EBOOK: Reasonable Rationing

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Author :
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335225675
Total Pages : 194 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Reasonable Rationing by : Chris Ham

Download or read book EBOOK: Reasonable Rationing written by Chris Ham and published by McGraw-Hill Education (UK). This book was released on 2003-05-16 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Reasonable Rationing is must reading for those interested in how to connect theory about fair rationing processes to country-level practices. The five case studies reveal a deep tension between political pressures to accomodate interest group demands and ethically motivated efforts to improve both information and institutional procedures for setting fair limits to care. The authors frame the issues insightfully." - Professor Norman Daniels, Harvard School of Public Health . How are different countries setting priorities for health care? . What role does information and evidence on cost and effectiveness play? . How are institutions contributing to priority setting? . What are the lessons for policy makers? Priority setting in health care is an issue of increasing importance. Choices about the use of health care budgets are inescapable and difficult. A number of countries have sought to strengthen their approach to priority setting by drawing on research-based evidence on the cost and effectiveness of different treatments. This book brings together leading experts in the field to summarize and analyse the experience of priority setting in five countries: Canada, The Netherlands, New Zealand, Norway and the United Kingdom. Drawing on literature from a range of disciplines, it makes a significant contribution to the debate on the role of information and institutions in priority setting. Reasonable Rationing has been written with a broad readership in mind. It will be of interest to policy makers, health care professionals and health service managers, as well as students of health and social policy at advanced undergraduate and postgraduate levels.

EBOOK: Health Care Coverage Determinations: An International Comparative Study

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335225993
Total Pages : 295 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Health Care Coverage Determinations: An International Comparative Study by : Timothy Jost

Download or read book EBOOK: Health Care Coverage Determinations: An International Comparative Study written by Timothy Jost and published by McGraw-Hill Education (UK). This book was released on 2004-12-16 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A ground breaking set of case studies about how [health care] coverage decisions are made" Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare program Developed countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies. This book contains: * A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage * An analysis of the role of interest groups, and of the public interest, in these decision making processes * An examination of how particular technologies are treated differently by different countries, and why Based upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest. Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation. Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna García-Altés, Colleen M. Flood, Stefan Greß, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.

EBOOK: Regulating Healthcare

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335228283
Total Pages : 276 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Regulating Healthcare by : Kieran Walshe

Download or read book EBOOK: Regulating Healthcare written by Kieran Walshe and published by McGraw-Hill Education (UK). This book was released on 2003-06-16 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare organizations in the UK and the USA face a growing tide of regulation, accreditation, inspection and external review, all aimed at improving their performance. In the US, over three decades of regulation by state and federal government, and by non-governmental agencies, has created a complex, costly and overlapping network of oversight arrangements for healthcare organizations. In the UK, regulation of the government-run National Health Service is central to current health policy, with the creation of a host of new national agencies and inspectorates tasked with overseeing the performance of NHS hospitals and other organizations. But does regulation work? This book: . explores the development and use of healthcare regulation in both countries, comparing and contrasting their experience and drawing on regulatory research in other industries and settings . offers a structured approach to analysing what regulators do and how they work . develops principles for effective regulation, aimed at maximising the benefits of regulatory interventions and minimising their costs Regulating Healthcare is aimed at all with an interest or involvement in health policy and management, be they policy makers, healthcare managers or health professionals. It is particularly suitable for use on postgraduate health and health-related programmes.

EBOOK: Restructuring the Medical Profession: The Intraprofessional Relations of GPs and Hospital Consultants

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335224113
Total Pages : 197 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Restructuring the Medical Profession: The Intraprofessional Relations of GPs and Hospital Consultants by : Juan Baeza

