Fragmented A Doctor S Quest To Piece Together American Health Care
DOWNLOAD
Download Fragmented A Doctor S Quest To Piece Together American Health Care PDF/ePub or read online books in Mobi eBooks. Click Download or Read Online button to get Fragmented A Doctor S Quest To Piece Together American Health Care book now. This website allows unlimited access to, at the time of writing, more than 1.5 million titles, including hundreds of thousands of titles in various foreign languages. If the content not found or just blank you must refresh this page
Fragmented A Doctor S Quest To Piece Together American Health Care
DOWNLOAD
Author : Ilana Yurkiewicz MD
language : en
Publisher: W. W. Norton & Company
Release Date : 2023-07-11
Fragmented A Doctor S Quest To Piece Together American Health Care written by Ilana Yurkiewicz MD and has been published by W. W. Norton & Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-07-11 with Medical categories.
An award-winning physician-writer exposes how pervasive cracks in the health care system cost us time, energy, and lives—and how we can fix them. There’s an unspoken assumption when we go to see a doctor: the doctor knows our medical story and is making decisions based on that story. But reality frequently falls short. Medical records vanish when we switch doctors. Critical details of life-saving treatment plans get lost in muddled electronic charts. The doctors we see change according to specialty, hospital shifts, or an insurer’s whims. Physician Ilana Yurkiewicz calls this phenomenon fragmentation, and, she argues, it’s the central failure of health care today. In this gripping narrative from medicine’s front lines, Yurkiewicz reveals how a system that doesn’t talk to itself puts insupportable burdens on physicians, patients, and caregivers, forcing them to heroic lengths to hold the pieces together—barely. The stories she tells are at once harrowing and commonplace. A patient narrowly averts an unnecessary, invasive heart procedure by producing a worn rhythm strip he has carried in his pocket for a decade. A man diagnosed with leukemia while visiting from abroad has thirty-one physicians, but no one he can call “his” doctor, with tragic consequences. When Yurkiewicz’s own father falls ill, a culture that incentivizes health care providers to react with quick fixes to the problems immediately before them—often to the neglect of a patient’s overall narrative—leads to weeks of additional suffering and a risky hospital transfer. The system is hanging by a thread, and we need better solutions. Yurkiewicz issues a clear-eyed call for change, naming concrete reforms doctors and policymakers can make, and empowering patients and their loved ones to advocate for themselves in the meantime. Urgent, radiantly humane, and ultimately hopeful, Fragmented a prescription for what really needs fixing in modern medicine.
The Fragmentation Of U S Health Care
DOWNLOAD
Author : Einer Elhauge
language : en
Publisher: Oxford University Press
Release Date : 2010-03-22
The Fragmentation Of U S Health Care written by Einer Elhauge and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-03-22 with Law categories.
Why is our health care system so fragmented in the care it gives patients? Why is there little coordination amongst the many doctors who treat individual patients, who often even lack access to a common set of medical records? Why is fragmentation a problem even within a single hospital, where errors or miscommunications often seem to result from poor coordination amongst the myriad of professionals treating any one individual patient? Why is health care fragmented both over time, so that too little is spent on preventive care, and across patients, so that resources are often misallocated to the patients who need it least? The Fragmentation of U.S. Health Care: Causes and Solutions approaches these broad questions with a highly interdisciplinary approach. The articles included in the work address legal and regulatory issues, including laws that mandate separate payments for each provider, restrict hospitals or others from controlling or rewarding the set of providers treating a patient to assure coordinated care, and provide affirmative disincentives for coordinating care by paying more for uncoordinated care that requires more services. Business reasons for the current form of hospital organization are considered, and efficiency and design are examined and compared to other industries. The economics of current hospital organization are also taken into account. The authors examine and propose various reforms that make our health care system less fragmented, more efficient, and more medically effective.
The Fragmentation Of U S Health Care
DOWNLOAD
Author : Einer Elhauge
language : en
Publisher:
Release Date : 2010
The Fragmentation Of U S Health Care written by Einer Elhauge and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with Health care reform categories.
Why is the American health care system so fragmented in the care it gives patients? This title approaches this question and more with a highly interdisciplinary approach. The articles included in the work address legal and regulatory issues, including laws that mandate separate payments for each provider.
An American Sickness
DOWNLOAD
Author : Elisabeth Rosenthal
language : en
Publisher: Penguin
Release Date : 2017-04-11
An American Sickness written by Elisabeth Rosenthal and has been published by Penguin this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-04-11 with Medical categories.
A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.
Uncaring
DOWNLOAD
Author : Robert Pearl
language : en
Publisher: Hachette UK
Release Date : 2021-05-18
Uncaring written by Robert Pearl and has been published by Hachette UK this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-05-18 with Medical categories.
Doctors are taught how to cure people. But they don’t always know how to care for them. Hardly anyone is happy with American healthcare these days. Patients are getting sicker and going bankrupt from medical bills. Doctors are burning out and making dangerous mistakes. Both parties blame our nation’s outdated and dysfunctional healthcare system. But that’s only part of the problem. In this important and timely book, Dr. Robert Pearl shines a light on the unseen and often toxic culture of medicine. Today’s physicians have a surprising disdain for technology, an unhealthy obsession with status, and an increasingly complicated relationship with their patients. All of this can be traced back to their earliest experiences in medical school, where doctors inherit a set of norms, beliefs, and expectations that shape almost every decision they make, with profound consequences for the rest of us. Uncaring draws an original and revealing portrait of what it’s actually like to be a doctor. It illuminates the complex and intimidating world of medicine for readers, and in the end offers a clear plan to save American healthcare.
