Students notoriously vote with their feet, seeking out the best and most innovative teachers of their subject. The most ambitious students have been travelling long distances for their education since universities were first founded in the 13th century, making their own educational pilgrimage or peregrinatio. This volume deals with the peregrinatio medica from the viewpoint of the travelling students: who went where; how did they travel; what did they find when they arrived; what did they take back with them from their studies. Even a single individual could transform medical studies or practice back home on the periphery by trying to reform teaching and practice the way they had seen it at the best universities. Other contributions look at the universities themselves and how they were actively developed to attract students, and at some of the most successful teachers, such as Boerhaave at Leiden or the Monros at Edinburgh. The essays show how increasing levels of wealth allowed more and more students to make their pilgrimages, travelling for weeks at a time to sit at the feet of a particular master. In medicine this meant that, over the period c.1500 to 1789, a succession of universities became the medical school of choice for ambitious students: Padua and Bologna in the 1500s, Paris, Leiden and Montpellier in the 1600s, and Leiden, Göttingen and Edinburgh in the 1700s. The arrival of foreign students brought wealth to the university towns and this significant economic benefit meant that the governors of these universities tried to ensure the defence of freedom of religion and freedom of speech, thus providing the best conditions for the promotion of new views and innovation in medicine. The collection presents a new take on the history of medical education, as well as universities, travel and education more widely in ancien régime Europe.

Students notoriously vote with their feet, seeking out the best and most innovative teachers of their subject. The most ambitious students have been travelling long distances for their education since universities were first founded in the thirteenth century, making their own educational pilgrimage or peregrinatio. This volume deals with the peregrinatio medica from the viewpoint of the travelling students: who went where; how did they travel; what did they find when they arrived; what did they take back with them from their studies. Even a single individual could transform medical studies or practice back home on the periphery by trying to reform teaching and practice the way they had seen it at the best universities. Other contributions look at the universities themselves and how they were actively developed to attract students, and at some of the most successful teachers, such as Boerhaave at Leiden or the Monros at Edinburgh. The essays show how increasing levels of wealth allowed more and more students to make their pilgrimages, travelling for weeks at a time to sit at the feet of a particular master. In medicine this meant that, over the period c.1500 to 1789, a succession of universities became the medical school of choice for ambitious students: Padua and Bologna in the 1500s, Paris, Leiden and Montpellier in the 1600s, and Leiden, Gottingen and Edinburgh in the 1700s. The arrival of foreign students brought wealth to the university towns and this significant economic benefit meant that the governors of these universities tried to ensure the defence of freedom of religion and freedom of speech, thus providing the best conditions for the promotion of new views and innovation in medicine. The collection presents a new take on the history of medical education, as well as universities, travel and education more widely in ancien regime Europe.

The National Institute for Health and Clinical Excellence (NICE) has been regarded as a role model for the implementation of cost-effectiveness analysis (CEA), and is being closely watched by health care policy makers across the globe. This book examines Britain’s highly acclaimed approach to CEA and its international potential. It dissects the robustness of the agency’s technology appraisal processes as NICE evaluates innovative methods for diagnosis and intervention. Coverage provides a step-by-step explanation of the NICE appraisal process and examines its successes and limitations.

Healthcare systems have been confronted by multiple, often conflicting, guidelines on the use of medical technologies. The National Institute for Clinical Excellence (NICE) was established in 1999 to address these problems in England. This work looks at what it does, how it works, changes made since its establishment, and the challenges it faces.

Demanding Medical Excellence is a groundbreaking and accessible work that reveals how the information revolution is changing the way doctors make decisions. Michael Millenson, a three-time Pulitzer Prize nominee as a health-care reporter for the Chicago Tribune, illustrates serious flaws in contemporary medical practice and shows ways to improve care and save tens of thousands of lives. "If you read only one book this year, read Demanding Medical Excellence. It's that good, and the revolution it describes is that important."—Health Affairs "Millenson has done yeoman's work in amassing and understanding that avalanche of data that lies beneath most of the managed-care headlines. . . . What he finds is both important and well-explained: inconsistency, overlap, and inattention to quality measures in medical treatment cost more and are more dangerous than most cost-cutting measures. . . . [This book] elevates the healthcare debate to a new level and deserves a wide readership."—Library Journal "An involving, human narrative explaining how we got to where we are today and what lies ahead."—Mark Taylor, Philadelphia Inquirer "Read this book. It will entertain you, challenge, and strengthen you in your quest for better accountability in health care."—Alex R. Rodriguez, M.D., American Journal of Medical Quality "Finally, a health-care book that doesn't wring its hands over the decline of medicine at the hands of money-grubbing corporations. . . . This is a readable account of what Millenson calls a 'quiet revolution' in health care, and his optimism makes for a refreshing change."—Publishers Weekly "With meticulous detail, historical accuracy, and an uncommon understanding of the clinical field, Millenson documents our struggle to reach accountability."—Saty Satya-Murti, M.D., Journal of the American Medical Association

