Building Primary Care in a Changing Europe


Book Description

For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.




Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies


Book Description

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.




Geriatric Emergency Medicine


Book Description

This book discusses all important aspects of emergency medicine in older people, identifying the particular care needs of this population, which all too often remain unmet. The up-to-date and in-depth coverage will assist emergency physicians in identifying patients at risk for adverse outcomes, in conducting appropriate assessment,and in providing timely and adequate care. Particular attention is paid to the commonpitfalls in emergency management andmeans of avoiding them. Between 1980 and 2013, the number of older patients in emergency departmentsworldwide doubled. Compared with younger patients, older people suffer from more comorbidities, a higher mortality rate, require more complex assessment and diagnostic testing, and tend to stay longer in the emergency department. This book, written by internationally recognized experts in emergency medicine and geriatrics, not only presents the state of the art in the care of this population but also underlines the increasing need for adequate training and development in the field.




Rhetoric and Medicine in Early Modern Europe


Book Description

Through close analysis of texts, cultural and civic communities, and intellectual history, the papers in this collection, for the first time, propose a dynamic relationship between rhetoric and medicine as discourses and disciplines of cure in early modern Europe. Although the range of theoretical approaches and methodologies represented here is diverse, the essays collectively explore the theories and practices, innovations and interventions, that underwrite the shared concerns of medicine, moral philosophy, and rhetoric: care and consolation, reading, policy, and rectitude, signinference, selfhood, and autonomy-all developed and refined at the intersection of areas of inquiry usually thought distinct. From Italy to England, from the sixteenth through to the mid-eighteenth century, early modern moral philosophers and essayists, rhetoricians and physicians investigated the passions and persuasion, vulnerability and volubility, theoretical intervention and practical therapy in the dramas, narratives, and disciplines of public and private cure. The essays are relevant to a wide range of readers, including cultural, literary, and intellectual historians, historians of medicine and philosophy, and scholars of rhetoric.




Medical Informatics Europe 81


Book Description

The European Federation for Medical Informatics has established itself as a regional body coordinating activity in medical informatics. The Congress in Toulouse, MIE-81, from 9 - 13 March 1981, is the third congress in the ser ies following MIE-78 in Cambr idge, and MIB-79 in Berlin with a gap during 1980 for the world congress MEDINFO-80 in Tokyo. The rationale behind all these congresses is the scientific need to share results and ideas and the educational need to train a wide variety of professional staff in the potential of health care and medical informatics. All the caring professions are involved, doctors, scientists, nurses, para-medical staff, administrators, health care planners, community physicians, epidemiologists, statisticians, operations analysts together with specialists from the computing profession dealing with system analysis, hardware, software, languages, data-bases and the marketing of systems. Medical Informatics is a very wide subject with ramifications throughout the health care and preventive services; it offers a key to the monitoring and improvement of patient care and to the provision of a healthier environment. The collection and evaluation of relevant data improves our understanding of the ways in which health care is provided while the availability of cheaper computer hardware and more versatile software enables us to design and implement more revealing and intelligent medical systems. Even though typical systems take a substantial amount of time to design, implement and evaluate, there is the continuing need for informaticians to assess the current state of developmen.




Europe's Physician


Book Description

A brilliant, unknown work by the great historian Hugh Trevor-Roper Among the papers of Hugh Trevor-Roper, who died in 2003, was a manuscript to which he had repeatedly turned for more than thirty years, but never published. Attracted by the diverse life and vivid personality of Sir Theodore de Mayerne (1573-1655), the most famous physician in Europe of his time, Trevor-Roper pursued him across national and intellectual frontiers to uncover the details of his extraordinary life. Exploring an array of English and European sources, Trevor-Roper reveals the story of the pioneering Swiss Huguenot doctor who mixed medicine with diplomacy, with political intrigue, with secret intelligence, and with artistic interests at the courts first of Henry IV of France and then of James I and Charles I of England. A true "renaissance man," Mayerne's interests were broad, and due to considerable conspiratorial talent, he became a participant in bluff and intrigue at the highest levels. The most ambitious and perhaps the most original of all Trevor-Roper's books, written in his luminous prose, this is a major work of political and intellectual history that presents a whole period in a fresh and vivid light.




Renaissance Medicine


Book Description

This volume offers a comprehensive historical survey of medicine in sixteenth-century Europe and examines both medical theories and practices within their intellectual and social context. Nutton investigates the changes brought about in medicine by the opening-up of the European world to new drugs and new diseases, such as syphilis and the Sweat, and by the development of printing and more efficient means of communication. Chapters examine how civic institutions such as Health Boards, hospitals, town doctors and healers became more significant in the fight against epidemic disease, and special attention is given to the role of women and domestic medicine. The final section, on beliefs, explores the revised Galenism of academic medicine, including a new emphasis on anatomy and its most vocal antagonists, Paracelsians. The volume concludes by considering the effect of religious changes on medicine, including the marginalisation, and often expulsion, of non-Christian practitioners. Based on a wide reading of primary sources from literature and art across Europe, Renaissance Medicine is an invaluable resource for students and scholars of the history of medicine and disease in the sixteenth century.










AIDS in Europe


Book Description