Details

Improving Healthcare Through Advocacy


Improving Healthcare Through Advocacy

A Guide for the Health and Helping Professions
1. Aufl.

von: Bruce S. Jansson

68,99 €

Verlag: Wiley
Format: EPUB
Veröffentl.: 16.12.2010
ISBN/EAN: 9781118044148
Sprache: englisch
Anzahl Seiten: 512

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Beschreibungen

<b>Praise for</b><br /> <b>Improving Healthcare Through Advocacy</b><br /> <b>A Guide for the Health and Helping Professions</b> <p>"Bruce Jansson's thoughtful and innovative book will appeal to students in social work, nursing, and public health as well as those working in the health field of practice. The case examples are extraordinary, and Jansson provides the ideas, context, and theoretical base for readers to acquire the skills of advocacy in healthcare. This is by far the best advocacy book I have seen."<br /> <b>—Gary Rosenberg,</b><br /> <b>PhD Director, Division of Social Work and Behavioral Science</b><br /> <b>Mount Sinai School of Medicine</b></p> <p>"<i>Improving Healthcare Through Advocacy</i> is a terrific description of opportunities for advocacy intervention and provides the skill sets necessary for effective advocacy. A needed book."<br /> <b>—Laura Weil, LCSW</b><br /> <b>Director, Health Advocacy Program</b><br /> <b>Sarah Lawrence College</b></p> <p>"<i>Improving Healthcare Through Advocacy</i> is an invaluable resource for practitioners working in the healthcare field as well as for students. It very thoroughly covers healthcare advocacy issues, contains real-world case examples, and provides a clear, step-by-step framework for practicing advocacy."<br /> <b>—Kimberly Campbell, ACSW, LCSW</b><br /> <b>Lecturer, Department of Social Work</b><br /> <b>Ball State University</b></p> <p><b>An important resource for all who strive for the best in healthcare treatment for their patients, themselves, and the nation</b></p> <p>Bestselling author and award-winning researcher Bruce S. Jansson uses an intervention framework to illustrate how everyone in the healthcare system can advocate effectively, not just for better healthcare delivery to individual clients but for the necessary policy change that will deliver long- term solutions to our nation's healthcare crisis as well.</p> <p><i>Improving Healthcare Through Advocacy</i> provides professionals with:</p> <ul> <li> <p>Tools to move from traditional services to case advocacy and policy advocacy tasks</p> </li> <li> <p>Over 100 case studies from the perspective of patients, healthcare providers, and others who relate the experiences they have encountered in the healthcare system and share the wisdom they have learned</p> </li> <li> <p>Practical tips on how to provide effective advocacy and bring about positive and long-term change in this complex environment</p> </li> </ul>
<p>Preface xi</p> <p><b>1 Embedding Advocacy in the U.S. Health System 1</b></p> <p>Seven Problems Commonly Encountered by Healthcare Consumers 2</p> <p>Advocacy 3</p> <p>Scenarios and Vignettes 6</p> <p>Resurgence of Interest in Case and Policy Advocacy 8</p> <p>Advocacy From Outside the Health System 10</p> <p>Advocacy as an Underground Activity 11</p> <p>Advocacy as an Ethical Imperative 11</p> <p>A Philosophical Premise 12</p> <p>An Outline of This Book 13</p> <p>Online Materials Relevant to This Chapter 13</p> <p><b>2 How the U.S. Health System Contributes to Consumers' Seven Problems 15</b></p> <p>The Poor Law Tradition 15</p> <p>Emphasis on Technology 17</p> <p>Entrepreneurialism 17</p> <p>Insufficient Emphasis on Prevention 17</p> <p>Lack of Diversity in Medical Personnel 18</p> <p>Uneven Acceptance of a Biopsychosocial Framework 19</p> <p>Medical Silos and Insular Care 19</p> <p>From History to Case and Policy Advocacy 21</p> <p>Online Materials Relevant to This Chapter 22</p> <p><b>3 An Advocacy Practice Framework: Tasks, Skills, and Actions 23</b></p> <p>Brief Overview of Case-Advocacy Interventions 23</p> <p>Eight Case-Advocacy Tasks 24</p> <p>Task #1 Reading the Context 24</p> <p>Task #2 Triage 27</p> <p>Task #3 Allocating Case-Advocacy Services 32</p> <p>Task #4 Diagnosing Task 33</p> <p>Task #5 The Strategizing Task 40</p> <p>Task #6 Implementing Case-Advocacy Strategy 50</p> <p>Task #7 Assessing Advocacy Interventions 50</p> <p>Task #8 Progressing to Policy Advocacy 51</p> <p>Case Advocacy for a Very Sick Child 51</p> <p>Summary 56</p> <p><b>4 Case Advocacy Skills 59</b></p> <p>Four Skills for Reading the Advocacy Context (Task #1) 59</p> <p>Four Skills for Case-Advocacy Triage (Task #2) 60</p> <p>Four Skills for Allocating Case-Advocacy Services (Task #3) 61</p> <p>Four Skills for the Diagnosing Task (Task #4) 61</p> <p>Four Skills for the Strategizing Task (Task #5) 61</p> <p>Four Skills for the Implementing Task (Task # 6) 62</p> <p>Four Skills for the Assessing Task (Task #7) 62</p> <p>Four Skills for the Progression Task (Task #8) 63</p> <p>Two Skills in More Detail 63</p> <p>The Nature of Influence 63</p> <p>Empowering Consumers 65</p> <p>Empowerment (Continued) 83</p> <p>Advocacy With Respect to Seven Consumer Problems 96</p> <p><b>5 Advocacy to Protect Consumers' Ethical Rights 97</b></p> <p>Promoting Ethical Conduct in Healthcare 97</p> <p>The Policy and Regulatory Thicket for Promoting Ethical Conduct 101</p> <p>Obtaining Skills in Ethical Reasoning at the Case Level 106</p> <p>Nineteen Scenarios Encountered by Case Advocates 115</p> <p>Summary 137</p> <p>Moving From Case-Advocacy Scenarios to Broader Policy Issues 141</p> <p>Online Materials Relevant to This Chapter 142</p> <p><b>6 Advocacy to Improve Consumers' Quality of Care 143</b></p> <p>A Definition of ``Quality Healthcare'' 143</p> <p>General Criticisms of the Success of U.S. Healthcare in Addressing Physiological Illnesses 144</p> <p>The Policy and Regulatory Thicket as It Pertains to Quality of Care 146</p> <p>Fifteen Scenarios Encountered by Consumers With Respect to Quality of Care 159</p> <p>Online Materials Relevant to This Chapter 176</p> <p>Progressing From Case Advocacy to Policy Advocacy to Enhance Quality of Care 176</p> <p><b>7 Advocacy to Promote Culturally Competent Health Services 179</b></p> <p>Conceptualizing Cultural Competency 180</p> <p>What It Means to Be Culturally Competent: A Conceptual Framework 182</p> <p>The Case for Providing Culturally Competent Services 185</p> <p>The Policy and Regulatory Thicket 189</p> <p>Ten Scenarios Pertaining to Culturally Incompetent Services 192</p> <p>Policy Advocacy to Promote the Cultural Competency of the Health System 207</p> <p>Moving From Case Advocacy Scenarios to Broader Policy Issues 210</p> <p><b>8 Using Advocacy to Promote Prevention in Health 211</b></p> <p>Defining Prevention 211</p> <p>Threats to Health 213</p> <p>Prevention Goals and Strategies 214</p> <p>Why U.S. Consumers Particularly Need Prevention 219</p> <p>Barriers to Prevention 221</p> <p>The Policy and Regulatory Thicket 229</p> <p>Twelve Scenarios of Consumers Regarding Preventive Services 239</p> <p>Moving from Case Advocacy to Policy Advocacy 251</p> <p>Summary 252</p> <p><b>9 Using Advocacy to Help Consumers Finance Their Healthcare 253</b></p> <p>Buck-Passing 260</p> <p>Seniors' Angst 264</p> <p>The Medical Wheel of Fortune 267</p> <p>Some Effects of Poor Coverage on Health Outcomes 275</p> <p>Ripple Effects of Health Costs and Coverage 276</p> <p>The Policy and Regulatory Thicket Protecting</p> <p>Consumers With Respect to Health Coverage 278</p> <p>Twenty Scenarios Encountered by Advocates 280</p> <p>Moving From Case Advocacy to Policy Advocacy 295</p> <p>Fifteen Scenarios Presented in This Book 295</p> <p>Online Materials Relevant to This Chapter 295</p> <p>Summary 296</p> <p><b>10 Advocacy for Healthcare Consumers Needing Mental Health Services 297</b></p> <p>Why Many Consumers Turn to Health Settings for Help with Mental Conditions 297</p> <p>Kinds of Mental Distress Often Experienced by Consumers 300</p> <p>Who Attends to Consumers' Mental Health Needs? 303</p> <p>Some Liabilities in the Policy and Regulatory Thicket 304</p> <p>Assets in the Policy and Regulatory Thicket 306</p> <p>The Policy and Regulatory Thicket: Laws, Regulations, and Staff That Facilitate Social and Mental Health Services 319</p> <p>Twenty-Six Scenarios Encountered by Case Advocates 321</p> <p>Online Materials Relevant to This Chapter 343</p> <p>Moving from Case Advocacy to Policy Advocacy 343</p> <p><b>11 Advocacy to Help Consumers Receive Community-Based Care 345</b></p> <p>Consumer's Health Ecosystems 345</p> <p>A Compendium of Community-Based Health Services 348</p> <p>Assets and Liabilities in the Policy and Regulatory Thicket 349</p> <p>Fifteen Advocacy Scenarios for Consumers Needing Community-Based Care 361</p> <p>Moving From Case Advocacy to Policy Advocacy 374</p> <p>Online Materials Relevant to This Chapter 374</p> <p>Summary 375</p> <p><b>12 A Framework for Policy Advocacy by Healthcare Professionals 377</b></p> <p>The Importance of Policy Advocacy 377</p> <p>A Policy Advocacy Framework 379</p> <p>Surmounting Fatalism, Controversy, and Vested Interests 387</p> <p>Policy Advocacy in Four Settings 390</p> <p><b>13 Using Policy Advocacy to Embed Advocacy in Healthcare Organizations 391</b></p> <p>What Advocates Seek to Change in Health Organizations 391</p> <p>Using Policy Advocacy to Embed Advocacy in Health Organizations 395</p> <p>Summary 420</p> <p><b>14 Policy Advocacy in Community, Electoral, and Government Settings 421</b></p> <p>Health Advocacy in Communities 421</p> <p>Policy Advocacy in Electoral Settings 425</p> <p>Policy Advocacy in Legislative and Regulatory Settings 426</p> <p>Advocating for Regulatory Changes 429</p> <p>Establishing a Policy Agenda in Specific Health Settings 430</p> <p>Online Materials Relevant to This Chapter 431</p> <p>Summary 431</p> <p>References 433</p> <p>Author Index 457</p> <p>Subject Index 469</p>