The Review Body on Doctors' and Dentists' Remuneration is an independent body that makes recommendations to the Prime Minister, the Secretary of State for Health, and the appropriate Ministers and departments in Scotland, Wales and Northern Ireland in respect of pay. The Review takes in account the following considerations: (i) The need to recruit, retain and motivate doctors and dentists; (ii) Regional/local variations in labour markets; (iii) The funds available to the Health Departments; (iv) The overall strategy of the NHS in respect of patient care. The consultant body is comprised of the most senior medical and dental staff in the NHS, who have expert knowledge in their specialities. The Review Body concludes that the overall compensation for consultants is appropriate, but has some reservations about existing schemes and believes that awards should not be a substitute for pay progression. The Review Body outlines a proposed integrated package and career structure for consultants.

Measuring the quality of intangible service products has become a great challenge for managers, administrators and policy makers in the health services industry. Patient satisfaction or dissatisfaction is a complicated phenomenon that is linked to patient expectations, patient rights, health status, personal characteristics as well as health system characteristics. However, patient satisfaction as an indicator of quality of healthcare has evolved as an outcome measure and patient satisfaction surveys are being increasingly identified to be established yardsticks to measure success of the service delivery system functional at hospitals.

This timely edited collection examines the evolving role of health professionals and explores the role they play in the context of where they work. It aims to encourage and inspire health information professionals worldwide to take on new opportunities and ensure their continued development and recognition as valuable assets in the changing health care environment. Library and information professionals working in the health sector face many challenges. Rapid developments in information technology and the provision of information, coupled with organizational developments and the widespread adoption of evidence-based practice have ensured constant change for a number of years. How have library and information professionals met this challenge and how has this affected the roles they play? Will developments in services render the hospital librarian obsolete? Is there a need for academic health librarians amongst the Google generation of students? The key topics covered in the book are: • providing information • facilitating access to information and managing knowledge • building capacity • undertaking research and evaluation • supporting research and practice • exploiting technology • evidence-based practice. Readership: Information workers and other health professionals, as well as students on librarianship and information studies courses.

This collection of 18 case studies covers a broad range of subjects related to health care quality improvement efforts. Ideal as complement to the new Fourth Edition of Continuous Quality Improvement in Health Care, these case studies explore themes such as CQI in Ghana Malaria Control, CQI to reduce central line infections in pediatric hospital, a mother’s advocacy group against medical errors, WHO Safe Surgery Saves Lives Campaign, The Malcolm Baldrige Award Process in Health Care, Comparison of NICE and similar agencies for comparative effectiveness research, and much more.

Combining expert advice with practical guidance, the Joint Royal Colleges Ambulance Liaison Committee Clinical Guidelines are the essential resource for paramedics. The guidelines are written specifically for the ambulance paramedic role, providing a comprehensive overview of the principle areas they may encounter, and supporting them in providing excellent patient care. This 2022 edition has been updated with the latest evidence and developments in clinical practice. Key reviews have taken place on guidelines within the Resuscitation and Special Situations sections, as well as updates to Maternity guidelines such as Care of the Newborn and Newborn Life Support. Medicine guidelines have been removed, but are available on the iCPG and JRCALC Plus apps, where they are regularly updated to ensure that the most up-to-date guidance is available to clinicians. The JRCALC Clinical Guidelines 2022 now contains crucial guidance on topics, including: Acute Behavioural Disturbance Alcohol use-disorders Low Back Pain (Non-Traumatic) Patients with Communication Difficulties Steroid-Dependent patients Vascular Emergencies. Medicine information and updates to guidelines are published on the JRCALC apps, iCPG and JRCALC Plus, as required. The JRCALC apps contain the complete and most current information.