THE CITIZEN PATIENT: REFORMING HEALTH CARE FOR THE SAKE OF THE PATIENT, NOT THE SYSTEM
Book ID/图书代码： 13014012B58723
English Summary/英文概要： Conflicts of interest, misrepresentation of clinical trials, hospital price fixing, and massive expenditures for procedures of dubious efficacy--these and other critical flaws leave little doubt that the current U.S. health-care system is in need of an overhaul. In this essential guide, preeminent physician Nortin Hadler urges American health-care consumers to take time to understand the existing system and to visualize what the outcome of successful reform might look like. Central to this vision is a shared understanding of the primacy of the relationship between doctor and patient. Hadler shows us that a new approach is necessary if we hope to improve the health of the populace. Rational health care, he argues, is far less expensive than the irrationality of the status quo.Taking a critical view of how medical treatment, health-care finance, and attitudes about health, medicine, and disease play out in broad social and political settings, Hadler applies his wealth of experience and insight to these pressing issues, answering important questions for citizen patients and policy makers alike
Chinese Summary/中文概要： 現今的醫療制度扭曲醫病關係
制度變成獲利道具 人類健康不再是關注的焦點
過度的醫療將許多人生必經過程疾病化 甚至加重病情現今的醫療制度走向「醫療化」、「過度醫療」的窘境，不僅許多不是疾病的以疾病定義，醫療變的商業化，過度的醫療行為甚至加重病人病情，原本為維護人類健康的行業卻變成以牟利為主。利益衝突、臨床試驗結果被扭曲、醫療價格被醫院操控、成效與金額不成正比的巨額經費等等，這些醫療系統的缺陷都需要一一被檢視並修正。
Nortin M. Hadler批判現今醫療系統，提出需要改革的缺陷，指出改革的關鍵在於改善醫病關係，另外也需改善醫療財務、社會大眾對於健康、醫藥以及疾病的心態、而合理的新方案其實比現有的系統還節省經費
Contents
1. Shills. When Profit Trumps Benefit
2. Price Fixing
3. Truth and Consequences, Marketing with Tortured and Massaged Data
4. If We Build It, They Will Come, The Procedures and Devices Gambit
5. Another Good Idea Still in Waiting, Health Promotion, Disease Prevention
6. The Social Construction of Health
7. Extricating Health Care from the Perversities of Its Delivery System
8. A Clinic for the Twenty-First Century
(Eva)
Awards/获奖情况："The true promise of modern medicine will only be achieved when every person is prepared to participate as an informed patient and an intelligent citizen. This book does more to achieve that goal than any I have read."--Daniel D. Federman, M.D., Dean Emeritus for Clinical Education, Harvard Medical School "Blending best science, sound ethics, compassionate clinical care, and economic realism, Hadler exhorts patients to take control of their own health and health system to save the United States from fiscal disaster."--George D. Lundberg, M.D., former editor-in-chief (1982-1999), Journal of the American Medical Association
"The insights and visions that Hadler presents merit serious study not only by the general public but also by all doctors who share his deep-seated commitment to genuinely patient-centered and properly science-informed health care."--O. S. Miettinen, McGill University
About the Author/作者介绍： Nortin M. Hadler是北卡羅萊納州大學醫學院醫學教授，也是負盛名的風濕病學家。畢業於耶魯大學及哈佛醫學院，Dr. Hadler先後曾任職於麻省總醫院、美國國立衛生研究院及倫敦臨床研究中心，在英國、法國、伊斯蘭及日本擔任客座教授，也是美國各大學會（臨床研究學會、專科醫學會、風濕病學會等）的成員，其論述經常在各大報章雜誌中的醫療保健文章中被引述。
Dr. Hadler認為現今的醫療制度走向「醫療化」、「過度醫療」，人生必經又自然的過程漸被定義成疾病，醫療領域擴張到原本不屬於醫療的範圍。Dr. Hadler集中炮火主張這樣的醫療制度應改革，並出書教導民眾如何自我保健，不需事事都看醫生。他的著作至今已有五本書，《The Last Well Person》(2004)及《Worried Sick》(2008)大談過度醫療社會，《Stabbed in the Back》(2009)談如何自療腰背酸痛，《Rethinking Aging》(2011)則針對老年人的自我醫護。
Nortin M. Hadler, M.D., M.A.C.P., M.A.C.R., F.A.C.O.E.M., is professor of medicine and microbiology/immunology at the University of North Carolina at Chapel Hill and attending rheumatologist at UNC Hospitals. His most recent book is Rethinking Aging: Growing Old and Living Well in an Overtreated Society.
Format:HARDCOVER
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