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From the very beginning of medical practice, physicians have enjoyed a degree of autonomy which exceeds that of almost any other profession. Although regulated by state medical boards, and limited by the threat of litigation, physicians are generally held in high esteem by society and allowed to practice medicine as they see fit. Physicians have usually been allowed to prescribe any drug for any disease, including the so-called “off-label” uses for which Food and Drug Administration (FDA) approval has not been obtained. They can also use new or untested medical devices and surgical procedures, as long as they obtain informed consent from the patient. Society has trusted doctors to do the right thing for their patients, and thus tried not to interfere with the sacred doctor–patient relationship.

The aim of this chapter is to provide an overview of the student mental health crisis in Higher Education (HE), and how resilience and grit, two important positive psychological constructs, can be beneficial for university students’ success and wellbeing. As part of a discussion around some of the current approaches to intervening in wellbeing in universities, the chapter provides evidence for the use of PPIs for wellbeing in university students, alongside some of the challenges of implementing these in HE. It also provides an overview of the Thriving Students Framework and presents a case for a multicomponent approach to monitoring and improving educational success. In particular, a wellbeing framework that, alongside resilience, also recognises the importance of strengths, persistence in the face of difficulty, a growth mindset, self-control and mental wellbeing; Academic Tenacity. The implications of utilising this framework for educational attainment in university students are discussed. The Bolton Uni-Stride Scale (BUSS), a single short measure of academic tenacity that combines the attributes enabling measurement and intervention to support university students to thrive, is also presented for educators to use.

The constructionist framework for analyzing social problems rests upon the concept of “claimsmakers” who engage in definitional activities. Published researches often approach claimsmakers as agents who speak social problems into existence by naming and typifying putative conditions. This established usage fails to consider several important issues. First, claimsmakers are not merely detached interpreters but are themselves implicated in conditions. Claimsmakers, moreover, are not only speakers who deliver social-problem monologues but are also audiences that engage in dialogue with other claimsmakers. Furthermore, claimsmakers are not only the authors of social problems discourse, but are also its objects in two senses. First, they appear as positive or negative typifications in their own discourse and that of others. Second, claimsmakers sometimes emerge as special symbols that are subsequently available as resources for future social-problems discourse. These considerations indicate that the constructionist framework and empirical researches may be improved through recognition of the dialectic of claimsmakers as both speakers and audiences, both agents and objects – indeed as functioning simultaneously in all these capacities. Ultimately, claimsmakers’ influence may result from having been transformed into generalizable symbols. Their agency, paradoxically, may succeed because of their objectification.

Excessive anger at work has a negative impact on the worker expressing anger and on those around them. The aim of our study is to identify anger triggers, reactions, and strategies for workers referred to an anger management intervention program. We interviewed 20 participants prior to the start of that program. Main causes of anger reported were unfair treatment, workplace incompetence, disregard by others, and concern for the bottom line. Anger reactions were aggressive acts and anger suppression. The two main strategies reported for dealing with anger were “no identifiable strategy” and distancing. Implications for theory and practice are discussed.

The hospital–physician relationship (HPR) has been the focus of many scholars given the potential impact of this relationship on hospitals’ ability to achieve socially and organizationally desirable health care outcomes. Hospitals are dominated by professionals and share many commonalities with professional service firms (PSFs). In this chapter, we explore an alternative HPR based on the governance models prevalent in PSFs.

We summarize the issues presented by current HPRs and discuss the governance models dominant in PSFs.

We identify the non-equity partnership model as a governance archetype for hospitals; this model accounts for both the professional dominance in health care decisions and the increasing demand for higher accountability and efficiency.

There should be careful consideration of existing regulations such as the Stark law and the antikickback statue before the proposed governance model and the compensation structure for physician partners is adopted.

While our governance archetype is based on a review of the literature on HPRs and PSFs, further research is needed to test our model.

Given the dominance of not-for-profit (NFP) ownership in the hospital industry, we believe the non-equity partnership model can help align physician incentives with those of the hospital, and strengthen HPRs to meet the demands of the changing health care environment.

This is the first chapter to explore an alternative hospital–physician integration strategy by examining the governance models in PSFs, which similar to hospitals have a high reliance on a predominantly professional staff.

Self-employment placements can provide an opportunity to experience the real-life world of the entrepreneur within an educational context but their implementation is rare. Here we describe a full sandwich year placement scheme at the University of Huddersfield – the Enterprise Placement Year (EPY). Details of the EPY are provided including academic requirements, application procedures and the learning opportunities provided. There are a growing number of EPY alumni continuing the development of their business idea or starting up a new business in their final year or after graduation and three examples are provided. In addition to increasing numbers of sustaining businesses, there is evidence of improved academic success with a greater than average percentage of ‘good degrees’ obtained. Regular changes to the delivery of the programme have been made as a result of ongoing evaluation. These are reported here with recommendations for other universities considering offering such a programme and suggestions for future research.

This research is located at the intersection of communication, memetics, and the study of the imaginary. As a presupposition, we put forward the existence of a communicational imaginary, in which the contemporary person functions through their competencies in social networks, by meeting the demands of the public and the private, managing the obsessiveness of the sharing of intimacy and the exorbitant number of images. Considering memes as a significant aspect of this communicational imaginary, we seek to understand the dynamics and path of memes in the midst of this plethora of images. From the concept of iconophagy, we deal with the exacerbated multiplication of the images and the path of memes starting from a marginalized environment until it is integrated into social roles and a rational level of thought. Thus, it is the general objective of this research to understand the dynamics and the path of memes amidst the plethora of images in the context of communicational imagery and to investigate the multiplication of memes as representative of the myriad images in contemporary imagery.

Purpose: This chapter describes the main features of the financing of health care expenditure in the French health care system.

Methodology/Approach: This chapter presents key reforms that have been implemented to make the health care system more sustainable in the main dimensions of care: ambulatory, hospital, pharmaceuticals and insurance coverage.

Findings: Overall, French public authorities have followed three paths to improve the sustainability of the health care system: reducing public expenses, generalising access to complementary health insurance and streamlining care toward the most disadvantaged individuals. Looking in the future, the sustainability of the French health care system will mainly rely on two areas of recommendations. The first area is to respect the national annual target for health insurance spending, with a focus on responsible prescriptions, optimised care pathways and increased use of primary and ambulatory care where possible. The second area is to increase efficiency on the short to medium terms. This includes an increased quality of the care toward patients with a disability or special needs, a clearer engagement of patients within their care pathways to increase treatment compliance, and more generally a search for coordinated care that is fair and appropriate.