Download or read book EBOOK: Restructuring the Medical Profession: The Intraprofessional Relations of GPs and Hospital Consultants written by Juan Baeza and published by McGraw-Hill Education (UK). This book was released on 2005-11-16 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: What is the relationship between general practitioners (GPs) and hospital consultants in the United Kingdom? How does government health policy impact upon GPs and hospital consultants? What influence does the medical profession have upon policy makers in the United Kingdom? The medical profession occupies a dominant position within the British health care system and as such is able to influence the development and implementation of health policy. The main division within the medical profession lies between general practitioners and hospital consultants. This book provides a comprehensive analysis of British health policy over the past twenty-five years. Drawing on data from case studies, it provides empirical evidence of the impact of recent health policies upon the National Health Service (in general) and the medical profession (in particular). The case studies provide an analysis of the impact of the 1991 NHS reforms, as well as examining the ongoing influence of the post 1999 NHS reforms upon these intraprofessional relations. What emerges is that the relationship between GPs and hospital consultants is transforming from a collegial to a more managerial relationship. This book sheds light on the resulting development of intraprofessional relations between GPs and hospital consultants within the NHS. Restructuring the Medical Profession is key reading for undergraduate and postgraduate students, researchers and professionals in the fields of social policy and health policy. It is also of interest to health service practitioners, health service researchers and health policy makers.

EBOOK: Cultures for Performance in Health Care

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335226329
Total Pages : 319 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Cultures for Performance in Health Care by : Russell Mannion

Download or read book EBOOK: Cultures for Performance in Health Care written by Russell Mannion and published by McGraw-Hill Education (UK). This book was released on 2004-10-16 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: ·What is organizational culture? ·Do organizational cultures influence the performance of health care organizations? ·Are organizational cultures capable of being managed to beneficial effect? Recent legislation in the United Kingdom has led to significant reforms within the health care system. Clinical quality, safety and performance have been the focus for improvement alongside systematic changes involving decision-making power being devolved to patients and frontline staff. However, as this book shows, improvements in performance are intrinsically linked to cultural changes within health care settings. Using theories from a wide range of disciplines including economics, management and organization studies, policy studies and the health sciences, this book sets out definitions of cultures and performance, in particular the specific characteristics that help or hinder performance. Case studies of high and low performing hospital trusts and primary care trusts are used to explore the links between culture and performance. These studies provide examples of strategies to create beneficial, high-performance cultures that may be used by other managers. Moreover, implications for future policies and research are outlined. Cultures for Performance in Health Care is essential reading for those with an interest in health care management and health policy including students, researchers, policy makers and health care professionals.

EBOOK: Health Policy and Economics: Opportunities and Challenges

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Author :
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335227937
Total Pages : 308 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Health Policy and Economics: Opportunities and Challenges by : Peter Smith

Download or read book EBOOK: Health Policy and Economics: Opportunities and Challenges written by Peter Smith and published by McGraw-Hill Education (UK). This book was released on 2004-11-16 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health economics has made major contributions to the development of health policy in many countries. This book describes those successes and looks forward to the major contributions that health economics can bring to bear on emerging policy issues in health and health care. With contributions from internationally recognized researchers, this book addresses generic policy issues confronting health systems across the developed world. The coverage progresses from micro, patient level issues to macro, whole system issues including: ·Determining cost-effective treatments ·Fair distribution of health care ·Regulatory issues such as performance measurement and incentives ·Revenue distribution ·Decentralization and internationalization of health systems Health Policy and Economics identifies the major contributions that health economics makes to important policy issues in health and health care. It is key reading for policy makers and health managers as well as students and academics with an interest in health policy and health services research. Contributors: Ron L. Akehurst, Karen E. Bloor, Martin Buxton, Karl P. Claxton, Richard Cookson, Diane A. Dawson, Paul Dolan, Mike Drummond, Brian Ferguson, Hugh Gravelle, Maria Goddard, Katharina Hauck, John Hutton, Andrew M. Jones, Rowena Jacobs, Paul Kind, Rosella Levaggi, Guillem López Casanovas, Alan K. Maynard, Nigel Rice, Anthony Scott, Rebecca Shaw, Trevor Sheldon, Andrew D. Street, Mark Sculpher, Matthew Sutton, Peter C. Smith, Adrian Towse, Aki Tsuchiya, Alan H. Williams.

