New Rules tells the tale of the evolution of health care regulation over the last quarter century and examines the relationship between regulation and quality improvement. The authors outline ways to convert regulation from a meaningless waste of resources into a system that can truly help practitioners provide better care. And they offer bold recommAndations for change, with fourteen of their own prescriptions'' for specific arenas of regulation.
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TROYEN A. BRENNAN is professor of Law and Public Health and professor of Medicine at Harvard School of Public Health and Harvard Medical School. He is the author of Just Doctoring: Medical Ethics in the Liberal State (1991). DONALD M. BERWICK is president and CEO of the Institute for Health Care Improvement in Boston. He is coauthor (with B. Godfrey and J. Roessner) of the best-selling Curing Health Care (Jossey-Bass, 1990).
The authors of New Rules tell the story of regulation in the health care industry. They outline the evolution of health care regulation over the last quarter century, and describe ways to convert the system into one that can help practitioners provide better care. Finally, they offer helpful ?prescriptions? for change in specific arenas of regulation.
Health care regulation was designed to help guarantee appropriate standards of quality. Yet today regulation often seems to result in mindless bureaucracy or to actually impede positive change. New Rules tells the story of regulation in the health care industry and outlines how to convert regulation from a meaningless waste of resources into a system that truly can help practitioners provide better care.The authors outline the evolution of health care regulation over the last quarter century and examine the relationship between regulation and quality improvement. They show for instance, that while innovation in health care can achieve great leaps of improvement, regulations whose underlying motive is to preserve professional boundaries will be impediments to innovative new ways to meet the need for primary care and health information. And they offer fourteen of their own "prescriptions'' for changes in specific arenas of regulation, including: linking regulation explicitly to shared aims such as reducing the racial gap in infant mortality or reducing medication errors, establishing safe havens for major innovation, encouraging the progression of managed care, monitoring quaity for the impoverished, maintaining governmental support for community-based health improvement initiatives, and other bold recommAndations for change.New Rules is written for health care regulators, health care executives, scholars of public health, health care administration and public administration, and all those interested in the modern quality movement.
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