Download Pathways To Complexity full books in PDF, epub, and Kindle. Read online Pathways To Complexity ebook anywhere anytime directly on your device. Fast Download speed and no annoying ads. We cannot guarantee that every ebooks is available!
Alternative Pathways to Complexity focuses on the themes of architecture, economics, and power in the evolution of complex societies. Case studies from Mesoamerica, Asia, Africa, and Europe examine the relationship between political structures and economic configurations of ancient chiefdoms and states through a framework of comparative archaeology. A group of highly distinguished scholars takes up important issues, theories, and methods stemming from the nascent body of research on comparative archaeology to showcase and apply important theories of households, power, and how the development of complex societies can be extended and refined. Drawing on the archaeological, ethnohistorical, and ethnographic records, the chapters in this volume contain critical investigations on the role of collective action, economics, and corporate cognitive codes in structuring complex societies. Alternative Pathways to Complexity is an important addition to theoretical development and empirical research on Mesoamerica, the Old World, and cross-cultural studies. The theoretical implications addressed in the chapters will have broad appeal for scholars grappling with alternative pathways to complexity in other regions as well as those addressing diverse cross-cultural research. Contributors: Sarah B. Barber, Cynthia L. Bedell, Christopher S. Beekman, Frances F. Berdan, Tim Earle, Carol R. Ember, Gary M. Feinman, Arthur A. Joyce, Stephen A. Kowalewski, Lisa J. LeCount, Linda M. Nicholas, Peter N. Peregrine, Peter Robertshaw, Barbara L. Stark, T. L. Thurston, Deborah Winslow, Rita Wright
Book Synopsis Alternative Pathways to Complexity by : Lane F. Fargher
Download or read book Alternative Pathways to Complexity written by Lane F. Fargher and published by University Press of Colorado. This book was released on 2016-12-15 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt: Alternative Pathways to Complexity focuses on the themes of architecture, economics, and power in the evolution of complex societies. Case studies from Mesoamerica, Asia, Africa, and Europe examine the relationship between political structures and economic configurations of ancient chiefdoms and states through a framework of comparative archaeology. A group of highly distinguished scholars takes up important issues, theories, and methods stemming from the nascent body of research on comparative archaeology to showcase and apply important theories of households, power, and how the development of complex societies can be extended and refined. Drawing on the archaeological, ethnohistorical, and ethnographic records, the chapters in this volume contain critical investigations on the role of collective action, economics, and corporate cognitive codes in structuring complex societies. Alternative Pathways to Complexity is an important addition to theoretical development and empirical research on Mesoamerica, the Old World, and cross-cultural studies. The theoretical implications addressed in the chapters will have broad appeal for scholars grappling with alternative pathways to complexity in other regions as well as those addressing diverse cross-cultural research. Contributors: Sarah B. Barber, Cynthia L. Bedell, Christopher S. Beekman, Frances F. Berdan, Tim Earle, Carol R. Ember, Gary M. Feinman, Arthur A. Joyce, Stephen A. Kowalewski, Lisa J. LeCount, Linda M. Nicholas, Peter N. Peregrine, Peter Robertshaw, Barbara L. Stark, T. L. Thurston, Deborah Winslow, Rita Wright
Pathways to Complexity synthesizes a wealth of new archaeological data to illuminate the origins of Maya civilization and the rise of Classic Maya culture. In this volume, prominent Maya scholars argue that the development of social, religious, and economic complexity began during the Middle Preclassic period (1000–300 B.C.), hundreds of years earlier than previously thought. Contributors reveal that villages were present in parts of the lowlands by 1000 B.C., challenging the prevailing models estimating when civilization took root in the area. Combining recent discoveries from the northern lowlands—an area often neglected in other volumes—and the southern lowlands, the collection then traces the emergence of sociopolitical inequality and complexity in all parts of the Yucatan peninsula over the course of the Middle Preclassic period. They show that communities evolved in different ways due to influences such as geographical location, ceramic exchange, shell ornament production, agricultural strategy, religious ritual, ideology, and social rankings. These varied pathways to complexity developed over half a millennium and culminated in the institution of kingship by the Late Preclassic