ATUL GAWANDE THE HOT SPOTTERS PDF

Shopping The critical flaw in our health-care system that people like Gunn and Brenner are finding is that it was never designed for the kind of patients who incur the highest costs. Americans make more than a billion such visits each year, according to the Centers for Disease Control. Outsiders tend to be the first to recognize the inadequacies of our social institutions. But, precisely because they are outsiders, they are usually in a poor position to fix them. Gunn, though a doctor, mostly works for people who do not run health systems—employers and insurers. So he counsels them about ways to tinker with the existing system.

Author:Arashitaur Kazishura
Country:Guinea-Bissau
Language:English (Spanish)
Genre:Medical
Published (Last):21 April 2005
Pages:480
PDF File Size:17.63 Mb
ePub File Size:11.14 Mb
ISBN:558-9-83775-239-8
Downloads:11236
Price:Free* [*Free Regsitration Required]
Uploader:Maukazahn



Based on the experience of a prior Allied raid and knowing that oil was vital to the German war machine, the High Command agreed. Herr General got his flak gunnery and fighters. When the Allies finally launched "Operation Tidal Wave" against the enemy on August 1, , the losses were horrific. While the military parallels may be a bit of a stretch for the peace-loving peoples of the Disease Management Care Blog, the question remains: should everyone get the same protection, or should we concentrate our special resources on those who are especially vulnerable?

Gawande, using a common sense narrative laced with some rich anecdotes, correctly argues on behalf of the vulnerable. While they may be few in number, the non-compliant, disabled and socially isolated persons with multiple illnesses are the most likely to be victimized by a dysfunctional and inflexible care system.

Gawande describes how the vulnerable can be protected with a high concentration of community-minded docs, nurses and social workers who can simultaneously reach out to these patients and save taxpayers millions of dollars. Drawing battle lines at the end of his article, Dr.

The "protect the vulnerable" approach has been the standard of care for commercial insurers for years. Population health management PHM vendors have been using health insurance claims in very sophisticated statistical algorithms for example to spot who is most likely to end up in an emergency room or be hospitalized.

Once identified, just as The New Yorker article describes, professional care managers can coordinate with the docs and telephone or visit these patients in an attempt to reduce their risk. Even with passage of the ACA, it will still not be explicitly covered, pending years of further study of various pilots by CMS. Sorry Dr. In fact, the focused and flexible application of resources to achieve the greatest impact has been around for some time for both good and bad. Posted by.

JAVA XML AND JAXP BY ARTHUR GRIFFITH PDF

The Hot Spotters

Based on the experience of a prior Allied raid and knowing that oil was vital to the German war machine, the High Command agreed. Herr General got his flak gunnery and fighters. When the Allies finally launched "Operation Tidal Wave" against the enemy on August 1, , the losses were horrific. While the military parallels may be a bit of a stretch for the peace-loving peoples of the Disease Management Care Blog, the question remains: should everyone get the same protection, or should we concentrate our special resources on those who are especially vulnerable?

EVALUACION ERGONOMICA DE PUESTOS DE TRABAJO SABINA PDF

Equality PDF

Goltigul A neighborhood couple, a physical therapist and a volunteer firefighter, approached to see if they could help, but police waved them back. At nine-fifty on a February night ina twenty-two-year-old black man was shot while driving his Ford Taurus station wagon through a neighborhood on the edge of the Rutgers University campus. In the Hot Spotter article Gawande writes about several innovative approaches to reducing health-care costs. This idea led to spottters creation of hhot Camden Coalition of Healthcare Providers. Gawande then describes the difficulties in implementing these and other innovative ideas on a larger scale, including opposition from insurance companies and the health-care lobby. Link to full text in the New Yorkert: Joel Greenberg has been a science journalist for four decades.

Related Articles