Sundhedsvæsen

This book shows how PROMs and PREMs can help improve patient experience and outcomes. Part 1 covers the core principles of PROMs and PREMs, including their strengths and weaknesses, reporting and analysis, data sharing and valuation. Part 2 covers measures of patient experience, health status, wellbeing, self-efficacy, individualized measures, social determinants of health and impact evaluation. It concludes with a discussion of staff-reported measures, proxies and caregivers. Patient-Reported Outcomes and Experience: Measuring What We Want with PROMs and PREMs concisely covers how to use these measures successfully to improve patient experience of healthcare services and associated outcomes. It is a critical resource for trainee and practicing clinicians, managers, analysts and policymakers seeking an up-to-date reference on the latest developments in this rapidly expanding field. 

This book provides an overview of sleep and sleep disorders for practicing clinicians. Sleep disorders represent a major portion of the chief complaints seen by pulmonologists and other clinicians. Patients with sleep-related conditions often present with non-specific complaints that require a broad and detailed knowledge of the wide range of sleep disorders and their consequences.This concise, evidence-based review of sleep medicine offers a guide to pulmonologists, primary care physicians, and all clinicians involved in caring for patients with sleep disorders. Providing a focused, scientific basis for the effects of sleep on human physiology, especially cardiac and respiratory physiology, chapters also outline a differential diagnosis for common sleep complaints and an evidence-based approach to diagnosis and management. This includes a review of the current standards of practice and of emerging technology and unresolved issues awaiting further research. In all, this book provides a clear diagnostic and management program for all the different sleep disorders and includes key points and summaries. This new edition expands the scope of the previous to include additional sleep disorders and the most affected populations. Six new chapters are added on health disparities in sleep medicine, models of care for patients with sleep disorders/care coordination, sleep disordered breathing in pediatric populations, sleep in hospitalized patients, sleep in pregnancy, and sleep in older patients.Essentials of Sleep Medicine is an invaluable resource for physicians, clinical psychologists, respiratory care practitioners, polysomnographic technologists, graduate students, clinical researchers, and other health professionals seeking an in-depth review of sleep medicine.

Når forskning og innovation både er udfordringen og løsningenDet danske sundhedsvæsen er ramt af udfordringer. Med den demografiske udvikling forventes flere ældre og multisygdomsramte patienter, og hertil føjer sig et stigende problem med at sikre et godt arbejdsmiljø med kvalificeret personale.I denne antologi tager en række eksperter afsæt i sundhedsvæsenets udfordringer, når de undersøger, hvordan vi kan afhjælpe problemerne og skabe fremtidens sundhedsvæsen. Potentialet ved strategisk at inkorporere forskning og innovation i forskellige udviklingstendenser udfoldes, og flere vinkler på, hvordan man kan sammentænke drift, forskning, innovation og uddannelse i praksis, præsenteres:- Missionsorienteret forskning og innovation- Udvikling af forskningskultur på tværs af en stor organisation- Det offentlig-private samarbejde- Det digitaliserede sundhedsvæsen- Forsknings- og innovationsbroen- Klinisk kvalitet som outcome- Brugerinddragelse.Det danske sundhedsvæsen har behov for ledere, der kan lede i en kompleks organisatorisk virkelighed og forstår at lede udvikling og innovation ind i driften, så det får reel impact for både personale og patienter. Bogen kan læses som inspiration og debatoplæg af alle i sundhedssektoren med lederambitioner og -ansvar.

