图书简介
Consumers, public officials, and even managers of health care and insurance are unhappy about care quality, access, and costs. This book shows that is because efforts to do something about these problems often rely on hope or conjecture, not rigorous evidence of effectiveness. In this book, experts in the field separate the speculative from the proven with regard to how care is rendered, how patients can be in control, how providers should be paid, and how disparities can be reduced – and they also identify the issues for which evidence is currently missing. It provides an antidote to frustration and a clear-eyed guide for forward progress, helping health care and insurance innovators make better decisions on deciding whether to go ahead now based on current evidence, to seek and wait for additional evidence, or to move on to different ideas. It will be useful to practitioners in hospital systems, medical groups, and insurance organizations and can also be used in executive and MBA teaching.
1. Baseline observations Mark Pauly; 2. Evidence and growth in aggregate spending and changes in health outcomes Mark Pauly and Benjamin Chartock; 3. The benchmark decision model, the value of evidence, and alternative decision processes Mark Pauly; 4. Care coordination Lawton R. Burns and Rachel M. Werner; 5. Evidence-based programs to improve transitional care of older adults Mary Naylor and Rachel M. Werner; 6. Vertical integration of physician and hospitals: three decades of futile building upon a shaky foundation Lawton R. Burns, David Asch, and Ralph Muller; 7. Evidence on provider payment and medical care management Ralph Muller and Mark Pauly; 8. Evidence on ways to bring about effective consumer and patient engagement Kevin Volpp and Mark Pauly; 9. The unmet and evolving need for evidence-based telehealth Krisda Chaiyachati and Bimal Desai; 10. Evidence and the management of health care for disadvantaged populations Mark Pauly, Ralph Muller, and Mary Naylor; 11. Driving innovation in health care: external evidence, decision-making and leadership Flaura Winston and Mark Pauly; 12. Concluding chapter.
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