Transforming Healthcare
Описание книги
A startlingly insightful discussion of the problems facing American health care providers and consumers and their solutions In Transforming Health Care , expert physician Dr. Morey Menacker explains how the United States can contain the world’s leading collection of superlative health care practitioners, technologies, treatments, research, education, and hospitals while simultaneously failing to provide care to many of its citizens. The author walks you through the past, present, and future of American health care, showing you how the United States got to its present state and offering practical solutions to improving access and affordability for millions of people. In the book, you’ll find: Insightful commentary about how to maintain the stellar quality of care found in the United States while expanding health care affordability and access Discussions of how to reduce the cost and complexity of US health care Explorations of the latest research and data as seen through the eyes of a physician who has spent their entire career working in the American medical systemA can’t-miss resource for US-based physicians and allied health care professionals, Transforming Health Care will also earn a place on the bookshelves of regulators, administrators, and lawmakers with an interest in the American health care establishment.
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Morey Menacker. Transforming Healthcare
Table of Contents
Guide
Pages
Transforming Healthcare. An Insider’s Look on Why and How
Foreword
About the Companion Website
Introduction
1 How Did We Get Here?
2 Bending the Cost Curve
3 Goals in Transforming Healthcare
4 Quality, Efficiency, Outcomes, and Access
5 Overcoming Inertia
6 Patient Accountability
7 Changing Behaviors
8 Moving the Needle
9 How Do We Pay for This?
References
Index. a
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c
d
e
f
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n
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Morey Menacker
More than twenty years ago, the Institute of Medicine (now known as the National Academy of Medicine within the National Academy of Sciences) published an urgent “call to action” for the American Health System in its seminal Crossing the Quality Chasm. This consensus‐based work defined quality of healthcare through six very important aims: Care that is simultaneously Safe, Timely, Efficient, Effective, Equitable and Patient‐Centered. In this regard, Transforming Healthcare continues to fire on all of these cylinders as the vision of the future is presented.
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In contrast, High Blood Pressure (HBP), a major risk factor for MACE, results in billions of dollars of waste from reduced worker productivity and absenteeism as well as significant increased per capita healthcare costs. Clearly, reducing the risk of major cardiovascular events by controlling HBP, and thereby improving health‐related quality of life, can significantly lower attributable excess annual per capita health costs. High quality scientific evidence from large scale population‐based studies published in the 2017 Hypertension Clinical Practice Guidelines of the American Heart Association (AHA) and the American College of Cardiology (ACC) documents the significant blood pressure lowering effects from six specific critically important lifestyle modifications: tobacco cessation, regular physical exercise, restriction of dietary sodium, dietary intake of potassium, moderate alcohol consumption and a “healthy heart” diet. Assessments of Social Determinants of Health (SDoH), Shared Decision Making (SDM) conversations between patients and their physicians, and Team‐Based Care (TBC) delivered by nurses, pharmacists and other health professionals are now known to result in significant improvement in BP control and other health risk reduction targets through effective, evidence‐based lifestyle modifications.
Nonetheless, recent data reveals that over 115 million Americans have diagnosed or undiagnosed HBP, and that more than half are inadequately controlled to guideline‐based BP targets published by AHA and ACC. Worst of all, blood pressure is almost always measured incorrectly, resulting in innumerable inaccurate readings obtained in both health care settings and at home. Inadequately controlled HBP is but one of many major unmet public health challenges that can be directly traced to the diffuse health system inertia so elegantly addressed by Dr. Menacker in Chapter 5 of Transforming Healthcare that is at the heart of this matter. No doubt, the healthcare delivery infrastructure for the care of major acute and chronic CVD is vastly different than what is needed to achieve health promotion, maintenance, and prevention necessary to reduce MACE and hence the need for acute care.
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