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Professionele richtlijnen, wettelijke bepalingen en ethische normen zouden de hulpverlening in de GGz tegenwoordig transparant moeten maken. Uit de praktijkverhalen in dit boek blijkt dat dit niet altijd het geval is. Psychiaters en andere hulpverleners in de psychiatrie schetsen het belang van de persoonlijke expertise van de therapeut bij het maken van beslissingen over de behandelingsstrategie.Ieder hoofdstuk kent dezelfde opbouw. Aan de hand van een casus wordt een praktisch dilemma beschreven en ontrafeld. Hierbij komen ook de veranderde verhoudingen in de hulpverlening aan bod.De verschillende bijdragen laten zien dat goed hulpverlenerschap niet alleen is gestoeld op wetenschappelijke kennis en EBM protocollen. Clinical skills - de ervaring in het beoordelen van ingewikkelde praktijksituaties en het vermogen om snel en doeltreffend een besluit te nemen - vormen hierbij een factor van grote betekenis.Dit boek geeft een actueel beeld van de complexiteit van hulpverlening in de psychiatrie. Het geeft bovendien een realistische kijk op de vermeende oplosbaarheid van alle psychiatrische problemen en vormt zo een bron van inspiratie voor iedereen die werkzaam is in de psychiatrie.

Geestelijke gezondheidszorg --- Psychiatrie --- 606.2 --- hulpverlening --- praktijkverhalen --- psychiatrie --- Soins de santé mentale --- Psychiatrie; algemeen

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Are advanced industrialized countries converging on a market response to reform their systems of social protection? By comparing the health care reform experiences of Britain, Germany, and the United States in the 1990s, Susan Giaimo explores how countries pursue diverse policy responses and how such variations reflect distinctive institutions, actors, and reform politics in each country. In Britain, the Thatcher government's plan to inject a market into the state-administered national health service resulted in a circumscribed experiment orchestrated from above. In Germany, the Kohl government sought to repair defects in the corporatist arrangement with doctors and insurers, thus limiting the market experiment and designing it to enhance the solidarity of the national health insurance system. In the United States, private market actors foiled Clinton's bid to expand the federal government's role in the private health care system through managed competition and national insurance. But market reform continued, albeit led by private employers and with government officials playing a reactive role. Actors and institutions surrounding the existing health care settlement in each country created particular reform politics that either militated against or fostered the deployment of competition. The finding that major transformations are occurring in private as well as public systems of social protection suggests that studies of social policy change expand their focus beyond statutory welfare state programs. The book will interest political scientists and policymakers concerned with welfare state reform in advanced industrial societies, social scientists interested in the changing balance among state, market, and societal interests in governance, and health policy researchers, health policymakers, and health care professionals.

Health care reform --- Medical policy --- Duitsland --- gezondheidseconomie (gezondheidszorgeconomie) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- Groot-Brittannië --- Verenigde Staten --- verzorgingsstaat --- ziektekostenverzekering (sociale zekerheid, mutualiteit, ziekenfonds, zorgverzekeraar) --- Allemagne --- économie de la santé (économie des soins de santé) --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- Grande Bretagne --- Etats Unis --- État-providence --- assurance maladie (sécurité sociale, mutualité)

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For much of the developed world, health care for a surging elderly population looms as one of the most daunting problems of the coming decade. In this book, contributors from diverse disciplinary backgrounds and countries discuss resource allocation for the elderly and debate plans for the years ahead. Essays focus on five general issues: the meaning of old age, the goals of medicine and health care for the elderly, the balance between the needs of the young and old, the pressures of other social priorities, and the role of families, especially the burden on women, in long-term care. In consideration of the difficult moral and practical issues involved, the editors conclude the volume with a special report containing policy recommendations from representatives of eight countries (the United States, Belgium, the Czech Republic, Germany, Hungary, the Netherlands, Sweden, and the United Kingdom). This important volume will be of interest to policymakers and a broad spectrum of health care professionals, as well as to anyone interested in the fate of the elderly or in coming health care challenges.

Older people --- bejaardenzorg (ouderenzorg) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- gezondheidszorg --- ouderdom --- vergrijzing (veroudering van de bevolking) --- Aged --- Aging people --- Elderly people --- Old people --- Older adults --- Older persons --- Senior citizens --- Seniors (Older people) --- Age groups --- Persons --- Gerontocracy --- Gerontology --- Old age --- Medical care&delete& --- Government policy --- Moral and ethical aspects --- Social aspects --- assistance aux personnes âgées --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- soins de santé --- vieillesse --- viellissement de la population (viellissement démographique) --- Medical care --- Medical Care --- Medical

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We are on the verge of the nation's worst nursing shortage in history. Dedicated nurses are leaving hospitals in droves, and there are not enough new recruits to the profession to meet demand. Even hospitals that were once very highly regarded for the quality of their nursing care, such as Boston's Beth Israel Deaconess Medical Center, now struggle to fill vacant positions. What happened? Dana Beth Weinberg argues that hospital restructuring in the 1990's is to blame. In their attempts to retain profit margins or even just to stay afloat, hospitals adopted a common set of practices to cut costs and increase revenues. Many strategies squeezed greater productivity out of nurses and other hospital workers. Nurses' workloads increased to the point that even the most skilled nurses questioned whether they could provide minimal, safe care to patients. As hospitals hemorrhaged money, it seemed that no one-not hospital administrators, not doctors-felt they could afford to listen to nurses. Through a careful look at the effects of the restructuring strategies chosen and implemented by Beth Israel Deaconess Medical Center, the author examines management's efforts to balance service and survival. By showing the effects of hospital restructuring on nurses' ability to plan, evaluate, and deliver excellent care, Weinberg provides a stinging indictment of standard industry practices that underestimate the contribution nurses make both to hospitals and to patient care.

Nursing --- Hospitals --- Benevolent institutions --- Infirmaries --- Health facilities --- Clinical nursing --- Nurses and nursing --- Nursing process --- Care of the sick --- Medicine --- Finance. --- gezondheidseconomie (gezondheidszorgeconomie) --- gezondheidszorgkwaliteit --- verpleegkunde --- ziekenhuis (ziekenhuiszorg) --- Finance --- économie de la santé (économie des soins de santé) --- qualité des soins de santé --- soins infirmiers --- hôpital (soins hospitaliers) --- Beth Israel Deaconess Hospital Center

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Can the ethical mission of health care survive among organizations competing for survival in the marketplace? This book presents both an analytic framework and a menu of pragmatic answers.

Managed care plans (Medical care) --- Health facilities --- Medical ethics. --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Facilities, Health --- Health care facilities --- Health care institutions --- Health institutions --- Institutions, Health --- Medical care facilities --- Medical care institutions --- Medical facilities --- Public health --- Managed care programs (Medical care) --- Managed care systems (Medical care) --- Managed health care --- Plans, Managed care (Medical care) --- Programs, Managed care (Medical care) --- Systems, Managed care (Medical care) --- Health insurance --- Moral and ethical aspects --- Moral and ethical aspects. --- Medical ethics --- ethiek (ethische aspecten) --- gezondheidseconomie (gezondheidszorgeconomie) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- gezondheidszorg --- Verenigde Staten --- ziektekostenverzekering (sociale zekerheid, mutualiteit, ziekenfonds, zorgverzekeraar) --- zorgmanagement --- ethique (aspects ethiques) --- économie de la santé (économie des soins de santé) --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- soins de santé --- Etats Unis --- assurance maladie (sécurité sociale, mutualité) --- management des soins