period. Presenting exciting work on a dynamic and poorly understood time period, Pathways to Complexity demonstrates the importance of a broad, comparative approach to understanding Preclassic Maya civilization and will serve as a foundation for future research and interpretation. Contributors: M. Kathryn Brown | Dr. George Bey III | Tara Bond-Freeman | Fernando Robles Castellanos | Tomas Gallareta Negron | E. Wyllys Andrews V | Anthony Andrews | David S. Anderson | Lauren Sullivan | Jaime J. Awe | James F. Garber | Mary Jane Acuña | William Saturno | Bobbi Hohmann | Terry Powis | Paul Healy | Richard Hansen | Donald W. Forsyth | David Freidel | Barbara Arroyo | Richard E. W. Adams A volume in the series Maya Studies, edited by Diane Z. Chase and Arlen F. Chase
Book Synopsis Pathways to Complexity by : M. Kathryn Brown
Download or read book Pathways to Complexity written by M. Kathryn Brown and published by University Press of Florida. This book was released on 2021-04-27 with total page 451 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pathways to Complexity synthesizes a wealth of new archaeological data to illuminate the origins of Maya civilization and the rise of Classic Maya culture. In this volume, prominent Maya scholars argue that the development of social, religious, and economic complexity began during the Middle Preclassic period (1000–300 B.C.), hundreds of years earlier than previously thought. Contributors reveal that villages were present in parts of the lowlands by 1000 B.C., challenging the prevailing models estimating when civilization took root in the area. Combining recent discoveries from the northern lowlands—an area often neglected in other volumes—and the southern lowlands, the collection then traces the emergence of sociopolitical inequality and complexity in all parts of the Yucatan peninsula over the course of the Middle Preclassic period. They show that communities evolved in different ways due to influences such as geographical location, ceramic exchange, shell ornament production, agricultural strategy, religious ritual, ideology, and social rankings. These varied pathways to complexity developed over half a millennium and culminated in the institution of kingship by the Late Preclassic period. Presenting exciting work on a dynamic and poorly understood time period, Pathways to Complexity demonstrates the importance of a broad, comparative approach to understanding Preclassic Maya civilization and will serve as a foundation for future research and interpretation. Contributors: M. Kathryn Brown | Dr. George Bey III | Tara Bond-Freeman | Fernando Robles Castellanos | Tomas Gallareta Negron | E. Wyllys Andrews V | Anthony Andrews | David S. Anderson | Lauren Sullivan | Jaime J. Awe | James F. Garber | Mary Jane Acuña | William Saturno | Bobbi Hohmann | Terry Powis | Paul Healy | Richard Hansen | Donald W. Forsyth | David Freidel | Barbara Arroyo | Richard E. W. Adams A volume in the series Maya Studies, edited by Diane Z. Chase and Arlen F. Chase
Deze bundel is een mijlpaal in het onderzoek naar de Oude Middellandse Zee. Met behulp van een vergelijkende aanpak, zijn drie verschillende regionale landschappen van Italièe uitvoerig onderzocht door archeologen. Om een zeer gedetailleerd beeld te krijgen van de ontwikkeling van menselijke activiteiten van de late Bronstijd tot de opkomst van het Romeinse Rijk, is er minutieus onderzoek gedaan naar nederzettingen, heiligdommen en begraafplaatsen. De milieugeschiedenis van deze gebieden en de geschiedenis van het door mensen gebruikte land zijn parallel geanalyseerd door gespecialiseerde projecten. Wat ontstaat, is een ongeèevenaarde reeks van inzichten in hoe regionale samenlevingen zich intern ontwikkelen en reageren op externe interventies zoals het kolonialisme, imperialisme en internationale handel.
Book Synopsis Regional Pathways to Complexity by : P. A. J. Attema
Download or read book Regional Pathways to Complexity written by P. A. J. Attema and published by Amsterdam University Press. This book was released on 2010 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deze bundel is een mijlpaal in het onderzoek naar de Oude Middellandse Zee. Met behulp van een vergelijkende aanpak, zijn drie verschillende regionale landschappen van Italièe uitvoerig onderzocht door archeologen. Om een zeer gedetailleerd beeld te krijgen van de ontwikkeling van menselijke activiteiten van de late Bronstijd tot de opkomst van het Romeinse Rijk, is er minutieus onderzoek gedaan naar nederzettingen, heiligdommen en begraafplaatsen. De milieugeschiedenis van deze gebieden en de geschiedenis van het door mensen gebruikte land zijn parallel geanalyseerd door gespecialiseerde projecten. Wat ontstaat, is een ongeèevenaarde reeks van inzichten in hoe regionale samenlevingen zich intern ontwikkelen en reageren op externe interventies zoals het kolonialisme, imperialisme en internationale handel.
