Health Policy

Katherine C. Kellogg's Challenging Operations: Medical Reform and Resistance in PDF

By Katherine C. Kellogg

ISBN-10: 0226430022

ISBN-13: 9780226430027

In 2003, within the face of mistakes and injuries because of clinical and surgical trainees, the yankee Council of Graduate scientific schooling mandated a discount in resident paintings hours to 80 a week. Over the process and a part years spent looking at citizens and employees surgeons attempting to enforce this new legislation, Katherine C. Kellogg came across that resistance to it was once either powerful and successful—in truth, of the 3 hospitals she studied didn't make the swap. Challenging Operations takes up the plain paradox of doctors resisting reforms designed to assist them and their sufferers. via bright anecdotes, interviews, and incisive commentary and research, Kellogg indicates the complicated ways in which institutional reforms spark resistance after they problem long-standing ideals, roles, and structures of authority.

At a time whilst quite a few regulations were enacted to deal with the nation’s hovering scientific expenditures, asymmetric entry to care, and lack of primary-care physicians, Challenging Operations sheds new gentle at the trouble of imposing reforms and gives concrete options for successfully assembly that challenge.

Show description

Read Online or Download Challenging Operations: Medical Reform and Resistance in Surgery PDF

Best health policy books

Read e-book online Theories of Visual Perception PDF

This learn, and is the reason theorizing in notion, can pay specific consciousness to imaginative and prescient. Describing 3 items of analysis paintings that have received the Nobel Prize, the textual content observes belief at paintings in lifestyle and explains how readers could be proficient to extend their information. matters coated comprise the three-factor and opponent-process theories of color and imaginative and prescient, neural techniques within the retina, the Gestalt thought, ecological optics and the computational idea of imaginative and prescient.

Institute of Medicine's Exploring Complementary and Alternative Medicine (The PDF

The Rosenthal lecture incorporated during this quantity explores the realm of complementary drugs and its implications for clinical study, medical perform, and coverage within the usa.

Download e-book for kindle: Immunization Safety Review: Measles-Mumps-Rubella Vaccine by Immunization Safety Review Committee, Board on Health

First in a sequence of stories from the IOM Immunization security assessment Committee, provides an overview of the facts concerning a hypothesized causal organization among the measles-mumps-rubella vaccine and autism, and the committee's conclusions and suggestions. Softcover.

Joe Alper, Julia Sanders, Robert Saunders, Roundtable on's Core measurement needs for better care, better health, and PDF

Well-being care caliber and its affordability became very urgent matters within the usa. All sectors of the rustic are trying to push ahead tasks that might enhance the health and wellbeing care procedure in addition to the healthiness of the yank inhabitants mostly. regardless of the reasonably priced commitment to health and wellbeing care, approximately 1/5, the process continues to be asymmetric and fragmented, sufferer damage is very common, care is usually uncoordinated, and lots of extra mishaps ensue.

Additional resources for Challenging Operations: Medical Reform and Resistance in Surgery

Example text

She went to the chipped metal rack outside the pod to find the blue notebook of the first patient on the list—blue notebooks were A DAY IN THE LIFE OF AN INTERN 25 for recording patient vitals, red were for progress notes. Anne groaned, exasperated. 3 One more thing to delay her when she was already pressed for time. Lack of sleep was making her irritable. In real life she wasn’t like this. But real life was at least six years in her future at this point. Anne didn’t find looking ahead to be that helpful.

Seniors cared for the complex issues of general surgery patients and assisted attendings with moderately di∞cult cases. Interns implemented patient plans and assisted attendings with simple cases. Attendings worked on a particular service and operated with the team of residents assigned to that service for the month. 1. 1). Since residents rotated through di≠erent surgical areas such as oncology, GI, vascular, and colorectal as well as working stints at community hospitals, they frequently changed work groups.

The obvious solution was a night float program, which added residents to general surgery services to create teams working overnight each night, and which were fairly standard. Such programs had been in place for over a decade in New York State. 25 While New York regulations had been in place since 1989, the state had not begun vigorously enforcing them until after 1998. Then, after surprise inspections of a dozen teaching hospitals showed extensive violations of the hour limits, the New York State Department of Health had fined several hospitals and adopted new penalties for nonadherence as part of New York’s Health Care Reform Act 2000.

Download PDF sample

Challenging Operations: Medical Reform and Resistance in Surgery by Katherine C. Kellogg


by Mark
4.1

Rated 4.43 of 5 – based on 42 votes