<b>BRUCE S. JANSSON</b> is the Margaret W. Driscoll/Louise M. Clevenger Professor of Social Policy and Administration at the University of Southern California. He has also served as the Moses Distinguished Research Professor at the City University of New York Graduate Center.
<b>Praise for</b><br /> <b>Improving Healthcare Through Advocacy</b><br /> <b>A Guide for the Health and Helping Professions</b> <p>"Bruce Jansson's thoughtful and innovative book will appeal to students in social work, nursing, and public health as well as those working in the health field of practice. The case examples are extraordinary, and Jansson provides the ideas, context, and theoretical base for readers to acquire the skills of advocacy in healthcare. This is by far the best advocacy book I have seen."<br /> <b>—Gary Rosenberg,</b><br /> <b>PhD Director, Division of Social Work and Behavioral Science</b><br /> <b>Mount Sinai School of Medicine</b></p> <p>"<i>Improving Healthcare Through Advocacy</i> is a terrific description of opportunities for advocacy intervention and provides the skill sets necessary for effective advocacy. A needed book."<br /> <b>—Laura Weil, LCSW</b><br /> <b>Director, Health Advocacy Program</b><br /> <b>Sarah Lawrence College</b></p> <p>"<i>Improving Healthcare Through Advocacy</i> is an invaluable resource for practitioners working in the healthcare field as well as for students. It very thoroughly covers healthcare advocacy issues, contains real-world case examples, and provides a clear, step-by-step framework for practicing advocacy."<br /> <b>—Kimberly Campbell, ACSW, LCSW</b><br /> <b>Lecturer, Department of Social Work</b><br /> <b>Ball State University</b></p> <p><b>An important resource for all who strive for the best in healthcare treatment for their patients, themselves, and the nation</b></p> <p>Bestselling author and award-winning researcher Bruce S. Jansson uses an intervention framework to illustrate how everyone in the healthcare system can advocate effectively, not just for better healthcare delivery to individual clients but for the necessary policy change that will deliver long- term solutions to our nation's healthcare crisis as well.</p> <p><i>Improving Healthcare Through Advocacy</i> provides professionals with:</p> <ul> <li> <p>Tools to move from traditional services to case advocacy and policy advocacy tasks</p> </li> <li> <p>Over 100 case studies from the perspective of patients, healthcare providers, and others who relate the experiences they have encountered in the healthcare system and share the wisdom they have learned</p> </li> <li> <p>Practical tips on how to provide effective advocacy and bring about positive and long-term change in this complex environment</p> </li> </ul>
"Bruce Jansson's thoughtful and innovative book will appeal to students in social work, nursing, and public health as well as those working in the health field of practice. The case examples are extraordinary, and Jansson provides the ideas, context, and theoretical base for readers to acquire the skills of advocacy in healthcare. This is by far the best advocacy book I have seen."<br /> —<b>Gary Rosenberg</b>, Ph.D., Director, Division of Social Work & Behavioral Science Mount Sinai <p>"<i>Improving Healthcare Through Advocacy</i> is a terrific description of opportunities for advocacy intervention and provides the skill sets necessary for effective advocacy. A needed book."<br /> —<b>Laura Weil</b>, Director, Health Advocacy Program, Sarah Lawrence College</p> <p>"<i>Improving Healthcare Through Advocacy</i> is an invaluable resource for practitioners working in the healthcare field as well as for students. It very thoroughly covers healthcare advocacy issues, contains real-world case examples, and provides a clear, step-by-step framework for practicing advocacy."<br /> —<b>Kimberly Campbell</b>, ACSW, LCSW, Department of Social Work, Ball State University</p>

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