There are few questions more central to understanding the prehistory of our species than those regarding the institutionalization of social inequality. Social inequality is manifested in unequal access to goods, information, decision-making, and power. This structure is essential to higher orders of social organization and basic to the operation of more complex societies. An understanding of the transformation from relatively egalitarian societies to a hierarchical organization and socioeconomic stratification is fundamental to our knowledge about the human condition. In a follow-up to their 1995 book Foundations of Social Inequality, the Editors of this volume have compiled a new and comprehensive group of studies concerning these central questions. When and where does hierarchy appear in human society, and how does it operate? With numerous case studies from the Old and New World, spanning foraging societies to agricultural groups, and complex states, Pathways to Power provides key historical insights into current social and cultural questions.
Book Synopsis Pathways to Power by : T. Douglas Price
Download or read book Pathways to Power written by T. Douglas Price and published by Springer Science & Business Media. This book was released on 2010-08-20 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are few questions more central to understanding the prehistory of our species than those regarding the institutionalization of social inequality. Social inequality is manifested in unequal access to goods, information, decision-making, and power. This structure is essential to higher orders of social organization and basic to the operation of more complex societies. An understanding of the transformation from relatively egalitarian societies to a hierarchical organization and socioeconomic stratification is fundamental to our knowledge about the human condition. In a follow-up to their 1995 book Foundations of Social Inequality, the Editors of this volume have compiled a new and comprehensive group of studies concerning these central questions. When and where does hierarchy appear in human society, and how does it operate? With numerous case studies from the Old and New World, spanning foraging societies to agricultural groups, and complex states, Pathways to Power provides key historical insights into current social and cultural questions.
To fully understand not only the past, but also the trajectories, of human societies, we need a more dynamic view of human social systems. Agent-based modeling (ABM), which can create fine-scale models of behavior over time and space, may reveal important, general patterns of human activity. Agent-Based Modeling for Archaeology is the first ABM textbook designed for researchers studying the human past. Appropriate for scholars from archaeology, the digital humanities, and other social sciences, this book offers novices and more experienced ABM researchers a modular approach to learning ABM and using it effectively. Readers will find the necessary background, discussion of modeling techniques and traps, references, and algorithms to use ABM in their own work. They will also find engaging examples of how other scholars have applied ABM, ranging from the study of the intercontinental migration pathways of early hominins, to the weather–crop–population cycles of the American Southwest, to the trade networks of Ancient Rome. This textbook provides the foundations needed to simulate the complexity of past human societies, offering researchers a richer understanding of the past—and likely future—of our species.
Book Synopsis Agent-Based Modeling for Archaeology by : Iza Romanowska
Download or read book Agent-Based Modeling for Archaeology written by Iza Romanowska and published by SFI Press. This book was released on 2021-08-02 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: To fully understand not only the past, but also the trajectories, of human societies, we need a more dynamic view of human social systems. Agent-based modeling (ABM), which can create fine-scale models of behavior over time and space, may reveal important, general patterns of human activity. Agent-Based Modeling for Archaeology is the first ABM textbook designed for researchers studying the human past. Appropriate for scholars from archaeology, the digital humanities, and other social sciences, this book offers novices and more experienced ABM researchers a modular approach to learning ABM and using it effectively. Readers will find the necessary background, discussion of modeling techniques and traps, references, and algorithms to use ABM in their own work. They will also find engaging examples of how other scholars have applied ABM, ranging from the study of the intercontinental migration pathways of early hominins, to the weather–crop–population cycles of the American Southwest, to the trade networks of Ancient Rome. This textbook provides the foundations needed to simulate the complexity of past human societies, offering researchers a richer understanding of the past—and likely future—of our species.
