scholarly journals Prescribed Reading: Reflective Medical Narratives and the Rise of the Medimoir: An Interview with Adam Kay

Humanities ◽  
2018 ◽  
Vol 7 (4) ◽  
pp. 130
Author(s):  
Katy Shaw
Keyword(s):  
Public Health ◽  
National Health Service ◽  
Health Service ◽  
Publishing Industry ◽  
Medical Training ◽  
Point Of Care ◽  
Reading Public ◽  
Health And Wellbeing ◽  
The Face ◽  
Medical Narratives

The 21st century has witnessed the rise of a genre of literature that has taken both the reading public and the publishing industry by storm. The ‘medimoir’—or medical memoir—is not in itself a new genre of writing, but has risen to prominence in a contemporary British context of renewed focus on public health and wellbeing, a proliferation of professional confessionals in publishing, and debates about the future of the free-at-point-of-care British National Health Service (NHS). The most prolific medimoir published to date is Adam Kay’s This Is Going to Hurt (2017), a reflective diary that chronicles his time as a trainee gynaecologist in the NHS, and his subsequent exit from medical training in the face of growing personal and political pressures on his profession. This article contextualises and considers the rise of the medimoir, and examines why this genre of medical narrative has become such a critical, literary, and publishing success in the first two decades of the new millennium.

Strictly come partnering: are health and wellbeing boards the answer?

2020 ◽  
pp. 67-82
Author(s):  
David J. Hunter
Keyword(s):  
Public Health ◽  
National Health Service ◽  
Young People ◽  
Health Service ◽  
Poor Performance ◽  
Local Authorities ◽  
Ageing Society ◽  
Health And Wellbeing ◽  
System Leaders ◽  
Local Levels

This chapter highlights the need for partnership working, which has been a long-standing objective of health and social policy. For many years, the National Health Service (NHS) and local authorities have been attempting to deal with 'wicked issues'. Issues such as homelessness, disaffection of young people, and the ageing society that have complex multiple causes require joined-up approaches by the statutory and third sectors at national and local levels. In 2012, at the time when Public Health responsibilities were transferred from the NHS to local authorities, health and wellbeing boards (HWBs) were established in England. With few exceptions, HWBs punch below their weight and are not the powerful system leaders that were hoped for. Evidence of their value and impact is negligible, with poor-performance indicators, and the difficulties in overcoming deep-seated departmentalism and a silo approach prevalent in government and public services, leaving 'wicked issues' as deep-seated as ever.

Swimming in the waters of a sinking National Health Service (NHS): A group analytic perspective

2021 ◽  
pp. 053331642199776
Author(s):  
Javier Malda-Castillo ◽  
Daniel Anderson
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Analytic Theory ◽  
Psychological Effects ◽  
The Face

This article examines the psychological effects of the reorganization of the NHS. Through a combination of theoretical and clinical perspectives, the authors describe the psychological effects of the neoliberal and privatizing policies that have changed the landmark of the NHS in England. The article uses Foulkes’ main theoretical viewpoints as well as some Bionian ideas in an attempt to illustrate the losses, challenges, tensions and opportunities that the NHS has experienced in the face of change and pressure. The ultimate aim is to describe how group analytic theory and technique could aid understanding of, and thereby alleviate, some of the pain that the organization has endured through this process.

scholarly journals Physician Assistants Employed by the Federal Government

2020 ◽  
Vol 185 (5-6) ◽  
pp. e649-e655 ◽  
Author(s):  
Noël E Smith ◽  
Andrzej Kozikowski ◽  
Roderick S Hooker
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Service ◽  
Federal Government ◽  
Public Health Service ◽  
Medical Training ◽  
Physician Assistants ◽  
National Commission ◽  
Federal Employment ◽  
The U.S

