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Sick To Death and Not Going to Take It Anymore Reforming Health Care for the Last Years of Life California Milbank Books on Health and the Public Volume 10 1st Edition by Joanne Lynn 0520243005 978-0520243002

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Sick To Death and Not Going to Take It Anymore Reforming Health Care for the Last Years of Life California Milbank Books on Health and the Public 10 1st Edition Joanne Lynn Digital Instant Download

Author(s): Joanne Lynn
ISBN(s): 9781417540792, 1417540796
Edition: 1
File Details: PDF, 1.20 MB
Year: 2004
Language: english
SKU: EB-1909500 Category: Tag:

Sick To Death and Not Going to Take It Anymore Reforming Health Care for the Last Years of Life California Milbank Books on Health and the Public Volume 10 1st Edition by Joanne Lynn – Ebook PDF Instant Download/Delivery: 0520243005, 978-0520243002

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Product details:

ISBN 10: 0520243005

ISBN 13: 978-0520243002

Author: Joanne Lynn

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.

Table of contents:

Part I: JUST THE FACTS: Serious Chronic Disease in the Last Phase of Life

  1. Living with Chronic Conditions

  2. Shortcomings in Current Care

  3. The Baby Boom Grows Old

  4. Who Will Provide Care?

  5. “Dying” and the Problem of Prognostication

  6. Which Illness Will It Be?

  7. Costs and Who Pays

  8. The Shape of Things to Come

Part II: SEEING THE WORLD DIFFERENTLY: Ideas to Shape Reform

  1. Life Span Perspective

  2. Rethinking the Transition Model

  3. Misleading Words and Ideas

  4. The “No Surprise” Question

  5. Trajectories of Illness Across Time

  6. Frequency of Trajectories

  7. Anticipating Challenges

  8. Creating and Naming a Category

  9. More Patients, Fewer Caregivers

  10. Working Out Patterns of Costs

  11. Summary of Ideas to Shape Reform

Part III: GOOD CARE FOR SOME PEOPLE, SOMETIMES

  1. Hospice

  2. Palliative Care at Home

  3. Palliative Care in Hospitals

  4. PACE: All-Inclusive Care

  5. The Chronic-Care Model

  6. Coordinating and Managing Care

  7. Quality Improvement

  8. Caregiver Programs

  9. Practice Guidelines and Audit Tools

  10. Gems and Strategies for Change

Part IV: SURVEYING THE TERRAIN: Opportunities and Challenges

  1. Key Features of Change

  2. Caregivers as a Political Force

  3. The Business Case for Change

  4. Promoting Coordinated Care

  5. Barriers to Reform

  6. Avoiding Low-Impact Reforms

Part V: GOOD CARE FOR US ALL: Building the Care System to Count On

  1. Reprise of the Current Situation

  2. Trajectories Form a Basis for Achievable Excellence

  3. MediCaring: From Promises to Practical Program

  4. Methods to Achieve Reform

  5. Reforms to Implement Right Away!

  6. Forging the Will to Make Improvements Happen

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Tags: Joanne Lynn, Sick, Death, Reforming, Health