The Global Landscapes Forums held in Warsaw (November 2013) and Lima (December 2014), coupled with the CGIAR Development Dialogues (New York, September 2014), have helped position landscape approaches at the center of sustainable development initiatives and global discourse. The Center for International Forestry Research (CIFOR) and its many partners continue to devise ways to best introduce a holistic and integrated landscapes approach to balance trade-offs between conservation and development, including agriculture, with the aim of influencing both policy and practice.
Book Synopsis From global complexity to local reality: Aligning implementation pathways for the Sustainable Development Goals and landscape approaches by : James Reed
Download or read book From global complexity to local reality: Aligning implementation pathways for the Sustainable Development Goals and landscape approaches written by James Reed and published by CIFOR. This book was released on 2015-11-25 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Global Landscapes Forums held in Warsaw (November 2013) and Lima (December 2014), coupled with the CGIAR Development Dialogues (New York, September 2014), have helped position landscape approaches at the center of sustainable development initiatives and global discourse. The Center for International Forestry Research (CIFOR) and its many partners continue to devise ways to best introduce a holistic and integrated landscapes approach to balance trade-offs between conservation and development, including agriculture, with the aim of influencing both policy and practice.
Social Complexity and Complex Systems in Archaeology turns to complex systems thinking in search of a suitable framework to explore social complexity in Archaeology. Social complexity in archaeology is commonly related to properties of complex societies such as states, as opposed to so-called simple societies such as tribes or chiefdoms. These conceptualisations of complexity are ultimately rooted in Eurocentric perspectives with problematic implications for the field of archaeology. This book provides an in-depth conceptualisation of social complexity as the core concept in archaeological and interdisciplinary studies of the past, integrating approaches from complex systems thinking, archaeological theory, social practice theory, and sustainability and resilience science. The book covers a long-term perspective of social change and stability, tracing the full cycle of complexity trajectories, from emergence and development to collapse, regeneration and transformation of communities and societies. It offers a broad vision on social complexity as a core concept for the present and future development of archaeology. This book is intended to be a valuable resource for students and scholars in the field of archaeology and related disciplines such as history, anthropology, sociology, as well as the natural sciences studying human-environment interactions in the past.
Book Synopsis Social Complexity and Complex Systems in Archaeology by : Dries Daems
Download or read book Social Complexity and Complex Systems in Archaeology written by Dries Daems and published by Routledge. This book was released on 2021-02-22 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social Complexity and Complex Systems in Archaeology turns to complex systems thinking in search of a suitable framework to explore social complexity in Archaeology. Social complexity in archaeology is commonly related to properties of complex societies such as states, as opposed to so-called simple societies such as tribes or chiefdoms. These conceptualisations of complexity are ultimately rooted in Eurocentric perspectives with problematic implications for the field of archaeology. This book provides an in-depth conceptualisation of social complexity as the core concept in archaeological and interdisciplinary studies of the past, integrating approaches from complex systems thinking, archaeological theory, social practice theory, and sustainability and resilience science. The book covers a long-term perspective of social change and stability, tracing the full cycle of complexity trajectories, from emergence and development to collapse, regeneration and transformation of communities and societies. It offers a broad vision on social complexity as a core concept for the present and future development of archaeology. This book is intended to be a valuable resource for students and scholars in the field of archaeology and related disciplines such as history, anthropology, sociology, as well as the natural sciences studying human-environment interactions in the past.