Abstract Objective Physician assistants (PAs) are health professionals who have received advance medical training and are licensed to diagnose illness, develop and manage treatment plans, prescribe medications, and serve as principal health care provider. Although the U.S. federal government is the largest single employer of PAs, at the same time little is known about them across the wide array of diverse settings and agencies. The objective of this project was to determine the census of PAs in federal employment, their location, and personal characteristics. This included approximating the number of uniformed PAs. Taking stock of a unique labor force sets the stage for more granular analyses of how and where PAs are utilized and are deployed. Methods No one central database identifies all federally employed PAs. To undertake this project, three sources were examined. Data were derived from the U.S. Office of Personnel Management and the National Commission on Certification of Physician Assistants. Uniformed PA numbers were the result of networking with senior chiefs in the military services and the U.S. Public Health Service. The data were collolated and summarized for comparison and discussion. Results As of 2018, approximately 5,200 PAs were dispersed in most branches and agencies of the government that provide health care services, including the Departments of Defense, Veterans Affairs, Health and Human Services, Justice, and Homeland Security. Federally employed PAs are civil servants or hold a commission in the uniformed services (ie, Army, Navy, Air Force, Coast Guard, and Public Health Service). Most PAs are in clinical roles, although a few hundred are in management positions. Approximately 81% of civilian PAs have had less than 15 years of federal employment. Conclusion The diverse utilization and deployment of PAs validate the importance of the role they serve as medical professionals in the federal government. From 2008 to 2019, PA employment in the federal government grew by approximately 50% supporting the forecast that substantial national PA growth is on track.

scholarly journals Communicating benign biopsy results by telephone in the NHS Breast Screening Programme: a protocol for a cluster randomised crossover trial

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e028679
Author(s):  
Sian Zena Williamson ◽  
Rebecca Johnson ◽  
Harbinder Kaur Sandhu ◽  
Nicholas Parsons ◽  
Jacquie Jenkins ◽  
...  
Keyword(s):  
Public Health ◽  
National Health Service ◽  
Health Service ◽  
False Positive ◽  
Breast Screening ◽  
Crossover Trial ◽  
Screening Programme ◽  
Breast Screening Programme ◽  
Cluster Randomised ◽  
Benign Biopsy

IntroductionOne of the main harms from breast cancer screening is the anxiety caused by false positive results. Various factors may be associated with false-positive anxiety. One modifiable factor may be the method of communication used to deliver results. The aim of this study is to measure the effect on anxiety of receiving benign biopsy results in-person or by telephone.Methods and analysisThis is a multi-centre cluster randomised crossover trial in the English National Health Service Breast Screening Programme (NHSBSP) involving repeated survey measures at four time points. Participants will be women of screening age who have a biopsy following a suspicious mammography result, who ultimately receive a benign or normal (B1) result. Centres will trial both telephone and in-person results on a month-by-month basis, being randomised to which communication method will be trialled first. Women will be blinded to the method of communication they will receive. The analysis will compare women who have received telephone results and women who have received in-person results. The primary outcome measure will be anxiety (measured by the Psychological Consequences Questionnaire) after receiving results, while controlling for baseline anxiety. Secondary outcome measures will include anxiety at 3 and 6 months post-results, understanding of results and patient preferences for how results are communicated. Qualitative telephone interviews will also be conducted to further explore women’s reasons for communication preferences. Qualitative and quantitative data will be integrated after initial separate analysis using the pillar integration process.Ethics and disseminationThis study has been approved by the Public Health England Breast Screening Programme Research Advisory Committee, (BSPRAC_0013, ODR1718_040) and the National Health Service Health Research Authority (HRA) West Midlands—Coventry & Warwickshire Research Ethics Committee (17/WM/0313). The findings from this study will be disseminated to key stakeholders within the NHSBSP and via academic publications.Trial registration numberISRCTN36997684Trial sponsorThis research is part of a PhD award and is funded by the Economic and Social Research Council Doctoral Training Centre at the University of Warwick and Public Health England. The sponsor for this research is Jane Prewett ([email protected]).

Towards a National Immunization Programme

2018 ◽  
pp. 144-169
Author(s):  
Michael Dwyer
Keyword(s):  
Public Health ◽  
Health Service ◽  
Public Health Service ◽  
Difficult Decision ◽  
Immunization Programme ◽  
Immunization Rates ◽  
Close Analysis ◽  
National Immunization ◽  
National Immunization Programme ◽  
The Face

Chapter seven undertakes close analysis of municipal immunization schemes in Cork and Dublin in the wake of the Ring incident and in the face of impaired public health service provision attendant on wartime conditions. It argues that the municipal anti-diphtheria immunization scheme in Cork city was the only intervention mounted in Ireland or Britain to attain immunization rates comparable to those achieved in North America. In Dublin, failure to organize a comprehensive immunization scheme facilitated the recrudescence of diphtheria in numbers not witnessed since the pre-vaccine era, and increased diphtheria mortality left parents with a difficult decision to make: to present children for treatment to a compromised public health service or to expose them to a rampant, virulent, and increasingly fatal diphtheria infection.

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