Examining which actors determine undocumented migrants’ access to healthcare on the ground, this volume looks at what happens in the daily interactions between administrative personnel, healthcare professionals and migrant patients in healthcare institutions across Europe. Borders across Healthcare explores contemporary moral economies of the healthcare-migration nexus. The volume documents the many ways in which borders come to disrupt healthcare settings and illuminates how judgements of a health-related deservingness become increasingly important, producing hierarchies that undermine a universal right to healthcare.
Patients Beyond Borders is the first comprehensive, easy-to-understand guide to medical tourism. Impartial and extensively researched, it is filled with authoritative and accessible advice - carefully culled from hundreds of resources around the world. Whether you're seeking dental work, heart surgery, orthopedics, cosmetic surgery, neurosurgery, or LASIK eye repair, Patients Beyond Borders is your best way to become an informed health traveler and get started on your medical travel journey.
This volume contributes to medical history in Antiquity and the Middle Ages by significantly widening our understandings of health and treatment through the theme of space . The fundamental question about how space was conceived by different groups of people in these periods has been used to demonstrate the multi-variant understandings of the body and its functions, illness and treatment, and the surrounding natural and built environments in relation to health. The subject is approached from a variety of source materials: medical, philosophical and religious literature, archaeological remains and artistic reproductions. By taking a multi-disciplinary approach to the subject the volume offers new interpretations and methodologies to medical history in the periods in question. Contributors are Helen King, Michael McVaugh, Maithe Hulskamp, Glenda McDonald, Roberto Lo Presti, Fabiola van Dam, Catrien Santing, Ralph Rosen, and Irina Metzler.
There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we’re overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet. Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med’s emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms. In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised. This is an essential read for understanding the current state of the health care system in America—and the steps urgently needed to create an environment of better care for all of us.
Early modern Europe was obsessed with borders and travel. It found, imagined and manufactured new borders for its travellers to cross. It celebrated and feared borders as places or states where meanings were charged and changed. In early modern Europe crossing a border could take many forms; sailing to the Americas, visiting a hospital or taking a trip through London's sewage system. Borders were places that people lived on, through and against. Some were temporary, like illness, while others claimed to be absolute, like that between the civilized world and the savage, but, as the chapters in this volume show, to cross any of them was an exciting, anxious and often a potentially dangerous act. Providing a trans-European interdisciplinary approach, the collection focuses on three particular aspects of travel and borders: change, status and function. To travel was to change, not only humans but texts, words, goods and money were all in motion at this time, having a profound influence on cultures, societies and individuals within Europe and beyond. Likewise, status was not a fixed commodity and the meaning and appearance of borders varied and could simultaneously be regarded as hostile and welcoming, restrictive and opportunistic, according to one's personal viewpoint. The volume also emphasizes the fact that borders always serve multiple functions, empowering and oppressing, protecting and threatening in equal measure. By using these three concepts as measures by which to explore a variety of subjects, Borders and Travellers in Early Modern Europe provides a fascinating new perspective from which to re-assess the way in which early modern Europeans viewed themselves, their neighbours and the wider world with which they were increasingly interacting.
Here is the first comprehensive cross-disciplinary work to examine the current health situation of our immigrants, successfully integrating the vast literature of diverse fields -- epidemiology, health services research, anthropology, law, medicine, social work, health promotion, and bioethics -- to explore the richness and diversity of the immigrant population from a culturally-sensitive perspective. This unequalled resource examines methodological issues, issues in clinical care and research, health and disease in specific immigrant populations, patterns of specific diseases in immigrant groups in the US, and conclusive insight towards the future. Complete with 73 illustrations, this singular book is the blueprint for where we must go in the future.
Tracing Hospital Boundaries explores, for the first time, how the forces of both integration and segregation shaped hospitals and their communities between the eleventh and twentieth centuries in Europe, North America and Africa. Within this broad comparative context it also shines a light on a number of case studies from Southeastern Europe. The eleven chapters show how people’s access to, and experience of, healthcare institutions was affected by social, cultural and economic, as well as medical, dynamics. These same factors intersected with developing healthcare technologies to shape hospital design and location, as well as internal policies and practices. The volume produces a new history of the hospital in which boundaries – both physical and symbolic – are frequently contested and redrawn. Contributors are Irena Benyovsky Latin, David Gentilcore, Annemarie Kinzelbach, Rina Kralj-Brassard, Ivana Lazarević, Clement Masakure, Anna Peterson, Egidio Priani, Gordan Ravančić, Jonathan Reinarz, Jane Stevens Crawshaw, David Theodore, Christina Vanja, George Weisz, and Valentina Živković.
In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
