The Doctor Crisis
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The Doctor Crisis
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Author : Jack Cochran
language : en
Publisher: PublicAffairs
Release Date : 2014-05-06
The Doctor Crisis written by Jack Cochran and has been published by PublicAffairs this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-06 with Medical categories.
Calming fears, alleviating suffering, enhancing and saving lives -- this is what motivates doctors virtually every single day. When the structure and culture in which physicians work are well aligned, being a doctor is a most rewarding job. But something has gone wrong in the physician world, and it is urgent that we fix it. Fundamental flaws in the US health care system make it more difficult and less rewarding than ever to be a doctor. The convergence of a complex amalgam of forces prevents primary care and specialty physicians from doing what they most want to do: Put their patients first at every step in the care process every time. Barriers include regulation, bureaucracy, the liability burden, reduced reimbursements, and much more. Physicians must accept the responsibility for guiding our nation toward a better health care delivery system, but the pathway forward -- amidst jarring changes in our health care system -- is not always clear. In The Doctor Crisis, Dr. Jack Cochran, executive director of The Permanente Federation, and author Charles Kenney show how we can improve health care on a grassroots level, regardless of political policy disputes, by improving conditions for physicians and asking them to take on broader accountability; by calling on physicians to be effective leaders as well as excellent clinicians. The authors clarify the necessary steps required to enable physicians to focus on patient care and offer concrete ideas for establishing systems that place patients' needs above all else. Cochran and Kenney make a compelling case that fixing the doctor crisis is a prerequisite to achieving access to quality and affordable health care throughout the United States.
The Doctor Crisis
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Author : Jack Cochran
language : en
Publisher: Hachette UK
Release Date : 2014-05-06
The Doctor Crisis written by Jack Cochran and has been published by Hachette UK this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-06 with Medical categories.
Calming fears, alleviating suffering, enhancing and saving lives -- this is what motivates doctors virtually every single day. When the structure and culture in which physicians work are well aligned, being a doctor is a most rewarding job. But something has gone wrong in the physician world, and it is urgent that we fix it. Fundamental flaws in the US health care system make it more difficult and less rewarding than ever to be a doctor. The convergence of a complex amalgam of forces prevents primary care and specialty physicians from doing what they most want to do: Put their patients first at every step in the care process every time. Barriers include regulation, bureaucracy, the liability burden, reduced reimbursements, and much more. Physicians must accept the responsibility for guiding our nation toward a better health care delivery system, but the pathway forward -- amidst jarring changes in our health care system -- is not always clear. In The Doctor Crisis, Dr. Jack Cochran, executive director of The Permanente Federation, and author Charles Kenney show how we can improve health care on a grassroots level, regardless of political policy disputes, by improving conditions for physicians and asking them to take on broader accountability; by calling on physicians to be effective leaders as well as excellent clinicians. The authors clarify the necessary steps required to enable physicians to focus on patient care and offer concrete ideas for establishing systems that place patients' needs above all else. Cochran and Kenney make a compelling case that fixing the doctor crisis is a prerequisite to achieving access to quality and affordable health care throughout the United States.
The Doctor Crisis
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Author : Jack Cochran
language : en
Publisher:
Release Date : 2014
The Doctor Crisis written by Jack Cochran and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Health categories.
Calming fears, alleviating suffering, enhancing and saving lives-this is what motivates doctors virtually every single day. When the structure and culture in which physicians work are well aligned, being a doctor is a most rewarding job. But something has gone wrong in the physician world, and it is urgent that we fix it. Fundamental flaws in the US health care system make it more difficult and less rewarding than ever to be a doctor. The convergence of a complex amalgam of forces prevents primary care and specialty physicians from doing what they most want to do: Put their patients first at every step in the care process every time. Barriers include regulation, bureaucracy, the liability burden, reduced reimbursements, and much more. Physicians must accept the responsibility for guiding our nation toward a better health care delivery system, but the pathway forward-amidst jarring changes in our health care system-is not always clear. In The Doctor Crisis, Dr. Jack Cochran, executive director of The Permanente Federation, and author Charles Kenney show how we can improve health care on a grassroots level, regardless of political policy disputes, by improving conditions for physicians and asking them to take on broader accountability; by calling on physicians to be effective leaders as well as excellent clinicians. The authors clarify the necessary steps required to enable physicians to focus on patient care and offer concrete ideas for establishing systems that place patients' needs above all else. Cochran and Kenney make a compelling case that fixing the doctor crisis is a prerequisite to achieving access to quality and affordable health care throughout the United States.
