skills of values-based practice. The aim of most patient-clinician consultations is to improve health outcomes. Often they succeed, and patients are satisfied and empowered. However, some consultations are unsatisfactory and result in failure to improve health outcomes and dissatisfaction on the part of patients, carers or clinicians. When consultations fail to achieve the desired results, the cause is not usually a failure of evidence-based practice. Today's clinicians are trained in evidence-based medicine, educated, updated and appraised. The most likely reason why things go wrong is a failure of values-based practice – not ascertaining the relevant values perspectives and acting on them in a coherent and purposeful manner. If you rehearse and practise the elements of values-based practice detailed in this book, you will find your consultations more personally rewarding and your patients are likely to derive more benefit.
Mental health is the one area of health care where people are often treated against their will, with the justification that it is in their own interest. This raises significant ethical questions and value dilemmas; questions of autonomy, human rights, power and treatment. An understanding of how values matter is of vital importance across all disciplines working within the mental health field. This book provides a comprehensive and exploratory text for practitioners, students and all those interested in developing a knowledge of both ethics and the wider framework of values-based practice. It is unique in being fully co-written by authors representing both service user and service provider perspectives. This exciting new text will enable the mental health practitioner to work more co-productively with service users within a humane and just approach to care. With an emphasis on rights-based compassionate care throughout, this book: - Tackles the issues of how mental health is understood through key theoretical debates about mental distress, values and labelling; - Encourages readers to think critically about their understanding of key issues such as recovery, autonomy, power, knowledge, diagnoses and empathy; - Draws on a wide range of case examples and exercises to help readers deepen their knowledge of values-based practice and ethics in mental health.
This new text supports commissioners in translating current aspirations for public mental and physical health into tangible commissioning strategies. At a time when there are major changes in commissioning arrangements, this book provides a carefully structured and comprehensive look at the resources designed to improve population health and wellbeing outcomes. It examines critically how these resources, both human and financial, can be used in practice, focusing on health and wellbeing as well as illness. The book takes a life-course approach and examines commissioning for children, working-age adults and older people. It will be valuable reading for those taking postgraduate courses in commissioning and leadership and management in a healthcare context, as well as broad courses on public health and health promotion. Chris Heginbotham OBE FRSPH is Visiting Professor at the University of Cumbria and Emeritus Professor of Mental Health Policy and Management at the University of Central Lancashire. Karen Newbigging is a Senior Lecturer in the Health Services Management Centre at the University of Birmingham and is a Chartered Psychologist and Associate Fellow of the British Psychological Society.
This ground-breaking textbook gathers contributions from service users, expert practitioners and leading academics to help students develop the core knowledge and skills they need to qualify as mental health nurses. Focusing in particular on helping students apply person-centred, compassionate and recovery-focused care, service-user voices and practical case studies are integrated throughout the book. Students are also given a rounded understanding of the key debates they will face in practice through the exploration of both bio-medical and psycho-social approaches. Key features include: Voices and case studies from real practising nurses and students help students apply knowledge to practice. Critical thinking activities, debates, and ‘What’s the Evidence’ summaries help students develop higher level critical thinking and evidence based practice skills. Further reading and free SAGE journal articles facilitate independent learning. Online Multiple-Choice Quizzes and Flashcards make revision simple and fun. The free interactive ebook gives students the freedom to learn anywhere! Online resources: free quizzes, case studies, SAGE journal articles and more, which can be used for flipped classroom activities to make teaching more interactive.
This handbook gives profound insight into the main ideas and concepts of integrated care. It offers a managed care perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of health care. The handbook also provides international best practices and shows how integrated care does work throughout various health systems. The delivery of health and social care is characterised by fragmentation and complexity in most health systems throughout the world. Therefore, much of the recent international discussion in the field of health policy and health management has focused on the topic of integrated care. “Integrated” acknowledges the complexity of patients ́ needs and aims to meet it by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach.
Health systems need to set priorities fairly. In one way or another, part of this important task will fall to physicians. How do they make judgments about resource stewardship, and how should they do so? How can they make such decisions in a manner that is compatible with their clinical duties to patients? In this book, philosophers, bioethicists, physicians, lawyers and health policy experts make the case that priority setting and rationing contribute significantly to the possibility of affordable and fair healthcare and that clinicians play an indispensable role in that process. The book depicts the results of a survey of European physicians about their experiences with rationing and other cost containment strategies, and their perception of scarcity and fairness in their health care systems. Responding to and complementing these findings, commentators discuss why resource allocation and bedside rationing is necessary and justifiable. The book explores how bedside rationing relates to clinical judgments about medical necessity and medical indications, marginal benefits, weak evidence based medicine, off-label use. The book highlights how comparative studies of health care systems can advance more effective and fair bedside rationing through learning from one another. From a practical standpoint, the book offers a number of strategies for health care systems and clinicians to work in tandem to allocate and ration resources as fairly as possible: how to foster more attention to fairness when rationing at the bedside, how to avoid exacerbating health disparities when allocating resources, how to teach about bedside rationing to students, how to discuss rationing more explicitly in the public arena and in the doctor's office.
