This 25th Anniversary edition completely updates the powerful insights and policy recommendations of Not What the Doctor Ordered, first published in 1993 by renowned healthcare futurist and medical economist the author. It presents specific solutions to serious problems of cost, quality, access, and outcomes by allowing all Americans to purchase services directly from caregivers who provide an expanding array of medical services at least as well as physicians—at lower cost. Focusing on new realities of the 21st century, the authorshows not only why giving consumers the right to choose advanced practitioners is the top priority for improving our overpriced, underperforming medical care delivery system, but also how to make the necessary changes. As he clearly and concisely explains from medical and economic perspectives, the key is eliminating physicians’ monopoly powers over advanced practice nurses, clinical pharmacists, physical therapists, clinical psychologists, and other advanced practice (AP) health professionals who now rival physicians in scientific knowledge and caregiving skills within well-defined scopes of practice regulated by state governments.
The Paradox: Americans are not as healthy as people in dozens of comparable countries that spend 30 percent less on health care, and our medical marketplace overall is plagued by persistent problems of cost, quality, and access. Yet, the worlds best individual health systems are located in the U.S.each a unique result of visionary leadership and
Clearly, concisely, and with many examples from public and private enterprise, Upgrading Leadership‘s Crystal Ball shows why predictions are usually wrong and presents a better way to look at the future forecasting. This book is essential-reading for anyone who needs to make the best possible strategic decisions for moving an organization forward i
Americans are bombarded with statistical data each and every day, and healthcare professionals are no exception. All segments of healthcare rely on data provided by insurance companies, consultants, research firms, and the federal government to help them make a host of decisions regarding the delivery of medical services. But while these health pro
From Boron Trifluoride to Zinc, the 52 most widely used reagents in organic synthesis are described in this unique desktop reference for every organic chemist. The list of reagents contains classics such as N-Bromosuccinimide (NBS) and Trifluoromethanesulfonic Acid side by side with recently developed ones like Pinacolborane and Tetra-n-propylammonium Perruthenate (TPAP). For each reagent, a concise article provides a brief description of all important reactions for which the reagent is being used, including yields and reaction conditions, an overview of the physical properties of the reagent, its storage conditions, safe handling, laboratory synthesis and purification methods. Advantages and disadvantages of the reagent compared to alternative synthesis methods are also discussed. Reagents have been hand-picked from among the 5000 reagents contained in EROS, the Encyclopedia of Reagents for Organic Synthesis. Every organic chemist should be familiar with these key reagents that can make almost every reaction work.
Chronic obstructive pulmonary disease (COPD), which encompasses both chronic bronchitis and emphysema, is one of the most common respiratory conditions of adults in the developed world. Asthma and COPD: Basic Mechanisms and Clinical Management provides a unique, authoritative comparison of asthma and COPD. Written and edited by the world's leading experts, it is a comprehensive review of the most recent understanding of the basic mechanisms of both conditions, specifically comparing their etiology, pathogenesis, and treatments.* Highlights distinguishing features between asthma and COPD* Reviews benefits and limitations of current therapies* Summarises key information in two-colour artwork * Extensively referenced to primary literature
The Paradox: Americans are not as healthy as people in dozens of comparable countries that spend 30 percent less on health care, and our medical marketplace overall is plagued by persistent problems of cost, quality, and access. Yet, the world’s best individual health systems are located in the U.S.—each a unique result of visionary leadership and private initiative, not government-driven health reform. The Imperatives: Due to powerful new forces explained in this book, medical spending has stopped growing. Purchasers, payers, and patients are no longer willing or able to keep paying more. To stay in business and improve population health, providers and their business partners must eliminate the shameful waste generated by inefficient and ineffective production processes. The Solution: Simply repairing or repealing the Affordable Care Act will not get us where we want to go. The fundamental roadblock is a wasteful system, not uninsured Americans. Reform needs to be immediately redirected to creating the best health care system that 17 percent of GDP can buy. Money saved by taking the new path to reform can then be used to improve population health through access for all. Paradox and Imperatives in Health Care is the roadmap for getting there. Supplies updated perspectives on health care’s problems and solutions Details the reasons why government-driven reform does not solve problems Provides a justification for regulatory relief tied to performance improvement Suggests specific new policies for a better approach to desired outcomes Presents content written expressly for busy executives and policy makers
This issue of Orthopedic Clinics will focus on orthopedic urgencies and emergencies. Articles to be included will cover pediatrics, trauma, upper extremity, adult reconstruction, and foot and ankle.
The second volume of the Annual Review of Nano Research focuses mainly on nanofabrication, nanomaterials and nanostructures, and energy application of nanomaterials. All of the review chapters are contributed by well-published scientists and bring the most recent advancements in selected topics to the readers. This review volume will perfectly serve dual purposes: either as an excellent introduction to scientists whose expertise lies in different fields but who are interested in learning about nanotechnology, or as a quick reference for experts active in the field of nanotechnology and nanoscience. Book jacket.
Americans are bombarded with statistical data each and every day, and healthcare professionals are no exception. All segments of healthcare rely on data provided by insurance companies, consultants, research firms, and the federal government to help them make a host of decisions regarding the delivery of medical services. But while these health pro
Clearly, concisely, and with many examples from public and private enterprise, Upgrading Leadership‘s Crystal Ball shows why predictions are usually wrong and presents a better way to look at the future forecasting. This book is essential-reading for anyone who needs to make the best possible strategic decisions for moving an organization forward i
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