Emergency Medical Services


Book Description

Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.




Public Health at the Crossroads


Book Description

Reviewing epidemiological and demographic trends internationally, this book provides an overview of major health trends, summarises the current state of the world's health, and reviews recent estimates of the global burden of disease.




Medicine at the Crossroads


Book Description

As America at last begins to confront its health-care crisis, this insightful book by the acclaimed author of Becoming a Doctor offers a new look at our medical system. Drawing on case studies from around the world, Dr. Konner shows how foreign practitioners have found effective solutions to problems that still trouble their American counterparts.




Dental Education at the Crossroads


Book Description

Six dental schools have closed in the last decade and others are in jeopardy. Facing this uncertainty about the status of dental education and the continued tension between educators and practitioners, leaders in the profession have recognized the need for purpose and direction. This comprehensive volumeâ€"the first to cover the education, research, and patient care missions of dental schoolsâ€"offers specific recommendations on oral health assessment, access to dental care, dental school curricula, financing for education, research priorities, examinations and licensing, workforce planning, and other key areas. Well organized and accessible, the book: Recaps the evolution of dental practice and education. Reviews key indicators of oral health status, outlines oral health goals, and discusses implications for education. Addresses major curriculum concerns. Examines health services that dental schools provide to patients and communities. Looks at faculty and student involvement in research. Explores the relationship of dental education to the university, the dental profession, and society at large. Accreditation, the dental workforce, and other critical policy issues are highlighted as well. Of greatest interest to deans, faculty, administrators, and students at dental schools, as well as to academic health centers and universities, this book also will be informative for health policymakers, dental professionals, and dental researchers.




Adopting New Medical Technology


Book Description

What information and decision-making processes determine how and whether an experimental medical technology becomes accepted and used? Adopting New Medical Technology reviews the strengths and weaknesses of present coverage and adoption practices, highlights opportunities for improving both the decision-making processes and the underlying information base, and considers approaches to instituting a much-needed increase in financial support for evaluative research. Essays explore the nature of technological change; the use of technology assessment in decisions by health care providers and federal, for-profit, and not-for-profit payers; the role of the courts in determining benefits coverage; strengthening the connections between evaluative research and coverage decision-making; manufacturers' responses to the increased demand for outcomes research; and the implications of health care reform for technology policy.




Ten Thousand Crossroads


Book Description

Recognized as the father of palliative care in North America, Balfour Mount facilitated a sea change in medical practice by foregrounding concern for the whole person facing incurable illness. In this intimate and far-reaching memoir, Mount leads the reader through the formative moments and milestones of his personal and professional life as they intersected with the history of medical treatment over the last fifty years. Mount's lifelong pursuit of understanding the needs of dying patients began during his training as a surgical oncologist at Montreal's Royal Victoria Hospital in the 1960s. He established the first comprehensive clinical program for end-of-life care in a teaching hospital in 1975 at McGill University's Royal Victoria Hospital, thus leading the charge for palliative medicine as a new specialty. His journey included collaboration with two storied healthcare innovators, British hospice pioneer Dame Cicely Saunders and American psychiatrist Elisabeth Kübler-Ross, leading to a more fulsome understanding of the physical, psychosocial, and existential or spiritual needs of patients, their families, and their caregivers in the health care setting. This compelling narrative documents how the 'Royal Vic' team became internationally recognized as effective advocates of quality of life at the crossroad between life and death. From meetings with Viktor Frankl, the Dalai Lama and other teachers, to a memorable telephone chat with Mother Teresa, Mount recalls with appreciation, humour and humility, the places and people that helped to shed light on this universal human experience.




Modern Methods of Clinical Investigation


Book Description

The very rapid pace of advances in biomedical research promises us a wide range of new drugs, medical devices, and clinical procedures. The extent to which these discoveries will benefit the public, however, depends in large part on the methods we choose for developing and testing them. Modern Methods of Clinical Investigation focuses on strategies for clinical evaluation and their role in uncovering the actual benefits and risks of medical innovation. Essays explore differences in our current systems for evaluating drugs, medical devices, and clinical procedures; health insurance databases as a tool for assessing treatment outcomes; the role of the medical profession, the Food and Drug Administration, and industry in stimulating the use of evaluative methods; and more. This book will be of special interest to policymakers, regulators, executives in the medical industry, clinical researchers, and physicians.




Hippocratic Oath or Hypocrisy?


Book Description

Medicine was until recently a greatly respected profession supported by trust and faith on one side and compassion and care on the other. However, over the years, the relationship between doctors and patients has suffered. Doctors now find themselves in the news for all the wrong reasons. Labelled as ‘murderers’, ‘knife happy’, ‘organ stealing thieves’ or touts of pharmaceutical giants, they have now lost respect in the eyes of society. When and how did this happen? When did doctors go from being ‘Next to God’ to maut ke saudagar, as the media is so fond of labelling them? Hippocratic Oath or Hypocrisy?: Doctors at Crossroads is the author’s journey as a doctor over three decades, from a young medical student to an experienced paediatrician. She has used her experience to highlight serious issues—demanding patients, prescribing of unnecessary investigations, hospitals run like business houses, the role of big pharmaceutical industries and so on from the point of view of both doctors and patients. The author’s anecdotal style, which includes quotes from her many case studies, will keep the reader turning the pages eagerly till the end.




Health Care in America


Book Description

This comprehensive history of medicine and public health in America covers changes and developments over four centuries, from the arrival of the first Europeans to the twenty-first century.




Military Medicine


Book Description