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Lunch » Tags » Books » Reviews » Chaos and Organization in Health Care » User review

Organizing Medical Care Delivery

  • Apr 22, 2010
The authors describe a methodology to transition
from chaos to organization in the existing medical
delivery systems. The general practitioner is the
initial party in the system which evolves to the
full service clinic. I believe that the book
should have described the development of networks
of specialists which provide the complete diagnostic
profile for a patient.

Oftentimes, the general practitioner is limited to
the basic examination, bloodwork, urine, chest x-ray
and ultrasounds. The specialists do the complicated
diagnostics like MRIs, chronic pain management, surgery,
the musculoskeletal network, physical therapy
and nutrition management.

The authors believe that dramatic cost reduction can
come from strategic application of medical technologies,
automation, the evaluation of threats, deployment
of aggressive treatment regimens and collaborative
teamwork to avoid hospitalization at all costs.

The lowest real growth in health care expenditures
is in Germany, Italy and Austria. Good care is
defined as safe, effective, patient-centered,
equitable, timely and efficient.

The authors provide some high success stories
like the implementation of Gefitinih to thwart
non-small cell lung cancer in a real life story.
Overall, the work is a good starting point
for implementing improvements to the existing
health care systems.

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Dr Joseph S Maresca ()
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Dr. Joseph S. Maresca CPA, CISA      21 Amazon / KDP Books including:   SEARCH- America's Comparative Advantage by Dr Joseph S Maresca   SEARCH- The Solar Energy … more
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About this book


This pair of M.D.s build the case for fixing the nation's fragmented health-care system with a lot of high-tech grease and a change in attitude. Long on statistics and occasional medical-business speak, but still readable, the pair from Partners Healthcare System in Boston (Lee is network president, Morgan is CEO) declare the fix is simple—tight organizational structures, with salaried physicians, electronic medical records, doctors working in teams: in short, a system like Cleveland Clinic's, highlighted by President Obama. But given the current congressional infighting, the good doctors' dream may be doomed.(Oct.)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
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Books, Nonfiction, Health Care Reform, Medical Care, Medicine Books, Health Policy, Health Care Delivery, Health Care Administration, Health Care Planning


ISBN-10: 0262013533
ISBN-13: 978-0262013536
Author: Thomas H. Lee
Genre: Professional & Technical
Publisher: The MIT Press
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