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Prescription for Excellence: How Innovation Is Saving Canada's Health Care System
Prescription for Excellence: How Innovation Is Saving Canada's Health Care System
Date: 12 April 2011, 10:45

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'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 quot;perfectly designed to get the outcomes it producesquot; 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.

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