This ground-breaking book addresses the critical, growing need among health care administrators and practitioners to measure the effectiveness of quality improvement efforts. Written by respected healthcare quality professionals, Measuring Quality Improvement in Healthcare covers practical applications of the tools and techniques of statistical process control (SPC), including control charts, in healthcare settings. The authors' straightforward discussions of data collection, variation, and process improvement set the context for the use and interpretation of control charts. Their approach incorporates "the voice of the customer" as a key element driving the improvement processes and outcomes. The core of the book is a set of 12 case studies that show how to apply statistical thinking to health care process, and when and how to use different types of control charts. The practical, down-to-earth orientation of the book makes it accessible to a wide readership. "Only authors who have used statistics and control charts to solve real-world healthcare problems could have written a book so practical and timely." - Barry S. Bader, Publisher The Quality Letter for Healthcare Leaders "Many clinicians and other healthcare leaders underestimate the great contributions that better statistical thinking could make toward reducing costs and improving outcomes. This fascinating and timely book is a fine guide for getting started." - Donald M. Berwick, M.D. President and CEO, Institute for Healthcare Improvement Associate Professor of Pediatrics, Harvard Medical School Contents: Planning Your CQI Journey, Preparing to Collect Data, Data Collection, Understanding Variation, Using Run and Control Charts to Analyze Process Variation, Control Chart Case Studies, Developing Improvement Strategies, Using Patient Surveys for CQI, Formulas for Calculating Control Limits

This open access book offers a comprehensive review of hepatocellular carcinoma (HCC) with a particular focus on the pathobiology and clinical aspects of the disease, including diagnosis and treatment. HCC is becoming one of the most common causes of cancer-related death worldwide. It is the fifth most common malignancy in men and the ninth in women, with an estimated 500,000 to 1 million new cases annually around the world. Independent of its cause, cirrhosis is considered a major clinical and histopathological risk factor for HCC development. Five percent of all cirrhotic patients develop HCC every year. Diagnostic tools for HCC include blood tests, high-quality imaging studies and liver biopsy. The treatment of HCC depends on the size and location of the HCC and includes surgical resection, liver transplantation, endovascular approaches, percutaneous ablation, and medical treatments. The book is organized into four parts ¿ overview, diagnosis, management strategies, and recommendations ¿ and aims to provide surgeons and clinicians with a valuable resource for complete and up-to-date research on the clinical aspects and management of HCC.

This book focuses on the application of ventilation and indoor air quality (IAQ) in different settings, and is centred around different indoor environments and policymaking issues. It also explores how issues around health, IAQ and ventilation have evolved through the COVID-19 crisis.In connection with the growing need to determine and assess IAQ, new research seeks to test and investigate new methodologies based on research topics which include an increasing number of harmful substances and test methods. Ventilation and Indoor Air Quality ultimately aims to provide the reader with a comprehensive range of case studies, seeking to solve ventilation and IAQ issues from different perspectives. It presents 19 chapters related to regulations, homes, modelling, field studies, and technology related to ventilation and IAQ.Overall, this book provides state-of-the-art analysis and reviews so that readers with any level of prior knowledge of ventilation and IAQ are introduced to the latest research on these issues. This book was written to inspire and stimulate the development of further multidisciplinary research on IAQ issues.

Benign prostate syndrome (BPS) affects more than half of all men over the age of 50. It is often suppressed for a long time, especially because the corresponding examinations are shied away from. Therapy is varied, and many treatment options have been added in recent years that can help improve symptoms. These options advertise themselves primarily as avoiding the dreaded side effects of surgery: Incontinence, impotence and loss of ejaculation.This book provides an overview of all currently available treatment options for BPH and targeted diagnostics. Under the leadership of the renowned editors, many experts have compiled their knowledge in this practical book. Differential diagnostics with imaging and urodynamics are explained, and the many ways of therapy from watchful waiting to drug therapy to surgery are discussed and the advantages and disadvantages pointed out. A separate chapter is devoted to prevention. In addition, myths that still prevail in many placesas "expert opinion" are discussed. A practical book for every urologist!

In the current healthcare crisis, is it possible to rethink the way we do things?Australian healthcare systems are stretched and cracking. There are never-ending reports of unacceptable delays, a lack of resources, poor culture, and skyrocketing burnout rates. The problems are overwhelming and appear insurmountable.From Hurting to Healing takes you inside the often-closed doors of hospitals, healthcare, and medical culture into an environment where practices that have worked brilliantly in the past are now breaking down. Dr Simon Craig, an experienced medical leader, offers insights, initiatives, and inspiration to try and repair the damaged and damaging healthcare systems that currently exist. This moving study reveals that our crumbling healthcare institutions are failing in what should be at the heart of healthcare: caring for each other.Dr Craig outlines his vision of a new way; A kinder and more humanistic approach that can help transform the devastation that exists in health today. From Hurting to Healing reveals the extent of the distress, imagines an alternative future, and delivers to healthcare leaders a guidebook to begin recreating a part of society that is vital to us all.

