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Uncaring: How the Culture of Medicine Kills Doctors and Patients [Kietas viršelis]

3.93/5 (588 ratings by Goodreads)
  • Formatas: Hardback, 400 pages, aukštis x plotis x storis: 235x152x41 mm, weight: 612 g, Illustrations
  • Išleidimo metai: 18-May-2021
  • Leidėjas: PublicAffairs,U.S.
  • ISBN-10: 1541758277
  • ISBN-13: 9781541758278
Kitos knygos pagal šią temą:
  • Formatas: Hardback, 400 pages, aukštis x plotis x storis: 235x152x41 mm, weight: 612 g, Illustrations
  • Išleidimo metai: 18-May-2021
  • Leidėjas: PublicAffairs,U.S.
  • ISBN-10: 1541758277
  • ISBN-13: 9781541758278
Kitos knygos pagal šią temą:
Drawing an original and revealing portrait of what it’s actually like to be a doctor, this important and timely book shines a light on the unseen and often toxic culture of medicine as well as offers a clear plan to save American healthcare. 25,000 first printing.

"The spread of COVID-19 has brought the lives of doctors into sharper focus than ever before. We now see how the daily work of making important, even life-and-death decisions is frequently made harder. Hospitals and medical offices face budget problems, the influence of big pharmaceutical and insurance companies, as well as stress and long hours and massive amounts of bureaucracy and paperwork. And that was before the pandemic. As we engage in a public debate about the appropriate role of government, technology, big pharma and insurance companies in our health care, we've paid little attention to what it actually feels like to be a doctor. This simple ingredient -- medical culture -- argues for a simpler and more humane health care policy. And it also signals that necessary change must be made with care and attention. Saying thank you and applauding out the window for their life-saving work during the pandemic won't be enough. If we don't take care of our doctors, they can't take care of us. In this important book, Robert Pearl -- the former CEO of the Permanente Medical Group and a Stanford professor -- argues for the importance of culture to the future of medicine. No matter who is president, or how our laws change, his book makes it obvious that we can no longer afford to ignore it"--

Doctors are taught how to cure people. But they don&;t always know how to care for them.

Hardly anyone is happy with American healthcare these days. Patients are getting sicker and going bankrupt from medical bills. Doctors are burning out and making dangerous mistakes. Both parties blame our nation&;s outdated and dysfunctional healthcare system. But that&;s only part of the problem.

In this important and timely book, Dr. Robert Pearl shines a light on the unseen and often toxic culture of medicine. Today&;s physicians have a surprising disdain for technology, an unhealthy obsession with status, and an increasingly complicated relationship with their patients. All of this can be traced back to their earliest experiences in medical school, where doctors inherit a set of norms, beliefs, and expectations that shape almost every decision they make, with profound consequences for the rest of us.

Uncaring draws an original and revealing portrait of what it&;s actually like to be a doctor. It illuminates the complex and intimidating world of medicine for readers, and in the end offers a clear plan to save American healthcare.
Introduction 1(12)
PART ONE DIAGNOSING PHYSICIAN CULTURE
Chapter One Bloodletting, Handwashing, and Gorilla Watching
13(11)
Chapter Two A First Look at Physician Culture
24(6)
Chapter Three Heroes and Fools
30(5)
Chapter Four A Two-Part History of Today's Physician Culture
35(15)
Chapter Five The People v. Physician Culture
50(19)
PART TWO THE PHYSICIAN's PAIN
Chapter One Did We Kill One of Our Own?
69(12)
Chapter Two The Rise of Burnout, the Rebirth of Moral Injury
81(9)
Chapter Three The Problem with Prestige
90(9)
Chapter Four How the Mighty Fell
99(5)
Chapter Five Doctors and Self-Determination Theory
104(10)
Chapter Six Bored Stiff
114(9)
PART THREE HELPING OR HARMING PATIENTS?
Chapter One Quality Isn't a Given
123(4)
Chapter Two A Tale of Two Emergencies
127(6)
Chapter Three Human Shields
133(8)
Chapter Four The Real Price of Rx
141(8)
Chapter Five A Great Inconvenience
149(6)
Chapter Six The Language Barrier
155(6)
Chapter Seven Impersonalized Medicine
161(8)
Chapter Eight The Truth Is Complicated
169(8)
Chapter Nine The Doctor's Double Standard
177(10)
PART FOUR THE SOCIAL LADDER
Chapter One A Culture Without Answers
187(4)
Chapter Two On Death and Dying
191(15)
Chapter Three The Young and the Breathless
206(13)
Chapter Four Colorblind
219(11)
Chapter Five Does Sex Matter?
230(7)
Chapter Six Discomfort with Difference
237(15)
Chapter Seven The Last Straw
252(11)
PART FIVE THE EVOLUTION OF PHYSICIAN CULTURE
Chapter One Economic Desperation
263(8)
Chapter Two Between Scylla and Charybdis
271(6)
Chapter Three Two Paths, Both Fraught with Peril
277(12)
Chapter Four Denial, Anger, Bargaining, and Depression
289(6)
Chapter Five Acceptance and the Five Cs of Cultural Change
295(17)
Chapter Six The Virtues of Being Difficult
312(10)
Chapter Seven Medicine: A Love Story
322(13)
Acknowledgments 335(4)
Bibliography 339(28)
Index 367