Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy PDF Download
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Author: Mark W. Friedberg
Publisher: Rand Corporation
ISBN: 0833082221
Category : Medical
Languages : en
Pages : 149
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Book Description
The American Medical Association asked RAND Health to characterize the factors that affect physician professional satisfaction. RAND researchers sought to identify high-priority determinants of professional satisfaction by gathering data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis.
Author: Mark W. Friedberg
Publisher: Rand Corporation
ISBN: 0833082221
Category : Medical
Languages : en
Pages : 149
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Book Description
The American Medical Association asked RAND Health to characterize the factors that affect physician professional satisfaction. RAND researchers sought to identify high-priority determinants of professional satisfaction by gathering data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis.
Author: Laura Weiss Roberts
Publisher: Springer
ISBN: 3319421352
Category : Medical
Languages : en
Pages : 287
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Book Description
This thoughtful and timely book offers physicians and trainees a wide range of insights and strategies to help ensure not only a healthy lifestyle and sense of wellbeing but the best possible career in medicine as well. With evidence and evidence-informed practices provided by experts, this title affirms the culture of medicine while embracing the fundamental, enduring sense of physicians’ calling and affirming the importance of physicians as individuals whose health and wellbeing has intrinsic value and value to others. Organized in three parts, the first part focuses on the nature of the health professions and on advancing a culture of wellbeing in medicine. The second part focuses on threats to physician wellbeing, including mistreatment during training and burnout, to name just a few. The third part outlines approaches to strengthening physician resilience, such as the sustenance drawn from healthy relationships, mindfulness approaches, and optimal approaches to exercise, nutrition and sleep. The Handbook of Personal Health and Wellbeing for Physicians and Trainees is an invaluable, handy resource for physicians and trainees. Physician assistants, nurse practitioners, clinical psychologists, and social workers will also find the work of great interest.
Author: C. Scott Smith
Publisher: Springer
ISBN: 3319201581
Category : Medical
Languages : en
Pages : 124
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Book Description
This book discusses the application of complex adaptive systems theory to the design and evaluation of patient-centered medical homes (PCMHs). The three defining goals of PCMHs are to spread patient-care roles among healthcare team members, focus on disease prevention and include the patient in the healthcare team. It explains why some PCMH pilots are highly successful while others do not show much benefit, covers specific sub-theories that allow for bracketing of different aspects of the clinic system and highlights strategies by which institutions can engage in this process. Inter professional Education in Patient-Centered Medical Homes is a valuable resource for faculty and managers of health professions teaching clinics, deans of medical and health professional schools and medical administrators.
Author: Andrew Molodynski
Publisher: Oxford University Press
ISBN: 0192864874
Category :
Languages : en
Pages : 445
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Book Description
Recent research has found high levels of stress and burnout amongst medical students, leading to students dropping out or leaving the profession early. This book explores burnout in medical students from across the globe, and provides ideas for a model of care to help educators and individuals take steps towards better student wellbeing.
Author: Mark L. Braunstein
Publisher: Springer Nature
ISBN: 3030915638
Category : Medical
Languages : en
Pages : 482
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Book Description
This extensively revised textbook describes and defines the US healthcare delivery system, its many systemic challenges and the prior efforts to develop and deploy informatics tools to help overcome these problems. Now that electronic health record systems are widely deployed, the HL7 Fast Healthcare Interoperability standard is being rapidly accepted as the means to access and share the data stored in those systems and analytics is increasing being used to gain new knowledge from that aggregated clinical data, this book goes on to discuss health informatics from an historical perspective, its current state and likely future state. It then turns to some of the important and evolving areas of informatics including electronic healt\h records, clinical decision support,. population and public health, mHealth and analytics. Numerous use cases and case studies are employed in all of these discussions to help readers connect the technologies to real world challenges. Health Informatics on FHIR: How HL7's API is Transforming Healthcare is for introductory health informatics courses for health sciences students (e.g., doctors, nurses, PhDs), the current health informatics community, computer science and IT professionals interested in learning about the field and practicing healthcare providers. Though this textbook covers an important new technology, it is accessible to non-technical readers including healthcare providers, their patients or anyone interested in the use of healthcare data for improved care, public/population health or research.