Legal Pathways to Deep Decarbonization in the United States provides a "legal playbook" for deep decarbonization in the United States, identifying well over 1,000 legal options for enabling the United States to address one of the greatest problems facing this country and the rest of humanity. The book is based on two reports by the Deep Decarbonization Pathways Project (DDPP) that explain technical and policy pathways for reducing U.S. greenhouse gas emissions by at least 80% from 1990 levels by 2050. This 80x50 target and similarly aggressive carbon abatement goals are often referred to as deep decarbonization, distinguished because it requires systemic changes to the energy economy. Legal Pathways explains the DDPP reports and then addresses in detail 35 different topics in as many chapters. These 35 chapters cover energy efficiency, conservation, and fuel switching; electricity decarbonization; fuel decarbonization; carbon capture and negative emissions; non-carbon dioxide climate pollutants; and a variety of cross-cutting issues. The legal options involve federal, state, and local law, as well as private governance. Authors were asked to include all options, even if they do not now seem politically realistic or likely, giving Legal Pathways not just immediate value, but also value over time. While both the scale and complexity of deep decarbonization are enormous, this book has a simple message: deep decarbonization is achievable in the United States using laws that exist or could be enacted. These legal tools can be used with significant economic, social, environmental, and national security benefits. Book Reviews "A growing chorus of Americans understand that climate change is the biggest public health, economic, and national security challenge our families have ever faced and they rightly ask, ''What can anyone do?'' Well, this book makes that answer very clear: we can do a lot as individuals, businesses, communities, cities, states, and the federal government to fight climate change. The legal pathways are many and the barriers are not insurmountable. In short, the time is now to dig deep and decarbonize." --Gina McCarthy, Former U.S. Environmental Protection Agency Administrator "Legal Pathways to Deep Decarbonization in the United States sets forth over 1,000 solutions for federal, state, local, and private actors to tackle climate change. This book also makes the math for Congress clear: with hundreds of policy options and 12 years to stop the worst impacts of climate change, now is the time to find a path forward." --Sheldon Whitehouse, U.S. Senator, Rhode Island "This superb work comes at a critical time in the history of our planet. As we increasingly face the threat and reality of climate change and its inevitable impact on our most vulnerable populations, this book provides the best and most current thinking on viable options for the future to address and ameliorate a vexing, worldwide challenge of extraordinary magnitude. Michael Gerrard and John Dernbach are two of the most distinguished academicians in the country on these issues, and they have assembled leading scholars and practitioners to provide a possible path forward. With 35 chapters and over 1,000 legal options, the book is like a menu of offerings for public consumption, showing that real actions can be taken, now and in the future, to achieve deep decarbonization. I recommend the book highly." --John C. Cruden, Past Assistant Attorney General, Environment and Natural Resources Division, U.S. Department of Justice "This book proves that we already know what to do about climate change, if only we had the will to do it. The path to decarbonization depends as much on removing legal impediments and changing outdated incentive systems as it does on imposing new regulations. There are ideas here for every sector of the economy, for every level of government, and for business and nongovernmental organizations, too, all of which should be on the table for any serious country facing the most serious of challenges. By giving us a sense of the possible, Gerrard and Dernbach and their fine authors seem to be saying two things: (1) do something; and (2) it''s possible. What a timely message, and what a great collection." --Jody Freeman, Archibald Cox Professor of Law and Founding Director of the Harvard Law School Environmental and Energy Law Program
Book Synopsis Legal Pathways to Deep Decarbonization in the United States by : Michael Gerrard
Download or read book Legal Pathways to Deep Decarbonization in the United States written by Michael Gerrard and published by . This book was released on 2019-03-18 with total page 1056 pages. Available in PDF, EPUB and Kindle. Book excerpt: Legal Pathways to Deep Decarbonization in the United States provides a "legal playbook" for deep decarbonization in the United States, identifying well over 1,000 legal options for enabling the United States to address one of the greatest problems facing this country and the rest of humanity. The book is based on two reports by the Deep Decarbonization Pathways Project (DDPP) that explain technical and policy pathways for reducing U.S. greenhouse gas emissions by at least 80% from 1990 levels by 2050. This 80x50 target and similarly aggressive carbon abatement goals are often referred to as deep decarbonization, distinguished because it requires systemic changes to the energy economy. Legal Pathways explains the DDPP reports and then addresses in detail 35 different topics in as many chapters. These 35 chapters cover energy efficiency, conservation, and fuel switching; electricity decarbonization; fuel decarbonization; carbon capture and negative emissions; non-carbon dioxide climate pollutants; and a variety of cross-cutting issues. The legal options involve federal, state, and local law, as well as private governance. Authors were asked to include all options, even if they do not now seem politically realistic or likely, giving Legal Pathways not just immediate value, but also value over time. While both the scale and complexity of deep decarbonization are enormous, this book has a simple message: deep decarbonization is achievable in the United States using laws that exist or could be enacted. These legal tools can be used with significant economic, social, environmental, and national security benefits. Book Reviews "A growing chorus of Americans understand that climate change is the biggest public health, economic, and national security challenge our families have ever faced and they rightly ask, ''What can anyone do?'' Well, this book makes that answer very clear: we can do a lot as individuals, businesses, communities, cities, states, and the federal government