Building the National Care Service

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.

Stimulated by the development of childhood studies and the social history of medicine, this book lays out the historical circumstances that led to the medicalization of childhood in Greece from the end of the nineteenth century until World War Two. For this span of fifty years, the authors explore how the national question was bound up with concerns raised about the health of children. They also investigate the various connotations of child health and maternity care in the context of liberal and authoritarian governments, as well as the wider social and cultural changes that took place in this period. Drawing on a wide array of primary and secondary sources, the authors look into the role of doctors, social thinkers and civil servants in the shaping of health policy; the impact of the medical paradigm from Western Europe; and the gradual professionalization of health care in Greece. Theodorou and Karakatsani describe an increasing intervention of the state in the medical supervision of childhood, the relationship between the philanthropic organizations and the state, as well as the impact of the national rivalries and wars on efforts to improve child health.

The devolution of social care policy has led to key differences emerging between the UK’s four care systems. This book presents research on the perspectives of social care policy makers within the UK’s four care systems, concluding that when given equal capacity to reform, the systems in each nation may take radically different shapes.

Building the Nation draws from foreign-policy reports and interviews with U.S. military officers to investigate recent U.S.-led efforts to “nation-build” in Iraq and Afghanistan. Heather Selma Gregg argues that efforts to nation-build in both countries focused more on what should be called state-building, or how to establish a government, rule of law, security forces, and a viable economy. Considerably less attention was paid to what might truly be called nation-building—the process of developing a sense of shared identity, purpose, and destiny among a population within a state’s borders and popular support for the state and its government. According to Gregg, efforts to stabilize states in the modern world require two key factors largely overlooked in Iraq and Afghanistan: popular involvement in the process of rebuilding the state that gives the population ownership of the process and its results and efforts to foster and strengthen national unity. Gregg offers a hypothetical look at how the United States and its allies could have used a population-centric approach to build viable states in Iraq and Afghanistan, focusing on initiatives that would have given the population buy-in and agency. Moving forward, Gregg proposes a six-step program for state and nation-building in the twenty-first century, stressing that these efforts are as much about how state-building is done as they are about specific goals or programs.

Adult social care has emerged as a distinct policy area in the UK and one which has come under increasing scrutiny by government and other bodies. With the expectation that in future many more adults will need care and support, ideas have emerged about a ‘transformation’ of adult social care. The focus of this wide-ranging book is on the major themes in policy and provision including personalisation, integration, user participation, the cost of long term care, risk and safeguarding, care quality and workforce issues and is one of the first texts to deal with adult social care as a distinct entity and is an up-to-date source on contemporary government policies, debates and research.The book encourages readers to think critically about decisions being made and about the direction of future policy. The accessible book will be a valuable resource for undergraduate students in Social Policy, Health and Social Care, and Social Work, those taking advanced vocational qualifications in social care and practitioners.

Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.