In this issue of Dermatologic Clinics, guest editor Dr. Brett Coldiron brings his considerable expertise to the topic of Starting and Maintaining a Successful Dermatology Practice. Top experts in the field discuss key topics such as going solo in a small town; basic legal considerations; economics of a dermatology practice; private equity: the good, the bad, and the ugly; retirement planning; and more. Contains 17 relevant, practice-oriented topics including asset protection; the road from private practice to academics; political activism and the dermatologist; being a successful businesswoman in dermatology; building a successful solo general and cosmetic dermatology practice; group negotiations when entering a group practice; and more.  Provides in-depth clinical reviews on starting and maintaining a successful dermatology practice, offering actionable insights for clinical practice.  Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Healthcare organizations cry out for a tool to decrease untoward events and bridge the communication gap between professional clinician teams and clients. Discover how to guide your team to creatively problem-solve, build emotional and social intelligence, increase workplace safety and employee retention, and guarantee client satisfaction with the results-don't-lie Improv to Improve Healthcare system."In Improv to Improve Healthcare: A System for Creative Problem Solving," Dr. Candy Campbell blends her nursing, doctoral thesis, and improv theater education to share great truths served on a platter of fun! Poor communication affects all aspects of healthcare and patient safety, and leaders are seeking effective, new ways to interact and engage. Anyone who has ever been a patient or has had a loved one change for the good. Every healthcare leader, patient and family member should read and enjoy this!"-LeAnn Thieman, Author Chicken Soup for the Nurse's Soul Series and SelfCare for HealthCare"In this important new book, Candy Campbell travels seamlessly between her two great areas of expertise, the professional healthcare industry and the art of improvisation, weaving them together in a compelling narrative that starkly exposes a dangerous problem in the world of healthcare while simultaneously providing the solution. Her joyous and lighthearted approach makes it a fast, enjoyable and accessible read for anybody at all, regardless of their familiarity with improvisation, and her love and passion for the healthcare profession transforms her eloquent message into an impassioned call to action. Having brought applied improvisation to a wide array of industries over the course of many years, I have rarely seen it out to a more important purpose than the one described here. As Campbell helps the reader understand, it is literally a matter of life and death. I am deeply honored to be referenced in this book and highly recommend it to all."-Kenn Adams, Artistic Director, Synergy Theater, Author, How to Improvise a Full-Length Play: The Art of Spontaneous Theater"Candy uses her extensive and unique clinical, nursing education, acting and improv background to bring real-world communication scenarios to life for nurses. Perhaps more importantly, she explains, in depth, how communication is critical to save lives, with patients, staff, physicians, and others. A light and fun read, "Improv to Improve Healthcare" contains methods and tools that are easy to learn and quick to implement, which makes it accessible to everyone from student to administrator."-Donna Cardillo, MA, RN, CSP, FAAN, The Inspiration Nurse and Award-Winning Author of Falling Together: How to Find Balance, Joy, and Meaningful Change When Your Life Seems to be Falling Apart"In her newest book, Candy Campbell puts a different spin on healthcare communications; she introduces the reader to improv! Improv in healthcare - this is serious business! Yes, this is serious business, and yes, it is worthy of a brighter side - a side that links fun, joy, and the journey. Candy has done just that ... by putting joy in the journey and taking the reader through a series of sketches that warm the spirit, tug at the heart, and reinvigorate the caregiver. This is a must-read." -Sharon M. Weinstein, MS, RN, CRNI-R, FACW, FAAN, CSPAward-winning author of B is for Balance and 12 Steps and Go for It ... Mastering Negotiations