I Have Been Talking With Your Doctor
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Author : Peggy Rothbaum
language : en
Publisher:
Release Date : 2016-06-01
I Have Been Talking With Your Doctor written by Peggy Rothbaum and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-06-01 with categories.
I interviewed 50 doctors using about four pages of questions developed based on the professional research literature on doctoring and my personal professional experience working with doctors. The interviews lasted between 30 minutes and two hours. I sat down with the doctor interviewees, one by one. They talked, I typed. They met with me in between patients, taking breaks to answer emails, texts, phone calls, or deal with emergencies, or after hours, on time off, during paperwork time, or while eating a rushed meal. It is also worth mentioning that some of the doctor interviewees experienced their own traumas close to the time of our interview, such as their own illness or that of someone close to them, or the death of a family member or close friend. Several of them experienced the death of their own child. Remarkably, they all kept working, each one saying that helping others helped them to cope with their own pain. After completing the interviews, I am left with an even deeper understanding of the health care crisis. It is my hope that these interviews will expose an intimate portrait of the gravity and urgency of our healthcare crisis. It is with the utmost gratitude, admiration, and humility, that I thank my doctor interviewees for their help with this task.
Medicine At The Crossroads
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Author : Melvin Konner
language : en
Publisher: Vintage
Release Date : 1994
Medicine At The Crossroads written by Melvin Konner and has been published by Vintage this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994 with Medical care categories.
As America at last begins to confront its health-care crisis, this insightful book by the acclaimed author of Becoming a Doctor offers a new look at our medical system. Drawing on case studies from around the world, Dr. Konner shows how foreign practitioners have found effective solutions to problems that still trouble their American counterparts.
Life In Crisis
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Author : Peter Redfield
language : en
Publisher: Univ of California Press
Release Date : 2013-02-25
Life In Crisis written by Peter Redfield and has been published by Univ of California Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-02-25 with Social Science categories.
Life in Crisis tells the story of Médecins Sans Frontières (Doctors Without Borders or MSF) and its effort to "save lives" on a global scale. Begun in 1971 as a French alternative to the Red Cross, the MSF has grown into an international institution with a reputation for outspoken protest as well as technical efficiency. It has also expanded beyond emergency response, providing for a wider range of endeavors, including AIDS care. Yet its seemingly simple ethical goal proves deeply complex in practice. MSF continually faces the problem of defining its own limits. Its minimalist form of care recalls the promise of state welfare, but without political resolution or a sense of well-being beyond health and survival. Lacking utopian certainty, the group struggles when the moral clarity of crisis fades. Nevertheless, it continues to take action and innovate. Its organizational history illustrates both the logic and the tensions of casting humanitarian medicine into a leading role in international affairs.
The Crisis In American Medicine
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Author : Marion K. Sanders
language : en
Publisher:
Release Date : 1961
The Crisis In American Medicine written by Marion K. Sanders and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1961 with Medical categories.
Fixing The Primary Care Crisis
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Author : Stephen C Schimpff MD Fac
language : en
Publisher: CreateSpace
Release Date : 2015-05-20
Fixing The Primary Care Crisis written by Stephen C Schimpff MD Fac and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-05-20 with categories.
