While the book gives outsiders a peek into the inner workings of a large medical group, its message is directed primarily at...
The executive director of the Permanente Foundation argues that physicians are the key to creating a health care system that is patient-centered, safe, equitable, accessible and affordable.
With the assistance of former Boston Globe journalist Kenney (Transforming Health Care: Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience, 2010), Cochran draws on his years as president and chairman of the board of the Kaiser Permanente Medical Group in Colorado, where he developed and tested many of the ideas presented here. When he took over, the morale among physicians was low, and turnover was high; the group was losing members. Working with a team—he had not been a manager before and was learning on the job—Cochran set specific priorities for the group: preserving and enhancing physicians’ careers, optimizing the patient care experience and streamlining the care process. In detailing the obstacles and solutions, he makes clear that building a culture of collegiality and teamwork was essential. Nurses and clinical pharmacists were brought into partnerships with physicians, giving them greater responsibilities and career opportunities and freeing physicians to do the kind of work that only they could do. The author is especially proud of the methods he developed to rapidly set up a massive electronic health record system that increased the efficiency of patient care. Cochran calls on doctors, who have been trained to be healers, to expand their mission and take on a combination role of healer/leader/partner, and he insists that health care be a “learning industry.” Talented people from all disciplines—clinicians, researchers, the pharmaceutical industry, etc.—must work together and learn from each other to seek out the best practices and apply them to provide the best patient care.
While the book gives outsiders a peek into the inner workings of a large medical group, its message is directed primarily at members of the medical profession, more specifically, to those in management positions.Pub Date: May 6, 2014
ISBN: 978-1-61039-443-7
Page Count: 240
Publisher: PublicAffairs
Review Posted Online: April 9, 2014
Kirkus Reviews Issue: May 1, 2014
BOOK REVIEW
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.
Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.Pub Date: Jan. 19, 2016
ISBN: 978-0-8129-8840-6
Page Count: 248
Publisher: Random House
Review Posted Online: Sept. 29, 2015
Kirkus Reviews Issue: Oct. 15, 2015
PERSPECTIVES
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.
“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.
It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.Pub Date: Nov. 12, 2019
ISBN: 978-1-61039-950-0
Page Count: 432
Publisher: PublicAffairs
Review Posted Online: Aug. 28, 2019
Kirkus Reviews Issue: Sept. 15, 2019
SEEN & HEARD
© Copyright 2025 Kirkus Media LLC. All Rights Reserved.
Follow
Popular in this Genre
We can’t wait for you to join Kirkus!
It’s free and takes less than 10 seconds!
Already have an account? Log in.
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
Welcome Back!
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