EBOOK: The New Health Policy

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335239552
Total Pages : 215 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: The New Health Policy by : Robin Gauld

Download or read book EBOOK: The New Health Policy written by Robin Gauld and published by McGraw-Hill Education (UK). This book was released on 2009-06-16 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This is an excellent and accessible introduction to key current debates in health policy. It is enriched by deft comparative analysis and by the way Dr Gauld locates the study in the context of current ideological debates. Students will learn a lot from wrestling with the questions posed at the end of each chapter – and so will their teachers!" Paul Wilding, Emeritus Professor of Social Policy, University of Manchester, UK This book analyzes the issues that form the nucleus of the emerging ‘new health policy’ agenda. Robin Gauld brings together in one volume a comprehensive picture of the health policy challenges facing contemporary developed world health systems, as well as the strategies for tackling these. Individual chapters, respectively, analyze: Challenges in health care funding and organization Quality and patient safety The application of information technology Clinical governance The changing nature of professionalism and public involvement in health care planning Public health The role of the private sector The book highlights the importance to policy makers of each subject, overviews research into it, and discusses policy responses in Britain, New Zealand and the United States. The New Health Policy is essential reading for all students of health policy and health care, along with policy makers and health care professionals.

EBOOK: The Politics Of European Union Health Policies

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Author :
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335239617
Total Pages : 208 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: The Politics Of European Union Health Policies by : Scott Greer

Download or read book EBOOK: The Politics Of European Union Health Policies written by Scott Greer and published by McGraw-Hill Education (UK). This book was released on 2009-06-16 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Scott Greer has done a remarkable job in explaining how the Europeanization of health policy takes place, how institutional legacies exert an influence in lobbying, how harmonization exacerbates path-dependent welfare structures that in turn impede a 'race to the bottom', and why the idea of a European social model creates positive external effects, even if it is a only an ad hoc policy construction." Journal of European Social Policy 2010 20 (2) "Provides an original and thought-provoking perspective and approach, combining in-depth theoretical discussions and well-researched case studies over 11 chapters...The book is well written and insightful, and the main argument is that EU law and policy developments - directly and indirectly - have the potential of undermining domestic health systems and the political actors within them."Journal of Common Market Studies, 2010 Volume 48. Number 3 "This book provides a unique insight into what is going on, unnoticed by most, 'below the surface' in EU health policy. It serves as a wake-up call for those who continue to believe that the EU is of marginal interest and relevance in national level debates about the direction of health care. In addition, in an engaging and lively style, it provides essential guidance for students of health policy who seek to understand the labyrinthine processes and the wide ranging unintended consequences - for good and for bad - of EU policy making." Professor Naomi Chambers, Head of Health Policy and Management, Manchester Business School “In this insightful book, Scott Greer describes how European health policy has long been developed in a secret garden, where a small number of people find pragmatic solutions to immediate problems while avoiding the fundamental questions … Yet the logic of European integration is tearing down the garden's walls, creating a public park where pragmatism takes second place to principles. Something must be done, but it is not clear what. Greer's book will be essential reading … for anyone who is responsible for organising how health care is delivered in Europe.” Martin McKee CBE, London School of Hygiene and Tropical Medicine, UK This important new book explains how European Union (EU) developed policies shape and constrain health services. It answers the key questions asked of EU health policy: What is it? Why did it happen? What does it take to influence it and how can it be changed? Using extensive new data, Greer discusses how EU policy is influenced by lobbies in Brussels and by four big member states: France, Germany, Spain and the United Kingdom. Shaping EU health policy takes information, coordination, nimbleness and focus. The book examines the ways that the successful health lobbies and member states work, identifies weaknesses, and emphasizes the challenge to health policymakers: if they do not influence EU health policies, they will lose influence over their own health systems. The Politics of European Union Health Policies will be of great interest to students and academics of EU policy and politics, as well as health policy makers.

EBOOK: The European Patient Of The Future

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335224628
Total Pages : 301 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: The European Patient Of The Future by : Angela Coulter

Download or read book EBOOK: The European Patient Of The Future written by Angela Coulter and published by McGraw-Hill Education (UK). This book was released on 2003-06-16 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care is changing fast and patients' experiences and expectations are also changing. Developments in information technology and biotechnology are already having a profound influence on the way health services are delivered and the organization of health care is under reform in most countries. Patients no longer see themselves as passive recipients of care: increasingly they expect to be involved in all decisions that affect them. This book reports the results of a major study carried out in eight different European countries to look at health policy dilemmas through the eyes of the patient. Drawing on literature reviews, focus groups and a survey of 1,000 people in each of the eight countries, the book addresses the following questions: . Why might the patients of the future be different? . What will patients and citizens expect from health systems? . Will the public be willing to pay more for better health care? . What kind of value trade-offs are people prepared to make, for example between prompt access and continuity of care, or between choice and equity? . How will patients access information, advice and treatment? . How should policy-makers and providers react to patients' desire for greater autonomy? . How can public confidence in health systems be maintained in the future? The European Patient of the Future is a clear, jargon-free text which will be a key resource for all health service professionals, health policy analysts and patient advocates.

