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Demanding Medical Excellence: Doctors and Accountability in the…
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Amazon.com Amazon.com Review (ISBN 0226525872, Hardcover)Michael L. Millenson's Demanding Medical Excellence is guaranteed to make you feel good about the managed care industry--especially after he gets finished chronicling the medical nightmares of the past. Prior to the days of HMOs, doctors were like the gunslingers of the Wild West, operating under their own rules, with no standards by which to measure the quality of their care and no systems to regulate consistent practices. Millenson, a science writer, shows that--until the mid-'80s, when managed health care became more in demand--medical practices varied wildly from place to place and doctor to doctor. In some areas of Minnesota, for example, cesarean births were as high as 48 percent, while in others, they only comprised 9 percent. Even worse, many doctors are still unaware of the latest discoveries in treating life-threatening conditions. For Millenson, managed care is a way of systematically assuring quality control in the health field, making sure that information about new techniques and treatments are widely disseminated, and that the caliber of care is consistently high.
(retrieved from Amazon Thu, 12 Mar 2015 18:17:57 -0400)
Demanding Medical Excellence provides an eye-opening view of medicine that focuses on what happens once we reach the doctor's office or hospital. Although few patients realize it, even the best-trained doctors go about their work with an astonishingly shallow base of knowledge about the link between what they do and how it affects health. As many as eight out of ten medical practices have never been scientifically validated. Proven therapies, meanwhile, can take years to make their way into common use, even for deadly problems like heart disease. Often, geography is destiny: how a woman is treated for breast cancer can depend solely on where in the United States she lives. But a convergence of technology and changed financial incentives is finally forcing change. As the economic reality of medical cost containment meets the information age, it has become imperative to critically examine the care we are receiving.This book calls into question many of our assumptions about the mixture of art and science in medicine and lays out the steps we must take today to assure consistently excellent care in the future.
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