Unaccountable
DOWNLOAD
Author : Marty Makary
language : en
Publisher: Bloomsbury Publishing USA
Release Date : 2012-09-18
Unaccountable written by Marty Makary and has been published by Bloomsbury Publishing USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-09-18 with Health & Fitness categories.
New York Times Bestseller “Every once in a while a book comes along that rocks the foundations of an established order that's seriously in need of being shaken. The modern American hospital is that establishment and Unaccountable is that book.”-Shannon Brownlee, author of Overtreated Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's bestselling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting. Over the last ten years, neither error rates nor costs have come down, despite scientific progress and efforts to curb expenses. Why? To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market. Unaccountable is a powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken healthcare system.
One Doctor
DOWNLOAD
Author : Brendan Reilly
language : en
Publisher: Simon and Schuster
Release Date : 2013-09-03
One Doctor written by Brendan Reilly and has been published by Simon and Schuster this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-09-03 with Biography & Autobiography categories.
"A first-person narrative that takes readers inside the medical profession as one doctor solves real-life medical mysteries"--Provided by publisher.
Less Than Human
DOWNLOAD
Author : James Gannon MD
language : en
Publisher: BookLocker.com, Inc.
Release Date : 2023-06-15
Less Than Human written by James Gannon MD and has been published by BookLocker.com, Inc. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-06-15 with Medical categories.
Ever want to be a doctor or wonder how a physician feels about healthcare? Follow one man’s journey through medical training and his reflections on the process. Less Than Human is a physician’s experience and ‘insider perspective’ into the abusive and corrupt academic, political and legal systems one navigates to succeed in medicine. There is a dehumanizing aspect of medicine/healthcare for both patients and doctors. Our academic system treats students and eventual medical residents as a disposable exploitable commodity and patients as throughput objects. Unfortunately, healthcare focus is now taken off the patient and instead diverted to total government submission under the mantra of ‘Compliance’. Subservience to government mandates override patient care. Besides bone crushing debt imposed by the higher education system, medicine is practiced under heavy-handed political, litigious and media influence; this book offers insight and critique of the American political, media and legal systems which undermine the Doctor-Patient relationship. This book was initially self-published in 2015 to help improve medical care in this country, this second edition is culled to be more focused and concise, yet still clearly describe deficiencies and offer solutions. Direct common-sense changes (to this day not practiced) are proposed to aright a failed system of academia, healthcare and the politics that controls them. Many of the issues presented in this book weigh heavily on doctors, but also creep into many aspects of our society. The greatest coup in healthcare is propaganda convincing people to mistrust their doctors’ and have blind faith in politicians.
Searching For The Family Doctor
DOWNLOAD
Author : Timothy J. Hoff
language : en
Publisher: JHU Press
Release Date : 2022-03-01
Searching For The Family Doctor written by Timothy J. Hoff and has been published by JHU Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-03-01 with Medical categories.
With family doctors increasingly overburdened, bureaucratized, and burned out, how can the field change before it's too late? Over the past few decades, as American medical practice has become increasingly specialized, the number of generalists—doctors who care for the whole person—has plummeted. On paper, family medicine sounds noble; in practice, though, the field is so demanding in scope and substance, and the health system so favorable to specialists, that it cannot be fulfilled by most doctors. In Searching for the Family Doctor, Timothy J. Hoff weaves together the early history of the family practice specialty in the United States with the personal narratives of modern-day family doctors. By formalizing this area of practice and instituting specialist-level training requirements, the originators of family practice hoped to increase respect for generalists, improve the pipeline of young medical graduates choosing primary care, and, in so doing, have a major positive impact on the way patients receive care. Drawing on in-depth interviews with fifty-five family doctors, Hoff shows us how these medical professionals have had their calling transformed not only by the indifferent acts of an unsupportive health care system but by the hand of their own medical specialty—a specialty that has chosen to pursue short- over long-term viability, conformity over uniqueness, and protectionism over collaboration. A specialty unable to innovate to keep its membership cohesive and focused on fulfilling the generalist ideal. The family doctor, Hoff explains, was conceived of as a powered-up version of the "country doctor" idea. At a time when doctor-patient relationships are evaporating in the face of highly transactional, fast-food-style medical practice, this ideal seems both nostalgic and revolutionary. However, the realities of highly bureaucratic reimbursement and quality-of-care requirements, educational debt, and ongoing consolidation of the old-fashioned independent doctor's office into corporate health systems have stacked the deck against the altruists and true believers who are drawn to the profession of family practice. As more family doctors wind up working for big health care corporations, their career paths grow more parochial, balkanizing the specialty. Their work roles and professional identities are increasingly niche-oriented. Exploring how to save primary care by giving family doctors a fighting chance to become the generalists we need in our lives, Searching for the Family Doctor is required reading for anyone interested in the troubled state of modern medicine.
Healthcare 911
DOWNLOAD
Author : Bhupendra O. Khatri
language : en
Publisher: Henschelhaus Publishing, Incorporated
Release Date : 2018-02
Healthcare 911 written by Bhupendra O. Khatri and has been published by Henschelhaus Publishing, Incorporated this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-02 with Medical categories.
America's healthcare crisis - Is there a solution? In this era of corporate takeovers, the age-old art of medicine is the first casualty. At least one physician commits suicide every day! Countless others experience stress, depression, burnout, and medical conditions, ranging from obesity to heart attacks. Healthcare 911 pulls back the curtain on the causes and consequences of this crisis, as well as the future of the American system of caring for the sick if it is not solved.