From Ration Book to ebook

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Publisher : The History Press
ISBN 13 : 0752478753
Total Pages : 182 pages
Book Rating : 4.7/5 (524 download)

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Book Synopsis From Ration Book to ebook by : Paul Feeney

Download or read book From Ration Book to ebook written by Paul Feeney and published by The History Press. This book was released on 2011-11-30 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: Do you remember washing in a tin bath by the fire, using outside lavatories and not having a television? Did you grow up in the 1950s and were you a teenager in the swinging sixties? If the Festival of Britain, food rationing and the Queen’s coronation are among your earliest memories then you belong to the post-war baby boomer generation. How did we end up here, in the second decade of the twenty-first century, when it all just seems like yesterday? In this fascinating new trip down memory lane, Paul Feeney remembers what it has been like to live through the eventful second half of the twentieth century. This nostalgic journey through an era of change will resonate with anyone who began their innocent childhood years in austerity and has lived through a lifetime of ground-breaking events to the much changed Britain of today.There are also some wonderful pictures to help jog our memories of bygone days.

EBOOK: Decentralization in Health Care: Strategies and Outcomes

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335230210
Total Pages : 327 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Decentralization in Health Care: Strategies and Outcomes by : Richard Saltman

Download or read book EBOOK: Decentralization in Health Care: Strategies and Outcomes written by Richard Saltman and published by McGraw-Hill Education (UK). This book was released on 2006-12-16 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: ·What are the characteristics that define a Social Health Insurance system? ·How is success measured in SHI systems? ·How are SHI systems developing in response to external pressures? Using the seven Social Health Insurance countries in western Europe - Austria, Belgium, France, Germany, Luxembourg, the Netherlands and Switzerland - as well as Israel, this important book reviews core structural and organizational dimensions, as well as recent reforms and innovations. Covering a wide range of policy issues, the book: ·Explores the pressures these health systems confront to be more efficient, more effective, and more responsive ·Reviews their success in addressing these pressures ·Examines the implications of change on the structure of SHI’s as they are currently defined ·Draws out policy lessons about past experience and likely future developments in SHI systems in a manner useful to policymakers in Europe and elsewhere Social Health Insurance Systems in Western Europe will be of interest to students of health policy and management as well as health managers and policy-makers. Contributors: Helmut Brand, Jan Bultman, Reinhard Busse, Laurent Chambaud, David Chinitz, Diana M.J. Delnoij, André P. den Exter, Aad A. de Roo, Anna Dixon, Isabelle Durand-Zaleski, Hans F.W. Dubois, Josep Figueras, Bernhard Gibis, Stefan Greß, Bernhard J. Güntert, Jean Hermesse, Maria M. Hofmarcher, Martin McKee, Pedro W. Koch-Wulkan, Claude Le Pen, Kieke G.H. Okma, Martin Pfaff, Richard B. Saltman, Wendy G.M. van der Kraan, Jürgen Wasem, Manfred Wildner, Matthias Wismar.

EBOOK: Economics

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Publisher : McGraw Hill
ISBN 13 : 0077144155
Total Pages : 740 pages
Book Rating : 4.0/5 (771 download)

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Book Synopsis EBOOK: Economics by : Paul Samuelson

Download or read book EBOOK: Economics written by Paul Samuelson and published by McGraw Hill. This book was released on 2009-07-16 with total page 740 pages. Available in PDF, EPUB and Kindle. Book excerpt: Samuelson's text was first published in 1948, and it immediately became the authority for the principles of economics courses. The book continues to be the standard-bearer for principles courses, and this revision continues to be a clear, accurate, and interesting introduction to modern economics principles. Bill Nordhaus is now the primary author of this text, and he has revised the book to be as current and relevant as ever.

