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31#
發(fā)表于 2025-3-26 22:59:16 | 只看該作者
How Has the US Health System Evolved?ians usually provided a diagnosis to explain the patient’s symptoms and an estimate of future problems and life expectancy – a prognosis. Diagnostic tests and treatments were limited by today’s standards. Patients expected little more from their physicians because this was the way it had always been
32#
發(fā)表于 2025-3-27 01:34:15 | 只看該作者
33#
發(fā)表于 2025-3-27 06:43:30 | 只看該作者
Making Chronic Disease Care Greatignores copious statistical evidence to the contrary, as well as the less quantifiable but critically relevant stress and suffering of physicians and patients caught in the current chaos. Our challenge: getting from where we are to a better future by skillfully managing change.
34#
發(fā)表于 2025-3-27 10:19:58 | 只看該作者
Building Systems of Careease controlled by treatments that strike the best balance between efficacy and safety. They need this to occur now (actual yesterday) – not wait 15 years until we can transform best knowledge into routine best practice.
35#
發(fā)表于 2025-3-27 15:13:06 | 只看該作者
Managing Complex Processes: Making Order Out of Chaosst either manage complexity, or their performance will be degraded by it. The complexity of health care has exploded in the last 50-plus years, as the Institute of Medicine has documented, and as described in Part I. More often than not, performance degradation has outpaced management of complexity
36#
發(fā)表于 2025-3-27 21:15:31 | 只看該作者
Measuring Processes and Outcomes of Carerement between health policy experts and government planners on the one hand and the providers of care on the other. This might be considered the “second quality chasm”. The train full of researchers, planners, and payers is miles down the tracks, while the train for the physicians who provide the c
37#
發(fā)表于 2025-3-28 01:47:18 | 只看該作者
Teaming: Everyone Has a Role to Playf key roles. He originally defined eight key roles, but a ninth – the specialist role – was added later (Table 11.1). The same person could naturally fulfill several roles, as they often cluster behaviorally within individuals. Other roles are less compatible and would likely reside within different
38#
發(fā)表于 2025-3-28 02:24:35 | 只看該作者
39#
發(fā)表于 2025-3-28 06:33:52 | 只看該作者
Diabetes: Everyone’s Number One Priorityets; the overlap of its clinical implications onto other medical conditions such as vascular, renal, ophthalmologic, and neurologic diseases; and the need to extend treatments beyond mere medication prescription into the challenging realm of patient self-management training and lifestyle changes.
40#
發(fā)表于 2025-3-28 12:42:42 | 只看該作者
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