Download or read book Fragmented written by Ilana Yurkiewicz and published by W. W. Norton. This book was released on 2023-07-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: An award-winning physician-writer reveals how pervasive cracks in the health care system cost us time, energy, and lives--and how we can fix them.
Download or read book Fragmented A Doctor s Quest to Piece Together American Health Care written by Ilana Yurkiewicz MD and published by W. W. Norton & Company. This book was released on 2023-07-11 with total page 135 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Fragmentation of U S Health Care written by Einer Elhauge and published by Oxford University Press, USA. This book was released on 2010 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Truth About Health Care written by David Mechanic and published by Rutgers University Press. This book was released on 2006-08-04 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States spends greatly more per person on health care than any other country but the evidence shows that care is often poor and inappropriate. Despite expenditures of 1.7 trillion dollars in 2003, and growing substantially each year, services remain fragmented and poorly coordinated, and more than 46 million people are uninsured. Why can't America, with its vast array of resources, sophisticated technologies, superior medical research and educational institutions, and talented health care professionals, produce higher quality care and better outcomes? In The Truth about Health Care, David Mechanic explains how health care in America has evolved in ways that favor a myriad of economic, professional, and political interests over those of patients. While money has always had a place in medical care, "big money" and the quest for profits has become dominant, making meaningful reforms difficult to achieve. Mechanic acknowledges that railing against these influences, which are here to stay, can achieve only so much. Instead, he asks whether it is possible to convert what is best about health care in America into a well functioning system that better serves the entire population. Bringing decades of experience as an active health policy participant, researcher, teacher, and consultant to the public and private sectors, Mechanic examines the strengths and weaknesses of our system and how it has evolved. He pays special attention to areas often neglected in policy discussions, such as the loss of public trust in medicine, the tragic state of long-term care, and the relationship of mental health to health care. For anyone who has been frustrated by uncoordinated health networks, insurance denials, and other obstacles to obtaining appropriate care, this book will provide a refreshing and frank look at the system's current and future dilemmas. Mechanic's thoughtful roadmap describes how health plans, healthcare professionals, policymakers, and consumer groups can work together to improve access, quality, fairness, and health outcomes in America. About the Author:
Download or read book Ripple of Change written by Todd R. Otten, M.D. and published by Our Quadruple Aim Media, LLC. This book was released on 2023-05-08 with total page 568 pages. Available in PDF, EPUB and Kindle. Book excerpt: Do you trust the American healthcare system? Ripple of Change is a captivating story of a doctor and patient who lost trust and suffered moral injury in a dysfunctional healthcare system–yet still healed. Through a combined wellness journey, Todd R. Otten, M.D. and Joshua J. Judy, Patient, propose simple, elegant solutions by introducing Our Quadruple Aim (OQA). OQA offers an impressive prescription for change for EVERYONE. The reader will be inspired and moved by the poignant Yin and Yang transparency of doctor and patient. But most importantly, their story demonstrates what healthcare can and should aspire to. If you’re an American healthcare consumer, we’re speaking to you. Health care providers are burned out and subjected to moral injury Patients feel ignored and are frustrated Target Audience: the American healthcare consumer Follow our blended wellness journey and find yours Help us transform healthcare with a Ripple of Change Why is this book needed right now? It’s simple. Everyone has been a patient–yes, even doctors and nurses get colonoscopies. We hear about the Great Resignation. The Quiet Quitting. The frustration. While health care employees have faced significant burnout during the COVID-19 pandemic, the desire to opt out of one's chosen profession is happening across many industries. Why? Are we standing before a precipice, embarking upon a chance to better understand these phenomena and its meaning? Absolutely. Our Quadruple Aim is a four-pronged approach to delivering healthcare: Patient Experience, Quality Care, Lower Costs, and Provider Wellness. A multifaceted driver, it incorporates key stakeholders, and aligns with value-based care. When properly implemented: everyone wins. Healthcare has metastasized into a business model. Clinical leaders often play second fiddle. This has led to increasing burdens on the people actually delivering care and crushing patients financially. As a result, burnout rates are at unacceptable levels and patients are dysphoric. We believe if healthcare leaders embed Our Quadruple Aim into their culture, we can start to mend many wounds. So who is responsible for delivering? Shouldn’t we all be responsible? Patients, doctors, nurses, administrations, society at large… hence the “Our” addition to the Quadruple Aim. The “Our” emphatically states that we all are responsible. Intentionally nebulous? Perhaps, but medicine is a world of gray. Our Quadruple Aim is an opportunity to right many wrongs through a: Ripple of Change. The book will contain evidence-based medicine, research, editorials, recent news, humor, poetry, inspiring quotes, and a blended story of healing. The intent is to motivate conversations, provide the courage to speak up and challenge the status quo. Our hope is that thousands cast their stone, transforming ripples into: a tsunami of change.