EBOOK: Comparative Health Policy in the Asia Pacific

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335225101
Total Pages : 273 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Comparative Health Policy in the Asia Pacific by : Robin Gauld

Download or read book EBOOK: Comparative Health Policy in the Asia Pacific written by Robin Gauld and published by McGraw-Hill Education (UK). This book was released on 2004-12-16 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Dr. Gauld’s collection of case studies is informativeand accessible. I would recommend it as acentral text for a course in comparative healthsystems." Political Studies Review Based upon research from eight countries in the Asia-Pacific – Australia, China, Hong Kong, Japan, New Zealand, Singapore, South Korea, Taiwan – this book analyses and compares their differing health policies. Key issues the book probes include: ·The ways that health care is financed and delivered across the region ·The historical and institutional arrangements that impact upon health policy and health care ·How the health systems differ between the countries under study ·How policymakers and service providers deal with unlimited demand and limited funding and issues such as service coverage and quality ·How pharmaceuticals and population health strategies are managed ·What the roles of the state and various other players (such as the private sector and professional associations) are in the making of health policy and delivery of health care ·The challenges that lie ahead for health care and health policy in the region Comparative Health Policy in the Asia-Pacific is key reading for students, researchers and policy makers with an interest in health policy. It is relevant to those studying medicine and health studies, anthropology, history, sociology, public policy, politics and Asian studies.

Reasonable Rationing

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335211852
Total Pages : 194 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Reasonable Rationing by : Ham, Chris

Download or read book Reasonable Rationing written by Ham, Chris and published by McGraw-Hill Education (UK). This book was released on 2003-05-01 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care rationing is a reality in much of the world, and priority setting is an issue of increasing importance. Choices about the use of health care budgets are inescapable and difficult. This study look at priority setting in the health services of several countries.

The Money Ebook

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Author :
Publisher : Booktango
ISBN 13 : 1468935917
Total Pages : 138 pages
Book Rating : 4.4/5 (689 download)

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Book Synopsis The Money Ebook by : Jeremy Ruditis

Download or read book The Money Ebook written by Jeremy Ruditis and published by Booktango. This book was released on 2013-08-19 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: TheMoneyEbook is the only e-book needed to help any one succeed online even if they are in a business or are simply just starting off from scratch.It covers every thing. You may get this ebook for a limited time for $5 by going to www.TheMoneyEbook.com.

EBOOK: Foundations of Economics

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Publisher : McGraw Hill
ISBN 13 : 0077125916
Total Pages : 382 pages
Book Rating : 4.0/5 (771 download)

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Book Synopsis EBOOK: Foundations of Economics by : David Begg

Download or read book EBOOK: Foundations of Economics written by David Begg and published by McGraw Hill. This book was released on 2009-03-16 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: Foundations of Economics, fourth edition is ideal for students taking introductory economics modules as part of an interdisciplinary course. Building on the success of the second edition, the book provides accessible overviews of key economic topics, interweaving these with real-world examples and practical activities to equip students to think for themselves. Features of this edition include: Topical and up-to-date material, presented alongside real-world examples and policy problems Mini case studies taken from disciplines such as construction, sport and computing, to demonstrate the practical application of economics Increased microeconomic coverage; including separate chapters on supply, demand and markets, to provide students with a thorough grounding in these fundamental areas A revised structure to the macroeconomics section, beginning with growth, cycles, and issues, before introducing analysis and explanations Learning outcomes and recaps in each chapter, allowing students to track their progress and understanding through the text Key terms, clearly defined throughout each chapter Review questions and answers in each chapter, to test understanding and application of the topics covered An easy-to-navigate layout and design, with clearly signposted features and photos and figures to illustrate important concepts Succinctly offering the proven quality, consistency and clarity of the parent text Economics (‘The Student Bible’ BBC Radio 4), Foundations of Economics, forth edition is the essential text for today’s non-specialist economics student.

Health Care for Some

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Publisher : University of Chicago Press
ISBN 13 : 0226348032
Total Pages : 357 pages
Book Rating : 4.2/5 (263 download)

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Book Synopsis Health Care for Some by : Beatrix Hoffman

Download or read book Health Care for Some written by Beatrix Hoffman and published by University of Chicago Press. This book was released on 2012-09-15 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2010 Affordable Care Act is a sweeping reform to the US health care system. Hoffman offers an engaging and in-depth look at America's long tradition of unequal access to health care. She argues that two main features have characterized the US health system: a refusal to adopt a right to care and a particularly American type of rationing. Unlike rationing in most countries, which is intended to keep costs down, rationing in the United States has actually led to increased costs, resulting in the most expensive health care system in the world.