The idea of person-centred health systems is widely advocated in political and policy declarations to better address health system challenges. A person-centred approach is advocated on political, ethical and instrumental grounds and believed to benefit service users, health professionals and the health system more broadly. However, there is continuing debate about the strategies that are available and effective to promote and implement 'person-centred' approaches. This book brings together the world's leading experts in the field to present the evidence base and analyse current challenges and issues. It examines 'person-centredness' from the different roles people take in health systems, as individual service users, care managers, taxpayers or active citizens. The evidence presented will not only provide invaluable policy advice to practitioners and policymakers working on the design and implementation of person-centred health systems but will also be an excellent resource for academics and graduate students researching health systems in Europe. This title is available as Open Access on Cambridge Core.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

Principles and Application of Evidence-Based Public Health Practice helps clinicians who conduct population-based studies in the community be aware of the principles and ethics involved in public health research. Further, the book helps social scientists involved in public health, especially regarding the medical implication of public health practice. Community-based epidemiological research studies are vital for any public health activities, be it evaluation of health programs, health systems strengthening, surveillance or preventive/promotive trials in the community. While hospital/clinic-based research is conducted in a very controlled setting, community trials are more practical. Community-based studies require a fairly different set of ethical and epidemiological principles to be followed. The same has been reiterated in the ethical guidelines for biomedical research on human subjects released by various national research organizations. - Facilitates an in-depth understanding of basic principles of public health practice and its practical application. - Includes the basic principles of public health research and ethics. - Uses case studies to discuss the public health strategies and approaches to be considered during routine day-to-day practice and a public health emergency. - Helps build the capacity of public health practitioners with a futuristic view, including technology-based and precision public health practice.

This book provides a clear and comprehensive introduction to the developments which have brought about a new, global wave of inclusiveness and democracy. From Brazil to Bangladesh, a new form of participatory politics is springing up. Featuring contributions detailing how such movements have worked in Latin America, Europe and Africa, the book analyzes the impact they have had on the democratic process. By opening up the political sphere in this way, the authors contend, these grassroots movements truly have created "spaces for change."