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"Saunders, Robert, 1978- editor"
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Best Care at Lower Cost
America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost.
The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances.
About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care.
This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
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Making Thatcher's Britain
\"Margaret Thatcher was one of the most controversial figures of modern times. Her governments inspired hatred and veneration in equal measure and her legacy remains fiercely contested. Yet assessments of the Thatcher era are often divorced from any larger historical perspective. This book draws together leading historians to locate Thatcher and Thatcherism within the political, social, cultural and economic history of modern Britain. It explores the social and economic crises of the 1970s; Britain's relationships with Europe, the Commonwealth and the United States; and the different experiences of Thatcherism in Scotland, Wales and Northern Ireland. The book assesses the impact of the Thatcher era on class and gender and situates Thatcherism within the Cold War, the end of Empire and the rise of an Anglo-American 'New Right'. Drawing on the latest available sources, it opens a wide-ranging debate about the Thatcher era and its place in modern British history\"-- Provided by publisher.
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