The evolution of the healthcare system in the U.S. has seen
numerous changes in the last 30 years where fee-for-service was the
mainstay of reimbursement models and hospitals were managed by
physicians and patient care was key. The early 1990's saw the
emergence of HMOs and other managed care models with physicians
handing over leadership roles to corporate entities whose main
concern was the bottom line and profitability while patient care
and satisfaction suffered. The Healthcare Collapse: Where We've
been and Where We Need to Go explores the low morale of physicians
in this corporate healthcare culture as well as the expansion of
hospitals owned by corporations. The author focuses on recovering
healthcare morals and return value to the individuals who provide
active care and not just business. This book also examines the
possible repercussions of Medicare and Medicaid while address the
question of single payer healthcare. This book looks at where
healthcare has been, what has worked and what hasn't, and
recommends solutions to create a system that focuses on the patient
and providing quality care in this age of reimbursement cuts,
demands for better technology and providing a safer environment for
both the patient and clinicians who work in hospitals. The author
also advocates for a shift in management and recommends hospitals
leaders engage physicians and other clinicians in process
improvement and other initiatives which can result in a more
efficient system - one where quality patient care dominant. The
book also outlines programs which can be championed by hospitals
such as patient engagement activities, community health and other
outreach and education programs.
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