Synchrony is the ability of a healthcare process to control the pace of the physician process and the pace of the patient process such that the physician and patient are ready for each other at the same time, without waste or delay. When a process achieves synchrony, the patient does not wait for the doctor, nor does the doctor wait for the patient.Dr. Dennis Han is an ophthalmologist specializing in diseases of the retina at the Medical College of Wisconsin and Froedtert Memorial Hospital; Aneesh Suneja is an engineer and lean consultant who worked with Dr. Han to transform his practice. With the help of Suneja, Han's patients experienced an 85% reduction in non-value added wait times, and a corresponding 97% "top box" rating on patient satisfaction surveys ("strongly agree to recommend this doctor's office to others"). Financially, his practice saw a 25% year-over-year increase in relative value units (RVU) production and a 41% increase in payments due to increased physician availability.If you are a physician, clinic manager, administrator, technician, or provider of health services in a clinic setting, you can use the guidelines described in this book to effect a transformation as well."Thank you, doctor Dennis Han, MD, and co-author Aneesh Suneja, MBA, for this marvelous work that applies Lean principles in healthcare settings. The focus on physician medical clinics is a brave venture into this complex, hectic world that has traditionally been dominated by physicians with a predominant emphasis on patient volume, and subsequent billing volume, versus caring for their customers... This important work is essential for just about all existing physician clinics." Dale Farris Healthcare quality improvement specialist with 25 years experience."Lean principles have opened up more slots for patient care allowing better clinic and staff utilization, and have increased patient throughput while reducing employee overhead and burnout. There is a joy on the faces of the staff when they get to leave the office earlier than expected because lean principles have been deployed." Jose Martinez, MD Practicing physician and beneficiary of the "Synchrony" "Physician office managers and their medical staffs would be the primary targets for this book. However, I also see it being applicable to the higher educational setting...[such as in colleges and institutions teaching healthcare improvement.]" Jim Bente Vice President, Planning and Institutional Effectiveness, College of duPage Adjunct Faculty, Carnegie Mellon University

Hvordan sikrer vi et systematisk arbejde med kvalitet og patientsikkerhed i det danske sundhedsvæsen? Der er en stigende ulighed i sundhed og en øget sygdomsbyrde med især kroniske sygdomme og en stigende ældrebefolkning, ligesom 10% af alle patienter udsættes for en alvorlig utilsigtet hændelse. Samtidig tabes mange økonomiske ressourcer på gulvet på grund af dårlig kvalitet og svigtende patientsikkerhed. Disse udfordringer kan afhjælpes med systematisk arbejde med kvalitet og patientsikkerhed som i bogen er beskrevet af førende danske forskere og klinikere.Bogen henvender sig til alle sundhedsfaglige uddannelser på både universiteterne og på professionshøjskolerne, og den er i høj grad også relevant til kurser i faglige organisationer og videnskabelige sammenslutninger. Konkret er bogen især henvendt til læger, sygeplejersker, fysioterapeuter, ergoterapeuter, bioanalytikere, radiografer, jordemødre, psykologer og social- og sundhedsassistenter. Den kan også læses med stort udbytte af politikere og ledere på alle niveauer.Kvalitet og patientsikkerhed dækker alle relevante begreber, metoder og gældende terminologi i det samlede sundhedsvæsen – fra kommunerne over praksissektoren til hospitalerne. Der er fokus på: Det patientcentrerede sundhedsvæsen - fra retlige rammer til tilrettelæggelse af patientforløb Kvalitetsmåling Kvalitetsforbedring Statistisk proceskontrol Ledelse af kvalitet Oversættelse og implementering af kvalitetsstrategier Kvalitet og økonomi - herunder prisen for god kvalitet og de økonomiske konsekvenser af dårlig kvalitet.

