| Description |
1 online resource (xix, 319 pages) |
| Contents |
An Introoduction to the Problem of Unwanted Variation. In health care, geography is destiny ; The Vermont experience. -- Surgical Variation: Understanding Preference-Sensitive Care. Tonsillectomy and medical opinion ; Interpreting the pattern of surgical variation ; Understanding the market for preference-sensitive surgery ; Learning what works and what patients want ; The birth and near death of comparative effectiveness research. -- Medical Variation: Understanding Supply-Sensitive Care. Understanding supply-sensitive care ; Chronic illness and practice variation ; Is more better? ; Are America's "best hospitals" really the best? ; Ten top reasons why we need to reform the way we manage chronic illness. -- Pathways to Reform. Promoting organized care and reducing overuse ; Establishing shared decision making and informed patient choice ; Five ways to control costs, and accelerate health care reform ; The challenge of practice variations |
| Summary |
The author has spent his career illustrating how geography is destiny when it comes to health care. Local medical opinion and the supply of medical resources are as important to the level of medical care provided as are levels of actual illness, or patient preference. In this book, using evidence distilled from his own experience at the forefront of practice variation research, he makes the case for delivery science as a laying foundation in the rebuilding of our health care system. This book is an introduction to the science of health care delivery, as well as a powerful argument for its relevance in shaping the future of our country. A resource for those involved in public health and health policy, this book uses the author's pioneering research to provide a framework for understanding the health care crisis; and outlines a roadmap for real change in the future. It is also a useful tool for anyone interested in understanding and forming their own opinion on the current debate. Written by a pioneer in the study of regional variations in health care delivery, it contains real-world examples of health care systems that get it right, to be used as models for future reform |
| Bibliography |
Includes bibliographical references (pages 287-308) and index |
| Notes |
Print version record |
| Subject |
Outcome assessment (Medical care) -- United States
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Medicine, Comparative -- United States
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Regional medical programs -- United States.
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Health care reform -- United States
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Outcome assessment (Medical care)
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Physician practice patterns.
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Health care reform.
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Health services accessibility.
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Outcome and Process Assessment, Health Care
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Practice Patterns, Physicians'
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Health Care Reform
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Health Resources
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Health Services Accessibility
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HEALTH & FITNESS -- Health Care Issues.
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MEDICAL -- Public Health.
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MEDICAL -- Health Policy.
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HEALTH & FITNESS -- Diseases -- General.
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MEDICAL -- Diseases.
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MEDICAL -- Health Care Delivery.
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Physician practice patterns
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Health services accessibility
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Health care reform
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Medicine, Comparative
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Outcome assessment (Medical care)
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Regional medical programs
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| SUBJECT |
United States https://id.nlm.nih.gov/mesh/D014481 |
| Subject |
United States
|
| Genre/Form |
dissertations.
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Academic theses
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Academic theses.
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Thèses et écrits académiques.
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| Form |
Electronic book
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| LC no. |
2009045161 |
| ISBN |
9780199780242 |
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0199780242 |
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9780199731787 |
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0199731780 |
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