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The Hippocratic Myth: Why doctors are under pressure to ration care, practice politics, and compromise their promise to heal

机译:希波克拉底神话:为什么医生要承受口粮护理,实行政治和损害其治愈疾病的诺言的压力

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摘要

Not many policymakers or scholars can write with the authority of Gregg Bloche. Bloche is not only a law professor, but a physician, who knows his way around a hospital. Throughout The Hippocratic Myth, Bloche cements his authority in the mind of the reader by relating stories of his experience as a clinician. In each of these stories, his humane and insightful approach as psychiatrist shines through. I do not say this to imply that Bloche uses his book to brag about his own abilities. Rather, these fluently-written passages strike one as the work of one of those rare practitioners who manages to care deeply about the patient at hand while simultaneously contextualizing the encounter in a larger framework. Thus The Hippocratic Myth should take its place among other well-received books by physicians with a sense of the big picture, including Atul Gawande’s The Checklist Manifesto and Better and Jerome Groopman’s How Doctors Think.In The Hippocratic Myth, Bloche leverages this authority to advocate for a more cost sensitive health care system, where individuals frankly acknowledge that they should expect trade-offs between cost and access to certain forms of care. My concern in this review is that Bloche the caring and expert physician would have a tough time in a health care world too deeply influenced by Bloche the cost-conscious author.
机译:格雷格·布洛什(Gregg Bloche)授权的决策者或学者并不多。 Bloche不仅是法学教授,而且还是医师,他了解他在医院中的出行方式。在整个希波克拉底神话中,Bloche通过讲述自己作为临床医生的经历,巩固了他在读者心中的权威。在这些故事的每一个中,他作为精神科医生的人道和有见地的方法都令人眼前一亮。我并不是说这意味着布洛什(Bloche)用他的书来吹嘘自己的能力。而是,这些流利书写的文章吸引了那些罕见的从业者之一的工作,这些从业者设法深切关心手头的患者,同时在更大的框架中将遭遇的背景信息化。因此,希波克拉底神话应该在其他具有广博感的,广受医生欢迎的书籍中占据一席之地,包括Atul Gawande的《清单宣言》和《更好》和Jerome Groopman的《医生如何思考》。在希波克拉底神话中,Bloche利用这一权威来倡导为了实现对成本更敏感的医疗保健系统,个人坦率地承认他们应该期望在成本和获得某些形式的医疗服务之间进行权衡。我在这篇评论中担心的是,护理专家Bloche在医疗保健领域会遇到艰难的时期,而Bloche则对费用意识很强的作者影响太大。

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    Pasquale, Frank;

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  • 年度 2011
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