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Prescription For Excellence
 
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Prescription For Excellence [Paperback]

Michael Rachlis
4.5 out of 5 stars  See all reviews (2 customer reviews)
List Price: CDN$ 21.95
Price: CDN$ 15.85 & eligible for FREE Super Saver Shipping on orders over CDN$ 25. Details
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Product Description

Book Description

IT'S THE BOOK that’s being discussed everywhere—from the op-ed pages to morning talk shows: a brilliantly simple solution to our health care woes that doesn’t require a lot more money or privatization. Prescription for Excellence is esteemed health policy analyst Michael Rachlis’s blueprint for innovative best practices—many of which already exist across the country. It lays out a plan to eliminate emergency room and hospital overcrowding, maximize our access to doctors through teamwork and reform our incredibly inefficient waiting system for tests or treatment. With his impressive talent for deconstructing complex policy issues into clear and understandable analysis, Michael Rachlis has delivered an indispensable guide for all Canadians.

About the Author

MICHAEL RACHLIS, M.D., is Canada's foremost health policy analyst and a valued source of expert opinion on Canada's health care system. He is a specialist in community medicine, a consultant to governments and royal commissions, and an associate professor at the University of Toronto's Department of Health Policy Management and Evaluation. Dr. Rachlis is the co-author of two national bestsellers, Second Opinion and Strong Medicine. He lives in Toronto.

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Customer Reviews

2 Reviews
5 star:
 (1)
4 star:
 (1)
3 star:    (0)
2 star:    (0)
1 star:    (0)
 
 
 
 
 
Average Customer Review
4.5 out of 5 stars (2 customer reviews)
 
 
 
 
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Most helpful customer reviews

5.0 out of 5 stars Questions Answered, Jun 2 2004
By 
Angela Hobbs (Calgary, Alberta) - See all my reviews
Finally I have answers as to how so many doctors had so many different diagnoses and treatments for the same set of symptoms.

'Prescription for Excellence' is a must read for anyone caught up in the health care system. Though Rachlis doesn't set out to reveal the influences on our doctors that make them 'say and do' the things they 'say and do' this is one of his unintentional achievements - a significant contribution to empowering the patient in their own care.

In this book we quickly understand how the 'fee-for-service' penalizes doctors who spend time with patients - impacting listening, attitude, diagnosis and treatment. We rapidly appreciate the physician's lack of access to other professionals and their non-drug therapies - a void eagerly filled by pharmaceutical companies who often establish relationships with doctors before they even leave medical school! And we recognize the seemingly endless waiting lists for an array of diagnostic procedures. With a grasp of the many influences behind a diagnosis we can become participants in our own care.

The real goal behind 'Prescription for Excellence' is to reveal a path to improved health care through the nurturing of innovative programs, models and techniques. Like any system, our health care system is "perfectly designed to get the outcomes it produces" and while we tend to focus on privatization or increased funding as a source of improvement Rachlis explores an alternative. Many programs in Canada, the US and Europe have succeeded in creating service improvements that channel non-hospital care away from hospitals - thereby reducing costs. Cultivating innovation and weeding out the obstacles to its growth may encourage these programs to grow beyond the conditions required for germination.

We may not all share Rachlis confidence in health care teams or his optimism for call centers, but overall there is something for everyone and understanding the pitfalls and strengths of the system is the first step to turning it to our advantage.

Angela Hobbs
Author of 'The Sick House Survival Guide; Simple Steps to Healthier Homes.'

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4.0 out of 5 stars A excellent argument for health care restructuring, April 9 2004
By 
Kris Head (Calgary, Alberta Canada) - See all my reviews
Michael Rachlis' new book makes an empassioned plea for a restructuring of the public health care system in Canada. He uses numerous examples both from within Canada and in the U.S. and U.K. to outline how reorganization of health care delivery can be improved without just adding more money to the system.

Mr. Rachlis appears to be strongly opposed to privatization of the health care system and cites numerous studies that have shown private systems within health care do not have patient health as the primary value.

A downside of the book is that it focuses too heavily on the current model of nurses and physicians. Research demonstrating the value of other health care providers to increase the efficiency of the health care system is not addressed.

Overall, an excellent book if you are interested in how health care works and could work in Canada.

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Most Helpful Customer Reviews on Amazon.com (beta)
Amazon.com: 4.5 out of 5 stars (2 customer reviews)

2 of 2 people found the following review helpful
4.0 out of 5 stars A excellent argument for health care restructuring, April 9 2004
By Kris Head - Published on Amazon.com
This review is from: Prescription for Excellence (Hardcover)
Michael Rachlis' new book makes an empassioned plea for a restructuring of the public health care system in Canada. He uses numerous examples both from within Canada and in the U.S. and U.K. to outline how reorganization of health care delivery can be improved without just adding more money to the system.

Mr. Rachlis appears to be strongly opposed to privatization of the health care system and cites numerous studies that have shown private systems within health care do not have patient health as the primary value.

A downside of the book is that it focuses too heavily on the current model of nurses and physicians. Research demonstrating the value of other health care providers to increase the efficiency of the health care system is not addressed.

Overall, an excellent book if you are interested in how health care works and could work in Canada.


2 of 2 people found the following review helpful
5.0 out of 5 stars Questions Answered, Jun 2 2004
By Angela Hobbs - Published on Amazon.com
This review is from: Prescription for Excellence (Hardcover)
Finally I have answers as to how so many doctors had so many different diagnoses and treatments for the same set of symptoms.

'Prescription for Excellence' is a must read for anyone caught up in the health care system. Though Rachlis doesn't set out to reveal the influences on our doctors that make them 'say and do' the things they 'say and do' this is one of his unintentional achievements - a significant contribution to empowering the patient in their own care.

In this book we quickly understand how the 'fee-for-service' penalizes doctors who spend time with patients - impacting listening, attitude, diagnosis and treatment. We rapidly appreciate the physician's lack of access to other professionals and their non-drug therapies - a void eagerly filled by pharmaceutical companies who often establish relationships with doctors before they even leave medical school! And we recognize the seemingly endless waiting lists for an array of diagnostic procedures. With a grasp of the many influences behind a diagnosis we can become participants in our own care.

The real goal behind 'Prescription for Excellence' is to reveal a path to improved health care through the nurturing of innovative programs, models and techniques. Like any system, our health care system is "perfectly designed to get the outcomes it produces" and while we tend to focus on privatization or increased funding as a source of improvement Rachlis explores an alternative. Many programs in Canada, the US and Europe have succeeded in creating service improvements that channel non-hospital care away from hospitals - thereby reducing costs. Cultivating innovation and weeding out the obstacles to its growth may encourage these programs to grow beyond the conditions required for germination.

We may not all share Rachlis confidence in health care teams or his optimism for call centers, but overall there is something for everyone and understanding the pitfalls and strengths of the system is the first step to turning it to our advantage.

Angela Hobbs
Author of 'The Sick House Survival Guide; Simple Steps to Healthier Homes.'

 Go to Amazon.com to see both reviews  4.5 out of 5 stars 
 
 
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