Thanks Bob
Wow! "Lean" may hit the US hospital sector over 50 years after Demming
and others developed this in the reconstruction of Japan. Europe is
already "infected"!
The nice issue is why has it taken so long to streamline systems and
reduce the variations endemic in health care systems, public and
private?. Could it be that George Bernard Shaw was right and that
professions are" a conspiracy against the laity". Reading Shaw's play,
the "Doctor's Dilemma" from 1906 still seems very pertinent! For those
preferring Chicago to the Fabians, Milton Friedman argued that
occupational licensure reduced the volume and quality of care in his
"Capitalism and Freedom" in 1962. Managing better the "crews" of health
care systems would of course redistribute power and money and is
therefore unacceptable!
Has much changed in the last 100 years?
Have a nice day!
Alan
Bob Pyke Jr.,RN,CPNP wrote:
> John Toussaint and Roger Gerard have published a book entitled On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry. Ordinarily, you would be well advised to be skeptical of anyone promising revolution and transformation, but not here.
>
> Here's an excerpt from the introduction:
>
>
>
> With few exceptions, [government policy] debaters assume that healthcare costs are fixed, that America's proud history of medical care and innovation comes with a staggering bill.
>
>
>
> We know different.
>
> http://goo.gl/b/uhyl
>
> Bob,
>
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