Author: Rishi Goyal
Publisher: Bloomsbury Publishing
ISBN: 1350248622
Category : Literary Criticism
Languages : en
Pages : 267
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Book Description
Charting shared advances across the emerging fields of medical humanities and health humanities, this book engages with the question of how biomedical knowledge is constructed, negotiated, and circulated as a cultural practice. The volume is composed of a series of pathbreaking inter-disciplinary essays that bring sociocultural habits of mind and modes of thought to the study of medicine, health and patients. These juxtapositions create new forms of knowledge, while emphasizing the vulnerability of human bodies, anti-essentialist approaches to biology, a sensitivity to language and rhetoric, and an attention to social justice. These essays dissect the ways that cultural practices define the limits of health and the body: from the body's place and trajectory in the world to how bodies relate to one another, from questions about ageing and sex to what counts as health and illness. Considering how these and other concepts are shaped by a negotiation between medico-scientific knowledge and ways of knowing derived from other domains, this book provides important new insights into how biomedical frameworks become settled forms for broader cultural understanding.
Author: Louise Aronson
Publisher: Bloomsbury Publishing USA
ISBN: 1620405482
Category : Social Science
Languages : en
Pages : 467
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Book Description
Finalist for the Pulitzer Prize in General Nonfiction A New York Times Bestseller Longlisted for the Andrew Carnegie Medal for Excellence in Nonfiction Winner of the WSU AOS Bonner Book Award Winner of the 2022 At Home With Growing Older Impact Award As revelatory as Atul Gawande's Being Mortal, physician and award-winning author Louise Aronson's Elderhood is an essential, empathetic look at a vital but often disparaged stage of life. For more than 5,000 years, "old" has been defined as beginning between the ages of 60 and 70. That means most people alive today will spend more years in elderhood than in childhood, and many will be elders for 40 years or more. Yet at the very moment that humans are living longer than ever before, we've made old age into a disease, a condition to be dreaded, denigrated, neglected, and denied. Reminiscent of Oliver Sacks, noted Harvard-trained geriatrician Louise Aronson uses stories from her quarter century of caring for patients, and draws from history, science, literature, popular culture, and her own life to weave a vision of old age that's neither nightmare nor utopian fantasy--a vision full of joy, wonder, frustration, outrage, and hope about aging, medicine, and humanity itself. Elderhood is for anyone who is, in the author's own words, "an aging, i.e., still-breathing human being."
Author: John Abendshien
Publisher: Taylor & Francis
ISBN: 1351855212
Category : Business & Economics
Languages : en
Pages : 189
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Book Description
Healthcare in the U.S. is a critical juncture. We face a sharp upward rise in the number of people with chronic diseases and disabilities. As demands on our current health system grow, so will costs. But as a society we are approaching the upper limit of how much we are willing (or able) to spend on health care. Health care policy makers know this. That is why major health reform measures are focused on population health and value-based care. These are the so-called second curve objectives. But these initiatives are doomed to failure. We are asking a system to do things that it was not designed to do. In fact, we don’t have a health care "system" as such. We have a parts bin of disconnected silos. Fragmented delivery systems. Specialized caregivers. Professional groups. Trade associations. All with distinct cultures. Each with their own motivations and agendas. Our payer and regulatory structures have evolved over the decades in response to political and policy initiatives. However well intentioned (or not), these structures defy logic. They reward and reinforce counter-productive industry behaviors. They pose formidable roadblocks to achieving needed changes. Current reform initiatives are an implicit recognition that our health model is flawed. The attitude seems to be, "Yes, we know the overall health system is a problem, but we can make failure less severe if we implement these measures." We are at a critical juncture. We can continue to place additional demands on an industry model that has outlived its functional utility. Or we can take more of a clean slate approach and move toward a model that is in keeping with today’s needs. The outlook is not good if we stay on the current curve. The demands on resources will continue their upward trajectory. The default scenario will be one of rationing and less to invest in new cures and new technologies. The good news is that we are within sight of a future state of health care that can really work. In this future state, we have gotten rid of the artificial barriers to effective and efficient patient care. Physicians and other health professionals work in a coordinated, inter-disciplinary fashion. They have accountability for the whole care cycle. Caregivers have both the flexibility and encouragement to innovate and come up with optimal delivery approaches. And because they are in a risk-reward relationship with payers, they have the incentives to provide true value. Patients feel intimately connected to a system that is focused on their specific needs. The key to this future state is good old-fashioned market discipline. Other delivery models must either improve or get out of the way. The market will demand cost-efficiencies and won’t tolerate waste. Much of our regulatory structure will be rendered unnecessary. There will be not rewards for poor performance. This book takes a unique macro-level perspective of clinical, economic, and regulatory problems and possible solutions. It takes an objective and something scathing look at current industry structure: a silo-driven culture and entrenchment that is driven by self-interest; as well as the complicity of government in preserving the status quo through regulations, licensure, payment systems, etc.