Diabetes, obesity and their related diseases make up one of the greatest challenges to human health in the 21st century. In A Modern Epidemic: Expert Perspectives on Obesity and Diabetes, a diverse group of researchers and clinicians from the University of Sydney has joined forces to discuss how to tackle these major health challenges.Obesity and diabetes are not just problems for the individual. They pose risks to the environmental, psychological and economic stability of the entire world. The solutions, therefore, need to be equally wide-ranging and accessible to all. Acknowledging this, the authors write in an engaging style about the causes and consequences of obesity and diabetes, as well as prevention and treatment: how to identify and mitigate the risk factors, deliver targeted and effective healthcare, and formulate global strategies to ultimately turn the tide on the 21st century's most devastating diseases.

A readable and practical guide to how the law applies to people with dementia, from diagnosis to end-of-life. This book will appeal to clinicians and practitioners that work with patients with dementia, including psychiatrists, primary care physicians, nurses, social workers and advocates.

Safe drinking water, sanitation, and hygiene are crucial to human health and wellbeing. These factors are a prerequisite to health since they play a crucial role in preventing the transmission of numerous waterborne pathogens and chemical contaminants. Another important factor that can affect people's health is air pollution. Special attention needs to be paid to developing countries, as these factors not only affect human health but also contribute to livelihoods, school attendance, and dignity and help create resilient communities living in healthy environments. This book provides insights into different aspects of hygiene, sanitation, water, and air pollution and their potential correlation with infectious diseases and human health. It also addresses important challenges and opportunities for improvement in developing countries. These are priority areas in which the world's leading health and humanitarian organizations, such as the WHO and UNICEF, are working intensively.

The term "health literacy" was used for the first time in 1974 at a conference on health education and social policy; its definition has evolved over time to encompass both the patient's understanding and their ability to process and interpret the health information they receive. The WHO defines health literacy as "the social and cognitive skills that determine the level of motivation and the ability of a person to access, understand and use information in a way that allows them to promote and maintain good health". Literacy in health not only means that the person understands the information that the health professional gives them or that comes to them but also implies that they know how to identify accurate and appropriate information, how to interpret and judge this information, and are able to apply it according to individual circumstances and needs.

Health insurance is the mechanism used to cover medical expenses for illness, injuries, and other health conditions. There are a variety of health insurance systems in the world. A major challenge for low- and middle-income countries is the provision of universal health coverage (UHC), which is the United Nations¿ Sustainability Development Goal Target 3.8.This book examines issues of providing UHC in different health systems around the world, with examples from the Philippines, Portugal, Nigeria, Slovenia, and the United States.

Some examples of what the salves in this book could help the body heal from are: cuts, bruises, abrasions, burns, skin infections, eczema, and psoriasis. Talk to your doctor if you have any concerns.

The third edition of this successful book has been fully revised, expanded and updated to reflect the recent advances in vertigo and dizziness, especially with regard to current classifications and clinical trials. The book starts by covering the fundamentals of anatomy and physiology of the vestibular and the ocular motor systems. It provides guidance on how to take the patient history, laboratory and imaging analysis and principles of therapy exploring different therapeutic strategies. It then goes on to cover in detail the diagnosis and current treatment of peripheral, central and functional vestibular disorders as well as miscellaneous rare vestibular syndromes.Using a uniform chapter style to address the various diseases and adopting a reader-friendly educational format, this is an indispensable guide for clinicians who treat patients with vertigo, dizziness and balance disorders. Hundreds of patient videos are included for the diseases demonstrating typical patient histories and clinical findings. Chapters have also been expanded to discuss the current classification and therapies as well as new and ongoing clinical trials with ample new figures.Written by three top experts in the field, this book is aimed at a broad range of medical specialists, namely neurologists, ENT specialists, neuro-otologists, ophthalmologists, physiotherapists, general practitioners as well as residents and students. Via app: download the SN More Media app for free, scan a link with play button and access videos directly on your smartphone or tablet.