to fight climate change. The legal pathways are many and the barriers are not insurmountable. In short, the time is now to dig deep and decarbonize." --Gina McCarthy, Former U.S. Environmental Protection Agency Administrator "Legal Pathways to Deep Decarbonization in the United States sets forth over 1,000 solutions for federal, state, local, and private actors to tackle climate change. This book also makes the math for Congress clear: with hundreds of policy options and 12 years to stop the worst impacts of climate change, now is the time to find a path forward." --Sheldon Whitehouse, U.S. Senator, Rhode Island "This superb work comes at a critical time in the history of our planet. As we increasingly face the threat and reality of climate change and its inevitable impact on our most vulnerable populations, this book provides the best and most current thinking on viable options for the future to address and ameliorate a vexing, worldwide challenge of extraordinary magnitude. Michael Gerrard and John Dernbach are two of the most distinguished academicians in the country on these issues, and they have assembled leading scholars and practitioners to provide a possible path forward. With 35 chapters and over 1,000 legal options, the book is like a menu of offerings for public consumption, showing that real actions can be taken, now and in the future, to achieve deep decarbonization. I recommend the book highly." --John C. Cruden, Past Assistant Attorney General, Environment and Natural Resources Division, U.S. Department of Justice "This book proves that we already know what to do about climate change, if only we had the will to do it. The path to decarbonization depends as much on removing legal impediments and changing outdated incentive systems as it does on imposing new regulations. There are ideas here for every sector of the economy, for every level of government, and for business and nongovernmental organizations, too, all of which should be on the table for any serious country facing the most serious of challenges. By giving us a sense of the possible, Gerrard and Dernbach and their fine authors seem to be saying two things: (1) do something; and (2) it''s possible. What a timely message, and what a great collection." --Jody Freeman, Archibald Cox Professor of Law and Founding Director of the Harvard Law School Environmental and Energy Law Program
One of the central challenges for the healthcare system today is how to manage care for patients with complex needs. This patient group is not well-defined but covers patients with serious diseases and comorbidities, or with a limited ability to perform basic daily functions due to physical, mental or psychosocial challenges. This group has a high service and resource utilisation resulting in high costs for the healthcare system and, typically, poor health outcomes. To improve care for these patients, it is necessary to implement strategies to manage the differentiated care needs, the additional support needs, the uncertainty in care delivery, and the coordination needs of the involved providers and the patient. Care pathways are increasingly used internationally to make care more patient-centred and to structure and design care processes for individual patient groups. Important elements in care pathways include structuring care activities, by defining their content and sequence; coordinating between providers and professionals; and involving patients in their care process. In this thesis, care pathways are proposed as the overall strategy for managing care for patients with complex care needs. The purpose of this thesis is thus to contribute with knowledge on how care pathways can be managed for patients with complex care needs. This is achieved by analysing how the practices coordination, standardisation, customisation and personalisation can support management of care pathways and by discussing how these practices influence quality of care. The quality of care dimensions discussed are accessible, timely, equitable, and patient-centred care. The empirical context in this thesis is the Standardised Cancer Care Pathways (CCPs) which were implemented in Sweden from 2015 to 2018. CCPs is the umbrella term for the national initiative to shorten waiting times, decrease regional differences and reduce fragmentation in care processes. CCPs include elements such as diagnosis-specific pathways and guidelines, introduction of CPP coordinators, and mandatory reporting of waiting times. Focus has been on implementing care pathways for 31 cancer diagnoses in all Swedish healthcare regions. Both qualitative and quantitative research methods have been used. A case study was conducted to examine standardised and customised care pathways, and coordination and multidisciplinary work in care pathways. A document study of regional reports on CCPs was analysed to study effects of care pathways on accessibility, timeliness and equitability. Finally, a national survey was conducted to deepen the understanding of the role of coordination, as performed by coordinators, in care pathways. This thesis argues that standardised and customised care pathways should be combined to manage care for patients with complex care needs. The customised pathway in particular benefits patients with serious unspecific symptoms, unknown primary tumour or more complex care needs, while patients with care needs that can be treated independently of the main diagnosis benefit from following a standardised care pathway. Coordinators are an important means to manage coordination, customisation and personalisation in the care pathway. The coordinators’ role is twofold: the first role is to manage care pathways by customising the care pathway and coordinating involved providers; the second role is to support and guide patients through the care pathway. This can be achieved by adapting interpersonal communication with patients through personalisation. This thesis further argues that care pathways have most potential to positively influence accessibility, timeliness, equitability, and patient-centredness. Accessibility has been positively influenced, especially for patients with ambiguous symptoms where symptoms indicating cancer have improved their chances of accessing cancer diagnostics. A negative aspect of prioritising patients who follow CCPs has been the potentially longer waiting times for other patient groups in equal need of urgent care. Notwithstanding, prioritised access to care is perceived to positively influence timeliness for patients following CCPs. Care pathways are perceived to have positively influenced patient-centredness by shifting the focus from what to deliver to how to deliver it.
