検索キーワード： 政策・行政

Nearly two decades after it closed, the South Carolina State Hospital continues to hold a palpable mystique in Columbia and throughout the state. Founded in 1821 as the South Carolina Lunatic Asylum, it housed, fed, and treated thousands of patients incapable of surviving on their own. The patient population in 1961 eclipsed 6,600, well above its listed capacity of 4,823. By the mid-1990s, the patient population had fallen under 700, and the hospital had become a symbol of captivity, horror, and chaos.

The enormous human and economic toll of the rapidly spreading COVID-19 disease offers a vivid reminder that infectious disease pandemics are one of the greatest existential threats to humanity. This book provides an accessible explanation of how viruses emerge to cause pandemics, how our immune system combats them, and how diagnostic tests, vaccines, and antiviral therapies work - concepts that are a foundation for our public health policies.

In a series of brief and personal essays, Why We Revolt describes what is wrong with industrial healthcare, how it has corrupted its mission, and how it has stopped caring. Montori rescues the language of patient care to propose a revolution of compassion and solidarity, of unhurried conversations, and of careful and kind care.

Freedom of choice lies at the heart of American society. Yet, many Americans don't realize that these choices are illusory at best. The available options in food, healthcare, education, transportation, and even online presence are largely constructed by corporations. At What Cost confronts how globalization, financial speculation, monopolies, and control of science and technology have enhanced the ability of corporations and their allies to overwhelm influences of government, family, community, and faith.

Over the past three decades, the once-efficient American health care system has evolved into a complex maze of monopolies and a racket of bureaucratic checks, approvals, denials, roadblocks, and detours. This shift has created a massive and at times redundant workforce that frustrates patients, as well as physicians, nurses, and administrative staff. Health care costs the United States more than $11,000 for each person in the country each year - more than double what it costs in most Western European countries to deliver equal or even better care.

Since FDR, the US healthcare system has been mired in politics and policy. All the while it has only increased in complexity and cost. Today half of all personal bankruptcies are attributable to healthcare costs. Many community hospitals are barely getting by with single digit profit margins. With a system teetering on the edge of a systemic crisis, we need to turn to a brand-new approach to rescue the US healthcare system.

In The Long Fix, physician and health-care CEO Vivian S. Lee, MD, cuts to the heart of the health-care crisis. The problem with the way medicine is practiced, she explains, is not so much who's paying, it's what we are paying for. Insurers, employers, the government, and individuals pay for every procedure, prescription, and lab test, whether or not it makes us better - and that is both backward and dangerous.

The sometimes fragmentary tales of these people, their lives and deaths, are not included in official histories of a place. How, Ensign asks, has a large, socially progressive city like Seattle responded to the health needs of people marginalized by poverty, mental illness, addiction, racial/ethnic/sexual identities, and homelessness? Drawing on interviews and extensive research, Ensign shares a diversity of voices within contemporary health care and public policy debates.

Remaking a Life uses the HIV/AIDS epidemic as a lens to understand how women generate radical improvements in their social well being in the face of social stigma and economic disadvantage. Drawing on interviews with nationally recognized AIDS activists as well as over one hundred Chicago-based women living with HIV/AIDS, Celeste Watkins-Hayes takes listeners on an uplifting journey through women’s transformative projects, a multidimensional process in which women shift their approach to their physical, social, economic, and political survival.

The same medical technologies that have brought us miracle drugs and unprecedented longevity are also forcing us to confront increasingly difficult ethical dilemmas. Thirty years ago, debates in medical ethics focused on the same questions that had once puzzled Hippocrates and Galen many centuries earlier. How society ultimately resolves these questions is not simply an abstract matter for debate by philosophers and ethicists. Rather, the outcome of these controversies is likely to affect each and every one of us when we or our loved ones become ill.

As a leader, is it possible to be both successful and humble? Studies show that today's emerging leaders not only prioritize achievement over humility but also see the two as mutually exclusive. Does this signal an existential crisis for healthcare - an industry that, at its essence, is supposed to embody humility and compassion? Thankfully, no, according to Intangibles: The Unexpected Traits of High-Performing Healthcare Leaders, which demonstrates that you can embrace humility and still be excellent at your job.

The Emerging Healthcare Leader: A Field Guide is an essential resource for those in the early stages of becoming a healthcare leader. Packed with tactics, tips, and illuminating straightforward examples, this book is an indispensable guide to building your career in healthcare leadership.

In Communication the Cleveland Clinic Way, Dr. Adrienne Boissy and her team tell the story of how Cleveland Clinic created and applied the R.E.D.E. to Communicate: Foundations of Healthcare program, making the world-renowned hospital system a leader in relationship-centered care. They provide a step-by-step guide for health-care leaders and decision-makers to design, develop, and implement communication skills training in their own institutions.

Research shows that nothing impacts patient experiences more than the quality of communication. The key to better healthcare outcomes is communication. Over the past four decades, the Academy of Communication in Healthcare has worked tirelessly with health systems, teaching communication skills that put relationships - between patients and providers, as well as among providers - at the center of care. Now, for the first time, ACH's proven and effective methodology is detailed in this invaluable step-by-step guide.

There's a revolution going on right now. On the frontiers of medicine, some doctors have developed an approach for treating people that is more effective, more humane, and more affordable. It's an approach to healthcare that has captured the attention of the media and business elite. It's all happening at Cleveland Clinic, one of the most innovative, forward-looking medical institutions in the nation. In this groundbreaking book, Toby Cosgrove, MD, reveals how the Clinic works so well and argues persuasively for why it should be the model for the nation.

Press Ganey's chief nursing officer Christina Dempsey has worked everywhere in healthcare, from the ward floor to the hospital boardroom. She has also experienced the system as a patient and as a family member of a critically ill patient. In The Antidote to Suffering, this 30-year healthcare veteran and patient-experience thought leader argues that the key to improving healthcare is to reduce the suffering - physical, psychological, and emotional - of patients and caregivers alike through Compassionate Connected CareTM.

The world's leading safety experts share practical day-to-day solutions that combine the latest tools and technologies in healthcare today with the best safety practices from high-risk yet high-reliability industries, such as aviation, nuclear power, and the United States military. Using these field-tested methods, you can develop new leadership initiatives, educate workers on the universal skills that can save lives, organize and train safety action teams, implement reliability management systems, and create long-term, transformational change.

Cleveland Clinic has long been recognized for driving some of the best clinical outcomes in the nation, but it was not always a leader in patient experience. How did Cleveland Clinic turn itself around so effectively and so quickly? More important, how can you do the same with your organization? Service Fanatics reveals the strategies and tactics the Clinic applied to become one of today's leading patient-experience healthcare organizations - methods that seamlessly translate to any business seeking to improve its customer experience.

When it comes to providing high-quality care in the most efficient, cost-effective way possible, ProvenCare has proven to be the gold standard in the industry. Developed at Geisinger Health System and praised by healthcare leaders worldwide, this pioneering approach provides an essential blueprint for healthcare executives who want to provide higher levels of care for their patients, greater incentives for practitioners, and smarter solutions at lower costs.

In Prescription for Excellence, Michelli provides an inside look at an organization that has become the envy of its industry - and explains how you can dominate your own industry by using the same approach.