Author: Sunil Khushalani
Publisher: CRC Press
ISBN: 1351582461
Category : Business & Economics
Languages : en
Pages : 191
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Book Description
One in five U.S. adults experiences a mental illness within a given year. With more than 550,000 people working to support this underserved community, the mental healthcare system has grappled with inadequacies and shortcomings in safety, quality, and care delivery. There is a wide range of problems, from access-to-care issues and errors, to complications stemming from poor care. Our country is also on an unsustainable path as our healthcare expenditure keeps growing. To add to all of this, we are facing a rampant epidemic of burnout among healthcare workers. Modern advancements introduced with many promises—such as electronic medical records, newer medications, or advanced treatments—have created unique challenges when ushered into a highly regulated healthcare system. What does it take to provide patients with everything they need—the right quality of care, at the right time, and at the right cost—to keep them healthy? Which process steps add value? Which steps are wasteful? A widely accepted fact is that a conservative 30-50% of every step in the mental healthcare process does not help patients feel better or stay better. When considering delays in care, workarounds, excessive documentation, and an overuse of auditing, the care system has moved highly skilled clinicians away from providing value, as administrative tasks continue to encroach on their time. There is a clear need to rethink and redesign the system of care. This book is a primer for understanding the current state of the mental health system and the performance improvement skills and leadership acumen needed to address existing challenges. Sheppard Pratt, the award-winning, leading institution for mental healthcare in America, provided the focus on mental healthcare and became the laboratory for this body of work over the course of eight years. It hired a seasoned systems thinker with improvement expertise to work with mental health professionals and solve some of their most complex and chronic problems. The book is a result of the collaboration between a practicing psychiatrist in a leadership role and the systems engineer. Working together, they demonstrate how to think about redesigning care and redefining the nature of work to enhance value for both the people served and the healthcare workforce. They crafted a multi-pronged approach towards culture change at Sheppard Pratt, including implementing a course on "Learning to Improve," which introduced staff to a performance improvement methodology. There are several vignettes interwoven throughout the book that describe the complexities and constraints of the system. Solving some of these challenges creates a new paradigm of work while minimizing waste and enhancing value.
Author: Sharon B. Buchbinder
Publisher: Jones & Bartlett Learning
ISBN: 1284156567
Category : Medical
Languages : en
Pages : 639
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Book Description
Introduction to Health Care Management, Fourth Edition is a concise, reader-friendly, introductory healthcare management text that covers a wide variety of healthcare settings, from hospitals to nursing homes and clinics. Filled with examples to engage the reader’s imagination, the important issues in healthcare management, such as ethics, cost management, strategic planning and marketing, information technology, and human resources, are all thoroughly covered. Guidelines and rubrics along with numerous case studies make this text both student-friendly and teacher-friendly. It is the perfect resource for students of healthcare management, nursing, allied health, business administration, pharmacy, occupational therapy, public administration, and public health.
