LEADER 04435oam 22007694a 450 001 9910538262103321 005 20251116171016.0 010 $a9781501703874 010 $a1501703870 024 7 $a10.7591/9781501703874 035 $a(CKB)3710000000666481 035 $a(SSID)ssj0001672905 035 $a(PQKBManifestationID)16471600 035 $a(PQKBTitleCode)TC0001672905 035 $a(PQKBWorkID)14820768 035 $a(PQKB)10550871 035 $a(MiAaPQ)EBC4813224 035 $a(OCoLC)1080552150 035 $a(MdBmJHUP)muse58597 035 $a(DE-B1597)480088 035 $a(OCoLC)949885894 035 $a(OCoLC)979836787 035 $a(DE-B1597)9781501703874 035 $a(Au-PeEL)EBL4813224 035 $a(CaPaEBR)ebr11353131 035 $a(CaONFJC)MIL951883 035 $a(Perlego)534041 035 $a(ScCtBLL)b8f96bd4-100b-4f46-9955-258431a06ccd 035 $a(EXLCZ)993710000000666481 100 $a20151025d2016 uy 0 101 0 $aeng 135 $aurcnu|||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aCuring Medicare$eA Doctor?s View on How Our Health Care System Is Failing Older Americans and How We Can Fix It /$fAndy Lazris ; with a foreword by Shannon Brownlee 205 $aRevised edition. 210 1$aIthaca :$cILR Press, an imprint of Cornell University Press,$d2016. 210 4$dİ2016. 215 $a1 online resource (263 pages) $cillustrations 225 0 $aThe culture and politics of health care work 300 $aIncludes index. 311 08$a9781501703867 311 08$a1501703862 311 08$a9781501702778 311 08$a1501702777 320 $aIncludes bibliographical references (pages 219-236) and index. 327 $aIntroduction : my boss -- Defining quality : the quest for numerical perfection -- Defining thorough : finding and fixing everything -- Excessive specialization, expectation, and litigation -- Hospitalization : the pinnacle of thorough -- Long term care : the unwitting geriatric ICU -- Quality and value : moving toward a cure -- Afterword : redefining thorough. 330 $aAndy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare's payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for the primary care that can make a real difference in the lives of the elderly.Lazris offers straightforward solutions to ensure Medicare's solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want. 410 0$aCulture and politics of health care work. 606 $aGeriatrics$zUnited States 606 $aOlder people$xMedical care$zUnited States 606 $aMedicare 608 $aElectronic books. 615 0$aGeriatrics 615 0$aOlder people$xMedical care 615 0$aMedicare. 676 $a368.38/200973 700 $aLazris$b Andrew$0835353 702 $aBrownlee$b Shannon 712 02$aNEH CARES grant 801 0$bMdBmJHUP 801 1$bMdBmJHUP 906 $aBOOK 912 $a9910538262103321 996 $aCuring Medicare$92644918 997 $aUNINA LEADER 04255nam 22005655 450 001 9910299892103321 005 20251230064849.0 010 $a3-319-70019-7 024 7 $a10.1007/978-3-319-70019-9 035 $a(CKB)4100000001381486 035 $a(DE-He213)978-3-319-70019-9 035 $a(MiAaPQ)EBC5178252 035 $a(PPN)222229152 035 $a(EXLCZ)994100000001381486 100 $a20171201d2018 u| 0 101 0 $aeng 135 $aurnn#008mamaa 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aRecent Advances and Future Prospects in Knowledge, Information and Creativity Support Systems $eSelected Revised Papers from the Tenth International Conference on Knowledge, Information and Creativity Support Systems (KICSS 2015), 12-14 November 2015, Phuket, Thailand /$fedited by Thanaruk Theeramunkong, Andrzej M.J. Skulimowski, Takaya Yuizono, Susumu Kunifuji 205 $a1st ed. 2018. 210 1$aCham :$cSpringer International Publishing :$cImprint: Springer,$d2018. 215 $a1 online resource (XI, 304 p. 129 illus., 92 illus. in color.) 225 1 $aAdvances in Intelligent Systems and Computing,$x2194-5365 ;$v685 311 08$a3-319-70018-9 320 $aIncludes bibliographical references at the end of each chapters. 327 $aDetecting TV Program Highlight Scenes Using Twitter Data Classified by Twitter User Behavior -- BrainTranscending: A Hybrid Divergent Thinking Method that Exploits Creator Blind Spots -- Open Data Integration for Lanna Cultural Heritage e-Museums -- An Expert System Using Ontology as Knowledge Base for Personalized Rice Cultivation Suggestion -- Designing a social innovation based knowledge support system: A preliminary guideline -- A Study of Cost, Revenue, and Profit Efficiency of Commercial Banks in Cambodia using DEA Approach -- Competition Boosts Innovativeness: the Case of CMS Evolution -- Modeling Traffic Accidents Occurrences Based on Land Use and Road Factors Using Geographically Weighted Regression Models -- A Model-based Method for Modeling and Verifying Event-Based Aspect-Oriented Applications -- A Retrospective on Constructing a Personal Narrative on Agile Development. 330 $aThis book includes carefully selected papers presented at the 10th International Conference on Knowledge, Information and Creativity Support Systems (KICCS 2015), which was held in Phuket, Thailand, on November 12?14, 2015. Most of the papers are extended versions with the latest results added, representing virtually all topics covered by the conference. The KICCS 2015 focus theme, ?Looking into the Future of Creativity and Decision Support Systems?, highlighted the field?s growing complexity and called for deeper, insightful discussions about the future, complemented with an exposition of current developments that have proven their value and usefulness. As such, the book addresses topics concerning future-oriented fields of research, such as anticipatory networks and systems; foresight support systems; and relevant newly emerging applications, exemplified by autonomous creative systems. It also focuses on cognitive and collaborative aspects of creativity. 410 0$aAdvances in Intelligent Systems and Computing,$x2194-5365 ;$v685 606 $aComputational intelligence 606 $aArtificial intelligence 606 $aComputational Intelligence 606 $aArtificial Intelligence 615 0$aComputational intelligence. 615 0$aArtificial intelligence. 615 14$aComputational Intelligence. 615 24$aArtificial Intelligence. 676 $a005.1 702 $aTheeramunkong$b Thanaruk$4edt$4http://id.loc.gov/vocabulary/relators/edt 702 $aSkulimowski$b Andrzej M.J$4edt$4http://id.loc.gov/vocabulary/relators/edt 702 $aYuizono$b Takaya$4edt$4http://id.loc.gov/vocabulary/relators/edt 702 $aKunifuji$b Susumu$4edt$4http://id.loc.gov/vocabulary/relators/edt 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910299892103321 996 $aRecent Advances and Future Prospects in Knowledge, Information and Creativity Support Systems$92540628 997 $aUNINA