In late nineteenth- and early twentieth-century Korea, public health priorities in maternal and infant welfare privileged the new nation’s reproductive health and women’s responsibility for care work to produce novel organization of services in hospitals and practices in the home. The first monograph on this topic, Imperatives of Care places women and gender at the center of modern medical transformations in Korea. It outlines the professionalization of medicine, nursing, and midwifery, tracing their evolution from new legal and institutional infrastructures in public health and education, and investigates women’s experiences as health practitioners and patients, medical activities directed at women’s bodies, and the related knowledge and goods produced for and consumed by women. Sonja M. Kim draws on archival sources, some not previously explored, to foreground the ways individual women met challenges posed by uneven developments in medicine, intervened in practices aimed at them, andseized the evolving options that became available to promote their personal, familial, and professional interests. She demonstrates how medicine produced, and in turn was produced by, gendered expectations caught between the Korean reformist agenda, the American Protestant missionary enterprise, and Japanese imperialism.

The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.

In this groundbreaking collaboration, award-winning authors Bauer and Hagland draw upon numerous case studies to show how pioneering health care organizations are using such performance improvement tools as lean management, Six-Sigma, and the Toyota Production System to produce excellent services as inexpensively as possible.

America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

In late nineteenth- and early twentieth-century Korea, public health priorities in maternal and infant welfare privileged the new nation’s reproductive health and women’s responsibility for care work to produce novel organization of services in hospitals and practices in the home. The first monograph on this topic, Imperatives of Care places women and gender at the center of modern medical transformations in Korea. It outlines the professionalization of medicine, nursing, and midwifery, tracing their evolution from new legal and institutional infrastructures in public health and education, and investigates women’s experiences as health practitioners and patients, medical activities directed at women’s bodies, and the related knowledge and goods produced for and consumed by women. Sonja M. Kim draws on archival sources, some not previously explored, to foreground the ways individual women met challenges posed by uneven developments in medicine, intervened in practices aimed at them, andseized the evolving options that became available to promote their personal, familial, and professional interests. She demonstrates how medicine produced, and in turn was produced by, gendered expectations caught between the Korean reformist agenda, the American Protestant missionary enterprise, and Japanese imperialism.

Something is missing in contemporary health and social care. Health and illness is often measured in policy documents in economic terms, and clinical outcomes are enmeshed in statistical data, with the patient’s experience left to one side. This stimulating book is concerned with how to humanise health and social care and keep the person at the centre of practice. Caring and Well-Being opens by articulating Galvin and Todres’ innovative framework for humanising health care and closes with a synthesis of their argument and a discussion of how this can be applied in healthcare policy and practice. It: presents an innovative lifeworld-led approach to the humanisation of care; explores the concept of well-being and its relationship to suffering and outlines the rationale for a focus on them within this approach; discusses how the framework can be applied and how health and social practitioners can draw on aesthetic and empathic avenues to help develop their capacity for care; provides direction for policy, practice and education. Investigating what it means to be human in a health and social care context and what the things that make us feel more human are, this book presents new perspectives about how professionals can enhance their capacity for humanly sensitive care. It is a valuable work for all those interested in ideas about care and caring in a health and social context, including psychologists, doctors and nurses.

" The achievements and legacy of the Wolfensohn Center for Development at Brookings The Imperative of Development highlights the research and policy analysis produced by the Wolfensohn Center for Development at Brookings. The Center, which operated from 2006 to 2011, was the first home at Brookings for research on international development. It sought to help identify effective solutions to key development challenges in order to create a more prosperous and stable world. Founded by James and Elaine Wolfensohn, the Center’s mission was to “to create knowledge that leads to action with real, scaled-up, and lasting development impact.” This volume reviews the Center’s achievements and lasting legacy, combining highlights of its most important research with new essays that examine the context and impact of that research. Six primary research streams of the Wolfensohn Center’s work are highlighted in The Imperative of Development: the shifting structure of the world economy in the twenty-first century; the challenge of scaling up the impact of development interventions; the effectiveness of development assistance; how to promote economic and social inclusion for Middle Eastern youth; the case for investing in early child development; and the need for global governance reform. In each chapter, a scholar associated with the particular research topic provides an overview of the issue and its broader context, then describes the Center’s work on the topic and the subsequent influence and impact of these efforts. The Imperative of Development chronicles the growth and expansion of the first center for development research in Brookings’s 100-year history and traces how the seeds of this initiative continue to bear fruit. "

"Qualitative Research in Nursing is a user-friendly text that systematically provides a sound foundation for understanding a wide range of qualitative research methodologies, including triangulation. It approaches nursing education, administration, and practice and gives step-by-step details to instruct students on how to implement each approach. Features include emphasis on ethical considerations and methodological triangulation, instrument development and software usage; critiquing guidelines and questions to ask when evaluating aspects of published research; and tables of published research that offer resources for further reading"--Provided by publisher.

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.