For all the political branding and rebranding of healthcare in the United States, its fundamental unit of currency remains the doctor-patient relationship. This relationship has undergone seismic changes during the twenty-first century, including the introduction of new players (the so-called healthcare "team") and care delivery in settings like big-box stores and bureaucratic health systems. But are any of us better off?NEXT IN LINE is the first book to examine the doctor-patient relationship in the context of its new environs, in particular the impact of efficiency-driven innovation and retail-care models on physician mindsets and the patient experience. The overall picture is one of lowered expectations-a transactional, impersonal, and institutionally-limited incarnation of the medical bedside that leaves all parties underwhelmed and overstressed.By first conducting a macro-analysis of key industry trends (including the widespread use of performance metrics and retail principles), then measuring these trends' impacts through interviews with physicians and patients, NEXT IN LINE is both an examination and a critique of a care system at a crossroads. It is essential reading for understanding why relational care matters -- and why it must be saved in a corporatized health system bent on using retail approaches to deliver care.
Table of Contents
Preface1. Doctor-Patient Relationships and Our Expectations2. The Forces Impacting Doctor-Patient Relationships and our Expectations3. Retail Thinking Comes to Health Care: The Patient as Consumer4. All Roads Lead to Trust: How Doctors See the Relationship and Our Expectations5. The Tyranny of Lowered Expectations: How Patients See the Relationship6. Ceding Care to the Corporation: Making Doctors Disappear7. Saving the Doctor-Patient Relationship and Raising ExpectationsAppendix: How the Study Was ConductedReferencesIndex