Book Synopsis Managing care pathways for patients with complex care needs by : Magdalena Smeds
Download or read book Managing care pathways for patients with complex care needs written by Magdalena Smeds and published by Linköping University Electronic Press. This book was released on 2019-05-15 with total page 55 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the central challenges for the healthcare system today is how to manage care for patients with complex needs. This patient group is not well-defined but covers patients with serious diseases and comorbidities, or with a limited ability to perform basic daily functions due to physical, mental or psychosocial challenges. This group has a high service and resource utilisation resulting in high costs for the healthcare system and, typically, poor health outcomes. To improve care for these patients, it is necessary to implement strategies to manage the differentiated care needs, the additional support needs, the uncertainty in care delivery, and the coordination needs of the involved providers and the patient. Care pathways are increasingly used internationally to make care more patient-centred and to structure and design care processes for individual patient groups. Important elements in care pathways include structuring care activities, by defining their content and sequence; coordinating between providers and professionals; and involving patients in their care process. In this thesis, care pathways are proposed as the overall strategy for managing care for patients with complex care needs. The purpose of this thesis is thus to contribute with knowledge on how care pathways can be managed for patients with complex care needs. This is achieved by analysing how the practices coordination, standardisation, customisation and personalisation can support management of care pathways and by discussing how these practices influence quality of care. The quality of care dimensions discussed are accessible, timely, equitable, and patient-centred care. The empirical context in this thesis is the Standardised Cancer Care Pathways (CCPs) which were implemented in Sweden from 2015 to 2018. CCPs is the umbrella term for the national initiative to shorten waiting times, decrease regional differences and reduce fragmentation in care processes. CCPs include elements such as diagnosis-specific pathways and guidelines, introduction of CPP coordinators, and mandatory reporting of waiting times. Focus has been on implementing care pathways for 31 cancer diagnoses in all Swedish healthcare regions. Both qualitative and quantitative research methods have been used. A case study was conducted to examine standardised and customised care pathways, and coordination and multidisciplinary work in care pathways. A document study of regional reports on CCPs was analysed to study effects of care pathways on accessibility, timeliness and equitability. Finally, a national survey was conducted to deepen the understanding of the role of coordination, as performed by coordinators, in care pathways. This thesis argues that standardised and customised care pathways should be combined to manage care for patients with complex care needs. The customised pathway in particular benefits patients with serious unspecific symptoms, unknown primary tumour or more complex care needs, while patients with care needs that can be treated independently of the main diagnosis benefit from following a standardised care pathway. Coordinators are an important means to manage coordination, customisation and personalisation in the care pathway. The coordinators’ role is twofold: the first role is to manage care pathways by customising the care pathway and coordinating involved providers; the second role is to support and guide patients through the care pathway. This can be achieved by adapting interpersonal communication with patients through personalisation. This thesis further argues that care pathways have most potential to positively influence accessibility, timeliness, equitability, and patient-centredness. Accessibility has been positively influenced, especially for patients with ambiguous symptoms where symptoms indicating cancer have improved their chances of accessing cancer diagnostics. A negative aspect of prioritising patients who follow CCPs has been the potentially longer waiting times for other patient groups in equal need of urgent care. Notwithstanding, prioritised access to care is perceived to positively influence timeliness for patients following CCPs. Care pathways are perceived to have positively influenced patient-centredness by shifting the focus from what to deliver to how to deliver it.
Book Synopsis Beyond Chiefdoms by : Susan Keech MacIntosh
Download or read book Beyond Chiefdoms written by Susan Keech MacIntosh and published by . This book was released on 1999 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt:
