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A Socio-Historical and Cultural Analysis
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Since the 1960s, a major mental health crisis has emerged among Western working populations. By analysing the development of various occupational cultures and using extensive data sources, this book captures the history of mental vulnerability in working life.

Through a study spanning several decades, the book develops a new understanding of how mental vulnerability has evolved through changes to our working lives and socio-cultural being. It shows how our current knowledge about work, disability and the psyche is influenced by our time and provides intertwining conceptual frameworks and alternatives to current canonised knowledge about mental health in working life.

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Access, Cost and Quality
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Written by a well-respected health and public policy expert, this book provides a comprehensive exploration of the under-appreciated role of public health policy in the United States’ medical care industry.

The book offers students:

• an introduction to the fundamentals of health policy, with comparative perspectives from other countries;

• analysis of major health care programmes, including Medicare, Medicaid, the Affordable Care Act and regulatory programs;

• reflections on issues around access, quality, cost, and the ethics of provision.

By drawing comparisons between the US and other countries, it deepens our understanding of health policy in the US, where it is headed next, and what it might learn from other systems.

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A Manifesto for a New Social Contract

A public health crisis is gripping the UK. Improvements in life expectancy have stalled, health inequalities have widened, obesity and alcohol misuse are placing an increasing strain on health services and urban air pollution is now widely recognised as a serious health hazard. COVID-19 revealed the weaknesses of the UK's public health system, once thought to be among the best in the world.

Against this background, this book examines the organisational and political barriers to an effective public health system showcased through the UK. It urges that what is needed is a new social contract, in which health policy is truly public.

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The State of UK Health Policy

In its 75th anniversary year, this book examines the history, evolution and future of the NHS.

With contributions from leading researchers and experts across a range of fields, such as finance, health policy, primary and secondary care, quality and patient safety, health inequalities and patient and public involvement, it explores the history of the NHS drawing on narrative, evaluative and analytical approaches.

The book frames its analysis around the four key axes from which the NHS has evolved: governance, centralisation and decentralisation, public and private, and professional and managerial.

It will address the salient factors which shape the direction and pace of change in the NHS. As such, the book provides a long-term critical review of the NHS and key themes in health policy.

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Insights into Health Data Use
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EPDF and EPUB available Open Access under CC-BY-ND licence.

This book explores the concept of public trust in health systems.

In the context of recent events, including public response to interventions to tackle the COVID-19 pandemic, vaccination uptake and the use of health data and digital health, this important book uses empirical evidence to address why public trust is vital to a well-functioning health system.

In doing so, it provides a comprehensive contemporary explanation of public trust, how it affects health systems and how it can be nurtured and maintained as an integral component of health system governance.

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Flexible Boundaries
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EPDF and EPUB available Open Access under CC-BY-NC-ND licence.

The COVID-19 pandemic has made unpaid care more visible through its absence, while also increasing the need for it.

Drawing on a range of research projects covering Canada, Germany, Norway, Sweden, the UK and the US, this book documents a broad spectrum of unpaid work performed by residents, relatives, volunteers and staff in nursing homes.

It demonstrates how boundaries between paid and unpaid work are flexible, varying considerably with conditions, time, place and intersectional populations.

By examining the complex labour process within nursing homes, this book provides insight and understanding which will be critical in planning for nursing home care post-pandemic.

Open access
Practices of Care and Contestation

EPDF and EPUB available Open Access under CC-BY-NC-ND licence.

What does it mean to love a healthcare system?

It is often claimed that the UK population is unusually attached to its National Health Service and the last decade has seen increasingly visible displays of gratitude and love. While social surveys of public attitudes measure how much Britain loves the NHS, this book mobilises new empirical research to ask how Britain loves its NHS.

The answer delves into a series of public practices – such as campaigning, donating and volunteering within NHS organisations – and investigates how attitudes to the NHS shape patient experience of healthcare. Stewart argues that these should be understood as practices of care for, and contestation about the future of, the healthcare system.

This book offers a timely critique of both the potential, and the dysfunctions, of Britain’s complex love affair with the NHS.

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Lessons from the Crisis of Western Liberalism

What part do the values of growth and prosperity, freedom and justice, security and democracy play in social policy and human welfare? How can we judge the policies offered to us as the recipe for progress?

At a time of global ‘permacrisis’, Sebastian Taylor applies his extensive frontline experience working with health systems and healthcare in the Global North and South to assess the concrete impact of contemporary liberal values on our welfare, development and environmental survival.

Drawing on research from around the world, he uses health as an objective metric to assess how effective these policies are for individuals and society as a whole.

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Conceptualizing Gender Protection Gaps in Latin America

Focusing on the flight of women and girls from Venezuela, this book examines the gendered nature of forced displacement and the ways in which the failures of protection regimes to be sensitive to displacement’s gendered character affect women and girls, and their sexual and reproductive health.

Highlighting how categorical legal distinctions between ‘refugees’ and ‘migrants’ fail to capture the dynamics of forced migration in Latin America, it investigates how the operation of this categorical divide generates responsibility and protection gaps in relation to female forced migrants which act as determinants of sexual and reproductive health. Drawing on the voices of displaced women, it argues that a robust political ethics of protection of the forcibly displaced must encompass all necessary fleers and be responsive to the gendered character of forced displacement and particularly to effective access to sexual and reproductive health rights.

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ePDF and ePUB available Open Access under CC-BY-NC-ND licence.

How can public services and social interventions create and sustain good outcomes for the populations they serve?

Building on research in public health, social epidemiology and the social determinants of health, this book presents complexity theory as an alternative basis for an outcome-oriented public management praxis. It takes a critical approach towards New Public Management and provides new conceptual inroads for reappraising public management in theory and practice. It advances two practical approaches: Human Learning Systems (a model for public service reform) and Learning Partnerships (a model for research and academic engagement in complex settings).

With up-to-date and extensive discussions on public service reform, this book provides practical and action-oriented guidance for a radical change of course in management and governance.

Open access