Search

This book addresses the high cost of mental illness, the organisation of care, changes and future directions for the mental health workforce, indicators for mental health care and quality, and tools for better governance of the system.

This book provides a framework to understand why there are waiting lists for elective surgery in some OECD countries and not in others. It also describes how waiting times are measured in OECD countries and reviews different policy approaches to tackling excessive waiting times.

This book provides a framework to understand why there are waiting lists for elective surgery in some OECD countries and not in others. It also describes how waiting times are measured in OECD countries and reviews different policy approaches to tackling excessive waiting times.

Waiting times for elective (non-emergency) treatments are a key health policy concern in several OECD countries. This study describes common measures on waiting times across OECD countries from administrative data. It focuses on common elective procedures, like hip and knee replacement, and cataract surgery, where waiting times are notoriously long. It provides comparative data on waiting times across twelve OECD countries and presents trends in waiting times in the last decade. Waiting times appear to be low in the Netherlands and Denmark. In the last decade the United Kingdom (in particular England), Finland and the Netherlands have witnessed large reductions in waiting times which can be attributed to a range of policy initiatives, including higher spending, waiting-times target schemes, and incentive mechanisms which reward higher levels of activity. The negative trend in these countries has however halted in recent years and in some cases reverted. The analysis also emphasizes systematic differences across different waiting-time measures, in particular between the distribution of waiting times of patients treated versus the one of patients on the list. For example, the mean waiting time of patients on the list is generally higher than the mean waiting time of patients treated though we can find examples of the opposite. Mean waiting times are systematically higher than median waiting times and the difference can be quantitatively large.

The first in Trish Moran's acclaimed young adult series exploring humanity, technology, and the problems of growing up in a dystopian future. Perfect for fans of The Giver and the Divergent trilogy. What happens when unscrupulous people take technology into their own hands? When fifteen-year-old Stella runs away from home she comes across a group of teenagers living in a hidden camp. They are the Labs- clones secretly made to replace the body parts of the rich and famous - who have escaped the sinister 'Centre' where they were created. The group blends into human culture with Stella's help. But the Centre is looking for them and there are still clones inside, facing certain death once they are no longer useful. Once the truth about the Centre's work is uncovered, the Labs hope they will finally have justice. Can Stella and her friends find a voice in their struggle for equality?

Maintenant que la génération des baby boomers et celles qui l'ont suivie peuvent avoir autant de relations sexuelles qu'elles le veulent, elles semblent en avoir perdu l'envie... ". Convaincue, après avoir suivi des centaines de couples (hétérosexuels, homosexuels, avec ou sans enfants et de tous âges), qu'il n'y a pas de fatalité au déclin du désir amoureux, la thérapeute Esther Perel nous livre ici une analyse révolutionnaire de ce phénomène. Loin de s'appuyer sur les raisons habituellement évoquées, comme le stress et les problèmes de communication, l'auteur pointe le besoin de fusion et de stabilité des couples modernes, profondément antinomique selon elle avec le désir ! Elle nous invite donc à chasser de la chambre à coucher les idéaux égalitaires et autres attentes affectives... Faisant fi du politiquement correct, elle propose de cultiver la distance au sein du couple, mais aussi d'explorer une sexualité plus libérée afin de faire (re)naître l'étincelle du désir. Elle en appelle au jeu et à l'imagination, pour réintroduire du risque dans la sécurité, et même à la poésie, qui ont cimenté tant de couples à leurs débuts ! Rien d'irréaliste, mais des suggestions à mettre en pratique de toute urgence !