In this deeply researched yet controversial book, Stephen C. Schimpff, MD breaks definitive new ground to explain why our healthcare delivery system serves us so poorly, why it costs so much, and why government and insurer policy over many decades has not only failed to improve care delivery but actually has made it worse. He then demonstrates the necessary path to convert to world class healthcare at a very reasonable cost. Primary care physicians have been forced into a non-sustainable business model that drives them to schedule an unreasonable number of patient visits per day because insurance-based payment per visit is too low. In inflation adjusted dollars, PCPs earn less today than they did forty years ago but see about twice as many patients per day. Too many visits means not enough time per patient. Not enough time means it is easier to just refer a patient to a specialist, order a test or write a prescription when some more time would have resulted in a solution to the problem and saved the need and cost of specialist, test or medication. This has led to a diminishment of care quality and a major increase in costs. This is the crisis in primary care. When primary care physicians do have time with each patient, they can offer truly outstanding care for episodic issues, effectively address complex chronic illnesses (which consume 75-85% of all medical care costs), and provide effective preventive care while maintaining health and wellness-and do so within a deep personal relationship of trust and healing. Paradoxically, primary care need not be expensive. Insurance has made it so. The time has come to allow the primary care physician the ability to care at his or her highest level of professional education and training. The result will be better care at much less cost-the major theme of this book. Dr Schimpff shows how to revitalize the patient-doctor relationship and to put decision making back into the hands of patients and their physicians. We have incredible assets in American medicine but we have failed to bring them to patients in a timely, effective, customer friendly and cost effective manner. Despite its shortcomings, American medical care delivery can be corrected. The solution is to Fix The Primary Care Crisis. The "fix" is not difficult but lack of understanding by consumers/patients and inertia by physicians stymie implementation. Patients must insist and doctors must agree to the needed changes. If we want to see better and more affordable healthcare in this country, the changes discussed in this book must be implemented. The result will be medical care delivery that is forever very different -true healthcare - both better and less expensive. This book provides the needed information, the methodology and the roadmap to Fix The Primary Care Crisis.
The Hospital Revolution
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Author : John Riddington Young
language : en
Publisher: Kings Road Publishing
Release Date : 2008-06-02
The Hospital Revolution written by John Riddington Young and has been published by Kings Road Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-06-02 with Medical categories.
There is no doubt that the NHS is very sick, possibly terminally ill. The cause of this illness is that it has a huge cancerous growth inside, sapping it of all its strength. This malignant mass is the management system.Just as a patient with cancer does not know for a long time that a disease is present, the vast majority of the British public is unaware of the true cause and extent of the sickness within the NHS.A cancer grows at the expense of the healthy tissues around it without serving any useful function. To the detriment of doctors, nurses and surgeons, the administration has grown bigger and bigger, and it has not served any useful purpose, as the shocking stories in this important book show.Cancer grows until it sometimes becomes bigger than the organ from which it has arisen. Twenty years ago there were just a handful of administrators, but now there are many thousands. Cancer eventually kills its host by an insidious process of infiltration and spread. By their own exorbitant salaries and continuing mismanagement and misuse of money, administrators have diverted precious funds and made our once thriving Health Service into an emaciated shadow of its former self. Sometimes cancer causes bleeding. The blood then flows away and cannot be replaced quickly enough by the ailing body. Doctors and nurses -- the life blood of the NHS -- have never before been leaving or taking early retirement in such unprecedented numbers. And they are going because of the administration, which has made many feel absolutely and utterly unvalued.The only treatment for a cancer is to completely get rid of it. If this were done, there would be an immediate and overwhelming increase in morale not only by the clinical staff, but by everyone else in the hospital, plus immense savings. This book is a vital expose of the crisis at the heart of the NHS and a rallying cry to save it before it's too late.
Breaking Point
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Author : John P. Geyman
language : en
Publisher: John Geyman, M.D.
Release Date : 2011
Breaking Point written by John P. Geyman and has been published by John Geyman, M.D. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Medical categories.
Our market-based, profit-driven health care system in the United States has put necessary care increasingly beyond the reach of ordinary Americans. Primary health care, the fundamental foundation of all high-performing health care systems in the world, is a critical but ignored casualty of the current system. Unfortunately, primary care is often poorly understood, even within the health professions. This book describes what has become a crisis in primary care, defines its central role, analyzes the reasons for its decline, and assesses its impacts on patients and families. A constructive approach is presented to rebuild and transform U.S. primary care with the urgent goal to address the nation's problems of access, cost, quality and equity of health care for all Americans.