Troyen A. Brennan - Böcker
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6 produkter
6 produkter
811 kr
Skickas inom 3-6 vardagar
Just Doctoring draws the doctor-patient relationship out of the consulting room and into the middle of the legal and political arenas where it more and more frequently appears. Traditionally, medical ethics has focused on the isolated relationship of physician to patient in a setting that has left the physician virtually untouched by market constraints or government regulation. Arguing that changes in health care institutions and legal attention to patient rights have made conventional approaches obsolete, Troyen Brennan points the way to a new, more aware and engaged medical ethics. The medical profession is no longer isolated, even theoretically, from the liberal, market-dominated state. Old ideas of physician beneficence and altruism must make way for a justice-based medical ethics, assuming a relationship between equals more compatible with liberal political philosophy. Brennan offers clinical examples of many of today's most challenging medical problems--from informed consent to care rationing and the repercussions of the HIV epidemic--and gives his recommendation for a new ethical perspective. This lively and controversial plea for a rethinking of medical ethics goes right to the heart of medical care at the end of the twentieth century.This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1991.Just Doctoring draws the doctor-patient relationship out of the consulting room and into the middle of the legal and political arenas where it more and more frequently appears. Traditionally, medical ethics has focused on the isolated relationship of phys
756 kr
Skickas inom 7-10 vardagar
Just Doctoring draws the doctor-patient relationship out of the consulting room and into the middle of the legal and political arenas where it more and more frequently appears. Traditionally, medical ethics has focused on the isolated relationship of physician to patient in a setting that has left the physician virtually untouched by market constraints or government regulation. Arguing that changes in health care institutions and legal attention to patient rights have made conventional approaches obsolete, Troyen Brennan points the way to a new, more aware and engaged medical ethics. The medical profession is no longer isolated, even theoretically, from the liberal, market-dominated state. Old ideas of physician beneficence and altruism must make way for a justice-based medical ethics, assuming a relationship between equals more compatible with liberal political philosophy. Brennan offers clinical examples of many of today's most challenging medical problems--from informed consent to care rationing and the repercussions of the HIV epidemic--and gives his recommendation for a new ethical perspective. This lively and controversial plea for a rethinking of medical ethics goes right to the heart of medical care at the end of the twentieth century.This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1991.Just Doctoring draws the doctor-patient relationship out of the consulting room and into the middle of the legal and political arenas where it more and more frequently appears. Traditionally, medical ethics has focused on the isolated relationship of phys
Measure of Malpractice
Medical Injury, Malpractice Litigation, and Patient Compensation
Inbunden, Engelska, 1993
679 kr
Skickas inom 10-15 vardagar
A Measure of Malpractice tells the story and presents the results of the Harvard Medical Practice Study, the largest and most comprehensive investigation ever undertaken of the performance of the medical malpractice system. The Harvard study was commissioned by the government of New York in 1986, in the midst of a malpractice crisis that had driven insurance premiums for surgeons and obstetricians in New York City to nearly $200,000 a year.The Harvard-based team of doctors, lawyers, economists, and statisticians set out to investigate what was actually happening to patients in hospitals and to doctors in courtrooms, launching a far more informed debate about the future of medical liability in the 1990s. Careful analysis of the medical records of 30,000 patients hospitalized in 1984 showed that approximately one in twenty-five patients suffered a disabling medical injury, one quarter of these as a result of the negligence of a doctor or other provider. After assembling all the malpractice claims filed in New York State since 1975, the authors found that just one in eight patients who had been victims of negligence actually filed a malpractice claim, and more than two-thirds of these claims were filed by the wrong patients.The study team then interviewed injured patients in the sample to discover the actual financial loss they had experienced: the key finding was that for roughly the same dollar amount now being spent on a tort system that compensates only a handful of victims, it would be possible to fund comprehensive disability insurance for all patients significantly disabled by a medical accident. The authors, who came to the project from very different perspectives about the present malpractice system, are now in agreement about the value of a new model of medical liability. Rather than merely tinker with the current system which fixes primary legal responsibility on individual doctors who can be proved medically negligent, legislatures should encourage health care organizations to take responsibility for the financial losses of all patients injured in their care.
846 kr
Skickas inom 7-10 vardagar
New Rules tells the tale of the evolution of health care regulation over the last quarter century and examines the relationship between regulation and quality improvement. The authors outline ways to convert regulation from a meaningless waste of resources into a system that can truly help practitioners provide better care. And they offer bold recommAndations for change, with fourteen of their own prescriptions'' for specific arenas of regulation.
383 kr
Skickas inom 7-10 vardagar
Can American health insurance survive?In The Transformation of American Health Insurance, Troyen A. Brennan traces the historical evolution of public and private health insurance in the United States from the first Blue Cross plans in the late 1930s to reforms under the Biden administration. In analyzing this evolution, he finds long-term trends that form the basis for his central argument: that employer-sponsored insurance is becoming unsustainably expensive, and Medicare for All will emerge as the sole source of health insurance over the next two decades.After thirty years of leadership in health care and academia, Brennan argues that Medicare for All could act as a single-payer program or become a government-regulated program of competing health plans, like today's Medicare Advantage. The choice between these two options will depend on how private insurers adapt and behave in today's changing health policy environment.This critical evolution in the system of financing health care is important to employers, health insurance executives, government officials, and health care providers who are grappling with difficult strategic choices. It is equally important to all Americans as they face an inscrutable health insurance system and wonder what the future might hold for them regarding affordable coverage.
Wonderful and Broken
The Complex Reality of Primary Care in the United States
Inbunden, Engelska, 2025
437 kr
Skickas inom 7-10 vardagar
How can we save primary care from collapse and improve health care outcomes?Primary care in the United States faces an existential crisis. Its value is unchallenged: policy experts argue that the primary care sector is critical to the quality and equity of the health care system. On the other hand, studies show that primary care is underfunded, providers are struggling with burnout, and an increasing number of patients lack access to this essential care. In Wonderful and Broken, Troyen A. Brennan offers a timely exploration into the precarious state of primary care in the American health system today. Drawing on years of field research and firsthand accounts from clinicians, this book paints a picture of both the current struggles and emerging solutions that define the primary care landscape. With health care costs rising and clinician burnout at an all-time high, Brennan examines whether value-based care can truly rescue primary care from the brink of collapse. At the heart of this book are the compelling stories of doctors, nurses, and care teams who are forging a new path, championing preventive care, and prioritizing patient relationships. From the efforts of government policies to the involvement of venture capitalists, the book unveils the multifaceted approaches being employed to shift health care from a fee-for-service model to one centered around value, quality outcomes, and equitable access. But will these efforts be enough? Brennan does not shy away from the hard questions, offering both a critique of past failures and hope for a more equitable future. Essential reading for policymakers, health care professionals, and anyone concerned about the future of American health care, Wonderful and Broken illuminates the pivotal role primary care must play in achieving sustainable and effective reform.