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 (JSMaresca)
Dr. Joseph S. Maresca CPA, CISA Amazon / KDP Books: SEARCH -College Vibrations by Dr.Joseph S. Maresca SEARCH- Consumption,Savings and the Public Debt … more
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