商品描述
A new framework for understanding why patient journeys through American healthcare are circuitous, costly, and lonely--and how to improve them. Every year, millions of Americans endure health care odysseys--harrowing journeys in search of clarity and relief from their health problems. The toll is mounting: staggering waste, declining trust, a demoralized workforce, and a growing burden of chronic illness. All are symptoms of a system designed to churn out episodes of care rather than guide patients efficiently and humanely from sickness to health.
In
The Velocity of Care, Harvard surgeon and health care strategist Rena Xu offers a new framework for diagnosing--and treating--what ails American medicine. "Velocity of care" captures not just speed but direction: it asks whether a patient's trajectory is advancing from problem to resolution or veering off course.
This missing dimension holds the key to improving care. Xu traces the system's dysfunction to the relationship problems among four key stakeholders--patients, providers, payers, and places of care--whose competing interests keep trajectories slow, costly, and fragmented. Through vivid stories and incisive analysis, she shows what a system oriented around trajectory improvement would look like and how to achieve it.
The
Velocity of Care is essential reading for health care professionals, policymakers, and innovators--and for anyone who has struggled to navigate the system and felt the gap between what care is and what it could be.
商品描述(中文翻譯)
一套全新的理解框架,說明為何患者在美國醫療體系中的就醫歷程如此迂迴、昂貴且孤獨,以及如何加以改善。
每年,數百萬美國人都得經歷一場場醫療苦旅——為了釐清病情、擺脫健康問題所帶來的痛苦,而踏上艱辛的求醫之路。這套體系所付出的代價正不斷攀升:驚人的資源浪費、日益下降的信任、士氣低落的醫療照護工作者,以及日益沉重的慢性病負擔。這些全都是同一種體系的症狀:它被設計成不斷產出一個個零散的照護事件,而不是以有效率且合乎人性的方式,引導患者從疾病走向健康。
在《醫療照護的速度》(The Velocity of Care)一書中,哈佛大學外科醫師暨醫療照護策略專家 Rena Xu 提出一套全新的框架,用來診斷——並治療——美國醫療體系的弊病。「醫療照護的速度」所涵蓋的不只是快慢,也包括方向:它探問的是,患者的軌跡是否正從問題邁向解決,還是已經偏離正軌。
這個被忽略的面向,正是改善醫療照護的關鍵。Xu 將體系失靈的根源,追溯到四個關鍵利害關係人之間的關係問題:患者、醫療服務提供者、付費者,以及提供照護的場所。彼此競逐的利益,使患者的醫療軌跡變得緩慢、昂貴且支離破碎。透過生動的故事與犀利的分析,她展示了一個以改善患者軌跡為核心的體系應有的樣貌,以及如何實現這樣的體系。
《醫療照護的速度》是醫療照護專業人員、政策制定者與創新者不可錯過的讀物;對任何曾努力在醫療體系中尋找出路、並感受到現有照護與理想照護之間落差的人而言,本書同樣不可或缺。
作者簡介
Rena Xu, MD, MBA, is Assistant Professor of Surgery at Harvard Medical School, a urologic surgeon and researcher at Boston Children's Hospital, and an advisor to health care organizations. Previously, she was a management consultant in Boston Consulting Group's health care practice. She has written for the New England Journal of Medicine, The New Yorker, The Atlantic, The Washington Post, and The Yale Review, among other publications.
作者簡介(中文翻譯)
Rena Xu 醫學博士(MD)、工商管理碩士(MBA)是 Harvard Medical School 外科學助理教授,也是 Boston Children's Hospital 的泌尿科外科醫師與研究人員,並擔任醫療保健組織的顧問。她過去曾任職於 Boston Consulting Group 醫療保健業務部門,擔任管理顧問。除了其他出版品外,她也曾為《New England Journal of Medicine》、《The New Yorker》、《The Atlantic》、《The Washington Post》及《The Yale Review》撰稿。