Managing Crisis and Change in Health Care

Author: Chris Bennett
Edition: 1
Binding: Hardcover
ISBN: 0335157882

Managing Crisis and Change in Health Care: The Organizational Response to HIV/Aids

The authors present material on processes of strategic change in the British National Health Service.
The basic health care system in the United States is not working and must be fixed. The cost of a new, effective system of health care delivery would be instead of rather than in addition to what the US population is now paying for an inadequate, incomplete system. We must put the fiscal responsibility for health care delivery on the medical care sector that makes the decisions on what medications, what procedures and who gets treatment and when, that is, the providers of care, mostly the doctors. By doing this we can correct the more than fifty percent overpayment and misuse of funds currently in vogue. The book deals with the concept of the possibility of eventual coverage of everyone through the Medicare system as the current population ages. It explains the leverage that that single payer universal system such as Medicare, can generate to change the incentives for the providers of care resulting in a reduction of the overall cost. It also sets forth the concept of choice for the patient, the allocation of resources, and the restructuring of the medical education system as well as the recruitment and training of providers. Other problems such as organizational development, provider groups, malpractice, reinsurance through a universal system and other solutions are also dealt with. Today 45 million Americans have no health care coverage, while approximately 50 million are under insured due to high deductibles and co-payments. Many who are eligible for Medicare, federal health care insurance for the aged and Medicaid, federal health care for the poor, may be without coverage due to lack of access to services in the areas that they live. Practical solutions to these problems areaddressed. Robert Gumbiner, MD, with more than 40 years experience in the health care field as a practicing physician, a manager and a force in medical management education, derives much of his experience from successfully developing and managing one of the largest managed care companies in the United States for over 30 years. Drawing on this extensive management experience as well as years of studying health care systems around the world, Robert Gumbiner debunks the myths held by opponents to national universal health care and capitated prepayment. His development of the first capitated prepayment plan for Medical in the 60's in California and first contract for prepayment Medicare on the West Coast in the 80's gave credibility to his ideas that succeeded in reducing health care costs. He shows step-by-step how we arrived at our current dysfunctional system and argues persuasively how we have been misled by special interests in the medical/industrial complex into thinking a health care system funded through the government and managed for effective utilization will eliminate choice. In the final analysis the book's major theme is that the cost of a complete comprehensive system is instead of and not in addition to what we are currently paying and how to go abou
In particular, the book focuses on the organizational and managerial response to HIV/AIDS, a health care crisis which became a major public health issue for the NHS in the 1980s. Empirical material is drawn from the response of a number of district health authorities to this epidemic. The authors analyse who drove forward innovation in these localities, how coalitions were formed and how energy was created for change. They also examine the role of ideology. This material should be useful reading for those working in HIV/AIDS management, whether in the health service, local authority or non-statutory sectors. It should also have relevance to

Managing Crisis and Change in Health Care

As the population ages, the US's already strained health care system faces the possibility of a life-threatening crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums--not to mention the stability of state and federal government budgets. How can we fix it before it's too late? HBR lends its wisdom and insight to this collection of articles, which explores the problems endemic to the industry, and demonstrates how we can and should invest in change now.

Amidst a deepening crisis in US health care, Advanced Performance Improvement in Health Care provides a results-oriented approach to rehabilitating an ailing healthcare system. With his innovative, instructive strategies, Lighter offers a welcome road map to guide meaningful change in the industry and to equip healthcare managers to meet 21st century challenges. Advanced Performance Improvement in Health Care: Principles and Methods provides healthcare educators, leaders, and clinicians with the specific knowledge and tools vital for creating and advocating for quality-centric, next-generation

Download Managing Crisis and Change in Health Care

In particular, the book focuses on the organizational and managerial response to HIV/AIDS, a health care crisis which became a major public health issue for the NHS in the 1980s. Empirical material is drawn from the response of a number of district health authorities to this epidemic. The authors analyse who drove forward innovation in these localities, how coalitions were formed and how energy was created for change. They also examine the role of ideology
It should also have relevance to