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Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102987010
Category : Medical
Languages : en
Pages : 50
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Book Description
Since the Department's 2007 Maternity Matters strategy, there has been improvement in maternity services. However, there is wide variation between trusts in performance. The Department did not fully consider the implications of delivering its ambitions and has failed to demonstrate that it satisfactorily considered the achievability and affordability of implementing the strategy. Nor has it monitored national progress against it. In 2011, one in 133 babies was stillborn or died within several days of birth. The mortality rate has fallen over time, but comparisons with the other UK nations suggest scope for further improvement. Trusts paid £482 million for maternity clinical negligence cover in 2012-13, equating to around a fifth of spending on maternity services. The level of consultant presence has substantially improved but over half of maternity units (including all of the largest units) do not meet recommended levels. The NHS is also not meeting a widely recognised benchmark of one midwife to 29.5 births. The government has commissioned more places to study midwifery, but it is unclear whether these will be enough. Meeting the benchmark would require around 2,300 additional midwives nationally. In terms of choice of place of birth, 79 per cent of women are currently within a 30-minute drive of both an obstetric and midwifery-led unit, compared with 59 per cent in 2007. However, choice is restricted where units have to close because of a lack of physical capacity or midwives. Over a quarter of units closed for half a day or more between April and September 2012
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102987010
Category : Medical
Languages : en
Pages : 50
Get Book Here
Book Description
Since the Department's 2007 Maternity Matters strategy, there has been improvement in maternity services. However, there is wide variation between trusts in performance. The Department did not fully consider the implications of delivering its ambitions and has failed to demonstrate that it satisfactorily considered the achievability and affordability of implementing the strategy. Nor has it monitored national progress against it. In 2011, one in 133 babies was stillborn or died within several days of birth. The mortality rate has fallen over time, but comparisons with the other UK nations suggest scope for further improvement. Trusts paid £482 million for maternity clinical negligence cover in 2012-13, equating to around a fifth of spending on maternity services. The level of consultant presence has substantially improved but over half of maternity units (including all of the largest units) do not meet recommended levels. The NHS is also not meeting a widely recognised benchmark of one midwife to 29.5 births. The government has commissioned more places to study midwifery, but it is unclear whether these will be enough. Meeting the benchmark would require around 2,300 additional midwives nationally. In terms of choice of place of birth, 79 per cent of women are currently within a 30-minute drive of both an obstetric and midwifery-led unit, compared with 59 per cent in 2007. However, choice is restricted where units have to close because of a lack of physical capacity or midwives. Over a quarter of units closed for half a day or more between April and September 2012
Author: Sue Macdonald
Publisher: Elsevier Health Sciences
ISBN: 0702063363
Category : Medical
Languages : en
Pages : 1221
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Book Description
A new edition of a classic textbook fully updated to meet the needs of today's midwifery student. Now available for the first time in full color, the 15th edition of Mayes Midwifery has an enhanced artwork program and comes with an extensive website which provides 600 MCQs and wide selection of case studies and reflective activities; a downloadable image bank assists with essay and assignment preparation. - New edition of a classic textbook updated and designed for today's midwifery student! - Chapters authored by experts in their field, including midwifery academics and clinicians as well as allied professionals such as researchers, physiotherapists, neonatal nurse specialists, social scientists and legal experts - Evidence and research based throughout to help facilitate safe clinical practice - Learning outcomes and key points help readers structure their study and recap on what they have learned - Reflective activities encourage the application of theory to practice - Contains practice based tools and checklists - Presents and discusses the latest national and international guidelines - Associated website with over 600 MCQs, reflective activities to encourage the application of theory to practice, case studies and additional learning tools - Downloadable image bank to assist readers with essay preparation and other assignments - Suitable for use in normal community and midwife led arenas, high tech environments and more rural areas of clinical practice - Brand new design - incorporating helpful learning features - aids reader engagement and retention of facts - Updated artwork program helps clarify complex physiological processes and other challenging concepts
Author: Carol Sakala
Publisher:
ISBN: 9781887748704
Category : Delivery (Obstetrics)
Languages : en
Pages : 0
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Book Description
"Evidence-based maternity care uses the best available research on the safety and effectiveness of specific practices to help guide maternity care decisions and to facilitate optimal outcomes in mothers and newborns."-- From foreword.
Author: Geoffrey Marsh
Publisher: OUP Oxford
ISBN: 0191574694
Category : Medical
Languages : en
Pages : 514
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Book Description
This important book makes the case for placing maternity care in the community. It has been written by a multidisciplinary group. The first section considers the role and function of the participants in community-based maternity care; the woman, the midwife, and the GP. The second section discusses four major contemporary issues: the radically changing social background, the economics of care, audit, and education of the carers. Next the major clinical challenges in maternity care are tackled: how to reduce the differences in morbidity and mortality which are associated with differences in age, social class and ethnicity; the care of disadvantaged groups; prematurity and low birth weight and their prevention; technology used in childbirth; and the fetal origins of adult disease. Finally, all aspects of the clinical care carried out by Gps and midwives are covered. The editors hope that after reading this book midwives, Gps, and obstetricians should find the theory underpinning their work has been sharply defined and that their work will be more effective and evidence-based. The editors, a GP and a midwife, anticipate the resolution of the current tensions between midwife, GP, and obstetrician and look forward to a responsive, effective and sensitive service for mothers and babies in the next millennium.
