Fragmented

a doctor's quest to piece together American health care
Ilana Yurkiewicz MD
Book - 2023

"An award-winning physician-writer reveals how pervasive cracks in the health care system cost us time, energy, and lives-and how we can fix them. There's an unspoken assumption when you go to see a doctor: the doctor knows your medical story and is making decisions based on that story. But the reality frequently falls short. Medical records vanish when we switch doctors. Critical details of life-saving treatment plans get lost in muddled electronic charts. The doctors we see change according to specialty, hospital shifts, or an insurer's whims. Stanford physician Ilana Yurkiewicz calls this fragmentation, and, she reveals, it's the central failure of health care today. In this gripping narrative from medicine's front lines, she shows how a system that doesn't talk to itself forces doctors, patients, and their loved ones to go to heroic lengths to bridge the gaps. With lives at stake and little other choice, we all do so--but the system is hanging by a thread, and we need better solutions. Radiantly humane, empowering, and ultimately hopeful, Fragmented is a prescription for what really needs fixing in modern medicine"--

Saved in:

Holdings -

Central

Barcode Status Material Type CallNumber Availability
37413321809818 Available New Adult Non-Fiction 362.1042 YURKIEW  Place a Hold
Bibliographic Details
Main Author: Yurkiewicz, Ilana (Author)
Format: Book
Language:English
Published: New York, NY : W. W. Norton & Company, Inc., [2023]
Edition:First edition.
Subjects:

MARC

LEADER 00000cam a2200000 i 4500
001 912095
008 230506s2023 nyu e b 001 0 eng
005 20231002150907.2
010 |a  2023009902 
019 |a 1385352527 
020 |a 9780393881196  |q hardcover 
020 |a 0393881199  |q hardcover 
035 |a (OCoLC)1346293065  |z (OCoLC)1385352527 
040 |a DLC  |b eng  |e rda  |c DLC  |d ORX  |d FM0  |d RNL  |d OCLCF  |d IMT  |d UAP  |d VP@  |d YDX  |d FHP  |d OCLCO  |d CQC  |d UAG 
042 |a pcc 
043 |a n-us--- 
049 |a UAGA 
082 0 0 |a 362.1/04250973  |2 23/eng/20230522 
092 |a 362.1042 YURKIEW 
100 1 |a Yurkiewicz, Ilana,  |e author. 
245 1 0 |a Fragmented :  |b a doctor's quest to piece together American health care /  |c Ilana Yurkiewicz, MD. 
250 |a First edition. 
264 1 |a New York, NY :  |b W. W. Norton & Company, Inc.,  |c [2023] 
300 |a xvii, 252 pages ;  |c 24 cm 
336 |a text  |b txt  |2 rdacontent 
337 |a unmediated  |b n  |2 rdamedia 
338 |a volume  |b nc  |2 rdacarrier 
504 |a Includes bibliographical references (pages 239-247) and index. 
520 |a "An award-winning physician-writer reveals how pervasive cracks in the health care system cost us time, energy, and lives-and how we can fix them. There's an unspoken assumption when you go to see a doctor: the doctor knows your medical story and is making decisions based on that story. But the reality frequently falls short. Medical records vanish when we switch doctors. Critical details of life-saving treatment plans get lost in muddled electronic charts. The doctors we see change according to specialty, hospital shifts, or an insurer's whims. Stanford physician Ilana Yurkiewicz calls this fragmentation, and, she reveals, it's the central failure of health care today. In this gripping narrative from medicine's front lines, she shows how a system that doesn't talk to itself forces doctors, patients, and their loved ones to go to heroic lengths to bridge the gaps. With lives at stake and little other choice, we all do so--but the system is hanging by a thread, and we need better solutions. Radiantly humane, empowering, and ultimately hopeful, Fragmented is a prescription for what really needs fixing in modern medicine"--  |c Provided by publisher. 
505 0 |a Introduction -- Part 1: The data dig. Paper trails -- Who owns the story? -- Making computers work for us -- Part 2: Lost to follow-up. Are you my doctor? -- Twenty-eight hours in Hell -- Reinventing primary care -- Part 3: The stories we tell ourselves. These things happen -- The likeliest unlikely -- Fixing fragmentation together -- The full story: a patient's checklist. 
650 0 |a Medical care  |z United States. 
650 0 |a Health care reform  |z United States. 
938 |a Brodart  |b BROD  |n 133335658 
938 |a YBP Library Services  |b YANK  |n 18139289 
994 |a C0  |b UAG 
999 f f |s efa2659a-64ac-4a19-8634-79d6bafba28f  |i c27ee5f1-9a28-4153-968a-9f32f5f59822  |t 0 
952 f f |p Standard Circulation  |a City of Spokane  |b Spokane Public Library  |c Branches  |d Central  |t 0  |e 362.1042 YURKIEW  |i New Adult Non-Fiction  |m 37413321809818