Healthcare systems across the developed world are in trouble.
Changing patterns of disease, an ageing population and advances in
drugs and technology feed an inexorable rise in costs outrunning
our best efforts to contain them. At a human level the system is
coming under intolerable strain. Demands for cost savings squeeze
out the time and humanity needed for good care and quality
relationships. Safety suffers. Staff become demoralised, stressed
and burned out. In the first two parts of Humanising Healthcare and
focusing on the UK's National Health Service, Dr Hannah explores
the fundamental assumptions which have brought us to this point and
which likewise inform our current inadequate responses. She
dissects the burgeoning regime of regulation and inspection that
tries to impose ever tighter controls on a healthcare system that
needs to be freed to serve its citizen patients. In the final part
of the book, 'Another Way Is Possible', Dr Margaret Hannah offers a
practical alternative strategy based on numerous examples of
transformative practice from the UK and around the world. It
promises a sustainable culture of healthcare that will enable us
all to live healthy, fulfilled lives at a fraction of the current
cost. Nuka Chief among Dr Hannah's case studies is the 'Nuka' model
of care in Alaska. Healthcare in the Nuka system is based on
reconnecting people into the web of life. Don Berwick, a former
health adviser to President Obama and a founder of the highly
respected Institute for Healthcare Improvement, has declared that
Nuka "is probably the leading example of healthcare redesign in the
world. US healthcare suffers from high costs and low quality. This
system has reversed that: the quality of care is the highest I have
seen anywhere in the world, and the costs are highly sustainable.
It's extraordinary. It is surely leading healthcare to its new and
proper destination."
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