Download or read book The Healing of America written by T. R. Reid and published by Penguin. This book was released on 2010-08-31 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: A New York Times Bestseller, with an updated explanation of the 2010 Health Reform Bill "Important and powerful . . . a rich tour of health care around the world." —Nicholas Kristof, The New York Times Bringing to bear his talent for explaining complex issues in a clear, engaging way, New York Times bestselling author T. R. Reid visits industrialized democracies around the world--France, Britain, Germany, Japan, and beyond--to provide a revelatory tour of successful, affordable universal health care systems. Now updated with new statistics and a plain-English explanation of the 2010 health care reform bill, The Healing of America is required reading for all those hoping to understand the state of health care in our country, and around the world. T. R. Reid's latest book, A Fine Mess: A Global Quest for a Simpler, Fairer, and More Efficient Tax System, is also available from Penguin Press.
Download or read book One Doctor written by Brendan Reilly and published by Simon and Schuster. This book was released on 2013-09-03 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A first-person narrative that takes readers inside the medical profession as one doctor solves real-life medical mysteries"--Provided by publisher.
Download or read book Uncaring written by Robert Pearl and published by PublicAffairs. This book was released on 2021-05-18 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Mountains Beyond Mountains written by Tracy Kidder and published by Random House Trade Paperbacks. This book was released on 2003-09-09 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW YORK TIMES BESTSELLER • 20th Anniversary Edition, with a new foreword by the author • “[A] masterpiece . . . an astonishing book that will leave you questioning your own life and political views.”—USA Today “If any one person can be given credit for transforming the medical establishment’s thinking about health care for the destitute, it is Paul Farmer. . . . [Mountains Beyond Mountains] inspires, discomforts, and provokes.”—The New York Times (Best Books of the Year) In medical school, Paul Farmer found his life’s calling: to cure infectious diseases and to bring the lifesaving tools of modern medicine to those who need them most. Tracy Kidder’s magnificent account shows how one person can make a difference in solving global health problems through a clear-eyed understanding of the interaction of politics, wealth, social systems, and disease. Profound and powerful, Mountains Beyond Mountains takes us from Harvard to Haiti, Peru, Cuba, and Russia as Farmer changes people’s minds through his dedication to the philosophy that “the only real nation is humanity.” WINNER OF THE LETTRE ULYSSES AWARD FOR THE ART OF REPORTAGE
Download or read book Better written by Atul Gawande and published by Macmillan. This book was released on 2008-01-22 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: National Bestseller The struggle to perform well is universal: each of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives may be on the line with any decision. Atul Gawande, the New York Times bestselling author of Complications, examines, in riveting accounts of medical failure and triumph, how success is achieved in this complex and risk-filled profession. At once unflinching and compassionate, Better is an exhilarating journey, narrated by "arguably the best nonfiction doctor-writer around" (Salon.com).
Download or read book America s Bitter Pill written by Steven Brill and published by Random House. This book was released on 2015-01-05 with total page 603 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW YORK TIMES BESTSELLER • A NEW YORK TIMES NOTABLE BOOK • “A tour de force . . . a comprehensive and suitably furious guide to the political landscape of American healthcare . . . persuasive, shocking.”—The New York Times America’s Bitter Pill is Steven Brill’s acclaimed book on how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing—and failing to change—the rampant abuses in the healthcare industry. It’s a fly-on-the-wall account of the titanic fight to pass a 961-page law aimed at fixing America’s largest, most dysfunctional industry. It’s a penetrating chronicle of how the profiteering that Brill first identified in his trailblazing Time magazine cover story continues, despite Obamacare. And it is the first complete, inside account of how President Obama persevered to push through the law, but then failed to deal with the staff incompetence and turf wars that crippled its implementation. But by chance America’s Bitter Pill ends up being much more—because as Brill was completing this book, he had to undergo urgent open-heart surgery. Thus, this also becomes the story of how one patient who thinks he knows everything about healthcare “policy” rethinks it from a hospital gurney—and combines that insight with his brilliant reporting. The result: a surprising new vision of how we can fix American healthcare so that it stops draining the bank accounts of our families and our businesses, and the federal treasury. Praise for America’s Bitter Pill “An energetic, picaresque, narrative explanation of much of what has happened in the last seven years of health policy . . . [Brill] has pulled off something extraordinary.”—The New York Times Book Review “A thunderous indictment of what Brill refers to as the ‘toxicity of our profiteer-dominated healthcare system.’ ”—Los Angeles Times “A sweeping and spirited new book [that] chronicles the surprisingly juicy tale of reform.”—The Daily Beast “One of the most important books of our time.”—Walter Isaacson “Superb . . . Brill has achieved the seemingly impossible—written an exciting book about the American health system.”—The New York Review of Books
Download or read book Health Care for Some written by Beatrix Hoffman and published by University of Chicago Press. This book was released on 2012-09-15 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2010 Affordable Care Act is a sweeping reform to the US health care system. Hoffman offers an engaging and in-depth look at America's long tradition of unequal access to health care. She argues that two main features have characterized the US health system: a refusal to adopt a right to care and a particularly American type of rationing. Unlike rationing in most countries, which is intended to keep costs down, rationing in the United States has actually led to increased costs, resulting in the most expensive health care system in the world.