Author: Paul G. Shekelle
Publisher:
ISBN: 9781906461089
Category : Information resources management
Languages : en
Pages : 60
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Book Description
This report aims to gather the lessons learnt on the effects of HIT to costs and benefits that might be of use to organisations looking to develop and implement HIT programmes. This is a difficult exercise considering the multiple factors affecting implementation of an HIT programme. Factors include organisational characteristics, the kinds of changes being put in place and how they are managed, and the type of HIT system. The report finds that barriers to HIT implementation are still substantial but that some progress has been made on reporting the organisational factors crucial for the adoption of HIT. However, there is a challenge to adapt the studies and publications from HIT leaders (early implementers and people using HIT to best effect) to offer lessons beyond their local circumstances. The report also finds limited data on the cost-effectiveness of HIT.
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102951608
Category : Family & Relationships
Languages : en
Pages : 52
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Book Description
This NAO report examines the reorganisation of neonatal services in England, and has set out a number of facts in regard of baby births. In 2006, 635,748 babies were born in England, with 62,471 babies, approximately 10% of all births admitted to neonatal units. Babies require neonatal care because they are premature, have a low birth weight or suffer from illness or a condition, such as a heart defect. The NAO also states that there is a trend in low weight babies increasing in the UK and other developed countries. Premature babies are the result of a number of factors, including maternal age, obesity, smoking, ethnic origin, deprivation and assisted conception such as IVF. Also, the number of women giving birth at 40 years of age or more has more than doubled since 1986. The NAO has set out a number of findings and recommendations, including: that there is a widespread support for neonatal services to be delivered through managed clinical networks, but these networks have evolved at different rates; most clinical networks have made progress in reducing long-distance transfers, but only half provide specialist transport services 24 hours a day, seven days a week; that there has been an improvement in communication between clinical networks; that there are still capacity problems that undermine the effectiveness and efficiency of neonatal care, and that this is often due to a shortage of nurses; that a greater account should be taken of parent's needs when neonatal care in required, such as communication with medical staff, information about the babies' care and accommodation for the parents; the costs of neonatal services are not fully understood, and there is a mismatch between costs and charges.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309180090
Category : Social Science
Languages : en
Pages : 368
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Book Description
In sub-Saharan Africa, older people make up a relatively small fraction of the total population and are supported primarily by family and other kinship networks. They have traditionally been viewed as repositories of information and wisdom, and are critical pillars of the community but as the HIV/AIDS pandemic destroys family systems, the elderly increasingly have to deal with the loss of their own support while absorbing the additional responsibilities of caring for their orphaned grandchildren. Aging in Sub-Saharan Africa explores ways to promote U.S. research interests and to augment the sub-Saharan governments' capacity to address the many challenges posed by population aging. Five major themes are explored in the book such as the need for a basic definition of "older person," the need for national governments to invest more in basic research and the coordination of data collection across countries, and the need for improved dialogue between local researchers and policy makers. This book makes three major recommendations: 1) the development of a research agenda 2) enhancing research opportunity and implementation and 3) the translation of research findings.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241563176
Category : Business & Economics
Languages : en
Pages : 237
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Book Description
The 2006 World Health Report focuses on the chronic shortages of doctors, midwives, nurses and other health care support workers in the poorest countries of the world where they are most needed. This is particularly true in sub-Saharan Africa, which has only four in every hundred global health workers but has a quarter of the global burden of disease, and less than one per cent of the world's financial resources. Poor working conditions, high rates of attrition due to illness and migration, and education systems that are unable to pick up the slack reflect the depth of the challenges in these crisis countries. This report considers the challenges involved and sets out a 10-year action plan designed to tackle the crisis over the next ten years, by which countries can strengthen their health system by building their health workforces and institutional capacity with the support of global partners.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241563974
Category : Health & Fitness
Languages : en
Pages : 302
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Book Description
1. Introduction and methods of work.-- 2. Alcohol: equity and social determinants.-- 3. Cardiovascular disease: equity and social determinants.-- 4. Health and nutrition of children: equity and social determinants.-- 5. Diabetes: equity and social determinants.-- 6. Food safety: equity and social determinants.-- 7. Mental disorders: equity and social determinants.-- 8. Neglected tropical diseases: equity and social determinants.-- 9. Oral health: equity and social determinants.-- 10. Unintended pregnancy and pregnancy outcome: equity and social determinants.-- 11. Tobacco use: equity and social determinants.-- 12. Tuberculosis: the role of risk factors and social determinants.-- 13. Violence and unintentional injury: equity and social determinants.-- 14. Synergy for equity.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309493382
Category : Medical
Languages : en
Pages : 621
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Book Description
Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.
