Tim and all:
Mark Pauly and I just published a critical review of the "transformation" from volume to value in the US healthcare system. It is attached.
Paper is designed to foster some critical thinking and appraisal of what is going on. Curious as to you thoughts.
Best
Rob
Hello colleagues:
I have a new book just out from Oxford University Press entitled, "Next in Line: Lowered Care Expectations in the Age of Retail- and Value-Based Health". It's an interesting read and analysis on how current forces impacting health care delivery (e.g. introduction of retail thinking and tactics; sharp emphasis on efficiency and transactional reliability; heavy measurement around quality and "value"; corporatization of health care) undermine relational care and the doctor-patient relationship; in particular by reshaping patient expectations and mindsets towards doctors; disappearing doctors from involvement in key areas of care delivery that help build relational potential; and getting patients to shift their loyalties from providers to health care organizations that use brand and size in strategic ways. The book takes a multi-level approach combining 80 interviews with doctors and patients (using their personal experiences interacting with one another in the current health care delivery system) with a macro analysis of these larger forces pushing down on patient care. It offers suggestions, based on the analysis, for how to improve the relational aspects of care (e.g. trust, empathy, listening, compassion) and suggests important questions and dynamics to further explore. It's also a good book for students of health care policy and management!
You may order the book from Amazon, but if you order from the Oxford Univ. Press website and use the following discount code, AMPROMD9, you will receive 30% off the cover price (so it's about $28 dollars). Here is a link to the OUP site:
https://global.oup.com/academic/product/next-in-line-9780190626341?cc=us&lang=en&
Thanks very much! Best, Tim.
Timothy Hoff, Ph.D.
Professor of Management, Healthcare Systems, and Health Policy
D'Amore-McKim School of Business
School of Urban Affairs and Public Policy
Northeastern University
Visiting Associate Fellow, Green-Templeton College, Oxford University
Visiting Scholar, Said Business School, Oxford University
Author of Next in Line: Lowered Care Expectations in the Age of Retail- and Value-Based Health
https://www.amazon.com/Next-Line-Lowered-Expectations-Value-Based/dp/0190626348
Author of Practice Under Pressure: Primary Care Physicians and Their Medicine in the 21st Century
Co-Editor, The Healthcare Professional Workforce: Understanding Human Capital in Changing Industry
617-373-4698
t.hoff@northeastern.edu