Engineering the system of healthcare delivery
By: edited by W.B. Rouse and D.A. Cortese
Series: Studies in health technology and informatics -- v. 153; Studies in health technology and informatics -- v. 153.
Publisher: IOS Press
Published: 2010
Place of publication: Amsterdam
Language: eng
Number of pages: 481
ISBN-13: 9781607505327; 9781607505334; 9781607505310
Subjects: Management; Économie de la santé; Organizational Efficiency; Economics; Administration; Delivery of Health Care; Planification; Médecine; Santé publique; Réforme; Informatique; Medical Informatics Applications; Services de santé; Health facilities; Trends; Organizational Innovation
Description: "As the United States continues to debate reform of its healthcare system, this book argues that providing health insurance for all without improving the delivery system will not improve the current problems of access, affordability, and quality. The US healthcare system has many excellent components; strong scientific input, extraordinary technology for diagnosis and treatment, dedicated staff and top-class facilities among them. But the system has evolved haphazardly over time and although it has not failed entirely, the authors argue that like any system where attention is paid to individual components at the expense of the system as a whole, it can never hope to succeed. Above all, they point out that the US system does not provide high value healthcare; it has the highest costs in the world and yet many other countries have lower infant mortality rates and better life expectancy. Together with a team of highly regarded thought leaders, the authors of this publication advocate a complete re-thinking of healthcare from a systems perspective - an engineering approach to healthcare - and they then describe how to set about it. Covering a wide range of subjects including: health care costs and economics, barriers to change, integrated health systems, electronic records and computer-based patient support as well as patient safety and palliative and chronic care, this book will be of interest to all those involved in healthcare provision whose goal is affordable care to promote healthy, high quality lives."--Publisher's description.
Notes: Includes bibliographical references and index.
Table of contents: title: Seeking care as a system / D.M. Berwick and E. Luo; title: Patient safety: the role of human factors and systems engineering / P. Carayon and K.E. Wood; title: Aging: adding complexity, requiring skills / C.K. Cassel, M. Johnston-Fleece and S. Reddy; title: Palliative and end of life care / R. Stroebel and T. Moynihan; title: US health care costs: the crushing burden / H. Darling; title: Engineering information technology for actionable information and better health: balancing social values through desired outcomes, complementary standards and decision-support / D.E. Detmer; title: Electronic health records / W.W. Stead; title: Evidence-based medicine: engineering the learning healthcare system / J.M. McGinnis; title: Transforming healthcare through patient empowerment / L. Lenert; title: Health economies / G.R. Wilensky; title: Pay for value / R. Smoldt; title: Reform incentives to create a demand for health system reengineering / A. Enthoven; title: Systems engineering and management / W.B. Rouse and W.D. Compton; title: Operations research: a valuable resource for improving quality, costs, access and satisfaction in health care delivery / W.P. Pierskalla; title: Engineering healthcare as a service system / J.M. Tien and P.J. Goldschmidt-Clermont; title: Process engineering: a necessary step to a better public health system / D.A. Ross; title: Engineering responses to pandemics / R.C. Larson and K.R. Nigmatulina; title: Understanding and enhancing the dental delivery system / P.M. Griffin; title: Integrated health systems / S.M. Shortell and R.K. McCurdy; title: Academic health centers / F. Sanfilippo; title: Government, health and system transformation / J.B. Perlin and K.A. Baggett; title: Barriers to change in engineering the system of health care delivery / J.F. Saxton and M.M.E. Johns; title: Prospects for change / D.A. Cortese and W.B. Rouse; title: Epilogue: healthcare costs or investments? / W.B. Rouse, M.E. Johns and D.A. Cortese.