Around a quarter of the world's population is affected by iron deficiency, and women of childbearing age as well as children and adolescents are considered a particular risk group. This reference book deals with the latest scientific findings concerning the iron supply of the human organism with natural foods. It dispels the misconception that plant iron is less valuable than animal iron by presenting the absorption of iron from plant foods via a newly discovered metabolic pathway. From this, new points of view can be derived for vegetarians and vegans, who until now have belonged to the risk group. Furthermore, it is dedicated to forward-looking possibilities of diagnosing iron deficiency and describes modern concepts for determining the bioavailability of iron in food. New findings on the biochemistry of iron in brain metabolism, the description of the different reference values of the international professional societies and practical advice for special diets, risk groups and age groups as well as cooking recipes with simple information on iron intake complete the work. The book is aimed at nutritionists and medical practitioners, nutrition and food scientists, dieticians, pharmacists and sports scientists.

The role of leadership in driving innovation through its different stages is fully explored in this book to enable clinical leaders and managers to design innovation frameworks. The book highlights how to maximize the benefits of innovation for organizations and integrated care systems while acknowledging that the process of innovation within healthcare organizations can be complex and needs to be well orchestrated to enable innovation to spread and sustain. The book examines the leadership enablers in healthcare innovation highlighting a new and refreshing strategic model of innovation. The model is used as the foundation to support the process of innovation, from ideation to implementation, within contemporary and ambitious healthcare organizations.

The 21st is being recognized as the Century of the Person, particularly in Medicine and Health. Person Centered Medicine, as a concept and global programmatic movement developed in collaboration with the World Medical Association, World Health Organization, International Council of Nurses and 30 other institutions over a decade of annual Geneva Conferences, places the whole person as the center of health and as the goal and protagonist of health actions. Seeking the person at the center of medicine, has meant a medicine of the person, for the person, by the person and with the person. Articulating science and humanism, it strives for a medicine informed by evidence, experience and values and aimed at the restoration and promotion of health for all. The textbook on Person Centered Medicine reviews this perspective as it has evolved to date and its resultingknowledge base. The book structure encompasses an Introduction to the field and four sections on Principles, Methods, Specific Health Fields, and Empowerment Perspectives. Its 42 chapters are authored by 105 clinician-scholars from 25 different countries across world regions (North America, Latin America, Europe, Africa, the Middle East, Asia and Oceania). Its vision and goals involve total health for a total person. Ongoing work and upcoming publications would focus on redesigning health systems fit to purpose, and integrating ancestral knowledge and wisdom, community members¿ self- and mutual-care, advances in medical science, and the contributions of health-relevant social sectors.

This book offers basic knowledge on Design Thinking as a method, process and philosophy. It presents thoughtful Design Thinking case examples and tools for nurses and other healthcare professionals, researchers, students and educators to support their development as creative and transformative leaders in their fields.Healthcare managers of the past viewed patients¿ needs merely as targets for population-level health outcomes to be validated in the final phases of developing interventions and services. Today we know better. Patients¿ needs and experiences should be viewed as sources of innovation at the front-end of the development process. It provides the basis for applying design thinking to develop better healthcare services and health tech applications.Today, the success of any healthcare service depends on complex interactions between various stakeholders, and new solutions can only be delivered effectively through co-creative and collaborative efforts. Coordinating such efforts relies on strong concepts that can only result from properly run design processes, that this book describes in light of case studies around the world.Design thinking is crucial generalist skill and is receiving increasing attention in the field, as forward-thinking organizations delve into the practice. It can change the way medical solutions are created and how clinical services are delivered. By driving innovation by means of empathy and practicality, design thinking provides tools for those seeking to drive radical renewal in the field.

Adipositas: Ein Buch mit sieben Siegeln. Während die Stoffwechselkrankheit bislang nicht ausreichend erforscht ist, wird sie als chronische Krankheit noch immer nicht flächendeckend anerkannt. Betroffenen wird häufig fälschlicherweise ein Lifestyle-Problem vorgeworfen. Myriam Hernandez hat die Adipositas-Baustellen recherchiert, um hinter die Kulissen zu blicken: Statt Ursachen werden Symptome und Folgeerscheinungen behandelt. Die Krankheit und der Umgang mit ihr ist gesäumt von Wissenslücken und Missverständnissen. Dieses Buch soll einen Beitrag zu mehr Klarheit leisten.