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Managed Care in a Public Setting
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Authors: Richard Evan Steele (Klinikken Livet, Silkeborg, Denmark) 
Book Description:
Truths are never lost, they just get -occasionally- forgotten. Rick Steele's reflections on managed (primary) care are a powerful testimony to this.

In an age of ever-increasing hyperspecialisation in biomedical and clinical practice, of virtually logarithmic doubling of peer-reviewed health science literature every year, and of ever stronger beliefs around the pervasive nature of evidence-based health care, we have forgotten an important truth about people's health and how to care for it. Health is hardly created by the health system, which should rather be called the palliative system, or disease management system. Health, as the recent Marmot reviews on their social determinants show, is created where people live, love, work and play. Those places (or 'settings for health') are created and sustained by powerful systemic parameters, such as the economy, the ecosystem, education and early life, and most of all, political choice.

Managing this complex, interconnected, system of causes and 'causes of causes' of health and illness cannot be left to epidemiologists or clinicians, however brilliant they are.

Steele argues for a comprehensive, targeted and multiprofessional approach to managed primary care that deals with some of the most challenging issues in the disease management system. His analysis stems from work mainly carried out in the 1980s and 1990s, and is strongly validated for the new millennium by two streams of action. First of all, Steele himself has been practicing his approach in a variety of capacities in Scandinavia for some decades now, yielding impressive results. But more importantly, recent insights and rediscoveries by WHO and other international and national bodies substantiate Steele's proposals. Recently, the World Health Assembly re-endorsed the Primary Health Care approach unequivocally, and not as a partial 'horizontal' or partial 'vertical' disease-driven community development strategy. Even more recently than that, a United Nations Summit was convened to address the looming - and in many places already rampant - epidemic of non-communicable disease. On both occasions, a measured and managed approach to health development and disease prevention was strongly advocated, and in turn endorsed by civil society.

Rick Steele isn't just rediscovering these truths. In his work he shows how to make it work. (Imprint: Nova)

*** Special Feature ***

Click on the following link to see Dr. Steele do a live presentation of the book on Youtube!.


Table of Contents:
Foreword pp. i-xii

Introduction pp. xiii-xvi

Chapter 1. An Introduction with Theoretical Background pp. 1-10

Chapter 2. Operationalizing the Strategy: An Overview of the Process pp. 11-14

Chapter 3. Operationalizing the Strategy II: A Spectrum of the Design and Policy Issues pp. 15-18

Chapter 4. Overall Policy and Strategy pp. 19-24

Chapter 5. Planning of Projects and Projected Consequences pp. 25-34

Chapter 6. Budgeting Projects pp. 35-38

Chapter 7. Planning the Functions of CHC Projects pp. 39-40

Chapter 8. Projected Operation of the CHC District pp. 41-46

Chapter 9. Alternative Limited Implementation pp. 47-48

Chapter 10. Evaluation of CHC Projects pp. 49-58

Chapter 11. Coordination and Collaboration pp. 59-64

Chapter 12. People with a Disability in Managed Care pp. 65-82

Appendices pp. 83-84

Appendix A. The literature study behind these guidelines pp. 85-86

Appendix B. Project workshops/concept development pp. 87-94

Appendix C. Political issues and project steering pp. 95-98

Appendix D. Personnel profiles and development pp. 99-102

Appendix E. Quality oriented service registration pp. 103-106

Appendix F. Health profile and impact study pp. 107-110

Appendix G. Community involvement pp. 111-112

Acknowledgments pp. 113-114

About the Author pp. 115-118

About Klinikken Livet pp. 119-120

About the Book Series “Health and Human Development” pp. 121-124

Index pp. 125-133

This book is also available in an e-book version.

      Health and Human Development (Joav Merrick - Series Editor - National Institute of Child Health and Human Development, Ministry of Social Affairs, Jerusalem)
   Binding: Softcover
   Pub. Date: 2013
   Pages: 149, 6x9 - (NBC-C)
   ISBN: 978-1-62417-970-9
   Status: AV
Status Code Description
AN Announcing
FM Formatting
PP Page Proofs
FP Final Production
EP Editorial Production
PR At Prepress
AP At Press
AV Available
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