Download or read book Mountains Beyond Mountains written by Tracy Kidder and published by Profile Books. This book was released on 2011-01-13 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'Inspirational ... I can't recommend this book highly enough' Bill Gates Profound and powerful, Mountains Beyond Mountains takes us from Harvard to Haiti, Peru, Cuba and Russia, as the charismatic but flawed genius Dr Paul Farmer challenges widely-held preconceptions about poverty and healthcare. As a medical student, Farmer found his life's calling: to cure infectious diseases and to bring the lifesaving tools of modern medicine - so readily available in the developed world - to those who need them most. Beginning in Haiti, he tackles the conditions that contribute to so many unnecessary deaths with his trademark combination of world-class expertise, unlimited compassion, and the unstinting dedication of friends and colleagues. Tracy Kidder's magnificent and moving account shows how, from achieving this modest dream, one person can make a difference in solving global problems through a clear-eyed understanding of the interaction of politics, wealth, social systems and medicine.
Download or read book Code Blue written by Mike Magee and published by Atlantic Monthly Press. This book was released on 2019-06-04 with total page 474 pages. Available in PDF, EPUB and Kindle. Book excerpt: This “searing and persuasive exposé of the American health care system” demonstrates the disastrous consequences of putting profit before people (Kirkus Reviews, starred review). In this timely and important book, Mike Magee, M.D., sends out a “Code Blue” —an urgent medical emergency—for the American medical industry itself. A former hospital administrator and Pfizer executive, he has spent years investigating the pillars of our health system: Big Pharma, insurance companies, hospitals, the American Medical Association, and anyone affiliated with them. Code Blue is a riveting, character-driven narrative that draws back the curtain on the giant industry that consumes one out of every five American dollars. Making clear for the first time the mechanisms, greed, and collusion by which our medical system was built over the last eight decades. He persuasively argues for a single-payer, multi-plan insurance arena of the kind enjoyed by every other major developed nation.
Download or read book Lifelines written by Dr. Leana Wen and published by Metropolitan Books. This book was released on 2021-07-27 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: From medical expert Leana Wen, MD, Lifelines is an insider's account of public health and its crucial role—from opioid addiction to global pandemic—and an inspiring story of her journey from struggling immigrant to being one of Time’s 100 Most Influential People. “Public health saved your life today—you just don’t know it,” is a phrase that Dr. Leana Wen likes to use. You don’t know it because good public health is invisible. It becomes visible only in its absence, when it is underfunded and ignored, a bitter truth laid bare as never before by the devastation of COVID-19. Leana Wen—emergency physician, former Baltimore health commissioner, CNN medical analyst, and Washington Post contributing columnist—has lived on the front lines of public health, leading the fight against the opioid epidemic, outbreaks of infectious disease, maternal and infant mortality, and COVID-19 disinformation. Here, in gripping detail, Wen lays bare the lifesaving work of public health and its innovative approach to social ills, treating gun violence as a contagious disease, for example, and racism as a threat to health. Wen also tells her own uniquely American story: an immigrant from China, she and her family received food stamps and were at times homeless despite her parents working multiple jobs. That child went on to attend college at thirteen, become a Rhodes scholar, and turn to public health as the way to make a difference in the country that had offered her such possibilities. Ultimately, she insists, it is public health that ensures citizens are not robbed of decades of life, and that where children live does not determine whether they live.
Download or read book A Doctor s Quest written by Gretchen Roedde and published by Dundurn. This book was released on 2019-02-16 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: A doctor grapples with the challenges of mother and child health in the developing world. Recounting medical missions in half of the thirty countries in which she has worked for the past twenty-five years in Africa, Asia, and the South Pacific — from Darfur in Sudan to Papua New Guinea and Bhutan — Dr. Gretchen Roedde shares the grim reality of world politics and bureaucratic red tape on the front lines as a doctor in mother-and-child health and HIV/AIDS. A Doctor’s Quest tells the stories of the hopes of village women struggling to give birth safely, their often corrupt leaders, and countries trying to bring evil despots to justice. The book analyzes the slow progress in global maternal health, contrasting the affluence of the few with the precarious hold on survival of the world’s poorest, where economic realities force families to sell young girls into marriage at the age of thirteen to face higher risk of death from early child-bearing.
Download or read book No Apparent Distress written by Rachel Pearson and published by National Geographic Books. This book was released on 2018-07-10 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A brutally frank memoir about doctors and patients in a health care system that puts the poor at risk. No Apparent Distress begins with a mistake made by a white medical student that may have hastened the death of a working-class black man who sought care in a student-run clinic. Haunted by this error, the author—herself from a working-class background—delves into the stories and politics of a medical training system in which students learn on the bodies of the poor. Part confession, part family history, No Apparent Distress is at once an indictment of American health care and a deeply moving tale of one doctor’s coming-of-age.
