商品簡介
One of the most daunting challenges facing the new U.S. administration is health carereform. The size of the system, the number of stakeholders, and ever-rising costs make the problemseem almost intractable. But in Chaos and Organization in Health Care, twoleading physicians offer an optimistic prognosis. In their frontline work as providers, Thomas Leeand James Mongan see the inefficiency, the missed opportunities, and the occasional harm that canresult from the current system. The root cause of these problems, they argue, is chaos in thedelivery of care. If the problem is chaos, the solution is organization, and in this timely andoutspoken book, they offer a plan.
In many ways, this chaos is caused by somethinggood: the dramatic progress in medical science--the explosion of medical knowledge and theexponential increase in treatment options. Imposed on a fragmented system of small practices andindividual patients with multiple providers, progress results in chaos. Lee and Mongan argue thatattacking this chaos is even more important than whether health care is managed by government orcontrolled by market forces. Some providers are already tightly organized, adapting managementprinciples from business and offering care that is by many measures safer, better, and less costly.
Lee and Mongan propose multiple strategies that can be adopted nationwide,including electronic medical records and information systems for sharing knowledge; team-based care,with doctors and other providers working together; and disease management programs to coordinatecare for the sickest patients.
作者簡介
James J. Mongan, M.D., is President and CEO of Partners HealthCare System.
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