Chaos and organization in health care / / Thomas H. Lee, M.D. and James J. Mongan

• Autore: Lee Thomas H
• Pubblicazione: Cambridge, MA, : MIT Press, c2009
• Edizione: 1st ed.
• Descrizione fisica: 1 online resource (295 p.)
• Disciplina: 362.1/04250973
• Soggetto topico: Medical care - United States; Health care reform - United States; Health facilities - United States - Administration; Chaotic behavior in systems; Organizational behavior
• Altri autori: MonganJames J
• Note generali: Bibliographic Level Mode of Issuance: Monograph
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: The problem is chaos -- Chaos -- Progress -- Fragmentation -- The solution is organization -- What does organization in healthcare look like? -- What kind of systems improve healthcare? -- Tightly structured healthcare delivery organizations -- Organizing the mainstream of American medicine -- What can payers, employers, and patients do? -- How do we get there? -- Evolution or revolution? -- Provider change -- Payment change -- Market change -- Accelerating evolution.
• Sommario/riassunto: Two leading physicians' prescription for solving our health care problems: organizing the fragmented system that delivers care.One of the most daunting challenges facing the new U.S. administration is health care reform. The size of the system, the number of stakeholders, and ever-rising costs make the problem seem almost intractable. But in Chaos and Organization in Health Care, two leading physicians offer an optimistic prognosis. In their frontline work as providers, Thomas Lee and James Mongan see the inefficiency, the missed opportunities, and the occasional harm that can result from the current system. The root cause of these problems, they argue, is chaos in the delivery of care. If the problem is chaos, the solution is organization, and in this timely and outspoken book, they offer a plan.In many ways, this chaos is caused by something good: the dramatic progress in medical science--the explosion of medical knowledge and the exponential increase in treatment options. Imposed on a fragmented system of small practices and individual patients with multiple providers, progress results in chaos. Lee and Mongan argue that attacking this chaos is even more important than whether health care is managed by government or controlled by market forces. Some providers are already tightly organized, adapting management principles 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 coordinate care for the sickest patients.
• Titolo autorizzato: Chaos and organization in health care
• ISBN: 0-262-25836-6; 1-282-69463-4; 9786612694639; 0-262-25903-6
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910812566803321
• Lo trovi qui: Univ. Federico II