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Curing Fragmentation With Integrated Delivery Systems: What They Do, What Has Blocked Them, Why We Need Them, and How to Get There From Here *

Alain Enthoven

in The Fragmentation of U.S. Health Care: Causes and Solutions

Published in print:
2010
Published Online:
May 2010
ISBN:
9780195390131
eISBN:
9780199775934
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195390131.003.004
Subject:
Law, Medical Law

This chapter begins with a discussion of the fragmentation of health care delivery and its occurrence at two levels: with the individual patient, and at the community level. It then discusses ... More


Care for the Dying: A Pathway to Excellence

John Ellershaw and Susie Wilkinson (eds)

Published in print:
2003
Published Online:
November 2011
ISBN:
9780198509332
eISBN:
9780191730177
Item type:
book
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198509332.001.0001
Subject:
Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology

Even for the most experienced healthcare professional, managing the last few days of life can be difficult. This book provides guidelines for the care of the dying based on the Liverpool Integrated ... More


Organization

Marc J. Roberts, William Hsiao, Peter Berman, and Michael R. Reich

in Getting Health Reform Right: A Guide to Improving Performance and Equity

Published in print:
2008
Published Online:
September 2009
ISBN:
9780195371505
eISBN:
9780199863839
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195371505.003.0010
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter considers how government can influence the organization of the health-care delivery system. It begins by defining the meaning of “an organization”—as a provider of health-care ... More


A New Framework for Studying Stakeholder Alignment

David A. Shore and Eric D. Kupferberg

in High Stakes: The Critical Role of Stakeholders in Health Care

Published in print:
2011
Published Online:
September 2011
ISBN:
9780195326253
eISBN:
9780199897285
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195326253.003.0033
Subject:
Public Health and Epidemiology, Public Health

Chapter 5 focused on the language of conflict in health care, and how a tone of war pervades health care delivery, including reimbursement negotiations. The language is part and parcel of a set of ... More


Organizational Systems Supporting Good Care and Ethical Practice

Nancy Berlinger, Bruce Jennings, and Susan M. Wolf

in The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life: Revised and Expanded Second Edition

Published in print:
2013
Published Online:
September 2013
ISBN:
9780199974566
eISBN:
9780199333332
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199974566.003.0004
Subject:
Palliative Care, Patient Care and End-of-Life Decision Making

The quality of end-of-life care, and care for patients facing decisions about life-sustaining treatment relies on organizational systems as well as the knowledge, skills, and integrity of individual ... More


The Distinctiveness of the Psychiatric Setting

Jennifer Radden and John Z. Sadler

in The Virtuous Psychiatrist: Character Ethics in Psychiatric Practice

Published in print:
2009
Published Online:
February 2010
ISBN:
9780195389371
eISBN:
9780199866328
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195389371.003.0003
Subject:
Philosophy, Moral Philosophy, General

Chapter 2 puts forward a systematic and developed rationale for the view introduced previously that psychiatry requires its own ethics. Few aspects of psychiatric practice are medically unique, yet ... More


Opportunities, Barriers, and Underserved Communities

David Clark

in Transforming the Culture of Dying: The Work of the Project on Death in America

Published in print:
2013
Published Online:
September 2013
ISBN:
9780199311613
eISBN:
9780199344925
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199311613.003.0005
Subject:
Palliative Care, Palliative Medicine and Older People, Patient Care and End-of-Life Decision Making

This chapter discusses the PDIA board's policy work and its growing commitment to the needs of disadvantaged and dispossessed individuals, groups, and communities. The PDIA board's early policy ... More


The patient and family

Lorna Butler

in Supportive Care for the Urology Patient

Published in print:
2005
Published Online:
November 2011
ISBN:
9780198529415
eISBN:
9780191730344
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198529415.003.0006
Subject:
Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology

This chapter explores the state of knowledge that supports health professionals in broadening their interpretation of care delivery to include psychosocial challenges, reviews the most recent ... More


Our lives in Whose Hands?

Norman Daniels and James E. Sabin

in Setting Limits Fairly: Can we learn to share medical resources?

Published in print:
2002
Published Online:
September 2009
ISBN:
9780195149364
eISBN:
9780199865123
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195149364.003.0001
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter begins with a brief discussion of the emergence of societal limits to health care. It then sets out the main approach of the book, which is to recast the problem of limit setting as a ... More


The Challenge to Change: Reforming Health Care on the Front Line in the United States and the United Kingdom

Rebecca Kolins Givan

Published in print:
2016
Published Online:
January 2017
ISBN:
9780801450051
eISBN:
9781501706028
Item type:
book
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9780801450051.001.0001
Subject:
Sociology, Health, Illness, and Medicine

There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of ... More


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