Redefining German Health Care


Book Description

The German health care system is on a collision course with budget realities. Costs are high and rising, and quality problems are becoming ever more apparent. Decades of reforms have produced little change to these troubling trends. Why has Germany failed to solve these cost and quality problems? The reason is that Germany has not set value for patients as the overarching goal, defined as the patient health outcomes achieved per euro expended. This book lays out an action agenda to move Germany to a high value system: care must be reorganized around patients and their medical conditions, providers must compete around the outcomes they achieve, health plans must take an active role in improving subscriber health, and payment must shift to models that reward excellent providers. Also, private insurance must be integrated in the risk-pooling system. These steps are practical and achievable, as numerous examples in the book demonstrate. Moving to a value-based health care system is the only way for Germany to continue to ensure access to excellent health care for everyone.




Redefining Health Care


Book Description

The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets. In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change. The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency. With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.




Redefining Translation and Interpretation in Cultural Evolution


Book Description

Culture has a significant influence on the emerging trends in translation and interpretation. By studying language from a diverse perspective, deeper insights and understanding can be gained. Redefining Translation and Interpretation in Cultural Evolution is a pivotal reference source for the latest scholarly research on culture-oriented translation and interpretation studies in the contemporary globalized society. Featuring coverage on a range of topics such as sociopolitical factors, gender considerations, and intercultural communication, this book is ideally designed for linguistics, educators, researchers, academics, professionals, and students interested in cultural discourse in translation studies.




German Home Towns


Book Description

German Home Towns is a social biography of the hometown Bürger from the end of the seventeenth to the beginning of the twentieth centuries. After his opening chapters on the political, social, and economic basis of town life, Mack Walker traces a painful process of decline that, while occasionally slowed or diverted, leads inexorably toward death and, in the twentieth century, transfiguration. Along the way, he addresses such topics as local government, corporate economies, and communal society. Equally important, he illuminates familiar aspects of German history in compelling ways, including the workings of the Holy Roman Empire, the Napoleonic reforms, and the revolution of 1848. Finally, Walker examines German liberalism's underlying problem, which was to define a meaning of freedom that would make sense to both the "movers and doers" at the center and the citizens of the home towns. In the book's final chapter, Walker traces the historical extinction of the towns and their transformation into ideology. From the memory of the towns, he argues, comes Germans' "ubiquitous yearning for organic wholeness," which was to have its most sinister expression in National Socialism's false promise of a racial community. A path-breaking work of scholarship when it was first published in 1971, German Home Towns remains an influential and engaging account of German history, filled with interesting ideas and striking insights—on cameralism, the baroque, Biedermeier culture, legal history and much more. In addition to the inner workings of community life, this book includes discussions of political theorists like Justi and Hegel, historians like Savigny and Eichhorn, philologists like Grimm. Walker is also alert to powerful long-term trends—the rise of bureaucratic states, the impact of population growth, the expansion of markets—and no less sensitive to the textures of everyday life.




Berlin Psychoanalytic


Book Description

Each chapter examines the correspondence of a particular psycho-analyst with a particular author.




A Good Disruption


Book Description

Disruptive technology is one of the defining economic trends of our age, transforming one major industry after another. But what is the true impact of such disruption on the world's economies, and does it really have the potential to solve global problems such as low growth, inequality and environmental degradation? The provocative answer is that such disruption could indeed solve many of these issues, but that it won't... at least, not on its current trajectory. A Good Disruption highlights some of the huge costs that are at stake, and argues that managing such disruption will be the defining business challenge of the next decade. In order for us to meet that challenge, the book sets out a bold and inspirational vision for a more robust and sustainable economic model. Rich in relevant case studies, and incorporating industry examples from around the world, A Good Disruption accomplishes the remarkable feat of synthesizing key contemporary trends into a coherent world view of how to seize the potential of our collective futures. This is essential reading for policy makers, politicians, business executives and social scientists, as well as anyone who wants a deeper understanding of the impact of disruptive technology and how it can be transformed into a major force for the global good.




Old and Sick in America


Book Description

Since the introduction of Medicare and Medicaid in 1965, the American health care system has steadily grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, incorporating the stories of older patients as they travel from the doctor's office to the hospital to the skilled nursing facility, and examining the influence of forces as diverse as pharmaceutical corporations, device manufacturers, and health insurance companies on their experience. A scholar who has practiced medicine for over thirty years, Gillick offers readers an informed and straightforward view of health care from the ground up, revealing that many crucial medical decisions are based not on what is best for the patient but rather on outside forces, sometimes to the detriment of patient health and quality of life. Gillick suggests a broadly imagined patient-centered reform of the health care system with Medicare as the engine of change, a transformation that would be mediated through accountability, cost-effectiveness, and culture change.







In Search of the Perfect Health System


Book Description

Winner of the first prize in the Health and Social Care category at the BMA Medical Book Awards 2016. With chapters on 25 different countries, this practical and succinct guide to the world's major health systems explores what lessons can be drawn from each to improve health worldwide. Each chapter is an essay designed to give the reader essential knowledge of the history, strengths, weaknesses and lessons of each health system and provide a truly global health perspective – all in the time it takes to drink a cup of coffee. Whether a healthcare manager or a student studying health systems, this accessible and engaging book provides a fascinating insight in to how health care is delivered around the world.




Comparative Health Systems


Book Description

The Second Edition of Comparative Health Systems: A Global Perspective offers new perspectives in health administration, public health, and public policy that address evidence-based approaches to health system improvement; systems thinking at the policy level; integrated information management; macro and micro innovation, and systems sustainability. Part I offers introduces foundational concepts including health and disease; and policy and economics. Two new chapters explore innovation and sustainability; and the role and contributions of non-governmental organizations. In Part II, the health systems of 19 countries are each examined in their own chapter, that carefully explores the country’s geography and culture, the history of its health system, followed by a detailed evaluation of cost, quality, access and innovation.