Sick to death and not going to take it anymore! : reforming health care for the last years of life
著者
書誌事項
Sick to death and not going to take it anymore! : reforming health care for the last years of life
(California/Milbank series on health and the public, 10)
University of California Press , Milbank Memorial Fund, c2004
大学図書館所蔵 全14件
  青森
  岩手
  宮城
  秋田
  山形
  福島
  茨城
  栃木
  群馬
  埼玉
  千葉
  東京
  神奈川
  新潟
  富山
  石川
  福井
  山梨
  長野
  岐阜
  静岡
  愛知
  三重
  滋賀
  京都
  大阪
  兵庫
  奈良
  和歌山
  鳥取
  島根
  岡山
  広島
  山口
  徳島
  香川
  愛媛
  高知
  福岡
  佐賀
  長崎
  熊本
  大分
  宮崎
  鹿児島
  沖縄
  韓国
  中国
  タイ
  イギリス
  ドイツ
  スイス
  フランス
  ベルギー
  オランダ
  スウェーデン
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  アメリカ
注記
Includes bibliographical references (p. 167-189) and index
内容説明・目次
内容説明
Just a few generations ago, serious illness, like hazardous weather, arrived with little warning, and people either lived through it or died. In this important, convincing, and long-overdue call for health care reform, Joanne Lynn demonstrates that our current health system, like our concepts of health and disease, developed at a time when life was mostly short, serious illnesses and disabilities were common at every age, and dying was quick. Today, most Americans live a long life, with the disabilities and discomforts of progressive chronic illness appearing only during the final chapters of their life stories. Sick to Death and Not Going to Take It Anymore! maintains that health care and community services are not set up to meet the needs of the large number of people who face a prolonged period of progressive illness and disability before death. Lynn offers what she calls an "owner's manual for the health care system," which lays out facts, concepts, strategies, and action plans for genuine reform and gives the reader new ways to interpret information creatively, imagine innovative possibilities, and take steps to implement them.
目次
List of Illustrations and Tables
Foreword
Acknowledgments
Introduction
1. JUST THE FACTS
Serious Chronic Disease in the Last Phase of Life
Living with Chronic Conditions . Shortcomings in Current Care .
The Baby Boom Grows Old . Who Will Provide Care? . "Dying" and
the Problem of Prognostication . Which Illness Will It Be? .
Costs and Who Pays . The Shape of Things to Come
PERSPECTIVE: THE LONELINESS OF THE LONG TERM CARE GIVER
by Carol Levine
2. SEEING THE WORLD DIFFERENTLY
Ideas to Shape Reform
Life Span Perspective . Rethinking the Transition Model .
Misleading Words and Ideas . The "No Surprise" Question . Trajectories of
Illness across Time . Frequency of Trajectories . Anticipating Challenges .
Creating and Naming a Category . More Patients, Fewer Caregivers .Working
Out Patterns of Cost . Summary of Ideas to Shape Reform
PERSPECTIVE : QUALITY COMES HOME
by Donald M. Berwick
3. GOOD CARE FOR SOME PEOPLE SOMETIMES
Hospice . Palliative Care at Home . Palliative Care in Hospitals . PACE:
All-Inclusive Care . The Chronic-Care Model . Coordinating and
Managing Care . Quality Improvement . Caregiver Programs . Practice
Guidelines and Audit Tools . Gems and Strategies for Change
PERSPECTIVE IN BRITAIN, PROGRESS IN CARE FOR THE LAST PART OF LIFE
by Joanne Lynn
4. SURVERYING THE TERRAIN
Opportunities and Challenges
Key Features of Change . Caregivers as a Political Force . The Business
Case for Change . Promoting Coordinated Care . Barriers
to Reform . Avoiding Low-Impact Reforms
PERSPECTIVE: THE CASE FOR REFORMING U.S. HEALTH CARE
by the Committee on Quality of Health Care in America, Institute of Medicine
5. GOOD CARE FOR US ALL
Building the Care System to Count On
Reprise of the Current Situation . Trajectories Form a Basis for Achievable
Excellence . MediCaring: From Promises to Practical Program . Methods to
Achieve Reform . Reforms to Implement Right Away! . Forging the
Will to Make Improvements Happen
Appendix: An Agenda for Action
References
Index
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